The URL can be used to link to this page

Home My WebLink AboutTRAILS END BLK 7 LT 7NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ ~'-~UNICIPALITY 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 J~Opt) c~D /t ~Ab$°rpt'°nerea/o DISTANCE TO: Manufacturer ~ ~' ~, Liq.DiSTANCE capac;t~ i~g~,o ns TO'I., WelllF HOME=DE: I""''de Dwellinglength Manuf~turer DISTANCE TO: F~,~ I~=~$ ~ .o.o,,,_ / ILe.gtho, each,i..,// Top of tile to fimsh grade Total length of lin~.~/__ Length Width Depth Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth Driller DISTANCE TO: Building foundation Sewer line PHONE i--'IUPGRADE Material Width NO. OF BEDROOMS NO, of compartments Liquid depth PERMIT'NO. Nearest lot hne~7~ ~ Trench width .q~'~inches inches Liquid capacity in gallons PERMIT NO. Distance between lines PERMIT NO. Total eflective absorption area Nearest lot line Distance to lot line Septic tank PERMIT NO. Absorpt on area(s) PiPE MATERIALS $OILTEST RATING INSTALLER REMARKS OTHER APPHOVEG DATE LEGAL BOX lJJ(JJ), STAR 'l~ob"l"E A /Ik~'CHORAGE, JkLASKA ~)D~O,~,° SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 7~C 7,~,','. DRILLED AT THE RATE OF PROPERTY OWNER ~t.. ~'c~ LOCATION OF WELL SITF' DRILLER ~. ~ c~ ,~7~.~f~ ~)~. WELL LOG: ~ ..... 2~ ~ ~?.~ ~m4U 27 .... ~5~ C*c.e.~. ~,~'~.L PER FOOT. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID 'DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF .'~.": ?.';.~. THANK YOU VERY MUCH. 13ERNIE CLAUS OF RAMPART DRILLING WORKS SERVICE CHARGEOF lY~% PER MOtH WILL BE ASSESSED ON PAST DUE ACCOUNTS. PERM!T NO. APPLICANT LOCATION LEGAL DEPRRTMENT '~LTH RND ENVIRONMENTRL~ '.~ .CT~ON 825 /L/ STREET, ANCHORAGE, AK. ~501 264-4?20 L~IELL AND 0~--~ I TE SE~qER PERM I T ( 8~145 ) lpeS L?B? TRFlILS END 82~ COGONBERRY LOT SIZE ~9~ SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 176 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 'Ii LENGTH= ~8 GRAVEL DEPTH= ? THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUH DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVRTION (IN FEET). REQU I RED ~EPT I C tS~ $ I :;'E= 'I000 GRLLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURIMG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TWO (2) I I%ISPECT I ON--c; lIRE REQU I RED BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR A PRIVATE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIHUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS ?5 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERI4IT E×PIRES DECEt~BER I CERTIFY THAT i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ISSUED B _ __DRTE ..... L V4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street0 Anchorage, Aleska 99501 264-4720 SOILS LOG - PERCOLATION TEST $OI [.S LOG PERCOLATION TEST PERFORMED FOR: d/~ /~'~ ~ ///~ (}~'~ /. 10- 11- 12- T 14- I 16- 17- 18- 19- 20- PERPOR'~EO S¥: L.~/~,~, ,8'2 SLOPE OATE PE.FOR ED: SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? / 4' ,~ e'l'¢ h - Gross Reading Date Time S L O P E~ Net Depth to Time .Water PERCOLATION RATE / "~ (minutes/inch) TEST RUN BETWEEN ) ~"'~' CERTIFIED BY: Net Drop 0,1~ O, I0 O/I0 0,11 O, I0 7:~08 (6/79) £' ._unicipaury. A nchore'. e D[PAR I'!,IF_I'JT OF HEALTH AND ENVI~ON~3ENTAL PROTECTI();i ~Permit %: 820295 · January 31, 1983 TO: Permit Applicant Subject: Lot 7 Block 7 Trails End Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated-on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log neegs to be .~ to this department for documentation of the ~nstalla~ion~. date and to close the permit. ' '--. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel% Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 F'ERMI T NO. l-lUr~ ~' C T [-w'-U Z T%-' '8F DEPARTMENT i..Z_flLTH AND ENVIRONMEHTRL ..-.,ECTION 264 -4728 Of-4----'~- T TE "-'-'%EI4EF' PER£'I T T .~ 8.20295 > APPLICANT LOCATION LEGAL ALI 8.UR CONST. DOGGIE DR. L7 B? TRAILS END S?D 8404 HARTZELL LOT SIZE ~44-9651 2i78.0 SQUARE FEET TYPE OF SOIL RQ.SORPTION SYSTEM IS: TRENCH MAXIMUM NUMB.ER OF BEDROOMS SOIL RATING <SQ FTZBR)= i?E. THE REOUIRED SIZE OF THE SOIL RQ.SORPTION SYSTEM IS: B, EPTH= ici LEr4GTH= 44- 6 RR'-,,'EL DEPTH= 6 THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETNEEN THE SURFACE OF THE GROUND AND THE 8.0TTOM OF THE E×CRVRTION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL 8.ETWEEN THE OUTFRLL PIPE AMD THE BOTTOM OF THE EXCAVATION <IN FEET>. REr;!.LI I RED _'SEPT I C T~r~ $ I ---"'E= 28'80 6RLLOr4S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTflLLATIOH INSPECTIONS OF tiNY NELLS flDJACEHT TO THIS PROF'ERTY AND THE NUHBER OF RESIDENCES THAT THE NELL I,IILL SERVE. TI-lO ( 2 > I r-.iSPEOT I r'jN$ ARE RE~..U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION fiND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM [:,ISTRNCE BETNEEN fl NELL fiND tiNY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR fl PRIVATE NELL OR i58 TO 288 FEET FROr.1 fl PUBLIC NELL DEPENDING UPON THE TYPE OF PUQ.LIC NELL MINIMUH DISTANCE FROH fl PRIVATE NELL TO fl PRIVATE SEI,IER LINE IS 25 FEET AND TO fl COMMUNITY SENER LINE IS 75 FEET. OTHER REQUIREMEHTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PE~:f'I I T EXP I RES DECEI'IBER 31.- :1.__'~- 82 I CERTIFY THAT 1: I fl['l FAMILIAR WITH THE REOUIREMEHTS FOR ON-SITE SENER$ fiND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I MILL INSTALL THE SYSTEM IH ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SENER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. SIGNED: ............ APPLICANT ALI BUR CONST. V4, 0 . MUNICIPALITY OF AN~"H6RAGE PERCOLATION DEPARTMENT OF HEAL~'H AND ENVIRONMENTAL PROTECTION . __.. TEST SOILS LOG - PERCOLATION TEST 10- SLOPE SITE PLAN D I ¢ ¢. -~-.11 - 12- WAS GROUND WATER ENCOUNTERED? T IF YES. AT WHAT DEPTH? 13 - 14 - %X, fleedin~Date ~5- ~...-......4.~ I, ~"~ ~-Z~ 10:15 ., ... ..... ~ 1~;~7 (;%1..... .... ....- r:%~- ~ II :/0 19- S L O P Net Depth to Net Time Water Drop · ~ Z, 15 .~' i0 ,,,7;,, /, 27 0,/~ ~- Z, 1,5 I, ~5 O,/0 ie~ff,~~'~ ~ /~ 2, lo O, II to ,.~ 2 ,00 0,10 .ERCOLAT,O. RATE I::;' "''''--"'"';'"' · ' I~ I '. (mlnut~s/inch) · D ,'.',~',','"' ~2~'.. '.. TEST RUN BETWEEN ..~--.~..~?'~'AND f '.,~T ' CE~TIFIEDBY:' ,~'~. ''~ .' - '.*' '~/ ;DATE/~'' .'.. U-//~a ... . . . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # J'~ ~,- ~c1.'~.- ~c~ HAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address · Lending agency Mailing address Agent po~, /,/,~,~ Address ¥ ?- ¥ / ~'~,3 .~/? ~r Day phone 3' ¥~' - 3'7,55- ?.0. 13o~ ti ~¥~d'~ /~c~o~'~,C,, ~.~< 995-1/ Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: NOTE: Individual well ~ Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. '5. ': '~TATEMENT OF INSPECTION BY*ENGINEER ,~s certified by my seal affixed hereto and as of th'e Validation date shown below, I verify that my mvest~gabon of th~s Health Authority Approval application shows that the on-site water supply a~d/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 investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes ordinances, and regulations in effect on the date of this inspection. NameofFirm FI~/.-/.c,/, "J-~,~;¢~/ 5"e,;~,;¢~- Phone Address 1¥.¢'3 o ~c/~o ...C/:/ ,4~(.J~o~'~u~,~,x . Engineer's {ignatur~' S,G.^TURE 'ApProved for ~ I~edroo'~ls. ;' Di~pproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ~ Date The Municipality of Anchorage Departmen~ of Health and Human Services (DHHS) Issues Heaith AuthoritY Approval Certificates based only .Ul~On the representations given in paragraph 5 above by an independent professional enginee r registered in the State of Alaska. The D H HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not co~duct inspections or analyze data before a certificate' Is issued. The Municipality of Anch(~rage is not r~sponsible f0~; e~ora or omissk~ns in the professional eng!~eer's work. Municipali~ of~chomge JUN 10 DEPAR~E~ OF H~L~ & HU~N SERVICES ~mnme=, =e~s Dlv,ion R E E I V ~5%" ~et, Room 5~ · ~omOe, N~ ggS01e p0~ ~7~ -- -- ~ Description: /.,.~. Wl~.l. DATA LoS prucm ToUd dcptb Date ~e~ Sta~ wam. lew. I We~ pmduc~on WArex ~ KESULTS: ColEorm ¢P Date of =m~l¢: ..C/~ ~ / ta *7 IL ~:a'[IC:/HOLD~NG TA.N~ DATA Health Authority Approval Checklist IfA. B, or C, ~t~eh AD~C letil~. ADEC ~ ~ m,mhel' Dam completed C. ased ~n I~-~' FROM W~i g.p.m. Nilznle O. ~ll r~,./~/..~ Otberbac~-'ria Dam U=~med ~' / 8 3 C. AIk~O~ON e',K.-n DATA TnnkSize IOoOv~,,I N.~_l~rofComMulmcnts ~ Cleanouls(Y/N), sou ,,,..~ ~.p.d./~ o, ~A,d~).~,.,S~=, ~,~ ~w,,,~ve absoq~on area ~ 1, V o' Moaimfia8 Tube pre.at(Y/N) T' Dep~/,~ ~ field (Y/N) At For ~' bedrooms I ~' MPluidd~plhlnabsoll~ficldl~or~tcst(in.); I?3~' Immedi'~h~afl~'7~-J ~d. watc~addcd (in.):. lq~ddcp~ t '"'/~" (ins.)~ latcr: ~' Absoq~onmtu - 'V,.4',.~ ~.p.~L l~ll~tlm~lt(pasti2nlo~)(Y/N) /~4mam k~,,un lfycs.~ved?,* ~ FI~,,,,~ .'~*~'~.~ ~t~o'''Je°t ~"e ~e ,,~,.~Yo.,ce_r &~lo,., ,v~¢ t,,,., oF Y~e A~';z.~',~,t./,;~,~. D. LD'T STATION ~/..~. Da~ inmlled Size in gallons ~ ~ nl~ i~1 ~* *Dnmm E. ~ON D~ ~ON DI~ ~OM ~]- ON ~ ~: ae ; On a~jacent ires ; On adjacent lots I/'~' PubUc sewer mnnhnlff'CleallOUl Lift stal~on ~'. A. "Pump ~ ~ at* Waiv~ Fee $ Dat~ of Paymcnt Receipt Number SEPARATION DI~rANCES FROIVl SI:~llC/HOLDINO TANK ON LOT TO: Building fo,mdn*~on ~ ~ ' ~ line ~"~' Al~on field / ~" Wntetm. i-/sen, icelin~ ~> t~,' Sm'f~c~wn~-/drnin*~e ~ It.,~' Wellsonadjacemiots ~ SEPARATION DISTANCE FROM AI~ORPT~ON ~-n ON LOT TO: B.ildin~ foundation .b'o' Property ~ y ~'' , ,Watc~ nmin/sez~Ce ~ · /~' Surface waler '~ tc~' Driveway, pa~cle smm~ area · Cm13in drain h/o,~' Set~ Wells on adja~m lots ) t~,o ' ENGINs,:so~'S CER'r~iC&TION I c~rtlfy t~at l It~ determined thru fi, id imp~ctton~ ~nd r~i~vt o/Municipal reoa.~.. ~Ifvll ,~.'~ ~ m"~ ln~oq/ormm'wewi~/O,4tl, d~guidellne3in,eff~clon~l~date, ~':: '~*"" :~ ".', '.;' ,'~ o~__,._ "'/"Z._..~.~_ . .~. ~ ..... *. . ..... , , .... ,- JUN-05-1997 1G:05 C?~E ESI P~ CT&£ Env|mnm~ntal Servic~ In~. c2(~75615~1 CT&E Ref3 Client Name Proje~ Name/# Client Sample Matrix Sample 9~2748001 Flattop Tcchnka! S~v. Lot 7, BUt ?,Trail~ End S/D Lot 7, Blk 7, TnU. s End S/D Drinking Water Client Printed DntdTlme 06/05197 14:57 Coli,Kted Date/Time 05/30197 13:30 Re~ved Dale/time 05130197 14:50 Technical Director: Stephen C. Ede 0.911 0 O,lOOl~g/L COl/IOML S~18 &$CE)-KC)3K 10 a~x o6/o~d97 Jgt. Reatty Co. & Agent Address Legal Description APPLIC FILLS OUT UPPER HAt"" '" 'JLY No. of Bedrooms Zip Code Zip Code Zip Code Zip Code ATTACH WELL LOG. A we~l log Is requited for all wells drilled since June 1975. For wells drilled prior to that date, give weft depth (attach log If available). Year Individual Installed: ~.~ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE I~OCESSING CAN BE INITIATED. Time Time Time Date Date Date Date Inspector Inspector Inspeclot Inspector Field Notes: ( ~APPROVEO BEDROOMS ( ) DISAPF~OVED ( ) CONDITiONAL/APPROVAL* DATE ""~ t~ /VlUNICIPALITY OF ANCHORAGE i~.-~'%,~'~, DEPT. OF I::/*.LTH ~, RECEIVED *CONDITIONS OF APPROVAL Soils Rating JDate Sewer Installed JWell To A~sorption Area Well to Tank ~) I'~1~ lWell Log Received Septic Ta'~k Size