HomeMy WebLinkAboutFAIRMOUNT ADDITION A LT 25 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
MAILING ADDRESS /
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Well ~ Absorption area Dwelling / PERMITNO.
DISTANCE TO: ¢ /~O /I '~ / ~O ~
~ ~ , . Material · No. of compartments
~ Manufacturer ~ l~)f ~ ~ ~'~ ~
Liq. capacity in gallons IF HOMEMADE: O Inside length Width Liquid depth
/A~
Well Dwelling PERMIT NO.
~ ~ DISTANCE TO:
O Z ~ Manufacturer Material Liquid capacity in gallons
Well Foundation~l Nearest lot line PERMIT NO.
~ /Oc~~ ~f~ '
~ No. of lines Length of each line Total length of lines Trench width Distance between lines
~Q~ Top of tile to finish grade.~ ~'~/ Material beneath tile ~ ~ / in~s Total~effective~ absorption area
Length Width Depth PERMIT NO.
~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Cla~ ~ Depth I Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank / Absorption area(s)
~ DISTANCE TO: ~,~/~ ~/~ [ ~ lOC)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALL~
REMARKS
I
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
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i"HE] l:;~:E:):Zi~t..! ]: F~:EE:' '~; ]: ;;CEE OF' U"'IE ~30 1 L. I:::fE~',r~;OF~:F"I" I Oh,t :~;h"~;q"E:}"'! ]: r~;: ~
I3:, II'Z ,F::::' -'ll '" ]'....-)l ::::: .':: ::::L ~E.C~ L. EE: t'",,ll ~:2~ '"K'" ]..-II ........ :;:4~: ,=::]- C:~ ~1::;~:~ ~::::::~ %," EE~:; ~ ...... II2::,, EE: F' "l[" ~1'"."~ ':~' ...... "~;~;:~,.~ 4
'i"HE~ L.~]]:NG'I"H t.:, ]: I'l!~:l'.~:~: I OhJ :[ :~; 'FHE LEI'-~t(3T'H ( I t",l I:::EE:I' ;', OF' THE '!"F~:!]~]NCH (3l:;~: [)I:;~:F:I I ]",~f:: ]'. ~:L_[::,.
""HF:~ [.,[~:I:::'THCU::: t::~ *}"~;~:!~7~.,t~::1...I OF~ I:::'IT ]::~: THE i) :[ }~;'T'FIh,!(~?E E?,E]'I.,JE;~Et'.,! 'FF!E~] :~;I...IF~ff::F;K~::I~: ()F' THE
(3I:;~:CII.JI'.,I[) I::~I'.,IE:, T'HE E:O'T"F(:)H O1:::' "rile E::.::C:F!VF:I"J':[13hl ,':~l",J
'I"I.-IE]~ (3F~ff:~'v~:t... 13, El:::"l"H :[:~; 'l~l-.IEf; H]]t'.,}II',II...II','I [)E~'TH Cfi:' (3~t:Tv'E:L E?,E'T'PHE~]~:['.,! "I'HI~]~ CH...FI"I:::FILL
F:lh4C, T'I...IE E~(:F!"TO['"! Cfi:: THE E:::-~:C:FI'v'F!T]LC~H (IN FEET?,.
H]:N]:!'!L.tH [',t'.iii;TFfI'.:!CE li~E:TI,iE:E:h,t FI HEL. L. FIN[:, F:fl",P'r' OH--:iii;:[Tl:~: :i!;E[4FICiiE ll:,]::~!:~::'~:::l:~;l:::l].... :ii!:"r'Ei;"!'E:l"! ]::iii:
:l.~Zn3 FEET
LIF'C!N THE: -['"r't'::'~i~: Cfi:' F'LIE',LIC P.IEI...[ ....
H I I",11 HL.!I't [:' i ?]"FINCE:' F'i:~:CtH F! F'I'7: ]: ',,,'FFT'!~:i HE':L. L... TO I:::1 I:::'I:;i: :[ ¥1:!"['E :~!;E:I'.!E:Fii L. I [",ffZ ]: Ei; ;ii:i:3 F't!!i:Ei:T i:::IHC'
TC) ~/::1 C:C)HHL!HITh" E~;EI'!E:Fi L.]:l",}[:.i: I:5 7:'U F'EET.
C) T' HI!i!:F: [:;i:!ii!: C!U
f:l'v'F:i]:LF:l~:i!',LE 'U3 :[N:~i;I...hm:(:E F:'Fi:C~F'EF;: II'4::ii;TF:IL.L. FITICIN.
I C E Fi: T ]: I:::' "P 'T'I'"ff::IT
:1.: .~."' I:::t1"~ FF:IH I !... I F!F: i,.! ]: 'T'H T'HE J:;~:~ii:C!l.J :[ F:Et"IENTY~; I::'OF: CU",I-':::!;
t:::'Ot:;i!'T'H E',"r' THE H_ t"! t' ::: :[ F'F:IL [ T"T' OF !:::lhlC HC
;2: ]: [,.!]:LL.. II",!?I"F!I...I.... TFIE .r..,'r ,r!:.il IN f:i(::CCF:[::,F:H'.,IC:E: I,!ITH
::ii:- :!: LI!'.,II:::,ER:STF!H[> T'HFFT' THE OH-.:!:!;]:'I'E E!;E'.'HEF.: .:, .: [f:.t't Hl::!h" I:;;:!!:.::L':!UIF4:E E:'H :::II:','~:~::'HF'N'[' il::' 'THE
F:E::i!i;:[ t:::,EJ'-,ICl~ii: I :iii; ,r';;:E!:I'"IO[::'EL.L::[:' TI-J ................. :[ I'-~,-: H",E' )"IC~F:E THFII'.,I 2::: E:
' ::' '[ -': '4"' '"' , '::Hc~\~ Fh'-tH T'd~l ~
:ZlzgZZ -
January 4, 1982
Howard Romtg, Jr.
1001 W 30th
Anchorage, AK 99503
Permit ~ 810709
Subject: L25 FAIRMOUNT SUB
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,
Sewer and Water Program
Enclosure: Copy of Permit
F'EF.':M I T I'.,10.
[-',EF'FII;i:THENT OF HEFIL. TH Fliq[:, EN',,,'IROI',IP1ENTFIL PRCFf'EC:I"ION
:E:2:'.5 '" L '" :E;TF.:EE:T.. FINCHOF.:F:IGE., Rl<:. 9950±
264-47;20
t..,.l ES.] It..... IL_ I:':~ !"-41 E> E) b~ .-- ::72; ][ '-If- E:
,:: 8:1.0789 )
F:IF'PL. I CFII'.,Fr' HO!.,.II::IR[:, ROH :1; G JF.'. :LOO:tL W30TH ('~ ¢1 E;' cs, 71
LOCFIT 101'.4 F'F.I I F.'.MOUNT SUE',
L.E)3RL L25 F'FIIRHI3UNT SUB L. OT SIZE
'I"'T'PE OF S;OIL. FIBSORPTION S'T'SI"E:H IS: TF.:ENC:H
MR;:.:: I HUH I'.,ILIMBEF.: OF BE[:,F.:OOMS ='-' 4
S3IL RR]"ING ,::SQ FT,.."E:F.::: .... ~
THE RE[.:!UIRE[:, SIZE OF 'f'HE SOIL FIBSOF.:F'TIOI'.~ SYSTEM IS:
/o
[:, E." F' "T' I-!1 .... 6; L, E !'-,I ~3 T' t.4 .... ~_-.'-" ,=I- i::i I~'-: R ",,,' EL' L.
THE LENGTH DIMENSION IS THE LE:I",IGTH ,::IN FEET) OF THE TRENCH OR [:,F.:FIII'.4F:IEL. I:,.
T'HE £:,EPTH OF FI TF.:ENCH OF.: PIT IS THE DISTRNCE BETWEEN THE SLIF.:FFICE OF THE
GF.:OUND FIN[:, THE BOT'f'OM OF THE EXC:R'v'FtTIOI"~ ,.'.'IN FEET).
THERE IS; IqO SET WIDTH FOF.: TRENCHES.
THE GF.'.FI',/EL [:,FF'"f'H IS THE HINIHUH DEPTH OF GF.:FtVEL. BETWEEN THE OUTFFIL. L PIF'E
RN[':' THE BOTTOH OF THE EXCFIVR'rIoN ,::IN FEE-f').
F'EF.:HI T FtPPL I C:RNT HRS THE RESPONS;I B ILI T'?' 'FI_-I INFORH 'tHIS [.',EPFIF. YT'MENT [:,LIR I NEi 'THE
INST, IRL[_FITION INSF'ECTIONS OF FIN"r' 14ELLS FIDJFIC:ENT TO 'l'FtlS PROPERT'¥' 81",![:, ]"tiE:
NUMBER OF F.:ESI[:,ENI_TES THFIT THE WELL 14ILL SER',,"E.
............... 1'" l...It C.t ,::: ;:=-:-: ) I f-~ S: F" E2 ~:: -F I C~ I%1%:~ FI F.;: E R E:Z ~:7~. LI I F...". E: E:,
BFICKFILLING OF' FIN'¢ S;'YS'TEM WITHOtJT FINFIL INS;F'EC"FION FINE:, RF'F'RO',,,'F~L B'¢ THIS
[:,EF'PIRTHENT 14]:LL BE SUBJECT TO PROSECUTION.
I"IINIMLIM [:,ISTRi'.,ICE BETWEEN FI klELL FIN[:, RN"r' ON-SITE SEWAGE [:,ISF'OSFIL S"r'STEM :CS
:1.00 F:'EFT FOR R PRI'v'F:ITE WELL OR 150 TO 200 FEET F'ROH I::1 PUBLIC .t4ELL [:,EF:'EN[:'ING
UPON THE TYPE OF F'UBLIC: WELL..
MINIHUH DI~T'RNCE FROr,1 R PRI',,,'RTE I.,.IELL TO R F'F.:IVRTE SEWEF.: LINE IS 25 F'EET FIND
TO FI COHHUNTT"r' SEWER LINE IS 75 FEET.
WELl_ LOGS FIRE F.:EQI.JIF::ED Ri"',IE:, i'"IUST BE: RETURNED T'O THE E:,EPFIR]"HENT 14ITHIN ZO C, Rh"S
OF THE I.,.IELL COHF'LETION.
O]"HER F..'EQUZREHENTS HFI"r' FIPPL'T'. L=,PECI'FICRTIONS FINE:, CONSTRUCTION [:,IFIGF.:RHS RF.:E
IR',/F:IILFIBLE TO ]:NE;LiRE PROPER Zi'4S;TRLLFITZON.
I CE:F.!T I F'"r' THK"tT
:1.: I F:li'd FFIHILIFIF.: I,.II'FH THE REQUIREMENTS FOR ON-SITES E;EI.'.IEF;.'.S FIND WELLS FIS :::;ET
F'ORTH E:"r' THE HUN ICIPFIL. IT"r' OF RI",!CHORFIGE.
2: I !-4ILL II",!STRLI_ THE S;'¢S'T'EH IN FICCOR[:'FINCE !.,.II:TH THE CO[:'ES.
3: I UNDERSTSND THRT THE ON-SITE SEWER S;'¥'L'-',TEM HFIh" REQUIRE EI",ILFIF.'.GEi'dENT IF THE
RES;I[."ENCE ILS REHODELE[:' TO INCLUDE HOF.:E THRN 4 BE[:'ROOHS.
FIPF'I._ I CF:INT HOWFIRD F.~J~I G ..IF:
[~ SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR: ~'~ ~"~,
LEGAL DESCRIPTION: ~-~1~ ~ '~.).~ -
1
2
3
6
7
8
9
~ 10
11
13
14
15
16
17
18
19
2O
SLOPE
SITE PLAN
WAS GROUND WATER ~ -
ENCO ,NTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
FT AND
(minutes/inch)
-- FT
DATE:
72-O08 (6/79)
PERFORMED FOR:
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
DATE PERFORMED:
,~ SOILS LOG
[] PERCOLATION
TEST
1
2
---'"3
4
5
7
8--
9
10--
11
12
13
14
15
16
17
18
19
20
Z
/
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
PERFORMED BY:
TEST RUN BETWEEN FT AND ~ FT
72-008 (6/79)
>- 0
J
APPLIC FILLS OUT UPPER HAl ONLY
~. · Phone
Buyer ~,:;.~;~ ~-- ~
Address Zip Code
Lending Institution Phone
Address ivy,..., '~ (~..)y4 ..%.~h ZipCode .~ C ~,~
Realty Co. & A~nt Phone
Address Zip Code
Legal Descrlption ~,~t .~ it,. .... ~ ..... ~ ~c_~
Street Locati~ ~T'~_~ ~ ( ~ , ~ ~ ~ ~
Type of Resl~nce -~ ~-- ~'~ ~ ' ~'
leFamily
iple Family No. of Bedrooms
~ Other
Water Supply
~dual ', '~ { ATTACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal
~ldual Year Individual Installed: _
L~ Public Utility When Connected to Public ~til~ty~
~ 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 I n s Pect °~)~ ~1~i.~.,~'
Field Notes: ~.03.e
~ ~ MUNICiPALiTY OF ANCHORAGE
~~ t ENVIRONM~NI'AL PROTECTION
cFIVFD
( ~ ) APPROVED BEDROOMS 'CONDITIONS OF APPRO~ ~ ~ ~ ' ' --
( ) DISAPmOVED
( ) CONDITIONAL APPR~L'
goil~ R~ting D~te ~wer Inst~lled Well To Absorption Arsa ~/¢~') Well Log Received
JO-- ~' Well to Tank ~I~ Septic T~k Size ~
72.023 (3182)
16, 19~3
tO01 '.}. 30th,
Anch(~rage, ;~K 99503
Subject: Lot 25 , Fairmont, Subdivision ,~
A[.~}.>rov{~l for the individual sewer and water facilities cannot
' lt..l.~ nave been ~-ovlplet~3~
be granted until the toiiowing ' -e
kl J_oq sub~:titte,J to this o~ficc for our ]iii. un anu
]7~V iCW ·
The top of the ~?elt casing shonld bc sealed so that it
water ti%}ht.
o The deDression or i.;it ~.~round the well casing noect:~ to
filled with iml)ervious type soil ~;o that it slopes
from the well casin,j.
o Exl)osed ~lectrical wire~) to the well head ~/~re in violation
of the ~hlnici[)ality of Anchorage codes and must be encased
in conduit.
,-.o~-T~vator ',; rel~ort needs to be ~;ub lit, ted to
office from the (:hem Lab, 5633 B Street, for our review.
o T]~e standpipe to the sewer system nned caps on them.
Please notity this l)epart{~ent [or a reinbjDection when thc
noted ,liscre[)ancies have been corrected, if there at-e any
4-47~0
.~urther questions, [)lease call this office at 26 '~ '.
~<obert C. Pratt
Associate i.;nvironmc'ntal Stjecialist