HomeMy WebLinkAboutSNOWSHOE HILLS LT 1D\�• X81- �-1
IP
(14-045)
Municipaf'i . and rStale guidelines in effect on this d
Health Department Approval:
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICE§i,'�.I`
'Environmental Health Division,
—4Z r
825 " L ,Street,
t .Anchorage, Alaska 99502jelephone 264 -4720'-
ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
V -
REPORT'
Name
ca tl et -,LA 5
DISTANCES
Address
FROM
SEPTIC
ABSORPTION
X
WELL ) P
% . .
(5,voto slyo,!5 �.;
TANK
FIELD
Phones)
Permit No.
No. of Bedrooms
WELL
7, *7
10
it, R
3¢ .3878
1,9 & 0 Z 7 7
LEGAL DESCRIPTIO 4 iz
LOTLINE�!�:
2.0
Lot
Subdivision
51e -r- 3*31,-
Township. Range.
Section
FOUNDATION.
0
,rz.11
AS -BUILT DIAGRAM (Show location of wen. septic system, property lines, foundation—,
driveway. water bodies, etc.) t.
TANKS! F -
'Z,;,'SEPTIC
E1:1HOLDING
- I
Manuiacturex
Manufacture[
Capaday in -gallons
a—
Z-
77
Material
enai
,r
a
No. of Compartments
��w al
TYPE OF SYSTEM
0 TRENCH ❑ BEW11- W. DRAINTJ,��;-''E] OTHER
Depth to.pipe�bolfqrTfrom,;
Total depth from original grade
original gradeli%PA
FT
FT
Fill added,above original grade
Gravel (jeoft.beneath pipe
N
V
kP— -5—
F. T
F
Gravel.len
Gravel LWICIth '.N
F
0
FT
FT
Total,absorpoon. area. i
Distance between tines,:
.. .. ..
SO FT
FT
—
—
—
—
—
—
—
--
Number (it hoes ,,.>%
Soil rating
Pipe material
SO FT
PVC
Installer • -"Date
Installed,
WELLS.
RPRIVATE
E (Identifv)
5assmcaiton,(68.C)7.-
I
Total Depih7
Cased to
r- r
L-
T7
FT
t k
t I
t I
t .1
instar
DateInstalled,
Xr;�it
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V
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f
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It H
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ff
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fff:
a
4ty,
Date
7.
7,
i.%720 A
cerfilu that this Ins
Was erfor—d Ai 11
THOMAS REGA
Municipaf'i . and rStale guidelines in effect on this d
Health Department Approval:
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.'unicipa3 ty P.C.1� ;196650
ANCHORAGE, ALASKA 99519-6650
o �I (907) 264-�4jtk-k 4744
Anchorage i TONY KNOWLES.
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 9, 1987
Ralph A. Comellas
14821 Snowshoe Lane
Anchorage, Alaska 99516
\I Q."_D
Subject: Lot - Snowshoe Hills Subdivision
On-site Sewer Permit #860277
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1986.
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 264-4744.
Sincerely,
R.W. Robinson
Program Manager
On-site Services
RWR/ljw
enc: copy of permit
I;")
�W�11�����
^ DEPARTMENT �~.HEALTH AND ENVIRONMENTAL� OTECTION
L STREET, ANCHORAGE, AK 99501
° 264~4720
PERMIT NO:
DATE ISSUED:
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDRDOMS:
860277 4-
-1.3 / I I / 8 (IS
-8/11/86 '
RALPH A" COMELLAS
14821 SNOWSHOE LN,
ANCHORAGE, AK 99716
345~3898
SUBDIVISION:
SECTION: 33
1,2511 (SCA. FIT
3
SNOWSHOE HILLS LOT: 1 WNW N/A
TOWNSHIP: 12N RANGE: 3W
, OR ACRES)
Listed below are the options available to you in designing
system" Choose the option that best fits your site.
--- --- ... ....
����_�~�~~
��E � L 64 q%j
DEPTH TO PIPE BOTTOM (FT") 4,0 3.5 **
GRAVEL DEPTH (FT.) 0"5 1^0
TOTAL DEPTH (FT,) 4,5 4"5
GRAVEL WIDTH (FT") 17,0 5.0
GRAVEL LENGTH (FIT. ) 34.0 ` 66"0
GRAVEL VOLUME (CU,YDS.) 21.5 18"4
TANK SIZE (GALS) 10000 ** 1'000"0 **
SOIL RATING (SQ.FT,/BR) 125 125
your septic
** DEPTH TO PIPE BOTTOM < 4"0 FT,, MAY REQUIRE A LIFT STATION
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
..... ... ....
--~
I certify that: `
1^ I am with the onsewers and wells as set
forth by the Municipality of Anchorage (MOA> and the State of Alaska,
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria o[ this permit.
3" I will adhere to all MOA and Stlaska requirements {or the set back
distances Irom any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid Wr a maximum of 3 bedrooms and
any enlargement will require an additional permit"
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BOILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN"
SIGNED
___------- ... ..... .... ... ~........ _
APPLICANT: RALPH~A" COMELLAS
ISSUED BY DATE:
�
a
SOI LS LOG
MUNICIPALITY OF ANCHORAGE
• �c DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION
825 L. Street, Anchorage, Alaska 99501 264-4720 TEST
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: Ret(p Al1 qq COM flat DATE PERFORMED:
LEGAL DESCRIPTION: 9,1040shoe A411l S/p
F -DE -P -T -H-1 P�, SLOPE SITE PLAN
1
lot. EMN NNE
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
w erOC&A SCAA dgravel
100 431/130RM
wry G-rar San oty
S t f lr Grave f
WAS GROUND WATER �1 S
te
ENCOUNTERED? _ d L
VerfAed dry thoAlAa Pu
-
$,M IFYES, ATWHAT ,�be 711plee
DEPTH?
Reading
��� 12H
Gross
Time
Net
Time
Depth to
Water
®
- .9TH •'�k�s
s
Ea�����c���
g
:THEODORE F. MOORE r
®�
.� •.•� CE - 3589 ,� 444
•
r
�aProfen
Qlo
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
Ea�����c���
ON��ii�����
INN
■
"Mm
-100���
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
. ''••PERCOLATION RATE
(minutes/inch)
L TEST RUN BETWEEN 1 FT AND FT
COMMENTS �'p��ppt eT mak/ S'j/�Ot •/t %J t S (� {�tGbmalfAai Aa tQnot �1ft� 6C
rRll�airtr.� LYS C4441trf0014f 6Itf tL�ill of rtlVidCI L': "AF.4n 5 /_
PERFORMED BY: Vu_Nw? I-ecAyea f Sertitca CERTIFIED BY: DATE: 7/Z3
L;f 0834'04091% Gtsy iw I ZS 93'/6001" - For 3 S*Rru tare Z /e71 O*{ w 3w' eao
120
rC)
BG -M
I—OT I2
I'latfo _
p Technical Services
14530 Echo Street
Anchorage, Alaska 99518
Tw I$14T• L,ANEs
z T H. 9z11
O PP�of-bs�.p
uj
H SITe
o"' LoT 2
Z
Na Wefi or jr fepbL,
1 S-3
�dUPE 1;vA1t UA710Al
Zs7t epe�)�rully SlaPe' Pi-.Y,?C0
� Sau�-j �f nr.( w4r�; ►�a
,Sur>`uc� wafer i� to�crnif~�
of proe vvea( Sep f -cc' Sys/-em
tOA<®,
,o. �{G•,....,•
AV
�......................:... a
00
THEODORE F. MOORE AV
�4 1� % CE -3589
330'
6Z -M
I-Or1-5 y
US-
S 1 T C Pt -AN
GC !Ye {i Ltd .S. rr,
5CAI-,E: t" loci
DRrE ; 7/2,� 1,96-
D 73 A cUN I? 'r ; *r--# : ty
0 1 L rr4 I C_ I F=F::h 9 1~- 'Le Cl F-- ' '-���K�F=
,
DEPARTMENT nr HEALTH AND ENVIRONMENTAL
' 'r�RQTECTI8N
, ~ 825 , /STREET, ANCHORAGE,
` `
264-4720 ^
~ Cl PA _F RE F=- L4 F_- F-�' FR,���
PERMIT NO. ( 830416 )
|
/
APPLICANT RALPH H COMELLHS PQ BOX 10-1875 99511 ]45-]898
LOCATION
LEGAL T12NR3W S. I] L1]6 � IZE 999999 SQUARE FEET
S�@��
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH ---~
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
Us FEE F=" -F " �� —7 ��r-A P:-3 -F " = :-�;2 C-3 Fe Ff V 9=, I F--" -r .4
THE
LENGTH DIMENSION
IS THE LENGTH (IN FEET) OF THE TRENCH
OR DRHINFIELD
THE
DEPTH OF H 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
OUTFALL PIPE
AND
THE BOTTOM OF THE
EXCAVATION (IN FEET).
_lrF:flr4K
PERMIT APPLICANT' HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
___ -rwcg < ;2 __,u ��E_= ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL HND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM H PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
I CERTIFY THAT
1:I��HM��FAMILIAR WITH THE REQUIREMENTS FOR 8N -SITE SEWERS AND WELLS AS SET
FU_�|M ��Y THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT
RESIDENCE IS REMODELED TO INCLUDE MORE THAN _3 BEDROOMS.
SIGNED`
/ HPPLIC ��------~--~�--��-
ISSUED
AT ^ ��
j~= ��� ~.~���-��
IF THE
I
Contracting Engineers & Associates
212 East International Airport Rd,
Suite 204
ANCHORAGE, ALASKA 99502
A SOILS LOG
❑ PERCOLATION
(907) 278.3773 Tcsr
SOILS LOG — PERCOLATION TEST
PERFORMED FOR:_�.(,/�rJ!-u �,D/}� �yy p ��, c r..35�5'• 3�Sf•�, DATE PERFORMED:
LEGAL DESCRIPTION: y • {a J� �y �4�G�>(�aj ♦ ��^/ s,0 /L
0UPTH .1SLOPE SITE PLAN �-- -
(I -LCT) ��-Gr ty t��EsO t L
—777-
-w--
2 •�
3
4 4
5 Q
6 A
8
9 r,
10
12
{—C
13
14-
1.5-
16
4 1.516 ,
17
18-
19
20
COMMENTS
4:�.i-.V V L. ( vv)
g s sF/t1�
I I I I I
WAS GROUND WATER S
ENCOUNTERED?' , Ko L
l 0
�..:
Y, ,11R R,I,h 0 f
i
��$ � •.,•
120. 199SE
UpROFESSi
P
IF YES, AT WHAT E
DEPTH?,
Reading
Date
Gross
Time
Net Time
Depth to
Water
Not
Drop
)
r,6
V
PERCOLATION RATE
TEST RUN BETWEEN FT AND
(minutes/inch)
FT
i
January 4, 1982
Ralph A. Comellas
P.O. Box 10-1875
Anchorage, AK 99511
225 'L" STREFT
ANCEiOFACF, ALASKA 99501
(907)264-4111
cenrcE 1W. sur_i n 1AA1,
AIA YO
Permit # 810637
Subject: L 136 Sec 33 T12N R3W SM
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,,
V_ - '0 'as 0-Cx1-��l
Les N. Buchholz R.
Program Manager
Sewer and Water Program
Enclosure: Copy of Permit
r-1 U VA 1 0.1- 1 1',.. / —� �.._ �_. ._� n'{i'a ',D F_._ C _ 8-4,F::: R--1 Ca E.
DEPARTMEhl T OF HEALTH FIND ENVIRONMENTAL PROTECT T ON
25 `L' STREET, ANCHORAGE. HK. 9*—:-5Ol
64_4720
$.4 LE @_.. L_ "a=" EE F s 1-4 1 _f
PERMIT NO. i; 8106"]? 7 )
F Iw l-! I (''. !_!. E�!! :�_!Gt-.'f !_�-+. c L'l S t -'''i �'--"•; `_"��`.I
APPLICANT RALPH I. _MEt__A_ 345
LEGAL L136 SErW:3 T12N x::=:1.,1 t1 LOCATION SNOWSHOE LANE LOTSIZE 108900 SQUARE FEET
t'i I t•1I MUt'I DISTANCE EE TWE.EN A WELL AND ANY ON—SITE SEWAI.-_E DISPOSAL SYSTEM I
100 0 FEET FOR A PF:I1,MTE WELL. OR .1.50 TO ! .`0 0 FEET FF::ON A PUBLIC WELL DEPENDING
I_{F"ON THE 'TYPE OF PUBLIC: WELL.
MINIMUM DIS (•AN! E FROM A PRIVATE WELL. TO A PF: I VIF-i•T•E -E(•,.IEF: LINE IS 25 FEET AND
TO A !_Cit'(t`1UNIT'T SEWER LINE. IS 75 FEET.
WELL. LOGS ARE REC.--!UIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN DAY
()F" 'THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAt' S ARE.
AVAILABLE TO IN SURE PROPER IN TAL.LATIOt•1.
T _"F F_•_ , E=° .p.. —k E __= :_ _ 1 059 E3 J._
I CERTIFY I F�'•r' THFII" _
.I_ : I T I YFAMILIAR b1I 'H THE REQUIREMENTS FOR ON ---.5I FE SEWER AND WELLS AS _,ET
FORTH BY THE MUNICIPALITY OF .Fit+CHOF,`AtaE.'.
I WILL INSTALL THE EYSITEM IN AC:C:Cif:DAt•1l=E WITH THE !_ODE'S.
IGNED:_._t G"��� _(h_._ __ ____ __
ADPL I I_ r It•1"F RALPH A. C:OMELLAS
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