HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 5CI~^Rc,,$ I,,.
~-'~'~' 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
LEGAL DESCRIPTION
LOCATION
Manufacturer
DISTANCE TO:
r~1' EW
Absorption area~, /~.,rlD ~r?t..//,~.~.~ Dwelling ( /,a~l
Inside length Fidth
Foundatio..q, ~ /
Crib depth
Building foundation
Driller
Material
Nearest lot lin~..~
Trench width.
..~ ' inches
~'~-.~__~ inches
PERMIT NO, --
No. of coml~ar~tments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PEFLMIT NQ-. __
Distanc~ I:~tweB~.li~ ,'
Total e~e~v~sorotion area
PERMIT NO.
Total effective abs~-ption area
Nearest lot line
Distance to lot line
Sewer line Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATINQ
,INSTALLER ...~
REMARKS
PERMIT NO. f
IAbsorption area(s)
(~v. 3/78) /
DATE LEGAL
PERMIT NO.
I'IUI'.I I C I PAL I T'~' OF RI'-I¢I-IORRGE
DEPARTMENT ~ llEALTH AND EN'¢IRONMENTAL/-"OTECTION
8,,25 ,I- STREET, ANCHORAGE, AK. 99~dt
264-4?20
O~'~--S I TF SF~.JFR P~-F~M T T
( 800320 )
APPLICnNT
LOCATIOtl
LEGAL
· .J EC: . BO.-, 7'0 CITATION ER
.... JFIC& ON
"LOT. 50 EAOLE RIVER VALLE",' RRNCHETTES
SRI'IE-~ ................................................................................. LOT SIZE
18225 SQUARE FEET
TYPE OF SOIL ABSORPTION SVSTEM IS: TRENCH
flR)4IMUM NUMBER OF BEDROOMS = 6
SOIL RATING ($Q FT/BR)= 26?
TIlE REQUIRED SIZE OF THE SOIL ADSORPTION SYSTEM IS:
DFPTI-I= '1 2 LFI",IGTI-I' '12,1 GRR"."EI DEPTH= 8
TIlE LEMGTH DIMENSION IS TIlE LENGTH (It'l FEET) OF THE TRENCH OR DRRINFIELD.
TIlE DEPTH OF A TRENCll OR PIT IS THE DISTAt'IOE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOH OF THE E~CAVATION <Itl FEET).
THERE IS NO SET WIDTH FOR TRENCIIES.
TIlE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND TIlE BOTTOM OF THE EXCAVATION (Itl FEET).
Rr'=~-U I RED SEPT I i:2: TRI'-,.II( S I --"E= '17~';.0 6RLLOI'4S
PERMIT APPLICANT HAS THE RESPONSIBILITY TO IHFORM THIS DEPRRT~IENT DURING THE
INSTALLATION INSPECTIOI'IS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
HUMBER OF RESIDENCES THAT THE 14ELL WILL SERVE.
TI.40 ( 2 ;, I 1'4SPEi::;:T I 01'4S ARE REI'~'!. LI I RED
BACKFILLING OF Ell'l? SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL D',-' THIS
DEPARTMENT HILL BE SUBJECT TO PROSECUTION.
'MINIMUM DISTANCE BETWEEN R NELL AI''ID RNV ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDItIQ
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MR",.' APPLY. SPECIFICATIONS AI',ID CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLRTIOt. I.
PFRM I T F×P I RES DEl:EMBER ~---:1... '1 980
I CERTIFY THAT
l: I RH FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH DY THE MUNICIPALITY Of ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IH ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM HAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE M~E THAN 6 BEDROOMS,
nPPLZCnt~T ~RCK *ONES
PERFORMED FOR:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Ala~a 99502 276-222~
SOILS LOG - PERCOLATION TEST
1
2
3'
4-
5
6
7
8
9
10
11
SLOPE
WAS GROUND WATER
ENCOUNTERED?
f12
13
IF YES, AT WHAT
DEPTH?
14
15
lobert A, Sh
No.
18
19-
[] SOILS LOG
XPERCOLATION
TEST
Gro~s Net Depth to Net
Reading Date Time Time Water Drop
,,
20 -
PERCOLATION RATE~ (minutes/inch)
.ER.OR"EO.~:~
, CERTI IED8
72-008 (7/76)
,' f.
INSPECTION REPORT ON-SIT . SEWAGE DISPOS^'. SYSTE"
SEPTIC T~K: Dist~ce from well-- Materlal~ ~N~e~ of compart~nts, ~ ·
Liquid capacity~allons. Inside length~'Inside w~dth~7 Liquid depth ,
SEEPAGE SYSTEM: Seepage Pit: Nu~e~ of pits [ Outside dia~te~ ., o~
.idth. l~ , length. [~, depth g' , lining material..3 t'&[)~ . Dist~ce from
well ~ , building fo~dation ~' , nearest lot llne. /~/ Total effective
~sorption a~a (wall a~a)_. ~t.~ sq. ft.
TILE D~IEI FIELD: Distance from well , fo~dation ., nearest lot line
Total len~h of lir,,e.. Numar of lines Distance between lines Trench
width_ fn. Total effective ~sorption area sq. ft. ~ngth of each line
Depth: Top of tile to finish grade Depth of filter ~terial beneath
lot line. , nearest sewer line. , septic tank , seepage system ,
cesspool_ , other sources
DISTANCES:
Lo+ .~,~ E ;~5'Q-~(%~DIAGRAM OF SYSTEM
Health Authority '
Name
Residence Addr~ss.~,~,v/+-'~ /~,'~:,'~ ,, Locatt~ of Ins~a~a~t~J~,,//~/I~,
. _ ~ ~/.
Fin~eed ~ugh~c~ '~-~ To be Installed by.. ~-L~
' '. ..... . ' 1/~
DISTANCES:
DIAGRAM OF SYSTEM
_ ~ ~.;.r:',',~'J .~,;/~'~"- ......... _
~'~/
Heal. th Authority _
I certtfy that I am famtllar with the requirements of G~eater Anchorage Area Borough
Ordinance No. 28-68 and that the above described system Is In accordance with said code.
APPOINTMENTS~ ~ _"-'W
TIME ITIM~E , ~ TIME
MUNICIPALITY OF ANCHORAGE DEPT. OF I{;ALTH &
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~IRONMENTAL i-r.O~[~ION
825 L Str~ · A~or.~, A~ka ~501
~.vmo.=~.rA~ SAmrArm. o~WS~O~ JUL
Telephone 2~720 ECEi ED.
REQUEST FOR APPHOVAL OF INDIVIDUAL WATER AND SE~ER FA01LITIES
DIREOTION~: Oomplete all parts on page 1. I~omple. ~u.~ will not ~ pr~. Please allow ~en 110} days for pr~essing.
I MAILJNG ADDRESS
P~OPE~TY ~E~IDENT {1t ~ilferent trom ~o~} ~. . PHON~
[MAILING ADD~E~ ,
[ MAILING ADDRESS "
4. REALTOR/AGENT~ ~ / [ PHONE
MAILING ADDRES~
.J
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
~. SINGLE FAMILY [] Two [] Five
I-1 MULTIPLE FAMILY [] Three ~ Six
r-i Other
7. WATER SUPPLY [] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
· 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.)
8. SEWAGE DISPOSAL SYSTEM
,~ 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 BEDROOMS
[] SINGLE FAMILY [--I 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
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUB ,c UT,,,TY --G
Connection Verified INSTALLER
'[]Septic Tank oj:. [] Holding Tank
Size: I~c)-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Absorption Area to nearest Lot Line
5. COMMENTS
I~'~'~PPROV ED FOR C BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE B~
72-010 (Rev. 6/79)
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
THIRD JUDICIAL DISTRICT - .
ANCHORAGE, a municipal ) ~~~~~~~ ~%
corporation, )
Plaintiff, }
VS. I
i~ JACK JONES,
i;[ Defendant.
' , Civil No. 3AN-80-
TEMPORARY RESTRAINING ORDER
Pursuant to plaintifk,'s application for a temporary
restraining order and good cause appearing, it is hereby
ordered, adjudged, and decreed that:
1. Defendant shall within twenty-four hours p__ump out
the contents of the sewage system located at Lot 5C, Eagle River
Valley Ranchettes Subdivision, in Eagle River, by use of a
commercial septic pumpe~ in the business of pumping sewage
systems.
5. Defendant shall disinfect the ground on which
sewage has flowed by use of chlorinated lime in a manner
approved by the Anchorage Department of Health and Environmental
Protection.
6. Anchorage may without further order inspect the
premises at reasonable times for compliance with this order at
any time after the issuance of this order.
This order shall expire at ~:oo o'clock ~ .m. on
the /d ~ day of ~}:¢~ , 1980, or pursuant to further
order of this court.
Dated at
February, 1980,~
Anchorage, Alaska, this ~ day of
Superior Court Judge
Oe~S~ Xg7~
LOt $C
~ewe~
wate~ lyl~ma ,and an on-s~te gmmr mys~dn f.~at has been
i~s~eo~e~ and ap~2~oved ~or a ~h~ee (3) bod~oon house ~y
~hAs o~£1oe.
office at.276-2221~ ext~nsLon 201,
Envir__~m~_~ ntaX ~erviceo Mana~jer