HomeMy WebLinkAboutTIMBERLANE PARK #1 BLK 1 LT 12Timberlane Park
#1
Lot 12
Block
#019-142-13
"' M-W DRILLING, Inc.
~'~P.O. Box 110378 · 10330 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILUNG LOG
Use of We~
Size of casi~
Static water level
Location (address of: Township, Range, Section, if lmown; or distance main 'road
30
.,(~elow) .land Finish of well (check one) open end ( X );
't.'. ~bR~."~ surface.
Screen ( )1 Perforated ( .
Describe screen or perforation --j<'
Well pumping test at.-.~gallo'l~s pe~ ~,~)x (minute) for
of drawdown from static leVel.` ;~'
Date of completion ~ ~ ~,~_' :.~6'~-:-
..~ ..,., WELL LOG
I hours with
Depth in feet from
ground surface
0 TO 2
i TO 6
TO
TO 33
TO. ii__
TO~
~TO
.TO
TO.
TO.
.TO.
G~ve details of formations penetrated, size of material, color and 'hardness
CAGING ~TICXU~
CRCA.~!IC~
JUN 26 2000
~umcipali~y gl Anchorage
Dept. Health & Human Services
.__...__TO
.TO
3--CONTRACTOR
Rick Mystrom.
Mayor
MunicipaliW of Andxorage
Department of Health and Human Services
825 "L" Street
P.O, Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
June 7, 2000
Donald & Bah Barker
901 Old Klatt Road
Anchorage, AK 99515
Subjectl
Timberlane Park #1, Block 1, Lot 12
Permit # SW990280 PID # 019-142-13
The subject permit #SW990280 issued by this office for a single family well and/or on-
site wastewater system, is due to expire 365 days after it's issuance on August 16, 1999.
If this is a well permit and you have drilled the well, a well log must be sent to this office
for documentation of the installation and to close the permit.
If this is an on-site wastewater system and a licensed Professional Engineer has inspected
the installation, the original as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports must be submitted within 30
days of construction completion.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
Ifyou have any questions, please call this office at 3434744.
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Deparfment of Heath and Human Services
On-Site Services Program
825 L Street. Room 502
P.O. Box 196650, Anchorage. AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Upgrade
Date Issued: Aug 16, 1999
Expiration Date: Aug 15, 2000
Permit Number:. SW990280
Legal Description: TIMBERLANE PARK#1 BLK I LT 12
Design Engineer:. 0000 None Required
Owner Name: Donald & Ilah Barker
Owner Address: 901 Old Klatt Road
Anchorage, AK 99515-0000
Parcel ID: 019-142-13
Site Address: 000901 OLD KLATT RD
Lot Size: 49223 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
~5. -The following special provisions;' 1 WHEN THE NEW WELL IS COMPLETED AND IF IT IS DETERMINED TO BE ADEQuATEi-THE EXISTING
I INADEQUATE WELL SHALL BE PERMANENTLY DECOMMISSIONED IN ACCORDANCE WITH AMC 15.55.
Received By:
Issued By:
Date: ~
./
//
GR: "~'ER ANCHORAGE AREA BOROL~ ~','1
DEPARTMENT OF ENVIRONMENTAL QUALrlr
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TAIqK:
MAILING · ~) ' - '" '- ' * ~
ADDRESS ~:/' '~ ;",/2/~',¢'/,P~'-'f PHON EL.~ -~'/--~ O~/
DISTANCE FROM WELL_
LIQUID CAPACITY /.~'.~(~
GALLONS·
· NUMBER OF /'
MATERIAL ("'l(:7E;-' ('/c~./;:~- COMPARTMENTS
IN,SIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PiTS
NEAREST LOT LINE_
SEEPAGE PIT:
OUTSIDE DIAMETER OR WIDTH
J
. DISTANCE FROM WELt
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREAJ
· LENGTH ~'~") , DEPTH (~
, BUILDING FOUNDATION
~7~'~ ~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL_
NUMBER OF LINES
ABSORPTION AREA__
/
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION . NEAREST LOT LINE
/SQ. FT. LENGTH OF EACH LIN
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
AL EFFECTIVE
.IN. ABOVE TILE __
WELL:
LOT LINE
TYPE DEPTH
NEAREST SEPTIC
SEWER LINE . TANK
DISTANCE FROM
, BUILDING FOUNDATION.
SEEPAGE
, SYSTEM
WATER
_SAMPLE
, CESSPOOl
, NEAREST
OTHER
, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
G./y~.B.
GREATEr..NCHORAGE ARE : ' ROUGH
HEALTH DEPARTMENT
327 Eagle St Anchorage, Alaska 99501 279-2511
Cas. No.
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ./~J~)g-),,~9, <~Tz(_, MAILING ADDRESS ~'~/~¢~-,~-'~.,~/Yo//~PHONE NO
RESIDENCE ADDRESS .~/ ~ .~7~ LOCATION OF INSTALLATION ~6'/
APPLICATION TO INSTALL: SEPTIC TANK /,SEEPAGE PIT /,DRAIN FIELD ,OTHER.
TO SERVE THE FOLLOWING FACILITY ~~ /
PERCOLATION TEST RESULTS/~' ~/~ ~NTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
DISTANCES:
THIS IS TO SERVE AS .~,'/~, ~9~9~_2' , PERMIT TO INSTALL A ~~'-¢''z~z;~-~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE J~-~.57-) TYPE ~'~//~, SEEPAGE AREA
DIAGRAM OF SYSTEM
HEAL.TH AUTHORITy
OR
I certify that I am familiar with the requirements of Greater Anchorage Area Borough?rdinaii6~'~q'~"28:-68..~nd that the
above described system is in accordance with said code.
'REATER ANCHORAGE AREA BOROU~
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE #
Performed For J L Wood Date Performed 10/7/70
· '-' . 'Subdi~i~i'~h Timberlane Pare
Legal Deeor~ptzon. Lot £2 Block 1'
This Form Reports a: So~-~Log xx ' '. _ ...PerColation Test'"
Depth
Feet
10---
12~
Soll Characteristics
brown sandy silt (ML)
gray gravelly sand (SP)
silty sandy gravel (GM)
gray gravelly sand (SP)
Was Ground Water Fncountered?
If %'es, At ?;~a~ Depth~
no
Location Sketch
Depth To H2~
Net Drop
xx Drain Field
Depth .3f Inlet Depth To Bottom O{ Pit Or Trench
COMMEN.o.
16~ squcre feet o,f d~ai~age area i~ req~,ired per b¢~rpom
Test Performed By: R. E C~J~S]¢ These recon~endations are computed
'' from visual observations and based
on the unified classification system.
Data Certified Byt Nationa~l, T~t.~ng Service Inc.
Date:
~DCARRY
Subject :
Location :
Ref :
Sewage Disposal System
Lot 12, Blk 1, Timberlane Park
Yeur letter 3 August 1971
6 August 1971
J. L. WOOD,
Star Route A, Box 1584
Anchorage, Alaska 99502
Greater Anchorage Area Borough
Department of E~vironmental Quality
Pouch 6-650
Anchorage, Alaska 99502
Attn: Mr. Tim Eum~elt
Gentlemen:
I am enclosing reciepts s~d information pertinent to the subje~¢t sewage
disposal system as requested in your ~L~ugust 1971 letter.
Mr. Abbott was paid by the hour for excavation and back-fill etc. All
work was done according to instructions provided by your people and the
person performing the soil test. If anything at all was done in viela%i
tion with ordinance please be assured it was not intentional and we'll
be more than happy to cooperate with yeur office in an attempt to cor-
rect the situation.
To the best of my knowledge everything wa~ done as instructed. If your
office feels it is necessary please feel free to inspect our system,
property, ect. provided Mr. Wood is home at the ti~e, I~'~m sure he can
advise you mere thoroughly on the matter than I can.
If further information is desired,please contact me by telephone or
letter and I'll do my best to furnish it as soon as possible.
Ve~'~g~y yours,
Mrs. J~mes Lee Wood
VR~/mw
SOIL CONCRETE ASPHALT
3944 Spenard Road
January 15, 1971
STATEMENT
Mr. J. L. Wood
Box 1384
Star Route A
Anchorage, Alaska
Invoice # 195 dated October 27, 1970 $35.00
.I.L. WOOD, INC.
LLEY ANK
i: ~ ;'5 ;~,,,00 ~,r~.l:
~, L, WOOD, IN[:,
NOT NI'.GO 1 IABI.I.,
:D~w- ~9~q cla~ea 10/27/70 3.5.00 3.090-
I'
210~to~er
0C~9
· ~. L. WC]O0, INO.
NOT NEGOTIABLE
7O
5a5.00
89-36
252
Septic Taak 1200 gal.
Cement P3~ugm .for .Seepage Pit 525.00
STAR RT, A, SOX 1~384
402.50
J, L* WO~D, IN~.
NOT NEGOTI~LE
~ /~o
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMEN~ OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR REALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
(a) Legal Description (include lot, block, subdivision, section,
township, range)
Location (address or directions)
Applicants A~dress ~-(~--~ ~'[~L'E ~
(c) Applicant.is (c.h-ck''one) Lending institution ~ ;~f~/builder~ ;
Buyer ~--~ ; Other [ .~.~ I (~plai~),
(d) Lending Institution ~ Telephone
Address
(e) Real Estate Co. & Agent
Address
(f) Mail the HAA to the following address:
2. ~ype of Residence
Siagla-Family~
Number of Bedrooms
3. Water Suppl%'
Individual Well~'
Multi-Family ~ Other (describe)
Community F---~ Public
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
Sewage Disposal - '
Note: If community well system, mus~ have Written confirmation from the State
Department of Environmental conservation attesting to the legality and status.
[Page 1 of 2]
5. Engineering Firm Providin~ Inspections, Tests, File Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, functional and adequate for
the number of bedrooms and type of structure indicated herein. I further verify that,
based on the information obtained from the Municipality of Anchorage files and from my
ihvestigation and inspection, the on-site water supply and/or wastewater disposal
system is in compliance ~th all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm~
Address
Date
DHEP Approval
Approved for ~ __ bedrooms
Approved~.__ Disapproved
Terms of C6nd±tional Approval
CAUTION
THE Mb~ICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESEN=f-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE, BY AN INDEPE~NT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~YD
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
RR4/eJ/D18
[Page 2 of 2]
(DtIEP SE~I,) . / ~
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Well Classification //~)
Well Log P~esent (Y~
Total Depth 91 ~ DC' Cased to
Static Water Level ~ ~ ! Pump Set At
Casino Height Above Ground
Electrical Wiring in Conduit
Separation Distances from Well:~
To Septic/Holding ~nk da Lot
Legal Descripkion:
If A, B,
Date ~leted ~ ~2 ~)/~ Yield ~. ~'
.. ~D ~pth of Grouting
Sanit~y ~al on Casi~
~p~ession ~ound ~l~ead (Y~
; O~ Adjoining Lots
TO Nearest Edge of Absorption Field on Lot IZ~~m ; on Adjoining Lots
To Nearest PUblic Sewe~ Lin~ Nf~ -- To Nearest Public Sewer
Clean(ut/Manhole ~/~z/ To Nearest Sewer Servic~ Line,on Lot
Wate~ Sample Collected By ~, ~f-~;~ ; Date ~/~=~/~ V
Wate~ Sample TeSt Results ~~C~-~f~ -- ~
SEPTIC/HOLDING TANK DATA
Date Installed ~ 10 Size 1~O ~) No. of Compa~tn~nts /
Standpi~s ~) AiE-tight Caps ~) Foundation Cleanout (Y~
~p~ession ~er Ta~ (Y~ Date ~st Pn~d ~ / /~
y
Sep~ation Distan~s ~ ~ptic~olding Tank:
· o Water-Supply ~11 / ~ /)/~' ~o ~ilding Foundation'
TO ~o~rty Li~ ,~ ~ To Dis~sal Field ~
To ~t~r Main/Servi~ Lin--e -~/~ To S~e~, Pond, ~e, o~ Major ~ainage
..... i~ ~
' ~ 3: ' ~' Ae~e
~ · - ' ' .~ Date Paid:
. ' %' ~ount:
[Page 1 of 2].
2-15-84
D®
ABSORPTION FIELD DATA
Soils t~ating in Absorp~ioniStra%a
Width of Field '
Square Feet of Absorption Area
Depression over Field (Y~
Results of [2~st Adequacy Test
Length of Field
Depth of Field
Gravel Bed Thickness ~
72 OR Standpipes Present
Date of ~st A~qua~ Test.
TO ~ter-S~pply ~11 12 ' 0 TO ~O~rt~ Li~e
To Water Mai~]/~rviu~ Line To Cutba~(if pre~nt)
To Stre~/Pond~ke/or Majo~ ~ainage C~se ~+' ~
To ~iveway,~ Parki~ ~ea, ~ Vehicle;Stor~ ~ea ~' *
Date Installed Di~ns ions
S i ~ in Gallons Ma~ole/A~~ )
"~" ~%~].
/ Vent (Y~)
"Pump 0~" Level at
High Water ~f[arm Level at
Tested for
Electrical Codes (~Y _/N~//
Com~nts ....
Cycles Oaring Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I oertify that I have checked, verified, or conforrr~d to all MOA HAA Guidelines in effect
on Ehe date of this insl~cti°n'
Signed Date
[Pa~ 2 of 2]
2-15-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description:
Well Classification
Well Log P~esent (Y~)
Total ~p~ ~/~ ~d to
Static Wate~ ~1
Casing ~ight ~ G~nd
Elec~ical Wi~ing in ~nduit ~)
~p~ation Distan~s ~ ~11:
To ~ptic~oldin~ Ta~
MUNICIPALITY OF ANCHORAOE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
AUG 7 19R4
Date C~letea ~n~3~ Yield_~,q~
(~,~c~ Depth of Grouting ~K~..~ _
Sanitary Seal on Casing ~) __
Depression A~ound Wellhead (Y_Y_Y_Y_Y_Y_Y_Y_Y_~
; On Adjoining Lots
TO Nearest Edge of Absorption Field on Lot l~ / 0 ; On Adjoining Lots
To Nearest Public Sewe~ Line ~f/~/g~ To N%arest Public Sewer
Cleanout/Manhole /~//~ To Nearest Se~_~ Service Line on Lot
Wate~ Sample Collected By ~, ~d~ok~_~ ; Date
water Sampl~e Test Results
B. SEPTIC/HOLDING TANK DATA
No. of Cc~ugartments
Date Installed ~I(~/~! ' Size [~0
Standpipes (~N) Air-tight Caps ~N) Foundation Cleanout (Y~
P~ing~intenan~ ~n~a~ ~ File (Y~) ~1~; fo~ : ~/~
Holding Ta~ High-~te~ ~a~ (Y~)~/~ ~a~ Holdi~ Tank ~t (Y~)f/~
To Building Founda%ion ~ Z~/C-/O
To Disposal Field '~'~ L/"2~ f ~
TO Stream, Pond, Lake, c~ Major D~ainage
Separation Distances f~cm Septic/Holding Tank:
To Water-Supply Well l I (>/~
TO P~operty Line ~'~ / 0
TO Water Main/Service Line ~/~
[Page 1 of 2]
2-15-84
Soils Rating in Absorption Strata l~cf ~ Type of System Design .~¢~23
Date Install.ed ~//O./~/ ~ Length of Field ~ / ~
Width of Field ~ ~p~ of Field ~ /~
Grail ~d ~ick~ss /Q~d~ ~
Square Feet of ~sorption ~ea '~ ~ Stan~i~s ~esent ~)
~p~ession over Field (Y~ ~te of ~ A~a~ ~st ~/~/~%~
Results of ~st A~qua~ ~st'~ ~~ ~ ~ .
~p~ation Distan~ f~ ~sorption Field: ~~~ ~ ~
To ~te~-Supply ~11 _ ~/o To ~o~rty Li~ ~/ / O
To Building Foundation ~y~/~ To Existin~ or ~ndo~d System
Lot ~/,/~ ; ~ ~joinin~ ~ts ~/ ~
To Wate~ Main/~vi~ Line ~ To ~t~(if ~e~nt) ~/~
To St~e~ond~ke/~ Majo~ ~aina~ C~se ~ ~O
To ~iveway, Parki~ ~ea, ~ Vehicle St~a~ ~ea ~/O
D. LIFT STATION
D~nstalled
Size i n~-~a~t~ns~
"Pump O~" Lew, 1
High Water Alarm level at~'~
Tested for
Electrical Codes(Y/N)
Comments
Dimensions ~_--~
Manhole/Access (Y/N/
/~e nt (Y/N)
Pump~les cta~ing Adequacy T~st.
Meets MOA
[Page 2 of 2]
KB1/d5/s
2-15-84
** Check Permitted Bedro~n Rating Against HAA Request
I oertify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect
on the date of this inspection. ~,
Signed /~'/~'~L'~._~//r /~.~__~-"L~ Date '~/~/~qff
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501 MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 jUN 2 i981
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIF~
REC.... -
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
MAILING (~S /~'X
PROPERTY RESID~ (If different from above)
PHONE
PHONE
2, BUYER
MAILING ADDRESS
3, LENDING INSTITUTION I PHONE
MAI LING ADD R ESS
M^.,NOA.DRE S
5. LEGAL DESCRIPTION
6. TYPE OF R~SIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
I~DIVIDUAL~
[] COMMUNITY
[] PUBLIC UTI LITY
NUMBER OF BEDROOMS
~ One ~ Four ~ Other~
~ Two ~ Five ~
~ Three ~ Six
AT~ACH WE'LL~OG. A~ell log is required for all wells drilled
since June 1975. For weils drilled prior to that date, give well
depth {attach log if available.)
,. SEWAOED,SPOBA'BYBTEM /¢,x,¢
INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date .
If system is over two (2) years old an adequacy test is required
PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
TIME TIME
DATE RECEIVED
IME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS;
NUMBEROFBEDROOMS
1, TYPE OF RESIDENCE
[] 8INGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMIJNITY
PUBLIC: UTILITY
Connection Verified
3. SEWAGE DISPOSAI.'sYSTEM
[] IND] VI DUAL/ON -SITE
[]PUBLIC UTI I..ITY
Connection Verified .
[]Septic Tank Or (_-D Holding Tank
Size: !..~0 If Tank is homemade
give dimensions'.
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WEt. L TO:
Absorption Area to nearest Lot Lind
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
NSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Holding Tank Absorption Area
Sewer Line
Nearest Lot Line
5. COMMENTS
.J~]~' APPROVED FOR _.~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
ALASKA t IIUIROFImfllTAL COFITROL SeI4LIICI S, IFIC.
~nclineerincI $ ~nuironmcntdl Studies
JULY 31 1984
DONALD ROGERS
921KLATT ROAD
ANCHORAGE AK 99515
SELLER - JACK WHITE CQIVPANY BUYER -
SUBDIVISION - TIkBERLANE PARK BLOCK - 1
LOT - 12
ADE~dACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN AREA OF 720 S~:-T.
THE SYSTEM I5 CAPABLE OF ACCEPTING 600 GALLON5 OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM I5 940 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM I5 ACCEPTABLE FOR A
4 BEDROOM HO~vE.
THE SEPTIC TANK WAS PUkPED ON AUG i 1984 .
FLOW TEST ON WELL
THE WELL FLOW RATE WAS 6.5 GPM FOR 3 HOURS.
SEPTIC TANK ADE~dACY
THE EXISTING SEPTIC TANK VOLUIVE OF 1200 GALLONS IS INADE~LIATE BY
50 GALLON5 FOR THIS HOUSE OF 4 BEDROOMS.
ADDITIONAL CONVENTS : ~..~''/)L/
SYSTEM INSTALLED IN i971 WH~N'i'50~ dA~'~N TANK mS
OKAYED FOR 4 BEDROOm. /
1200 ~est 33rd ~ucnu¢, Suile B · Anchoroq¢, Alaska 99503,{907) 561-5040
'ALASKA e [JlROI me TAL CONTROL
~n~i,~¢¢,'in(I ~ ~nui~onm~ntol Studie~
INC.
JULY 31 1984
DONALD ROGERS
921 KLATT ROAD
ANCHORAGE AK 99515
SELLER - JACK WHITE COMPANY BUYER -
SUBDIVISION - TIMBERLANE PARK BLOCK - 1
LOT - 12
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN AREA OF 720 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 940 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
FLOW TEST ON WELL
THE WELL FLOW RATE WAS 6.5 GPM FOR 3 HpURS.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1200 IS
THIS 3 BEDROOM HOUSE.
ADEQUATE FOR
1200 LUcsl 33rd/~uCnu¢. ~uil~ [~*/~nchore§c. /~l~s~e 99503,{907/ 561-50~0
' ~" ~ LABORATORIES OF'ALASKA, INC.
CHEMICAL & GEOLOGICAL
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Phone No.
Water System Name
Mailing AddreSS
State Zip Code
MO. Day ! , Year
SAMPLE TYPE:
,~,Routlne
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
Treated Water
Untreated Water
SAMPLE
NO. LOCATION
[
,, [
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shoWS this Water SAMPLE to be:
~.Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination to
indicate reliable results. Please send new
sample via special delivery mail.
oa,e Rece,vBd
Analytical Method:
[] Fermentation Tube
~Membrane Filter
Lab Ref. No. Result* Analyst
O6-1220
Rev. 1983
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
Membrane Filter, Direct Count
Verification: LTB
Final Membrane Filter Re~ts~ , ~,,
8G8
Date
Time:
Collformll00ml
Coilformll00ml
COLLECTING SAMPLE TNTC = Too Numerous To Count
CHEMICAL & G~_JLOGICAL LABORATORIES OF ALASKA, INC.
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I,D. NO,
Mailing Address
City
SAMPLE DATE: ~
MO.
State
Day Year
Zip Code
SAMPLE TYPE:
r~ Routine
[] Check Sample (for routine sam ~)le
with lab ref. no.
[] Special Purpose
[] 'Treated Water
[] Untreated Water
SAMPLE
NO.
I
2
4 I
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Ana ysls snows thi~ Water SAMPLE [o De:
~ 'Satisfactory
r- dnsatisfactory
[] Samo~e too long in transit; sampm should
no[ De over 48 3ours old at examination
[o ndicate reliable results Please sene
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
= [] Membrane Filter
Lab Ref. No.
Result* Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-]220 (b)
Rev. 3.978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source
NO.
Presumptive 10ml 30mi 1Omi 10ml 3.0mi 1.0mi O.lml ,
24 Ho~rs
48 Heurs
Conermatory
24 Hours
£MB Broth 24 hours:
Multiple Tube Re~ort=
Membrane Filter: Direct Count
Verification: LTB
825 "L" ::~T R E ET
ANCHORAG[i, ALASKA 9950'1
(907) 264-4~ 1 i ~
GFORGE M. SUL[-~VAN,
MAYOR
June 30, 1981
J. Lee/Virginia Wood
Star Route A Box 168
Anchorage, Alaska 99502
Subject: Lot 12 Block I Timberlane Park Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
J~l) The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
(4)
(5)
Exposed electrical wires to the well head are in
violation of the Municipality of Anchorage codes and
must be encased in conduit.
The septic tank pumped with a receipt submitted to
this office. , ....,~. ~ ~
A cleanout needs to be installed to the septic tank.~
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
p~ review.
Please notifty this office for a reinspection when the noted
descrepancies have been corrected. If there are any f!lrther
questions, please call this office at 264--4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
ALASKA enulRonmenTAL CONTROL $1 RUIC6$, InC.
(~ngin¢¢~inq 8 ~nuironmentel $tu~i~
815/81
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL P~OTECTION
AUG r? 1981
RECEIVED
AREA REALTLY
5467 E NORTHERN LIGHTS
ANCHORAGE AK 99504
SELLER - WOODS
SUBDIVISION-TIMBERLANE PARK
BLOCK-1 LOT-12
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 720 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 6/19/81
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 BEDROOM HOUSE.
1250
IS ADEQUATE FOR
1220 LUcst 251h J~uenu¢ "/~ncbora§¢, /~laska 99503 · (907) 276-1361
