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HomeMy WebLinkAboutDEARMOUN VINEYARDS LT 2
,..~MUNICIPALITY OF ANCHORAGE.-.
He~ ~ and Environmental Prote~ ~,on
Fourth Floor West ~.,'~
825 L Street
Anchorage, Alaska 99501
264-4720
INSP~'CTION' REPORT ON'SITE SEWAGE DISPOSAL SYSTEM
PHONE
SEPTIC TANI~: ,.
DISTANCE (.~' ~w-,c,.[~(;
FROM WELL MAI'4UFACTURER ~
INSIDE WIDTH
INSIDE LEI'4 GT H
NUMBER OF
iMATE RIAL ~c,=..a- [ COMPARTMENTS ~'
LIQUID DEPTH -- LIQUID CAPACITY=J OC'C' GALLONS.
TILE DRAIN FIELD:
DISTANCE FRO,",,1%',,'ELL~J.~~'~
~ of Lines
! I TOTAL LENGTH. I
FOUNDATION J (~ NEAREST LOT LINE ~. ~ '1" OF LINE '(..O ~
DISTANCE BETWEEN LINES f'}/j~' TRENCH WIDTH','~F~,. IN. TOTAL EFFECTIVE
ABSORPTJO;: AREA ktO ~) SO. FT, LENGTH OF EACH LINE [~3 ~! DEPTH OF' FILTER
MATERIAL BENEATH TILE '~'~'~, IN. ABOVE TILE
DIAMETER , OR WIDTH LENGTH DEPTH
DIAMETER. . DEPTH
NEAREST LOT LINE__
DEPTII: TOP OF TILE TO FINISII GRADE -J
SEEPAGE PIT:
Log Crib Rings. Crib Size:,
BUILDING FOLJNDATIOh~
Class:'-'~~ Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:
# of Bedrooms:
Installer:
Remarks: ~%
. DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
F'ERM!T NO.
I'-'Igl r-4 -i. ~S 1 F'FiI_ ]~ "1"~'
DEPHRTMEN-I' j~ HElqL'rH lqr~D EUVIRONr,IENI'lqL~OTECTION
. ., ....
82:5 -'l STREET, HrJbHLIF:HbE.,
7?7?4 )
lqPPL 1ClqN1 LRRR'~P N I LMFIRTH
LOCFtT10N OFF [)ElqRMOUN
LEGAL L~ E:i FLFlTTOP VIEN LOT ~iZE
'I~r'F'E OF SOIL ADSORE:TiOrl SYS'I'Er.1 IS: DI;~lqlNFIEL. D
MI-];','iMLIr'I NUMBER OF E:EDROOMS = 2< SUIL F:RT'I[4G (SQ F]',;BF - ..5
. /~A~THE LENGI'H DIMENSION IS THE LENG'[H (IN ~EE'I) OF THE TRENCH OR OR,INFIELD
]HE L)EP]H OF 8 TRENCH OR PII THE DIS'IHNCE E:ETWEEN 'i'HE :,.RFMUE CIE 'IHE
GROUND RND THE BOTTOM OF THE ENCHVRTION (IN FEET).
THE iRENCH HID]H FOR DRRINFIELDS IS 3: FEET.
]'HE GRHVEL OEP.IH IS THE MINIr, IUM DEPTH OF GRAVEL 8EI'HEEN THE OUTFHLL P1PE
Hr~D THE 80'[]OM OF THE E>::CB'~,'R.['JON (IN FEET).
F'F-IIZ-t(RI3E PLRI'-.ff-IF C~F']" :.1: i-[r-.I
i-~ PlqCKFlGE F'LlqN'[ r.l~'~' BE INSTlqLLE[:, lqT ']"HE PERH~TTEE'"_c, OP'I'JON ~UE:JECT 70 THE
FOLLON!NG CONDITIONS:
:1.. El]HER FI CLASS ! OF..' I! NSF lqPPRO',,.'ED PLANT NFt'T' BE INSTlqLLED.
2. Iq CONTINUOUS t,IFI1N'[ENF~NCE lqGREEMENT IS REQLIIREL:,. IF Fl t'IFIINTENF~NCE
lqGREEMENT IS fIOl' KEPT CURREUT ML]LI f'lFl'x' BE REQUIRED TO ENLlqROE THE SOIL
lqDSORPTION S"r'S]'EM lqND/OR ~'OU MR'Y 8E '~;UE:..I'ECT ]'0 PROSECUTION.
TI...IC, ,.' 2 ) '1' I'-~q~.-;t:'i:~l_-:-I- 'l~ I_--I['-.~:~. i-=11-~.. E F~'ELi:!LI :!: F-:E _[:.,
E:RCKFILLING OF FIN~' SYSTEM WITHOU¥ FINAL INSPECTION lqND RPPROVlqL E:Y THIS
DEPlqRTMENT WII.L BE SUD.I'ECT TO PROSECUTION.
MINIf,IUM D1SI'lqNCE BETHEEN lq WELl_ FIND AN';' ON-SITE SENFlGE DISF'OSRL S~PSTEM IS
:1OC,~ FEET FOR FI PRIVFITE I.,.IELL OF,' 2OO FEET FOF.: FI POF:LIC NELL
I.IELL LOGS ARE F,'EQUIRED lqND MLIST E:E RETURNED TO THE DEPFIRTMENI"HIIHIN 2~0 [.~lq'~'S
OF THE WELL COMPLETION.
O'IHER REQUIREMEN'[S I'IFIY lqPPL9'. SPECIFICFITIONS lqND CONSTRUCTION DIlqGRFlMS FIRE
HVRILlqDLE TO INSLIRE PROPER INSTlqLLFITION.
1 CER'I'IFb" THAT
'~: I AM FlqMILIAR HIIH THE REQIJIREblENTS FOR ON-SITE SENER'g 8ND NELLS lqS SE'[
FORIH BY ]'HE MLINICIPFILITM OF lqNCHOP, FIGE.
2:1 HILL INS'IBLL THE S~r'STEM 1N FICCOR[>DNCE WI~H THE CODES.
2::: I UNDERSTlqND THAT ]'HE ON-SITE SENER SY'STEM MB~r' REQUIRE ENLARGEMENT 1F THE
RESIDENCE I':; REr,IO[:,ELED TO INCLUDE r. IOF.'E .['HRN .~ E:EDROOr. IS.
O~ e E ~gu.n
Da e C 'npleted
Project No
Project Name
Location
Me,hod Us.d
Field Party
Weather
LOG OF TEST BORING
Deptfi in Ft.
Geologist ~t~ .' lim~
Date
Sampling
CON SU I-TANTS, INC.
Hole No. /
Sheet / of
Total Depth ///~, '
u
0
I
14
tB
DESCRIPTION
Soil type, color, texture,
estimated particle s~ze,
>, sampler driving notes,
u depths circulation lost,
notes on drilhng ease,
bits used, etc.
T, Vegetation:
oF
Collar Elevation
Location Diagram:
W.D.: While Drilling
/4'
.GROUND WATER TABLE
AmB.= After Boring
I Reference
.~ WEL~SITE ............................................................................................................ DRAW DOII~ ~ .......................................................................................
~] .~ ~ ~ l/ ~ ~ "/~'~ ~ ~ o~.~,,~,~......~...~.._z,.g..k...~..~e..eZ. ...........
~,~ .............. ~ ....... .f.. ....... ~ ....................... ~.. ..., .....................
.- KI~ OF FORMA~ON:
~ ~ ~ ....... : .................. r L ~ ....~.......~ ......... ~'~'.....~.~..~..~ .......... · I F~031 ......................... ~. ~0 .......................... ~ ........................................
~,_ ~o~.._..~...~ ......... ~.,o..'.~.+...-.+. ........ ~...., _,~',..,...,~.~v ~.,, ....................... ~. ~o .......................... ~ .........................................
:. ~o~.....~.....~. ....... ~ ............................. ~, ..................... ~. ~0 ......................... ~ .........................................
............ F~o~. ............. ~ .......... ~.-~o ........ Z.~ ............ ~ .......................... : ........... r~o>t: ............... : ........ ~. ~o...22 ................ ~ .............. i .........................
_.~ - - - FnOM~ ........... ~=......~/~0.....-..J.:'.: ........... ~ ........ : ............ : .............. - ~o~ ............. : ........... ~. TO .... 2 ........... ~-.~ ............. : ......................... i
TO.....~
· ~ - ~
Address
Job No
RUMBURG
DRILLING
'7220 ~. 22.0 AVENUE
ANCHORAGE. ALASKA 99504
PHONE 333-2423
)
;-
-I
STATEMENT'
TIME
INSPECTION APPOINTMENTS
TIME
RECEIVED
TIME
DATE
INSPECTOR
ENVIRONMENTAL SANITATION DIVISION
Telephone 264~,720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND
DATE DATE
,NSPECTOR ,NSPECTOR
,MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. CF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~U~h~ONIVIEN?AL 825 L Street - Anchorage, Alaska 99501
NOV ! 3 1981
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proce~d. Please ellow ten (10) days for processing.
1. PROPERTY OWNER I ~H,ON E
MAILING ADDRESS
PROPERTY RESIDENT {If different from above)
2. BUYER
3, LENOING INSTITUTION
MAILING ADDRESS
4. REALTOR/AGENT
MAILING ADDRESS
PHONE
PHONE
PHONE
PRONE
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE oF RESIDENCE~'''~Y
~ SINGLE FAMILY
[] MU~'TIPLE FAMILY
7, WATER SUPPLY
~ INDIVIDUAL* [] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE'*
[] PUBLIC U,TI LITY
NUMBER OF~BEDROOMS
~3;~_ One [] Four
[] Two [] Five
[] Three [] Six
[] Other
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
YEAR ON-S,TE SYSTEM WAS ,NSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
I-'IINDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
•Septic Tank or [] Holding Tank
Size: IO¢3~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
MATERIAL
Septic/Holding Tank IAbsorption Area
ISewer Line
5. COMMENTS
I-'1 OTHER
INearest Lot Line
DATE
/
[]~;;~ APPROV ED FOR / BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-o10 (Rev. 6/79)
CIVIL r ~TRUCTURAL
· (~LECTRICAL
M E CHANI~,,A L.
LAND
Bur;vE¥1 N I]1
INCORPORATED
ENG IhlEEI:iS & SURVEYORS
SEPTIC SYSTEM ADEQUACY TEST
S-
CLIENT:
Address ~
LEGAL DESCRIPTION:
Telephone
=: O.
SEPTIC TANK:
Material Type
Number Bedrooms
Surcharge Test
Rate of percolation
LEACH PIT:
DRAIN FIELD:
Required Tank Size
gal. water; 0.80 (150 x No. bedrooms) min.
gal ./day
( S07 ) .:~ ~
BOX 4-2265 ANCHORAGE, ALASKA 99509
]'g unicip lit'y
Anchorage
825 "L" SI'H EET
ANCltORAGE, ALASKA 99501
(907) 2G4-4111
(;[ ~)(~¢;t" I':1, .<;I.q
I)EPAIIIM[I'; f Of II[-,\L'[II ANI) I ,'J'.Jlll/;t~r.1l IJ'l,',l PFIOTFCTI©r]
November 23, 1981
David L. Wilmarth
% Jeffrey J. Truh
Star Route A Box 232-C
Anchorage, Alaska 99507
Subject: Lot 3 Block 1 Flat Top View Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
,~\ d.Ot,,J~.1 )
(2)
(3)
(4)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our reivew. ,,
A well log needs to be submitted to this offic/ V~'
for our files and review. ~ ~"'"~''~
The septic tank needs to be pumped with a receipt-~
submitted to this office. ~
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 will need to be submitted to this office for
our review.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
aCP/ljw
cc: Alaska National Bank of the North
3301 C Street, Calais II 99503
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
MAILING ADDRESS O..~O ~-~. ~, ~-- ~"' ~¢ ~
.~,ON E ~NEW
LEGAL DESCRIPTION
LOCATION
I Well Absorption area
DISTANCE
TO:
I
NOD ' ~
~ Z Manufacturer ~R~ I Inside length
~ ~ Liq. capacity in gallons
~ DISTANCE TO: Well ~ I Dw. lIing
0 ~ Manufacturer ~ ~
~ I [Well ~undation
No. of lines Length of each line~ Total length of lines
< ~ Type of ib diameter Crib depth
~ ~ ~ell Building foundation
~ DISTANCE TO:
--~ ~'~ ~C,,,~, ~ Depth Drille,
~ DISTANCE TO: Building foundation Sewer line
Dwelling
Material
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Uquid depth
PERMIT NO.
Material
Liquid capacity in gallons
Nearestlotline [
Trench width
inches
~ ~ O U inches
PERMIT NO.
Distance between
Total effective absorption area
PERMII NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
SOl L TEST RATING
INSTALLER
REMARKS
72-013 (Rev. 3/78)
DATE
LEGAL
PERMIT NO.
DEPARTMENT ~"~ HEALTH AND ENYI RONMENTAL/-'SOTECT I ON
STREET, ANCHORAGE,
264-4720
I~ELL
( 78042~ )
DEARMOUN GREENERY
DEARMOUN RD
L8 Bi FLAT TOP VIEW SUBD
APPLICANT
LOCATION
LEGAL
TYPE OF SOIL AB$ORBTION SYSTEM IS:
MAXIMUM NUMBER OF BEDROOMS
C?O SHIER SAR BOX 325
LOT SIZE
TRENCH
SOIL RATING (SQ FT?BR)=
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM
DEPTH= ::LO LENGTH= 2E: GRR~'EL DFPTH ~=; ,
THE LENGTH DIMENSION IS"THE LENGTH (IN FEET) OF THE TREHCH OR DRRINFIELD.
THE DEPTH OF 8 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 OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET), ~~ ~.
RE~IJIRED SEPTIC TRt~K 5IZF~ i ~ ~ BALLOt, S
PERMIT APPLICANT HAS THE RESPONSIBILIT~ TO IHFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS Of ANY WELLS ADJACENT TO THIS PROPERTY AND THE
t~MBER OF RESIDENCES THAT THE HELL WILL SERVE.
THO (2) INSPECT · Otis ARE REnU I RED
BACKFILLING ~ ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL~ OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDIt~G UPON THE TYPE OF PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT t~ITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E×P I RES DECEMBER ~:L.. -'1 :~78
I CERTIFY THAT
l: 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 THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESI DENCE~~tE~~~~iHRN ~ BEDROOMS'
S I ~NED://~~J~-~ ........
'~LIC~T ~E~
' "GAFIY
PLAYER
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A · ANCFIORAG£, ALASKA 99507
VENTURES
· PHOI~I~' ~44-7071
SOILS LOG
'Soil Type Water Level Remarks
'0
· ~ 12
Total Depth of Excavation
Groundwater
( )'Not Reached
Depth, if Reached ~'-V~.e~ [Oj ~) ~o~
Classification Nethod
'( ) Sieve /malysis
()
Material at Total Depth
Bedrock
~'~ot Reached
Depth, if Reached
Gary F. Player, Consulting Geologist
SOILS LOG
PERFORMED FOR:
LEGAL DESCRIPTION:
r~c~ r)
1-~ ~ I~
2-~!
3-
4-
MUNICIPALITY OF ANCHORAGE
825 L. Street, Anchorage, Alaska 99501
SOILS LOG - PERCOLATION TESTcT
19 2
SLOPE J
tO
SITE PLAN
PERCOLATION
TEST
10
11-
12-
13-
16-
17-
18-
~ t~.'r¥
WAS GROUND WATER
ENCOUNTERED? J~/o
IF YES, AT WHAT
DEPTH?
s '~
L
0
p*
E
Reading Date Gross Net Depth to Net
Time Time/~.lk/ Water ~-~T Drop ~r'T'
I to:~7:~ /0 ~7 , I ~
19-
20-
COMMENTS
PERFORMED BY:
PERCOLATION RATE ~ [ ~ {minutes/inch)
TEST RUN BETWEEN ~ FT ~ND ~' ~'/~ FT
72-008 (6/79)
TIME ,
DATE
INSPECTOla--..
INSPEC¥10" ,~PPOINTMENTS ' ~/...tC... L_~ \ 5'""
TIME TIME
DATE DATE
INSPECTOR INSPECTOR
N,c,P^UW OF
U. C, AL,TV OF A.CHORROE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ION
ENVIRONMENTAL SANITATION DIVISIONRE C E i VE D
Telephone 2~4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts o~ page 1. Incomplete reque~t~ will not be proce~md. Please allow ten (10) days for processing.
" I PHONE
1. PROPERTY OWNER,~ {/~.~~) L F {~' /~) ,~'T" H ")~
PROPERTY RESIDENT (If different fr~o,m a~ove) ~, PHONE
2. PHONE
MAILIi~ ADDRESS ~ ' ;, ,
MAILING ADDRESS
4;,.,R,~EA LTOR/AGENT
5. LEGAL DI[SCRIPTION
STREET LOCATION
SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL'
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE"
[] PUBLIC UTILITY
PHONE
NUMBER OF,BEDROOMS
[] One [] Four
I~ Two [] Five
[] Three ~ Six
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.) /.~ ' ~._.~"t~"~. ~
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
[::] SINGLE FAMILY
[:::] MULTIPLE FAMILY
NUMBER OF BEDROOMS
r-I ONE [] THREE [] FIVE
r--I TWO [] FOUR [] SIX
2. WATER SUPPLY
[]
; iNDiViD,bAL .'
COMMUNITY
PUBLI~ UTILIT'~ '
Connectior~ ~/eHfied '
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
4. DISTANCES '
WELL TO:
Absorption Area to nearest Lot Line
Septic/Holding Tank. IAbsorption Area
ISewer Line
5. COMMENTS
[::] OTHER
INearest Lot Line
DATE
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany c~ertificate)
~ISAPPROVED // '
'/2-010 (Rev. 6/79)