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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