HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 5 LT 15
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPFCTION REPORT
P H O N E [~N"~ W
LEGAL DESCRIPTION
~e~z~'galt~ IF HOMEMA~ Ilnsidelongth
DISTANCE,TO:~® / I Dwelhng ~RMITNO.
MamHactur Liquid capacity in gallons
~CC~TO: ~W Well Found~[~ Near0st lot line
/ Lend.ach line Tota~ of lines Tre~]~dth Dis~een lines
Length .... Width Depth PERMIT NO.
DISTANCE TO: / Building foundation Nearest lot line
Class Depth '~riller Distance to lot line PERMIT NO.
ClaDiSTANCE TO: Building foundation Sewer line Septic tank Ab~ea(s)
OTHER
PIPE MATERIALS .~-- ,..~.~
SOIL TEST RATING
?
DATE LEGAL
72-013 IRev. 3/78}
·
i'.,il..ii"ii',i !:;; Oi::: f;:(;i:;!J>libi(:li;i::; I..l~:ll II1: Hilt
E:,l~F:'Fil;i:'!'H[i%ii ,~ ! ii:f] :;11!~)1~(;:'! I() ~I ..... 1 ~ I,, ,t.!,,
SePtember 6, 1978
Lot 15, Block 5,
Zodiac Manor Subdivision,
Anchorage, Alaska
Percolation test performed September 1, 1978, by filling the 6 inch diameter, 22 inch
deep hand dug test hole wit]] water, and measuring the water level drop periodically
for one hour.
TABULATION OF PERCOLATION TEST RESULTS
TIME LEVEL(inches) DROP(inches) ET(min)
1646 1.75" start start start
1656 4.75" 3.0" 10 3.3
1706 6.25" 1.5" 10 6.7
1716 7.5" 1.25" 10 8.0
1726 8.5" 1.0" 10 10.0
1736 9.25" 0.75" 10 ].3.3
1746 9.75" 0.5" 10 20.0
RATE(rain per inch)
Average percolation rate for entire hour = 7.5 minutes per inch
Average percolation rate for last one half hour = ].3.3 minutes per inch
Note: This hole partly caved while the percolation test was being run.
Michael B. Bergmann
Consulting Geologist
Box 191, Star Route A
Anchorage, Alaska 99502
(907)344-9150
80.0' N 15°00'00'' E
tility easemest
56'
~ m 30'-
Lot 15, Block 5,
Zodiac Manor Subd.
Anchorage, Alaska
80.0' N 15o00'00" E
Pluto Drive
NOT TO SCALE
Distances are approximate and have not
been measured by surveying methods as
to location of test hole.
Michael B. Bergmann
Consulting Geologist
Box 191, Star Route A
Anchorage, Alaska 99502
(907)344-9150
T.H. NO. 1
9-1-78
Organics & Organic Silt,
--% Occ Cobble, redbrn
~J~ ...... "'- --0.5'
anic Silt: w/trc sand &
~.gravel, occ cobble, sl
~ moist, loose, redgry
~ brn. (eL)
%--- ..... 1.5'
~ravelly Sand: w/trc Silt
(5-10%), scat cobbles &
boulders, sl moist, med
dense to dense, grybrn.
Sandy Gravel.: with eec cobbles
& boulders, sl moist, dense,
gray.
(GW) ,.
· 16.0'TD
NO WATER TABLE ENCOUNTERED
Test Hole Log represents soils
encountered on Lot 15, Block 5,
Zodiac Manor Subdivision,
Anchorage, Alaska.
MUNICIPALITY OF ANCHORAGE ~NVIRObbv, r-N1AL
ENVIRONMENTAL ENGINEERING DlVlSIONTelephone 2fi4-4720
REQUEST FOR APPROVAL OF NDIVIDUAL WATER AND SEWER
DIRECTIONS: Comolete al parts on page 1. Incomplete requests will not be processea, Please allow ten (10) davs for processing.
1, PROPERTY OWNER PHONE
Kenneth Floyd Simpson
'vlAI LING ADDRESS
Post Office Box 10-1648 99511
PROPERTY qESIDENT fdifferent from above)
~-. BUYER
PHONE
PHONE
--~AILING ADDRESS
;3. LENDING INSTITUTION
PHONE
MAILING ADDRESS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
7)
E. LEGAL DESCRIPTION
Lot 15 Block 5 Zodiak Manor Subdivision
-~R E ET LOCATION
6, TYPE OF RESIDENCE qUMBER OF BEDROOMS
[] One [] Four
:4~× SINGLE FAMILY
[] Two I-] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Otl]er
7. WATER SUPPLY
~ INDIVIDUAL' * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled Drier to that date, gwe well
[~ PUBLIC UTI LITY depth (attach log if availableJ
8. SEWAGE DISPOSAL SYSTEM
:~g~× iNDiViDUAL/ON.$1TE~* ~- ~ individual/on-s~Le, g~ve installation date '1978
If svstem is over two [2) veers old an aaequacy test is reamrea
[] PUBLIC UTI LITY by this Department
~OTE: TH[" INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72,010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TiME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2; WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
F~INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade BOILB RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
J~APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED ~
DATE BY (Title~,/~
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
P.O. 8OX 4-1276 ANCHORAGE, ALASKA 99~o09 4649 BUSINESS PARK BLVD.
TELEPHONE
(007) 279-4014
Drinking Water Analysis Report fo,' Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM:
! .~ I.D. NO.
PubliciSt. er System Name I-
Mailing Addrsss
City State Zip Code
SAMPLE DATE: L~ ~.~
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
E3 Untreated Water
SAMPLE ,:
NO. LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
LABORATORY:
NAME
ADDRESS
CITY
Time Received /; (~)lu''''~
Analytical Method:
E] Fermentation Tube
/k~Membrane Filter
Lab Ref. No. Result* Analyst
I I
I
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Form No. 18-310 (3-78)
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
December 29~ 1978
~'780834
Kennetlh Floyd Simpson
Post Office Box 10...1648
~%chorage, Alaska 99511
Subject: Lot lb Block 5 Zodiak Manor Subdivision
A permit issued by this department for well and/or
sewer system has expired.
P~rmits are issued on a calendar year basis~ as stated
on the permit, by authority o:f Municipal ordinance°
If you have drilled the well~ a well log should be
sent to this department to document the installation
date,
If there are any further q~lestions, please contact
this office at 264-4720.
Sincerely~
Les N. Buchholz~
Senior Environmental Specialist
I~B/ljw
enc~ copy of permit
September 6, 1978
Mr. Ken Simpson
P.O. Box 10-1648
Anchorage, Alaska 99511
Subject: Soils investigation for sanitary sewer system on; Lot 15, Block 5, Zodiac
Manor Subdivision, Anchorage, Alaska.
Dear Mr. Simpson
At your request of August 31, 1978, I conducted a soils investigation at the proposed
location of a sanitary sewer system on the subject lot.
This investigation, which was accomplished on September 1, 1978, consisted of the
inspection of soils removed during digging of a test pit to a total depth of 16.0
feet, using a wheel mounted backhoe. After completion of the digging of the test p~t,
a bench was dug adjacent to the testpit to a depth of 4 feet, and posthole digger was
used to sink a 22 inch deep, 6 inch diameter hole into the bottom of the bench. A
percolation test was then performed using this hole. The results of the percolation
test are tabulated on an accompanying sheet.
The soils encountered are graphically shown on the accompanying test hole log. The soils
consisted of a 1.5 foot thick layer of organics and organJc sJ]t overlying a gravelly
sand with a trace silt 8.5 feet thick, underlain by a sandy gravel 6.0 feet thick.
The topography of the lot is generally flat with a very slight slope to the west.
Vegetation on the lot consists of moderately dense spruce and birch to 50-60 feet
tall, with some alders and willows, and a ground cover of grasses and mosses.
Mo water table was encountered.
An accompanying sketch shows the subject lot with the approximate location of the test
pit in relation to the property lines.
I appreciate the opportunity to be of service to you. Please contact me if you have any
questions regarding this soils investigation.
Very tru].y yours,
Anchorage, Alaska 99502
(907) 344-9150
Attachments: Drawing of test hole log with location sketch, and tabulation of
percolation test results.
xc: Department of Health and Environmental Protection
~'4av 3~ } 9'9
~,el~elzh Floyd Stmeso~
PosL Office Box ] 0-!64%
Anchorage, Alaska qq 3] ]
Subject: Lot 1 ~ B].ock :, " ''
~- ,,o, i t~x 2.1anor Subdivi. sion
~q)proval for yo~:c individ:,:,] Sewer and water facilities
wi il not be granted until th{ roi]owing items have been
completed:
· '~ . . ~c.. tx, to ~his off, ice
[2} A ~.,,'c)1~ 1o,~ : · suhxl ,. ' ' ·
(3) You~: Dermik ~ ' '
~ - . aa, o~ Lecombor 3] 1978. Ne have not received
- -' ~" au~on in this office. I~ an
enginoer ~ .... - ~
~h,, ~i. les.
'~' . - -,~ her :_~o:;t ~ons, please contact /his orifice
at 96~ 47o0 '
S i ri CQrO ].y,
Nobert C. Pl:att, R.S.