The URL can be used to link to this page

Home My WebLink AboutHULSE #3 LT 14Hulse Lot 14 #050-521-93 MUNICIPALITY OF ANCHORAGE DJ' '~TMENT OF HEALTH AND HUMAN SER ES Environmental Health Division ~ '.: 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na,~e DISTANCES ,~ -,-- V4,~' /-'/~/.re. ~ SEPTIC ABSORPTION WELL A~r~s~ ~ TANK FIELD Phone(s) [Permit ~0. No. of Bedrooms WELL ~",~* ~/~ Township, Range, Section AS-BUILT ~IAGRAM (Show location o~ we4l, septic system, property hnes, foundaho~, T/~ ~ ~ / ~ ~C , ~,~ Or,veway, waterboOies, etc,) TANKS Ma[erial No. of Compa~ments TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER Depth to pipe bottom Irom Total depth from original grade original grade / FT [ ~a FI Total absorption area Distance between ~ines ~ ~ SO FT FT ~ - ~ .... Number ol [/n,s So,I rab~g Pipe material ~ ~ WELLS ~ PRIVATE ~ OTHER (Identifv) , ~. Classification (A,B,C) , Total Dep[h FT Cased to FT~ b~stalle, ,Dae nstaHed: REMARKS: SEAL ' Eagle River, AK 99577 , t ~ ~ ~' ce~ify that this inspeolion was pedormed according to all Municipal and Stale guiddines in fllefl on this dale: ~/~[~ - eallh Depadmenl Approval· ~ ~ ate: DEPAR'I"ME]qT t]F I'"tE:~:~ L..TH AND EI',IV I RONMEI'4TAI... F:'F~C)'FE.:.CT I ON 87.5. L. S'I"REET, 'qNCHORAGE, AK 9950 ]. 850676 ENf31NEERliED D[E,E~ I GN :t. 0/:L5/85 BRYAN H UI...SE t:::'. 0. BOX Z7()E~81. E:At".")LE R I VIER., Al< 99577 694-7::~;58 ,'.BLH.~i;D :[ V I S'I ON :: 1,4ULEE SE:CT I ON: 2'.3 'TOWNSH I F:': 14N 808'72~. (f3[:;!. F:'T. C)I::;,' ACRli:~E;) LJ2"I": 14 :[ t.[][,I .... NA R ANG[ii: :: 1 W I cepti~y that: 1. I afil fa{[l:i. ]. ].ap e~J.'Ll"i thE, r'E:.:.qLtir, EH'fienit. s fop on-si're seweps and wel Is as set fc)p'Ll' bv the MunicJ. pa].i'l:.y of Anchor'age (MC)fi) and the State of A].aska~ 2.. I will ins'La].l, the system in accc:n"dance w:i.'[h all MC}A codes and peguZat:kc)ns, al]d :i.r~ cc, mp].iance wJ.~th the desJgr~ cpJ. tel-:i.a of this per'mi't, 3., I ~,~i] ]. adher, e to ali. MOA and Sta'Le (:)t Alaska requipements fop tine se't bac:k d:[s'!:..e&l]ces fPoff any e::.(:ts'l:.:i, nE:j welt,, kx~astE.~wa'Lep disposal system op publ:i.c se~/.4el"a(~lf, D f~ys'tt~fi'i (;)vi this [Dp any adjacer'v[ IF A LIF:']- S'TA'Ti'Otxl IS INSTAL ..ED IN AN AREA COVERED BY MOA BUILDING CODE:S, 'T'HEIq (1) AN E]_.EC]TRICAL F'ERMI]" AND INSPEC]'ION I"IUS]" BE OBTAINED; (2'.) AS.....BUIL. TS WILL. NOT BE: APF'ROVED WITFtOUT' AN ELECTRICAL INSF'ECTION REF:'OR]'; AND (3) THE E]....EC)TF:?.ICAL.. WORK MUS] BE DOIqE BY A LICE:NSED ELE:CTRICIAN, AF'PL..ICAN]: BRYAN HUt....SE P.o. BOX 665o ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 T~q_!','Y KNOWLES. ~,IA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850676 Lot ~Hulse Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, ' Susan E. Oswalt Program Manager On-site Services SEO/ljw r enc: Copy of Permit unicipality of Anchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 23, 1986 Bryan Hulse P.O. Box 770881 Eagle River, Alaska 99577 Subject: Lot 14 Hulse Subdivision On-site Sewer Permit #850676 - Issued October 15, 1985 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). All septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact the Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, Susan E. 0swalt Program Manager On-site Services sEo/sSM/lJw MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264~4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST 1 s /? ? SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O COMMENTS WAS GROUND WATER SL ENCOUNTERED? /~/L~ O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ? ~' (minutes/inch) TEST RUN BETWEEN / FT AND ~ ET PERFORMED BY: ~a~le River Engineering Services P. 0, Bex 773294 Eagle River, Al( 99577 6~4-5195 CERTIFIED BY: DATE: EAGLE RIV~ · ENGINEERING SER~,,;ES INC. P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 JOB SHEET NO. / oF. / CHECKED BY SCALE /t/ ,T,~, OATE EAGLE RIVER ENGINEERING SERVICES Lou Butera P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Hulse Lot 14, Addn #3 A. GENERAL 1. The drawings shall be a part of this specification. 2. Ail materials and workmanship shall meet the requirements of the Anchorage Department of Health and State D.E.C. 3. Ail soil tests are advisory to the design and are to be vertified or modifided in the field by the engineer. 4. It is the reponsibility of the owner to obtain all neces- sary permits or easements. 5. Eagle River Engineering is not reponsible for location of the septic system on the lot when owner or excavator determines the location of the lot line and easements. It is always reccomended that a surveyor locate the near- est lot line position and the location of any easements. EAGLE RIV ENGINEERINO SER¥1CES INC. P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5].95 SHEET NO. CALCULATED BY CHECKED BY. SCALE DATE erti[ie ri[[ing SULLIVAN WATER WELLS P.O. BOX670272, CHUGIAK, ALASKA 99567 * TELEPHONE688-2750 OWNEROFLAND://~,'~'~n~') ~ '7'/(~¢{~:'3~ ADDRESS: LEGAL DESCRIPTION: BORE HOLE DATA DEPTH Method of Drilling: (.J-eE"rotary 'J cable tool D~pth of well: Casing Type ~.~ Wall Thickness ~ ,.~.~O inches Diameter ~.pJ~ inches, depth ~,~1 feet Liner Type: ~ ~ Casing Stickup Above Ground: ~" feet Static Water Level: =~'~' feet Redover Rate: //'~"" gpm Method of Testing: /'~'J.~ Well Intake Opening Type: Q open end ~pen hole .... Ll'Sc're~nedi: ' 'st~t .... feet stOPped "feet r~ Perforations Start .feet Stopped feet Grout Type:/~F,''.IT. ~ "~ r '~ Volume(~/4 I~J, /' Depth: from ~'~ feet, to .~ 0' feet Well Disinfected Upon Completion?~l,~Y'es '~ No Method of Disinfection: C ~"/4 ~ ~1.-~ ,-'--. Comments: Driller's Name ~ ~"'~"~ ATI'ENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Development Sen, ices Deparfment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON.SITE WATER SUPPLY PERMIT Initial Date Issued: Oct 01, 2002 Expiration Date: Oct 01, 2003 Permit Number: SW020380 Legal Description: HULSE #3 LT 14 Design Engineer: 0000 None Required Owner Name: BRYON & TRACY HULSE Owner Address: 8440 MARY ESTHER DRIVE EAGLE RIVER, AK 99577-9637 Parcel ID: 050-521-93 Site Address: 008440 MARY ESTHER DR Lot Size: 80872 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of.' [] Disposal Field [] Septic Tank [] 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P,O, Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (9O7) 343-79O4 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O.TZ'O Permit Number Property owner(s) L"~C~- Mailing address (1) ~'/~,/'/O Mailing address (2) Legal description (Lot, Block & Sub'd,) Legal description (Section, Township & Range) Lot Size Acres~____. PrvL.~---. Day phone Zip Code Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only [] Well Only ~ Sewer and Well [] Water Storage [] Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub [] Jacuzzi [] Swimming Pool [] Watei' Softening Unit ri' Therapy Pool [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signatt,.6e of property owner or authorized agent) Permit Fees: /5'-0 Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: 'AS-BUILT 1 hereby certify that I have sbrvt.;ye~ the following described propem,: /.-o~' , /~F". ' * - . -. Anchorage Reco~ing Prectn~, Alaska, and that the/mprove- ments situated thereon are within the property lines and do not ore,tap or enc~ach on the' ptol~erty ]y~g adjacent thereto,'that no improvements on property lying adlacent thereto encroach on the premises in question and that there are no r~adways, t~anambaion lines or other visible easements on said property e~cept u indiCated .he~o~. -- · . . ' : '. - Dated at Eagle Rlver~ Ala~.a. ' .. ' .' ~,a-7 ~-,' a,y'oU '~p,'/'/ . ~97~'. · ': . ROBERT C. JOHNSON ',, '~ ~ ' 6CAKE . .. . -' _Registered. Land 6urvey~ No. ~880-LS