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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..~.& ............................. 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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)