Loading...
HomeMy WebLinkAboutSUMMIT ESTATES BLK 2 LT 10[..cT" Development Services Department Building Safety Division in -site Water x, Wastewater Program 4700 gragaw Street P.D. Box 196650 Mark Begich Anchorage, AK 99519-6650 Mayor •Ww..:rion i.orq/r"nsit� (907)343-,'904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: $ U /71 !rl rT F s TA 7-45S i--� v a 2--i0 gwl �d£ Pump Installation Date: A Pump Intake Depth Below Top of Well Casing: V3 feet Pump Manufacturer's Name: ZCRA'�tx)l Pump Model: 917PVMSOs; j31 Pump Size Ila hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: X14 Pitless Adapter Installer: Well Disinfected Upon Completion? 91 Yes ❑ No Method of Disinfectio : Cr P 7 Comments: Pump Installer Name: A1,4YR.�U tO xA)) S Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. oGRE- -dR ANCHORAGE AREA BOlt',AGH Department of Environmental Quality 3330 C Street Anchorage, Alaska gg§03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 0 MAILING ADDRESS .J~ O~ S~" ~ PHONE LOCAT, ON LEGAL DESCR,PT,ON SEPTIC TANK: FROM WELL ~O ~ MANUFACTURER ~[ MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH. LIQUID DEPTH LIQUID CAPACITY ',-~:~) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL //~O I ~-D/~ ~)-- J TOTAL LENGTH FOUNDATION .NEAREST LOT LINE OF LINES NUMBER OF LINES : DISTANCE BETWEEN LINES ~/~ TRENCH WIDTH~¢IN. TOTAL EFFECTIVE ABSORPTION AREA%¢g ~ ;~ SQ. FT. LENGTH OF EACH LINE ~ / ~/~/~& ~ / DEPTH OF FILTER / DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE ~ ~ABOVE TILE ~ IN. WELL: TYPE ~A/~?J M/~'/~-/ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE__ SEWER LINE TANK SYSTEM CESSPOOL , OTHER SOURCES APPROVED __ DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: INSTALLED By: ~//~ ~'~-, / SEWER LINE DEPTH: o ~)z LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM ..SC, D, G.A.A.B. J. US~ No. Statio°n:~ter Open end~r~); So'eon ( ); Perforated ( ). Describe screen or perforations . Well pumping test at /./~ ~ per (hour)(~u~e~ .~/~ feet-0~ dra~o~ from st~ti~ level ~epth ~ feet from ~round surface and hardness. D to ~inish ~f well (chsok . Wo~i I..o6 ~-~e dst~il~'bf ~rm~tions ~e~etrmted; size of m~tsrial, oo~°~, to to to to t~ to j~U.k!!~lmAI lTV I~1: ANCHOI~A(~I~ DEPT. OF HEALTH & ENVIRONMENTAL pROTECTION 'A~B '1.. 9 'Lqs.B .- RECEIVED to to to DEPFII;-!'rf'IENT OF HEFII..'f'H bN[:' EN;/I RONMENTFII. PRO"IECT I ON F~PPL. ICbNt' CLYDE ~TERL. ZNG. { BOX 567 ~TERL. ING LOCATION 90 BIRCH LEaRL LOT :La BLK a SL/MMIT~E~'ra'rES LOT SIZE NONE t627.00 SQIJFIRE FEET TYPE OF SOIL bBSORBTION ~-TIE. I~I I:S: PIT MAXIMIJN HUMBER OF B~DROOMS = 4 SOIL RATING THE REQUIRED SIZE OF THE SOIL. HB_,uRPIluN _Y, 1EII THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF EbOH SIDE FOR FI SEEPFIGE F'IT. THE DEPTH OF B TREN(,.H OR PIT IS THE DISTFINCE BETWEEN THE StJRFBCE OF THE CtROUND FIND THE BOTTOM OF THE EXCFtVFITION (IN FEET)· THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFFILL PIPE Rt',ID ]'HE BOTTOM OF THE EY, CRVFITION (IN FISET), IHI_, BACKFILLING OF FtNY SYSTEI¥1 WITHOUT FINFIL INSPECTION FIN[:' BPPROVFIL B'¢" ':: DEF'ARTMENT NIL.L BE E;IJB,$EC'i" TO PRCSEC.TION. MINIMUI4 DISTFINCE BETWEEN FI WELL FIND RNY ON-~ITE SEWAGE DISPOSF~L SYSTEM IS t00 FEET FOR FI PRIVFITE HELL OR 2C~0 FEET FOR FI PUBLIC WELL, SPECIFICFITIONS RND CON:E;TRUC'TION DIFIGRFIFI$ FIRE ¢4VFIILFIBLE TO INSURE PROPER I Ns'rFILLBT I ON. I CERTIFY THFIT IL: I RI,i FFIMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS EtS SET FORTN B9 TWE 1,1UNIOIP~L~'FY OF ~NCHOR~GE. ~ I WIlL INS'T'~tLL THE SYSTEM IN ~OCORD~NCE WITH THE CODES. ~: I UNI)~RST~D THBT THE ON-SIT~ SEWER SY~TEW M~Y REQUIRE ENL. FIRGEMENT IF THE RESIDENCE IS REWODEL. ED TO INCLUDE MORE THSN 4 BEDROOWS. APPLICANT CI.~DE STERLING. CONSULTING GEOLOGIST SOIY~.S LOG Per£ormed £o~ ~"~ ~'~ &~, ~, ~'~.. ~ ~epth (~eet). Soil Description' -16- -18- -20- Total Depth 14 Was gro~Lndwater encountered Depth to bedrock ~ £eet in determined Resp~c-~£ully submilted, Gary ~o Player Consulting Geologist ' ~. ' / MUNICIPALITY OF ANCHORAGE' '~ '~-"" ' r, ~ ~"~,: ' ~ ',=~~.: ,DEIARTMENT'Or HEALTH ANDtINVI.RONMENIAL::,-ROIEC=TIO ~~¥~ :' ' 825 L Street, Anchorage, Alaska 99501 iik~[~[~'~-~l [ ' C 279-2511, ext. 224, 225 · ' :::i~ppp.. ,~. ~ Date ReceiveS: March :25' 1977 Time ~ and Inspection: Time ls% Inspection: Date ~~ Date Inspector ~ ~D~ Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Lomas and Nettleton Company Mailing Address: 4449 Business Park Boulevard Phone: 274-7661- 2. Property Owner: Mr/Mrs Ste~ling~_~ ~ ~.~ Phone: 344-3004 Mailing Address; NHN East 90th Avenue ~:~ ~ 3. Legal DescripEion: Lot 10 Block 2 Summit Estates Subdivision SingLe Family Residence: (x) Multiple F~nily Residence: ( ) Number of Bedrooms: N~kmber of Bedrooms: 4 5. Well Data: Type Individual Depth 87' Well Log Filed ( ) Construction Bacterial Analysis Sewage Disposal System: Permit ~ Septic Tank Size Absorption Area On-site system (x) Public Utility Installed Installer Manufacturer Soils Rate Material ~ ) Distances: Well to Septic Tank to Sewer Lines Nearest Lot Absorption Area to Nearest Lot Line Line to Absorption Area Page-~.wo . · ~ ~ [~i~, ~ ~?'~ .....: I, ~ ~' ,- -', ' Department%, of~~ H~hlth' ~and Environmental Protection~ : ~ ~ R~.'quest- for Approval of Ihdividual~ Sewer and Water Facilities Legal Description: Lot 10 Block 2 Summit Estates Subdivision Co~e~%s: Approv ed: Department/~/~ ~7' . Worksheet:~ ~ ~ ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVlDUALSEWERand WATER FACILITIES MUNICIPALITy OF ~. DEp;: 0"' ANCHop,~,'.,- .... ~cNTAL PR "~ OTEChoN RECEIVED 1. Type of Inspection: VA X FHA CONV_ Mailing Address:_ /L ~/k . Ma,l,ng Address: ~ L/,.~ ~ ~/'/~. ~ ~f/~.~..,~ ~ ~ Day Phone: Name of Lending Institution: ~ ~'~ ¢ %~*~'(, ~. D/~.y Phone:,-./~ ~-J~)/ Location: 7. Type of Facility to be Inspected: No. Bdrms. .~ 8. Water Supply Type of Supply: Public Utility Individual If Individual, depth of well Sewage Disposal System Type of System: If Individual, number of dwellings presently served Public Utility. Individual (on-site). If Individual, date of installation 72-OO3(3/76) April 25, 1977 Lomas and Nettleton Company 4449 Business Park Boulevard Anchorage, Alaska 99503 Subject: Lot 10 Block 2 Summit Estates Subdivision A percolation test was perfomed on the subject property and the test showed that the system did need upgrading. I ran a file search and could not find any information on the existing system. In order for this department to draw up an upgrade for the existing on-site sewer system a soil test must be performed and brought into this office. If there are any further questions, please contact this office at 279-2511, extension 224 Or 225. olncerely, william M. Dixson Principal Environmental Code officer ~,{D/1 J h cc: Mr. and 5~s. Sterling Star Route A Box 77 99507 April 6~ 1977 Krenik Realters 605 A Street Anchorage, Alaska 99501 Subject: Lot 10 Block 2 Suimmit Estates Subdivision Before sewer andwwater approval can be granted by this department verification of the septic tank must be provided by exposing thesseptic tank manhole. Also, the septic tank must be pumped for maintenance purposes° A percolation test on the absorption area must be performed as set forth in the attached instruction sheet. If there are any further questions, please contact this office at 279-2511, extension2224 or 225. Sincerely, Willi~ M. Dixson Environmental Principal Control Officer WMD/lj h attac~aent Isaacs Pumping Service 6218 Quinhagak Street Anchorage„ AK 99507 Phone # 907-563-3300 isaacspumping@gmail.com Fax # 907-562-5473 Sold To Gillis,Joanl 5481 E 98th Anchorage, Alaska 995}b 0'7 Sales Receipt Date Sale No. 6/3/2020 9381 Check No. Payment Method Project 6/2/2020 Description Qty Rate Amount Pumped Septic System 210.00 210.00 Total $210.00