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HomeMy WebLinkAboutSUND LT 1Lo"F' ~-. 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 MAILING ADDRESS LEGAL DESCRIPTION LOCATION Liq capacity in gallons Liquid deptl/ {(~ IF HOMEMADE: Inside le?g~. Width  DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons ~ DISTANCE TO; ~Lengthl/zN~°f~eac I~, ~ ~' inches eacl? Tota le th of lines ~ ~ ~ lop of tgo to ~ ~[ ~1] graSe Material beneath tile q& inches Total7~O'~'effective absorptionw~area Length Width Depth PER~IT NO.  Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest I~t line  Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SCI L TEST RATING INSTALLER F'ERHi T i'l- LC!CRT ! ON ;,28t OKLFLk!CIHf~ L. EGF~L L.:t. ~X ('~I~LJL¢ I MR,'-.::Z H_ hi P,!UHE:ER OF E*'c-r",~;' ............ - '] .,. ,:; = TFIE L..ENG'rH DIHE]',I'_:~;ION :[5 THE LENGTH ,::iN F!EE'[';, OF ]'HE TRENCH OR DRRZNF'[ELC,. TFIE DEPTH OF R TRENCH OR F'ZT ZF~; THE DZSTF!HCE 8ET'HEEN THE tSURFRCE OF;' THE GROUN[> RND 'TtiE E~OTTOM OF TFIE E::<CR'v'f~TZON (IN FEET). 'THERE iS NO SET HID'TH FOR TRENCHES. I"F.IE GRFWEL DEPTH IS THE PIINiHUH DEPTH OF' GRRVEL BETHEEN THE 0UTFRLL PiPE RF,!D THE BOTTOH OF THE EXCRVR]"ZON <[N FEET). F,_,-.,,i. FIPF'LIC:Fir.,FF HI:IS THE RESF'ONSZELT_LITL/ TO !NF'..?..M T.-IT'~; [',EF'.:tRTHEf.rT' E:,LLF...::[NEi Ih~S"['Ftl ! F'~T'['II*4 - I .......... I.[L.~.. OF FIN'T' HELLS FE'"Ia"E~'¢T TO F~.=, PR:F'~F,T'T' -'-.F-., .......... - - ~t ..... ]"FIRE ,~U 'h::,~.R [3F:' RE:SZ[:,ENCE:5 THF:FF THE HEL.L ~4.,.L~ ELcziCi'(FILL:[f'~G r"lF !::Ii'.4? .~};'?'~;TEf',~, !.,.IT'T'Ft- T FiNI::IL IN~.?EC:T!ON FIND fIFF~.Li',,,'PIL: ,' , ,--' ' [::,,, "r14 c [:'EPRF:TMEFFF H:I; LL. E,u. '::' '"' ......... "~- ._.,UE, JEu I TO F:'F""~c :iL':IJT!CIN. hiiNiPiUH r/.,ISTRNCE BE]].4EEN R HELL RND RNY ON-SITE :~E!,.!RGE DtSF'0SRL SY'.E:TEM IS i. gE~ FEET For4: FI PRZ',,,'FFFE F.IELL OR :15C~ TO 2C~EI F'EE"F FROH R PUBLIC: HELL DEF'ENE:,ING LIPON '['HE TYPE OF' PI. JBL. iC HELL. MiNZMUH DISTFINCE F'ROP'I F~ PRi'EFFTE HELL. TO R PR.i'v'RTE SEHER LINE Z:5 25 FEET FIN[) TO Fi COHf,~L.~NI-F? SEklER LiNE IS 75 FEET. OTHER F~'.EQUIREMEN]'~; MRV RPPL?. SPEC:IFICF4'T'ZON% FIND CON~]TRLICTION DII:~GRFff'i:5 FiRE R'v'F!!L. FfE~LE TO th!~;URE PROF'ER ZNSTF!LLF!TION. Z CERT!F"!" THRT :L: Z .,=fl"1 FRMI'L:[FIR HITH THE F-'.Eg!UZREHENT:~ FOR ON-'SLTE SEI,.IER.~; RND t.,I!EL..L~; F~2; SET FORTFI B? THE MUN:[ CZF'F~L. ZT%' OF F!NCHORF]GE. 2: Z HZLL. ZNSTFIL..L THE :SY~¢TEH ZN FiCCORDRNE:E WZTH THE CODES. Z': Z UNDERS-FFIND THF!T TF'!E ON-%ZTE S[Ek. IER SYSTEM MR'T' REQUZR~ ENLFIRG~MENT ZF THE ~%SZDEN(::E Z$ REMO[:,ELE[F TO ZNC:LUDE HORE THRN ~: ~,~.,MUNIClPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-~50, Anc~orzge, Alaska 99502 276-2Z2~ SOILS LOG -- PERCOLATION TEST ir SOILS LOG ~' . PERCOLATION TEST 1 2 3' 5 6 7 8 10-__ 14. 15- '18- 10- PERFORMED FOR: LEGAL DESCRIPTION.' COMMENTS · ~'~= ~'&'~'~'$WAS GROUND WATER DEPTH? ' JOHN SLOPE SITE PLAN P · E Reading Date Gross Net Depth to Net Time Time Water Drop / " B~,~ 3~,~ / /" ~ ,, ~ ~ /.~'- ,~-, PERCOLATION RATE ~ O~:) TEST RUN ~ETVVEE~ : ~'~ FT AND {min,',tes/inch) /~ FT PERFORMED BY: ~xv' /~'~,0~"/~ not availai'le N} the su~}~ct lot. I'R/ko Polar air crossroads o/ the world March 27, 1974 Greater Anchorage Area Borough Department of Environmental Quality 3330 "C" Street Anchorage, AK 99503 ATTENTION: Mr. Rolf Strickland 1974 Gentlemen: This summer, the City of Anchorage Water Utility is planning to extend a water main on Duben Road, from Oklahoma Street to Muldoon Road. The residence on Lot 1 of Sund Subdivision is connected to a cesspool located in the right-of-way on Duben Road. This lot fronts a sewer main on Oklahoma Street and is required by GAAB Ordinance to be connected to the public sewer system. Since the cesspool is in the dedicated right-of-way, the cesspool must be removed in a manner described in Section 50, Article 12o1~ of the Standard Specifications, City of Anchorage, Greater Anchorage Area Borough, February, 1974. This will allow the water main to be constructed in accordance with standard locations. Construction of this water main is scheduled for July - August~ 1974. Your efforts to expedite connection of the property to the public sewer system would be appreciated. Sincere ly, RICHARD L. BESSE, P. E. Acting Chief Engineer Water Utility RLB:JHR:mg APPLICANT FILLS OUT UPPER HAl." ONLY Buyer Address ~/~/~1~/ ~? D{/C ~ Zip Code Realty Co. & A~nt Phone Address Zip Code LegarDescriptlon ZDf 4 Type Resi~nce ~gle Family ~ Multiple Family No. of Bedroo~ Water Supply ~ individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~mmunity For wells drilled prior to that date, give well depth (attach log if available). bl[c Utility Time Time Tim~ Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE ENVIk. i~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received August 4, 1976 Time of Inspection L~DL~O ~%~ Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR v.ao 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 Phone: 274-1521 2. Property Owner: Richard A. & Sharon R. Boyce Mailing Address: 281 Oklahoma Street 99504 Phone: 333-7771 3. Legal Description: Lot 1 Sund SubdiviSion 4. Location: 281 Oklahoma Street 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type t B. Depth C. Construction 7. Sewage Disposal System: A. Installed D. Bacterial Analysis B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Abgu~[ 2, 1976 1. Type of Inspection: CMRO VA XX .FHA CONV 2. Property Owner: Richard A. & Sharon R. Boyce Mailing Address: 281 Oklahoma St. 99504 Day Phone: 333~7771 3. Name of Buyer: David F. & RaeNette L. Henson Mailing Address: 4110 DeBarr Road Sp. 10E 4. Name of Lending Institution: q~h~ Fi r~- National Mailing Address: Box 4-2090 99509 5. Name of Realtor or Agent: N/A Mailing Address: 6. Legal Description: Lot i Sund Subdivision 9950/Oay Phone: 333-4517 Bank of Anchor~ Phone: 274-1521 Phone:. Location: 281 Oklahoma Street Anchorage, Alaska 99504 7. Type of Facility to be Inspected:. 8. Water Supply Type of Supply: Public Utility. No. Bdrms. 3 .Individual XX If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation individual (on-site) 72-003(3/76) Enviro]m;lenta] C!uatit;l Dept. On Sight Se~er Permit 5330 C SLree'L Anchorage ~ A] ask'a t,ri. Lh al3 oublef, s nh]ged and now ~sed as a ho]dShS bank ~97~ would oe hha 2~000 g~l]o~ ~:ize~ We ha~a primped 5% Nobert Sandr ~a:[ MunicipalitYo Anchorage 3000 ARCTIC BOULEVARD ANCHORAGE, ALASKA 99503 (907) 277-7622 GEORG£ M. SULLIVAN, MA YOR DEPARTMENT OF ENTERPRISE ACTIVITIES Sewer & Water Utility August 9, 1976 TO WHOM IT MAY CONCERN: The property located at 281 Oklahoma Avenue, Block 1, Lot 1 of Sund Subdivision has previously been served by a well. Effective August 9, 1976 the well has been disconnected and the property is now served solely by the Municipality of Anchorage Water system. Sincerely, MACE Customer Service Supervisor JMM.:cc { . REQUEST FOR APPROVAL OF ,, . 'IN~'~IVIDUAL SEWAGE AND WATER FACILIT~:S (Pill out in Triplicate) Name .of person requesting approval a. Bacte~{al h. Detergent data: a, '£ype .... b. DepTh_., c. Casing Size d. Distance from well to closest existing or proposed: 1. Sewer line 2, eptlc tank . 3. Seepage Area 4. Cesspooli_ 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barns drainage ditch, etc. 7, Sewage disposal system, a. Age of system b, Septic tank capacity in gallons c. Name of septic tank manufacture9~ 1. If "home made" show diagram on everse ~lde of this form. d,' Disposal field or seepage pit size and type 1, Distance to pmoperty, llne to house oundat ion PercoLatior~ Test 'resuLts f. Percolation Test performed by '~- Use the reverse .side of this form to show diagram. Diagra~ should include -'~he foilowlng information: ~operty lines~.well location, house location, ?~ptlc tank location, disposal area location, location of percolation test, a~d direction of ground slope. 9. The hr~o~rnt~on .on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed \ T_~OB~E FILLED OUT BY HEALTH DEPART!.~ENT PERSONNEL ~T~e above described sanitary facil~tles are hereby approved, subje, ct to the Conditions: ~z~ L~ c~ . ~ )'~ The above described sanitary aczllt~es are disepproved for the following l~easons: Dat~ "~' '- Apr o al ~s valid for one year following the date of approval. CPJ: cw Jun~, 18. 1969 Mm. Dan Rapalee P.O. 5ox 1399 Anchora~e~ Ak. 99501 ~UBJECT: ~ateP Supply Se~vin~ Lo~ 1, ~und Subdtvi~ton~ H~e Of RichaPd Sund have made a ~ce~lt inspectlon of the water and sewa~e rac~lit~es serving the ~ubject location. Our inspection showed tha~ two exfstin~i sa~epa~?~ pits wer~ lo- cated 76' a~;d 90~ f~o~ the s~R~Jec~ well. Fora a se,~i-p~bltc wat~ system of this type, the ~7,!nimum distance ~o ~il seepage fop ~hs above subject home. to city wa:em which The sewa~{e ~!aeili~y fo~ the home Sincermly, DAVID !~. I .... U~C:, , ~4.D. M~d ical DH: ~n BY: Sanit a~q. an cc: Rieha~'d St:nd INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in T~iplicate) 4. NumbeY'~oKbedrooms in house 5. Water. Analysis: a. Bactemial b. Detergent '"' ' Well data: a. Type c. Casing Size Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank Seepage Area 4. Cesspool,',,. 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. Sewage disposal system. b. Septic tank capacity in gallons... c. Name of septic tank manufacturer ~,/f~ 1. If "home made show d~ag e' o d.' Disposal field or seepage pit size and type 1. Distance to property line to house foundation Percolation Temt~pesul~s f. Percolation Test performed by · ~, Use the reverse ,side of this form to show diagram. Diagra~ should include . ~[~he foJ~owing ~nformation: p~operty lines;~well location, house location~ m~ptic tank location, disposal area location, location of percolation test, an~ direction of ground slope. 9. The h~o~.~tlon .on this form is true and correct to the best of/my knowledge. Signature of Applicant D~te Signed ~0 BE FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL ~he above described sanitary facilities are hereby approved, .subject. to the ......... ' The above described sanitary facilities are disspproved /om the following reasons: · Approval is valid for one year following the date of approval. CPJ:cw