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Home My WebLink AboutTONJESS ESTATES BLK 3 LT 21 MAILING ADDRESS../(3 LEGAL D ESCRIPTIO~.~.7~ LOCATION ~ 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 NAME PHONE ~I~W ~ .,~.~.c..o: I-/1~ ~ I~'°'""°"~~ "'"'"0 ~/~ ~ Manufacturer ~ ~ Materi~ ~ ~ DISTANCE TO' IWell ~lling OZ< Manufacturer - '~ Materiel DISTANCE TO: ~ Foundation Top of rile to finish grade ~ ~. Length Width Type of crib Crib diameter Well DISTANCE TO: Class O th DISTANCE TO: Materiel beneath tile ~.¢ inch.,,,~ NO. OF BEDROOMS,~ PER,~/~ No. of compartments ~ Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. OTHER PiPE MAT ERIA~ ~//¢~,~ 'NSTA'AE~.s REMARKS C I PAL I TY OF AhlCHORAGE DEPARTr'IENT OF HEALTH AND.ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 Obi--SITE SE&qER & &qELL 'PERMIT :PERMIT DATE ISSUED: APPLICAtlT: CONTACT PHONE: LEGAL DESCRIP: 'LOT SIZE: LOT LOCATIOH: MAX BEDROOMS: '04/05/84 C/O S & S'ENG'G. EAGLE RIVER, A & S CONSTRUCTION AK ~5~? ' 'SUBDIVISION: TONjESS ESTATES SECTION: 2 TOWNSHIP: 15N 45265 (SQ. FT. OR ACRES> HOMESTEAD ROAD LOT: RANGE:' BLOCK:~ LISTED BELOW ARE SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. THE OPTIOHS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC · TRENCH BED DEPTH TO PIPE BOTTOM (FT.> i0 ~ 4.0 GRAVEL DEPTH (FT.> '4.5 0.5 TOTAL DEPTH (FT.> 7.5 4.5 GRAVEL' WIDTH (FT.'> . 2.5 19,0 GRAVEL LENGTH (FT.) 50.0 GRAVEL VOLUME (CU.~DS. > 2ii TANK SIZE <GALS> 1,000.0 ** 1,000.0 SOIL RATIHG (SQ. FT./BR) 150 .150' 4.0 2.5 6.5 5.0 58. 0 25. ~ ** DEPTH TO PIPE BOTTOM 4 ~. 5 FT. REQUIRES INSULATION .' ~* DEPTH TO PIPE BOTTOM ~ 4. 0 FT. MAY REQUIRE A LIFT STATION . *~ TANK MUST HAVE AT LEAST TWO COMPARTMENTS '- .I CERTIFY THAT: I. I RM FAMILIAR WITH THE REQUIREMEHTS.FOR ,ON-SITE SEWERS AND HELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (~10A> AND THE STATE OF ALASKA. '- 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIAY~CE WITH THE DESIGN CRITERIA OF THIS PERMIT. 1 I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING HELL, WRSTEHRTER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY RDJRCEHT OR NEARBY LOT. '4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF ~ BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE RN ADDITIONAL PERMIT~ IF A THEN ~IILL ELECTRICAL WORK MUST BE DONE BY'A LICENSED ELECTRICIAN. APPLICANT: C/O ~ &~ ~ ENG~G. R & S tD~I. ISTRUC~,8/.I , ISSUED BY ~z~u.,.~,-,.~--, ~ '' DATE: LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDIHQ CODES,' (1> AN'ELECTRICAL PERMIT AND INSPECTION MUST BE OBTRINED~ (2) RS-BUILTS HOT BE APPROVED WITHOUT. RN ELECTRICAL INSPECTION REPORT~ AND (~> THE PERFORMED FOR: LEGAL DESCRiPTION: X Z / 2-(G . 4- ~ ,o 11 :/C( WAS GROUND /, ENCOUNTE~ED~ ~ d IF YES, ATWHAT DEPTH? 13- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L* Street, Anchorage, Al&ski 99501 264-4720 SOILS LOG -- PERCOLATION TEST ~ SD~LS LD~ [-I PERCOLATION TEST (~t/SlT~E PLAN S L 14- 15- 16- 17- 18- 19- 20- COMMENTS PERFORMED BY: 72~08 (6H9) Reading Date PErdiTION ~ATE TEST RUN BETWEEN Gross Net Depth to Net Time Time Water Drop //~J'- (minutes/inch) FT AND FT CERTIFIEi B~~ rATER WELL RECORD Drilling Co~)~ ny 3~ch. TonJes~ 21 3 / / / ~reen cotort wl%h lar,~,e o 20 and very harD. 'i tlon O~ flow %0 ~U gpn. A.D.L. No. ~. O~EROP ~LL, Earl Chappell ER2 Box 6682 Chugi~k, Ak. 99567 191m ~,/~1 04 DA.g. 7. CASING: ~ Thr~ded 8. FINISH OF WELL: 0~ ho~ ft. Foss Drilling ~dr.s,: SE~.i~ow 7580 Chu~k, ~;~k. 9~)567 758 PINK - Drl$1er, CA~RY - Custo~mr MUNICIPALITY OF ~.NCHORACE ~IVISION OF EIWIRO~LM~NTAL HEALTH .' DEP~ OF ~TH ~ ~IR0~ ~O~CTION ~PLICATION F0~ ~TH ~HORI~ ~PROV~ ~RT~ICA~ (a) Legal Desctip~ion (include lot, block, subdivision, section, to.ship, za~e) Location (address or directions) (b) Applicants Name ~'~,~fit ~'~_. Telephone - Home Applicants Address (c) Applicant is (check one) Lending Institution Buyer.[~.; Other~-~(explain); (d) Lending Institution Address (e) Real Estate Co. a Agent /~7"/~ /~' -- ~°r~L Cf) Address Telephone Mail the BAA to the following address: Business ~--~; Owner/builder~--~; Telephone 2. Type of Residence Single-Famlly.~,, Number of Bedrooms 3. Water Supply' Individual Well~ Multi-Family ~--~ $ Other (desc~ibe) 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 Onsite? Public ~ · Community ~ Holding Tank ~-~ Note: If community well system, must have written confirmation from the State Department of Enviroomental Conservation attesting to the legality and status. [Page 1 of 2] ® 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, functions/ and adequate for the number of bedrooms and LTpe of structure indicated herein. I further verify that, based on the information obtained from the Nunicipality of Auchorate files and from my lnvestigatioh and inspection, the on-site wster supply and/or wastewater disposal system is in compliance with all Nuni¢ipel and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Telephone Address Date Approved for ~ bedrooms ~ ~ ' ~ ~ ' Approved ~ ' Disapproved Co~ltion~ CAUTION THE Wu~IOIPALITI OF ANCH0tLAGE I~PARTHENT ~ ~TH &~ E~IRO~ ~0TECTION ATION5 ~N ~ P~ 5 ABO~ BY ~ IN~PE~ ~OFESSIO~L ENCI~E~ ~CISTE~ IN ~ STA~ OF ~S~. ~ ~EP ~gS ~ ~ A ~SY' TO P~C~SERS ~ HO~S ~D T~IR ~ING I~TIT~IO~ ~ O~ER TO SATISFY CER~IN ~DE~ ~D S~ ~QU~E- ~S. ~PLO~ES OF ~EP ~ NOT ~UCT INSPECTIO~ O~ ~YZE ~TA BEFORE A CERTIFICA~ IS ISS~D. ~ ~IOIP~I~ OF ~CHO~ ~ NOT ~SPONSIB~ FOR ~GRS (DHEP SF. AL) P,.RI/e~/D18 [Page 2 of 2] 7-19-84 A. ~ELL [I~TA CHECKLIST - FEBRUARY 1984 ~UNICIPALITY OF ANCHORAGE D[PT. OW HEALTH & ENVIRONMENTAL PROTECTION AU6 1 1984 RECEIVED Well Classificatic~ 5. ~' If A, B, c~ C, D.E.C. At, proved(Y/N) Well Log l~esent (~) Date C~,~leted ~--/SI/S ¢ Yield ~o~.l Dap~ /~/' ~sed ~ $~ ~~ ~i~ - _ /' S~tfc ~te~ ~1 3~ ' ~ ~t At / //:39 Sanitary Seal on Casi~g(~N) Dallcessicn Around W~llhead ; On Adjoining Lots /d~ ~ On Adjoining Lots To Nearest Public Sewe= Separation Distanoss fzcm Septic~Tank: · o ~ate~-Sup~iy W~ii _//~ To P~o~erty L/ne To Water Main/Se=vies Line '~"/~ Course TO Building Foundation TO Disposal Field To Stremu, Pond, Lake, cr Major Drainage [Page 1 of 2] 2-15-84 Ce ABSORPTION FIELD II~TA Soils Rating i~ Date Installed Width of Field Sgua~ F~t of Abs~tion A~ea Dap~ession ~= Field (¥/~9~ ~sults of Last ~]equacy Test ' qb ' ~pth of Field 7 ~/~ Gravel Bed ~hickness ~ ~ Star, pipes P=esentt'~'~N) .~/~te of ~ast A~gua~y Test Separation Dis~ ~ ~t~ Field~ D. LIFT S~ATION Date Installed Si~ in Gallons 'Pump On" Level at High ~ater Alarm Eavel at Tested fo= Electrical Codes(Y/N) Manhole/Access du=f" Level at Vent (Y/N) lng A~equacy 'Test. ** (hec~ Permitted Beclrcx~a Rating ~zjainst tIAA Bequest ** I cs=tify that I have checked, ve=ified, o= o0nfo=r~d to all ~Oa HAA.~_~ie~ines in effect on the date of this ImploSion. / ~....~"... Signed K~/~5/S .... ' [Pa~ 2 of 2] ' ' 2-15-84