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Home My WebLink AboutEAGLE CREST #1 TR A LT 5O,S-O 0oo NAME 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 INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIP~O.N LOCATION TM DISTANCE TO: DISTANCE TO: No. of lines Top Dwelling NO. OF BEDROOM~..~ PERMIT NO. No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons ~' ,/f_ -~RM~T NO. inches O is t a nc e be~/~J~t~/e.t PERMIT NO. Type of crib Well DISTANCE TO: ~las$ Depth (;rib depth Total elfective absorption area Building foundation Nearest lot line Drille¢ D~stance to lot line DISTANCE TO: Building foundation Sewer line Septic tank OTHER PiPE MATERIALS SOlE TEST "ATIN~/,2~?,~' ~. INSTALLER ~ ~ REMARKS DATE LEGAL 825 "L' STREEt, 01'-4-- ?~I TE PERMIT f'~O. ( 810890 ) 8PPLICRNT ROSS CONSTRUCTION LOCRTION 4TH/HILLCREST STREET LEGRL L 5 T. ~ ERGLE CREST S/B ANCHORRGE, 264-4720 SEI--IER PER'~'~T T PO BOX 541 9957? LOT SIZE 694-27~7 17500 SOUARE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: DEPTH= IE~ LEt~GTH= ~,.7;-- 2 GRRVEL DEPTH= ~-- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET>. REQLI I RED SEPT I C TRr~i~( $ I 7___E= :L£10£'~ GRLLONS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE ~UMBER OF RESIDENCES THRT THE WELL WILL SERVE. T~40 (2) I 1'4SPECT I 0~4S RRE REQU I REE-, BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION BND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL 8ND ANY ON-SITE SEWAGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RMD TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS BRE RVRILRBLE TO INSURE PROPER INSTBLLRTION. PERM I t EXP I RES DECEMBER ~-::L~ :::L9 8::L I CERTIFY THRT l: I 8M FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS RS SET FORTH BY THE MUt~ICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. SIGNED: RPPLICRNT ROSS CONSTRUCTION V4. 0 Location: Legal Description: hoT%~ ~-~¢~ ~ Type of Soil Absorption System Is: Trench: %/ Drainfield: Maximum Number of Bedrooms: ,4 ~.~UNICIPALITY OF ~NCHORAGE~ Department , ! Health and Environmental rotectlon 825 L Street, Anchorage, AK. 99501 264-4720 ~ ~ ~ HANDWRITTEN PERMIT ~ ~ ~ ~ ON-SITE SEWER PERMIT Mailing Address: GO. The Required Size of DEPTH= hr'> ~ LENGTH ' ,?~,~ Seepage Bed: __ Holding Tank: Soil Rating(sq.ft/br) 1~'~4/~c,~. the Soil Absorption System Is:" . GRAVEL DEPTH' WIOT. The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * # REQUIRED SEPTIC(HO~6~ TANK SIZE = IO~>O GALLONS # * permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. ' * * TWO(2) INSPECTIONS ARE REQUIRED e ~ ~ Backfilling of any system without final inspection and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. ' ' # PERMIT EXPIRES DECEMBER ~1, 1 9 $ 1 I certify that: .(1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if th~/~esi~nce ~s remodeled to include more that 3 bedrooms. Signed: /~~ ~- ~<~ Issued by:..,""~W.~' A~plicant - ' Date: 6~ ~.,/~ SWP/024 (1/81) - - / PERFORMED FOR: LEGALDESCRIPTION: KS 4- 5- 6- 7- 8- 9- 10- 11 13- 14-, 15- 16- 17- 18- 19- 20. COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L~ Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST / / WASGROUNDWATER ENCOUNTERED? IF YES. AT WHAT DEPTH? ,~ SOILS LOG -~'; I"] PERCOLATION TEST DATE PERFORMED: SITE PLAN Re~dln9 Date Gross Net Depth to Net Time Time Water Drop / PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) FT PERFORMED B¥: 72-008 (6/79) PERMST NO. 0EPARTMENT/-~F HEALTH AN9 ENVIRONMENTAt~'?ROrEcTI~N 825' STREET~ ANCHORAGE~ 864-4700 APPLICANT ROBERT ROSS _OCATJON FOURTH STREET PO 80x 123~ 9956? LOT SIZE 3S83~, S~uARE FEEt ~nt~um ~s~ance between a well an~ any on-sl~e sewage 100 ~ee~ ~or a private wel] or 1SO ~o 200 ~ee~ ~rom a public well ~epenoing upon ~he ~ype of public well. ~nimum O~s~mnce ~rom m private well ~o a communi~y sewer line is 75 fee~. ~ell ]o~s are requireo ~n~ mus~ be re~urneo o~ ~he well ~omple~lon. ]~her requirements may apply. Spec~lcs~ions mno construction Oimgrmms mre available ~o insure proper 1: I am ~am~liar wt~h ~he requirements ~or on-sl~e sewers ~no ~or~h by ~he Municipality of Anchorage. ~: I will lns~mlJ ~he system in ~¢cor~nce wl~h ~he cones. ~JGNED: APPLJ'CAN r ROSER T ROSS ISSUED BY ,-~UNICIPALITY OF ANCHORAGE~ - . Departmentf ~ Health and Environmental ~r6tection '~ m 825 L Street, Anchorage, AK. 99501 · ~ 264-4720 · * * HANDWRITTEN PERMIT * * ~ Applicant: ~ ~ F '{-F ~O ~ Mailing Address: Location: ~ ,~,~. Phone Number: Legal Description: ~C~7' .Lot Size:_ /~-~/(~ Type of Soil Absorption System Is: · . - - Trench: Drainfield: _ Seepage Bedt __ Holding Tank:. Maximum Number Of Bedro6ms: ~ Soil Rating(sq~ft/br). The Reqdired Size of the Soil Absorption System Is: ' DEPTH LENGTH . GRAVEL DEPTH WIDTH ' The length di~ension is the length(in feet)'of the trench or drainfield. The depth'of"a trench or pit is the,distance between ~he surface of'the ground and the bottom of the excavation(in feet). .There'is no set width for trenches. The gravel depth-is the minimum:depth of.~ravel between the outfall Pipe and the bottom of the excavation(in feet). * ~IREQOIRED'.SEFTIC(HOLDING)'TANK'SIZE'=' GALLONS * * Permit applicant has the responsibility, to.inform this .department during the installation inspections of any wells.adjacent to this property and .the number of residences that the well will serve. - , . '' "-* * * 'TWO(2) INSPECTIONS'.ARE REQUIRED ~ * ~ Backfilling' of .any.'sy~tem without final inspection and appr6val by this departmen will be. subject to.prosecution. .- Minimum'dist~nce'between.a well and any on-slte.~ewage ~isposal ~ystem is 100 fee for a-private .well 'or 150 :to 200 feet from a public ~ell depending upon the type of public well.' Minimum distance from a private well ~o a private sewer line is 25 feet'.and to a community'sewer line is 75 ~feet. Well logs.are required a~d must be returned'to this department within 30 days of the well completion. Other requirements'may apply. Specifications and construction diagrams are available to insure proper.installation. * * # PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * ¥ ' ~ certify that: (1) I am familiar with the requirements for .on-site sewers and wells as set forth by th~ Municipality of'Anchorage. (2) I will 'install the system in accordance with codes. (3) ' I understand t~at the on-site ~ewer system'may require enlargement if t~e reszdence is ~remodeled to znclude more that ~b~rooms. Signed: Issued by: ~'~ ~~ Applicant ~ ~ .HUNIClPALITY OF Departm~n~ o~ ~eai~h a~ Env.Lron~ta 825 ~ S~reet~-AnchOca~e,.AK. 9950[ ~&a-4720 · · · HANDWR[TTF~ P£RM[T 4 4 ~ .-- Phone au.~ec: 6,, Y E'-2~'.S' "t .; .j DEPTH _j LENGTX __ . GRAYE~ DEPTH __ ~IDTH 'i .... :The. length dfmeEsion Is the. length(in ~eet) of the trench or dcataEie[a. ':"depth of-a trench or pit [s the dLetanc~ betwee~ the. ~urEace of the the bottom of the'excavation(in ~eet). There is no ~et ~[dt~ for the botto~ OE ~he excaVation(in ~eat). : ~ * REQO[EED'$F~T[C(HOLD[N6) TANK StZ~'=' GALtO~$ · Per~tt applicant hat the responsibility to Ln~orn this deDar~ment duping the~ h~stallatLo~ inspochlons O[ any wells adJacen% to this property and the num~e of residence~ that the well will ~ecve. s * · T180./,~) IHSFECTI~'t$ AI~ R~QUIRED * · 4 ~ackfLlLing of any sy~tea without final Lnspectios aha a~provaL b7 this depa= ~/lL he tub}err to prose~ut[o~. H[n[mum':distance between a well an([ any On-line sewage disposal syst~ ~or a private well or 150 to 200 fee~ ~c~ a p~bki~ well d~ndLng ~n ~he -o6::~ub%[c well. .-Min~ distance f~a a private well ~o a ~rivate s~ f~ 2S Eeet ~d ~ a ~uuuunity S~er line is 75 ~eet. ~11 l~ are an4 ~gt ~ ~eturn~ to this de~rt~nt with[~ 30 daF= oE the we~l Other requirements ~y app[7. 8p~i~icatfons and const~b%o~ diagr~s ace available tO insure proof installation. ~ ~ert/f~ that: · . (L) ~ ~ E~ili~ ~itb the ~equLce~n~ loc on-site ~wer~ and ~I~S (2) I will install the ey~t~ in ac~a~e wit~ c~es. ~ u~e=stand that the 0n-cite sewe~ syst~ may re~fre en[a~nt b~ re=idonce is rede%e4 %0 i~lude ~re that ' ~plxc~t - ' ; b-'~r~/O 2 4 (l/S!) ? < SULLIVAN WATER WELLS P.O. BOX272, CHUGIAK, ALASKA99fi67 · TELEPHONE688-2759 OWNER OF LAND ADDRESS ?." ,'"' , LEGAL DESCRIPTION DATE-S~ ~ / ~ / Ended PE~ff NUMBER KIND OF FORMATION: From '~ Ft. to "7 Ft. From -~' Fi. to / ~- Ft. From Ft. to.~Ft. From : <,'"' Ft. to '~-/ Ft. From Ft, ~Ft. From '-,[ I Ft. to / ~ , Ft. From / ~ Fi. to '7~ Ft. From __ Ft. to...~Ft. From "! "' Ft. to ,/,/ From__ Ft. to Ft. From I / "~'Ft. to ! ?"'~ Ft. From Ft. to__Ft. From :~:/~ Fi. to From ) ~ "-Ft. to 2 ,~' T'Ft. From ~--; '7'C"'Ft. to?~_/_Ft. From ,-',t Ft. to ? ~ ~Ft. From__Ft. to Ft. DEPTH OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR From ~ ~ ?Fi. to 7.~'~ Ft. From Fi. to Ft. From~Ft. to Ft. From Ft. to.~Ft, From Ft. to Ft, From Fi. to Ft. From.~_Ft. to Ft. From Ft. to Ft.. Fmm,~_Ft. to Ft.. From.~_Ft. to Ft. From Ft. to Ft From Ft. to Ft. From Fi. to Ft. From.~Ft. to Ft. From Ft. to Ft.. From Fi. to ~ Ft. From Ft. to Ft MISCL INFORMATION: DRILLER'S NAME. ., DATE RECEIVED "~ INSPECTION APPOINTMENTS TIME TIME TIME MUNICIPALITY OF ANCHORAGE ~UNICIPALI~ OF ANCHO~GE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT' OF H~ALTH & 825 L Stt~t · Anchora~, AI~a ~1 ENVIRONMENTAL SANITATION DIVISION AUG 2 4 1981 REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~i~ DIRECTIONS: Complete all parts on page 1, Incomplete e~u~ will not ~ pr~. PJease allow ten (101 days for pr~sing. MAI~G ~DDRE~ 3. LENDING INSTITUTION ~ PHONE MAILING ADDRESS 4. REALTOR/A~ENT ~ PHONE S. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOM$ SINGLE FAMILY Two I'-I Five MULTIPLE FAMILY ~ Three I'-] Six 7. WATER SUPPLY INDIVl DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, g;ve well i--I PUBLIC UTI LITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ~1~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. . ,,' THIS SIDE FOR OFFICIAL USE ONLY .-. 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ r--I 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 []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER I--ISeptlc Tank or I-'lHolding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: ~ept'c/H°'d'ng Tank IAbs°rPt'°n Area Isewer Line INearest L°~ Line Absorption Area to nearest Lot Line 5. COMMENTS p P.ROVED POR __ BEDROOMS . [] CONDITIONAL APPROVAL (letter must accompany certificate) f--I DISAPPROVED 72-010 (Rev. 6/79) CHEMICAL & GI:,,~LOGICAL LABORATORIES ~,F ALASKA, INC. TELEPHONE (907)-27g-4014 274-3364 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Water System Name ' ' ~:-;..f f,;.. r, :2__~/,....1 I ,'. ....... City · / State Zip Code Mo. Day Yem' SAMPLE TYPE: ct Routine I-I Check Sample ifor routine sample with I~b ref. no. r'l Special Purpose [] Treated Water D Untreated Water SAMPLE NO. , , LOCATION Tin'~ - Colle~l~ - By I I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: CSatisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination 'to indicate reliable results. Please send s~ew sample. Date Received ~" ~' ~'- ~ / Time Received ~! //~'''/) Analytical Method: r-I Fermentation Tube : ~] Membrane Fitter Lab Ref. No. '1 I Result* Analyst / 1-[3 / BACTERIOL.OGtCAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Directions for. Collecting Samples of Water for ,.' Total Coliform' Bacteria Examination: This'water analysis deals with materials present in very minute quantities. Carelessness in collecting and handling may lead to misleading results. Water samples will have to reach the !aboratory as quickly as possible within 48 hours after Collection. . After 4~ hours, tho significance of the bacteriological analysis is impaired and resampling will be nec- essery. Send to Laboratory fastest way: (i.e. special delivery mail.) In collecting samples from TAPS or PUMPS proceed as follows:. a) Remove any aerators or screens attached to the cutlet. b) Thoroughly flush tap or pump by allowing water to run freely with a fully cpened cutlet for three or four minutes, c) Red~ce flew'so that small stream flows. Remove bottle from mailing tube. Hold bottle in one hand while removing cap with the other. Avoid touching the neck of the bottle and the inside of the cap. ' .... "' Fill the bottle to its shoulder while attempting to avoid splashing. Immediately replace cap, being sure that it is tight, but not so tight as to split the cap. ' - - ~ "'f) "Complete' the pbrti0~ 'of the lab form which is ir~dicated "TO BE COMPLETED BY SUPPLIER." Fill in all appropriate blanks carefully, including your public water system identification number (ID No,), Contact the Alaska Department of Environmental Conservation if you do not know your ID number. (Public water suppliers only) g), Pack' bottle carefully in mailing tubc with lab form. ' The requirements for analysis of public water systems for total coliform bacteria are defined in the Drinking Water regulations administered by the Department of Environmental Conservation,