HomeMy WebLinkAboutDEARMOUN LT 7DeArmoun
Lot 7
#018-401-10
Development Services Department
Building Safety Division
On -Site Water a Wastewater Program
4700 Elmore Road
P.O. Box 196650
mark Begich Anchorage, AK 99507
Mayor www.muni.org/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description Property Owner Name & Address:
/9 ®(f 1 �rNy Clwrk
"7 i36Y6 �az�,nr��
9S-1
Pump Installation Date: G _ �✓`^_
Pump Intake Depth Below Top of Well Casing: �/ / feet
Pump Manufacturer's Name: }�?¢Q 5-ei_o14�4
Pump Model: d5 1 2
Pump Size /1/Z hp
Pitless Adapter Burial Depth: g feet
Pitless Adapter Manufacturer's Name: Ler LC
Pitless Adapter Installer: 14JA
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: e A& Joe 1,6-�q
II Comments
Pump Installer Name: f 01 C2O✓� 14/t -al QL�
Attention: Tlie pump installer shall provide a pump installatiln log to the DSD within 30 days of pump installation.
-2-&t4 000S
Development Service_ Department
Building Safety Division
On-Sie Water 1 Wc—ste'water Prograrn - ...
41-00 ESragaw S treet
P.O..a.7::: 950500
Mark Begich Anchorace, AK 99519-66:50
Mayor wuvw.mi.ini_nrn; nnsit2
('907)343-7904 -
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description
D,6'/,9 o U n/
Lt -
Property Owner Name & Address:
Terry 61 rk
13640 Ak-- R45t,(v
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: feet 0 3
Pump Manufacturer's Name: ReJ JeL,kel-
Pump Model: 75'C-
SCPump
PumpSize ;'It- hp
Pitless Adapter Burial Depth: la feet
Pitless Adapter Manufacturer's Name: -- -
Pitless Adapter Installer:
Well Disinfected Upon Completion? R1 Yes ❑ No
Method of Disinfection: CIO- pe lfeh-
Comments:
Anchorage Pump c& well Jer�'iCe
Pump Installer Name: 330 Past 76th Avenue
Anchorage, Alaska 99518
Phone: 907-243-0740
Fax: 907-243-0742
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of ptunp installation.
'i'~'r, r1~ GRE/-,,I:R ANCHORAGE AREA BOE..uGH
· '~
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOEAT,ON E~_~,"','J P~. LEGALDESCR,PT,ON L~T 7 ~)~-~,~u,u
SEPTIC TANK:
DISTANCE:
FROM WELL /~
INSIDE LENGTH
, NUMBER OF
MA.UFACTURE'~',.'~"S'~.£1'~U'~R'A' F,'I~'-"~t I,~S COMPARTMENTS
INSIDE WIDTH '~' LIQUID DEPTH LIQUID CAPACITY/~O~ALLONS.
DISTANCE FROM WELL //',~ ! ~OUNDATION
NUMBER OF LINES (~ DISTANCE BETWEEN LINE5
ABSORPT,ON AREA ~'~ SQ. ~.
DEPTH OF FILTER
DEPTH: TOP OFTILE TO FINISH GRADE /~(5- / MATERIAL BENEATH TILE__~/ IN, ABOVE TILE
WELL:~ , -- /
CONSTRUCTION
TOTAL LENGTH /
NEAREST LOT LINE--~ / 7~'Of LINES 7~//
~'¥'"' TRENCH WIDTH~IN. TOTAL EFFECTIVE
IN.
DEPTH__ DISTANCE FROM:
BUILDING NEAREST
FOUNDATION.__. LOT LINE
NEAREST SEPTIC SEEPAGE
, SEWER LINE //~' I TANK /'""<~/, SYSTEM
CESSPOOL
· OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES: A ~ '~ N~ /
/~(_.= //e' -/.-
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL= P~'/~-- ~ '
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE I%'~1~]~ APPROVED
G.A.A.B,
Fo~m EQ-032
WELL.--~ITE ......................................................................................................
.......... O..c~.~.,....,~o.>,......l..~.& .............................
DATE---STARTED
~,,~r~ ................ ~.e~ ......... ~.......Z.~.~.~. ............................
~iND O~
~o~, ........... m.........~.~o......z..~ ......... ~..~.~.,.L.~d
~o~ l ~ ~.~o .~Z ...... ~dxd~.~.~/
~o~,......~_~ .......... ~. ~o........~.a ........ -~.lw..g..Q~.~ l
......... ......... t r
..................................... ~ .~.~.~ .............
~ROM .......................... ~. ~0 .......................... ~ .........................................
~OM .......................... ~, ~0 .......................... ~ ........................................
F~OM .......................... ~. ~0 ......................... ~ .........................................
~ROM .......................... ~, I0 .......................... ~ .........................................
FROM .......................... }~. ~0 .......................... ~ .........................................
~ROM .......................... ~. ~0 .......................... ~ .........................................
FROM .......................... ~. ~0 .......................... ~ .........................................
FRO.X! .......................... FT. TO .......................... FT .........................................
FROM .......................... FT. TO .......................... FT .........................................
FROM .......................... FT. TO .......................... ~ .........................................
FROM .......................... lq'. '~O .......................... VT .. .: ..........................
FRO,X! .......................... FT. TO .......................... FT .......... ' .................. '. ...........
FROM .......................... FT. TO .......................... FT ........................................
FI},OM .......................... leT. TO ......................... FT ........................................
FROM .......................... FT. TO .......................... FT .........................................
FRO31 .......................... FT. TO .......................... FT .........................................
FROM .......................... FT. TO .......................... FT .................. i ......................
FROM .......................... FT. TO .......................... FT .........................................
FROM .......................... FT. TO .......................... FT .........................................
MISCi,. INFORMATION:
[,~ELL Rr,~D
PERMIT, NO. ( 76892 >
APPLICANT ~ALPH
LOCATION EP, V I N RD
LEGAL L? DERRMOUY'I SUBD
~,~Ut-~ I C I~'"~ L I TY OF Rt,~CH¢IF~RGE ~/,~
DEPARTS.lENTr HEALTH AND ENVIRONHENTRL""' ~TECTION I1-~
251~ E. TUDOR RD., ANCHORAGE, AK. 5=d07 ~
276-2221
Ot4--S I TE SE~dEF; PERt4 I T
SAR BOX 295
~44-1914
LOT SIZE' 54455 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MRXIMU£'I NUMBER OF BEDROOMS = ~ SOIL RATING (SD FT?BR)= 1~0
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 8. 5 LEt~GTH= 69 GAR'dEL DEPTH= g. 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROOND AND THE BOTTOM OF THE EXCAVATION <IN FEET>.
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE ;'IINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
~:EQUIRED SEPTIC TRt~K SIZE= ieee .GRLLOt~S
TW~3 ( 2 ) INSPECT IONS ARE REG!U I RED
BACKFILLING OF ANY 5~STEM WITHOUT FINAL INSPECTION AND APPROVAL 8~ THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTIOf. I.
MINIMUM DISTANCE BETHEEN R WELL AND RtlY Of.I-SITE SEHRGE DISPOSAL SYSTEM IS
1Be FEET FOR R PRIVATE WELL OR 2~8 FEET FOR R PUBLIC WELL.
WELL LOGS ARE REQUIRED AND t'IUST BE RETURNED TO THE DEPRRTf'IENT WITHIN 3~ DRYS
OF THE I.IELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
I NSTRLLRT I ON.
PERf4IT ~-'RLID FOR Ot4E YEAR FROt4 ISSUE
I CERTIFY THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR Of.I-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
B: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEf'I HAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN B BEDRO0f'IS.
Pcrfon,,~ forRalph .~..merson.. SRA..Box. 29-5, -Anch., ...Ak. ........ ;;,~ te Pt, r~o,~.~.,~ .!0/.19~7~
Legal tJU.,cript~on: Lot 7, DeA~o~ SubD~vi~kon
This form reports: Soils 109._~ ................ Percolation test ...........
Dep th
Feet
1'- Brown, Sandy Silt
USCS Class. "ML"
2-
Grey, Silty Sand
4 - USCS Class. "SMd"
Coarse, Sandy Gravel
6 -Low silt content
Rock to 4" dia.
7 - USGS "GP/GW"
10-
]4-
Was §round water encountered? __~O ........ If yes. at Wilat depth? ....
Reading Date (;ross TiN: Net Time ii'IOepth to Wnt(,r' ltet Drop
Percolation raLe u]nute.
· Proposed installa'tTo'r,]'"'g~'-p~'ge Pit ~ ............ brai,, Field ................
I)epLh of Inlet _~..~.. .... · Depth ~ bottom of pit or trench __..1~.0.~ ..........
COI.1II[~ilS:._Re. qcq~e~d. .3~P .F~....8~page. .... ~e~p. er b~room ........................ _
!','{,~ O.III (6/74)
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received February 23, 1977
Time of Inspection 9:00 a.m.
Date of Inspection 2-24-77 JK
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
%~aska Mutual Savings Bank
Post Office Box 1120
Patty S. Allen
$~ar Route A Box 295
% Debbie
Phone: 274-3561
Phone:
3. Legal Description: I~t 7 De Armoun Subdivision
4. Location: Srwin Roadt 1 mile up De Armoun Road
5. Type of facility to;be inspected Single Family
6
No. of bedrooms
B. Depth
D. Bacterial Analysis
On-site system
B. Installer
2. Manufacturer
2. Material
length of lines
, Absorption area
, Other contamination
., Absorption area
92'
Well Data:
A. Type
C. Construction
ind f.v.~£~ a 1
Sewage Disposal System:
A. Installed 1976
C. Sep. ttc Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Ab~'ptton area to nearest lot line
, Sewer Lines ,
EQ-034 (1/74) Page 1 of two pages
, ~ ~I.~qtOPAJJ'F~ OF'ANOHO~JkGE
DEPT. OF HEAt. TH &
MUNICIPALITY OF ANCHORAGE rdWtROt,~ENTAL P~OT~C~ION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Ro~d. Anchorage. Alaska 99504 276-2221 FF..~ 3 1977
REQUEST FOR APPROVAL OF REC~ EIY. ED-
INDIVIDUALSEWER and WATER FACILITIES .- -
1. Typeof Inspection: CMRO VA FHA CONV ~,
Day Phone:
3. Name of Buyer:~
Mailing Address: Day Phone:
Name of Lending Institution:~~~!~~L~~~
Mailing Address: Phone:.
5. Name of Realtor or Agent:
Mailing Address: Phone:
Legal Deseri.ption:~ Location:
7. Type of Facility to be Inspected: No. Bdrms.
8. Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well ~"~--
Sewage Disposal System
Type of System: Public Utility Individual (on-site)
I f Individual, date of installation ~
72.003(3/76)
PageD2. if two pages - Re,' t for Approval of Individual
=..'r & Water Facilities
. Legal Description Lot 7 De Armoun Subdivision
Comments
Approved/~/~,~/~_.~c~_~ Disapproved Oate~-
Approval~Valid for one year from date signed
Greater Anchorage Area Borough, Department of £nvironmental Quality
DIAGPJ~M OF SYSTEM
certify that the infomation contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)