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Home My WebLink AboutCHRISTOPHER HEIGHTS LT 8015- 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 IPHONE I [] NEW 'MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS oF-f off DISTANCE TO: ]Well//~ ~Absorption ~ 2 /~ NO.~ ~ ~ ~ ~ Manufacturer / Material ~.~ / No. of compartments Liq. capacity in gallons Inside length Width Liquid depth / I~0 IF HOMEMADE: ..... ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~Z O ~ ( Manufacturer Material Liquid capacity in gallons ~Q~ DiSTANCE TO: Well / 2 O' F°unOati°n42 ' Nearestl°tline /aa ~ ~ Length of each line Total length of lines4 Trench ' ~ Z ~ No. of lines ] ~'a-~/ w,dth¢ 2 inches Distance betwee~ines ~ ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area Q ~ ~1 ~ inches 72 Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER ~ /¢' . PIPE MATERIALS -- '~ SOIL TEST RATING '~ g~ INSTALLER APP~ DATE LEGAL 72-013 (Rev. 3/78) WATER WELL RECORD STATE OF ALASKA OEPART'MENT OF NATURAL RESOURES Division of Geolocjicol ~ Geophysical Surveys LOCATION OF WELL (Please complete either ia, lb or lc.) r~o-o-~., j Borough I ,~ubdivi$ior~ I L~ I BIo k I ~_J V4 qtr$. ____JDISTANCE ANO DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Well Location WELL LOG Material Type Feet Below Surface Top Bottom 0 .,'- ¢ ' 3 4 16. WATER WELL CONTRACTOR'S CERTIFICATION: Drilling Permit No. A.D.L No. T- Township N["~ /ROoge E[~ Meridian sL'TJ~ wi] 5. OWNER OF WELL: ~, WELL DEPTH (find) ~ 5 DATE OF COMPL[T ON / ' Section No. [~Cable tool [--] Rotary [] Driven [] Dug [] Auger [] Jetted [] Bored [] Other 7. USE: ~ Domestic [] Public Supply [] Induetr¥ [] Irrigation [] Recharge [] Commerical [] Test Well [] Other: 8. CASING: [] Threaded ~Welded diam ~' in. to V~ ft. Depth Weight J7 lbs.//ft diam. in to ft. Depth Stickup_.~...~_ ft. 9. FINISH OF WELL: Type: C/('1' ,,..~?-.2r:~ .''°~ Diameter: Slot/Mesh Size: Length: Set between ft and [~ockfilling .__ Gravel pack ft I0. STATIC WATER LEVEL: !)_... ft. / Date [] Above or ~ Belo~ land surface Equipment used: II. PUMPING LEVEL below land surface and fIELD _~-,..~ fi, after / hr,, pumping _'_~ (.').. g,p.m. ft after __hrs. pumping ..... ~ p m I;',GROUTING Well Grouted: ~_.-] Yes [] No Materlal: ~] Neat Cement ~ Other: ............ 13. PUMP: (if available) HP ............................ Length of Drop Pipe ft. capacity 9 P m [] Subm. [] ,Jet 0 Centrifical [-_.~ Other 14. REMARKS: 15. Writer Tempe,ature ___o E~ F [] C This wellwee drilled under my jurisdiction and this report is true to the ,b~st~of my knowledqe and belief; ' e ~i red 'B ~' // ~uthorized Rep;esontafivo Form 02-WWR (II/81) Copy Distribution: WHITE-State DGGS, PINK-Driller~ CANARY 'Custumer F'ERM I T NA. I [: I F28LIT~' CIF Flr-JCHORFtl3E DEPARTMENT ~ HEALTH RND ENVIRONMENTFIL OTECTION 825 ~L- STREET, FINCHORFIGE~ FIK. 99501 2~4-4720 RFJ[:. C~r-J--'_--~ITE _'~.ENEF: F'EF:F'I IT 8~0050 ) FIF'F'LICFINT FEJES DEVELOPMENT LOF:FIT I ON LEGFIL L~BI CHRISTOPHER .~tGHTS TYPE I-IF SCII L FIBSORPT I ON SYSTEM I S ' TRENC:H ",:: SQ FT,/BR') = MFI'.,:: I MUM NUMBER OF BEDROOMS = 3- SO I L RFIT I NO · _l,- OLD SEWRR[:, HIGHWFIY g'~sA2 --.-:49-6691 LOT SIZE 999999 SQUFIRE FEET THE REQUIRED ~IZE OF THE SOIL FIE:SORPTION _-.~_TEM IS [:,EF'TH= ii LE~GTH= 4,-'? G F-' ~',.-' E L [:.EPTH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFFICE OF THE GROUND FIND THE BOTTOM OF THE EXCFIVFITION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFFILL PIPE FIND THE BOTTOM OF THE EXCFIVBTION (IN FEET). I~:EL~.~IJ T i;:E[:. SEF'T I C: TRr-Jk-:-- _~. I ZE= tE~--~-]~ ,3FtLL,-~r-JS , c;, -~ ¢ TO PERM I T FIF'F'L I C:FINT HFIS THE RE_ PL.N...,I B I L I TY INFORM TH I S DEF'FIRTMENT DUR I NG THE - Fl' ' INSTFILLFtTION INSPECTIONS OF FtNY WELLS FIDJFICENT TO THI ~" F'R_FERT~ FIND THE NUMBER nF RESIDENCES THFIT THE WELL WILL SERVE. TI~IC~ ,::---'-' · I r-JSF'EL-:T I ,--.r-J -"':- FIRE F:E~':'-~LI I F-:E D. E:FIC:KFILLING 0F ANY SYSTEM WITHOUT FINFIL INSF'EC:TION FIN[:, FIPPROVFIL BY THIS DEPFIRTMENT WILL BE SI_IB..TECT TO PROSEC:LITIOr.,I. illNtMUM DISTFINCE BETWEEN FI WELL FIND FINY ON-SITE SEWAGE DISPOSFIL SYSTEM IS ±00 FEET FOR FI PRIVFITE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM FI PRIVFITE WELL TO FI PRIVFITE SEWER LINE IS 25 FEET FIND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS FIRE REQUIRED FIND MUST BE RETURNED TO THE DEPFIRTMENT WITHIN ~0 DFIYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MFIY FIPPLY. SPECIFICFITIONS FIND CONSTRUCTION DIFIGRFIMS FIRE BVFIIL8BLE TO INSURE PROPER INSTFILLFITION. PERM I T E'-~:;F" I RES IE)EC:Er-IE:EF-: 3:1.. 19:3---:: I CERTIFY THFIT it' I FtM FFIMILIFIR WITH THE REQLIIREMENTS FOR ON-SITE SEWERS AND WELLS FIS SET FORTH E:Y THE MUNICIPFILITY OF FINCHORFIGE. ~' I WILL INSTFILL THE _,~_,TEM IN FICCORDFINCE WITH THE CODES. 3' I UNDERSTAND THFIT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THFIN Z~' BE[:,R. OOMS. __ _ ....... GNE[:, FI~'PLICFINT FE~TES DEVELOPMENT V4. 0 (90}~, <Permit ~: 821180 · January 31, 1983 TO: Permit Applicant Subject: Lot 8 Block 1 Christopher Heights 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 needs to be sent to this department for documentation of the installation 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. S incerel~ Robert .C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 L-IELL PERMIT NO. ( 821180 APPLICANT LOCATION LEGAL r-ll_lNI C:II~LIT'T' I]F DEPARTMENT C. HEALTH AND ENVIRONMENTAL ~..JTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 Or-d--SITE SEL4E~: PER£'IIT FEJES DEV INC LAB1 CHRISTOPHER HTS 6917 OLD SEWARD HIGHHRY 99502 249-6691 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS' TRENCH MAXIMUM NUMBER OF BEDROOMS = ~ SOIL RATING (SQ FT,..'BR')= .-'1~ THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ii LEf4GTH= 47 GRR%-'EL [~EPTH= 7 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 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). REL~LIIRE[~ SEF'TIC: TR~,:C SIZE= 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 SERME. TL4m9 (2) I fqSF"ECTImDNS RRE ~:Em~l_mI ~:E[) BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBSECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. HELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE A~AILABLE TO INSURE PROPER INSTALLATION. PER£-I IT E>-(F'I ~:ES D, ECE£-IBER 3.1_. 1982 I 'Z:ERTIFY THAT 1' I AM 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 E:ODES. 2' I UNDERSTAN[:, THAT THE ON-SITE SEWER _,~=,TEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN _~ BE[:,ROOMS. SIGNED' APPLICANT F/~IES DEV INC: ',,,'4. 0 FiPPI_ [~T L~Bt (~UflSTOPHER Hlr~ ~ OF SOIL SOIL · r}4;E {:~_~i{UIl'~:D ~l;a~ ~ ~ ~3[L F~tSa3RPTION ~'r'~I'E]I [9: {)EPTH~ ~ LENGTH= 47 ,~RHVEL DEPTH= SEPTIC TANK 5[~E= ~08 8RLLI3N~[ T[~O < 2 ) I N~PECT I ON5 ARE REQIJ I RED 8~3<FEUL{N~ ~ ~ ~'~rE~ WITHOUT FINRL [tF-~CTIG~t MIL.t. DiE <~Jo,.Eor TO ~ClJTION. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: 4 L/!/ SITE PLAN 10 11 12 13 14 15 16 .17 18 19 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth tot-a, Net Reading Date Time Tim~ JM Water Y'! Drop APPLI(' NT FILLS OUT UPPER HAl ONLY Property Owner ~r-~. , ~ //'-~/<~/2) Phone Address ~_~d ~?~,./~ Zip Code Legal Descrip~n ~ Street Locatim Type of Resi~nce Single Family Multiple Family No. of Bedroo~ ~ Other Water Supply Individ~l , A~ACH ~LL LOG. A w~l log is required for all wells drilled since June 1975. Community For wells ~illed prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individ~l Year Indiv~ual Installed: Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector InspeCt(~ --" DEPT OF Field Notes: ~"~ ~ ~___~,.~ ENVIRONt~NTALH~ALTHpRoTECTION .~ ~ .~ ~'~ ~e ~y ~ 0 ~A~___~ RECEIVED ~ ~ ) APPROVED BEDnOOM$ 'CONDm~ O~ APPROVAL { ) D~8AP~OVED < i CON~,T~N~LAPP~OWL' DATE _~--/p ~7 , Soils Rating Date ~wer Installed Well To ~sorption Area /~ Well Log Received ~ ~ ~ ~ Well to Tank //~ Septic T~E Size 72-023 (3182) Nay 9, 19S3 f'~e~_.~ ~ I.}~¥elo~.ent 6917 Old Se%.~ard Anchorage, t~.K 9950~ SuOject~ Lot ~, ]31ock 1, Christopher Heights Subdivision Approval for the individual se%,~er and water facilities cannot be []~ranted until the following items have been completed: The water : "" '"" ' e~ ' '~ fa~!iitl .... were riot turnec~ on at the ti]Re of the sct~eduied inspectior~. Please call this office for another appointment. ~ Sxpose the '~;e!l for our inspectien to deternine proper ~ · construction, also to insure minin'~um distance reeuirements are [F~a't between thc well ~nd s(}%~er system. - ~Plea. se notify this bepartment for a reinspection when the noted discrepancies have been corrected. I~ there are any further questions, please call this office at 204-4720. S i~cereiy, RP37!ejtEi Robert C. Pratt n,,~o~iate ilnvironhtental Specialist CHEMICAL & GI~' LOGICAL LABORATORIES, TELEPHONE (907)-279-4014 274-3364 'ALASKA, INC,~~ ANCHORAGE INDUSTRIAL CENTER 5633 S Street · Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. Water System Name Phone No. Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose ) [] Treated Water [] Untreated Water SAMPLE NO. LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: J'-] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Anplytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I J r-T-I I I FT1 *No of colonies/100 mi. or NO. of Positive portions. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collecte~t Source Data Received Time Ricelve<l __ p.m. Lab. No. Presumptive 20mi 10mi 1Omi 10mi 10mi /.Omi 0.2mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Houri EMB, Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Mamhrana Filter Results Ra0orted BY Broth 48 houri: 10ml Tubes Positive/Total 10mi Po~tl(xtl Collforrn/:t 00mi BOB · Date Collform/100ml Timer I,m, p,m.