HomeMy WebLinkAboutSULLIVAN ACRES LT 5Onsite File
Sullivan Acres
Lot 5
PID# 051-102-88
(Formerly Lampert Estates Tr B-1-A)
ASBUILT
I HEREBY CERTIFY .THAT i HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE E:CISTENCE OF ANY
EASEMENTS, COVENANTS., OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
Y DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LIKES.
SEt,TARD & ASSOCIATES LAND SURVEYING 694
f
DATE.�
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GRIDS
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0 Duane Merk Seward • •�"
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LS - 5913 y
BRAWN:
MUNiCIPALiTY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
Address
Phone(s)
P~rrl~"'.-N ~ ~ ~ O NO. of;edrooms
LEGAL OESCRIPTION
Township, Range, Section
T'/5-/u ,,"? / ~.'
TANKS
J~ SEPTIC [] HOLDING
Manulaclurer Capacity in gallons
Material No. 0 mpadmen~s
TYPE OF SYSTEM
[] TRENCH ~] BED [] W. DRAIN [] OTHER
Depth Io pipe bottom from Total depth Item original grade
original grade ~ ~ ET /-/ FT
Fill added above original grade Gravel depth benealh pipe
/ FT ,~'
Gravel wid[h ,
Gravel leng[h
Tolal absorption area
FT
Number el lines
Soil rating
-~. ,'..~- SQ ET
'~>~ FT
Distance between fines
~"J -'~'e~," ~" "ET
Pipe malerial
)ate Installed
WELLS
[] PRIVATE [] OTHER ¢ldentifv)
Classification (A,B.C) Total Depth F'[ Cased to F1
Installer Dale Installed:
REMARKS:
DISTANCES
WELL
SEPTIC
TANK
ADSORPTION
FIELD
WELL
LOT LINE
/
FOUNDATION
AS-BUILT DIAGRAM (Show location of well, septic syslem, propert ' lines, foundanon,
driveway, water bodies, etc.)
Scale:
Inspections Performed by:
Eagle River Engineering Services
P. O,-Bux 77'329~,
-- Date: Eagle River, AK 99577
I '"~'"~'"~'~~ cedify Iha, Ihis inspection wac performed according la all
Municipal and Slate guidelines In o I I eat on Ih is ,late:
H eallh Depadment Approval: ,~~~~/~ Date:
72-013 (3/85)
ENGINEER'S SEAL '
].egis A, :P, utora
C1-~.6736
I"'1 LJ N I C I F:' A L I "r' Y 0 F' A N C
:Oepar'tm~.~r~t o¢ Health & I,-h..uti~n Set'vices
!L'..'L~!' L. St ~ ce'L, Anchol',ac. e,, Alaska 9950
Er~g :i, ne~):r' D(.):.) s i g rw..~d
I al ...~,,1. Id: .,, ,1, I..x.-E7
I....o'L I...~:=!ga:l. ~ ,.. ul.~ct.L . z .,3.~r . I.,.AMF'EF{'T' ~ SIJBD Lcd:.: TR
I....o'L c..I.' :,,~ :..." 'FA. ( s (::1 ,, {' t ,. o r' ac r' ~:.~ )
Max Bedr'ooms~ This F'er'mJ.t~ :3 To't. al []al:)acity',~
)]),'~'y F.:'hor]e:
6 8 8 .." 4 7 6 7
B :1. c)c k: ....
[i!:a(.::l'l ~;(:.:.!1::)'['.. :i. c:
INI::roI:.~M D.I..I,H,,!!~, F:'F~I:[)R 'TO :t.!!~T S,. 2ND ]:N,SI::'E:CTIONS BY EI',IDINEER., IF
hI:::"I"E:R OI:::F::'ICE HOURS CAL. L. 3Zl. 3-4t~E):l. AND I,...I!!!:AVE A I~'Ili;J:!~,~AGE
CC)NS'I'I::;~UCT I:::'ER EIqG]:IxlIL':EI:rd3 A'T"T'ADHlii::D AI:>F:'R[)Vli~:D DES]:GN
D ]' NC :X []NEY
:1: CER"FIF'Y TI-IhT:
1,, I am fam:i.].iar~ w:i.'Lh the pequ:i.r~ements fop c)n-.s:i, te sewer's and we].ls as
for"l:.h by the Munic:tpal:i. ty pi' AnchoPage (MOA) and the D'Late c~f Alaska,,
:1: will install the system in accopdance with all MOA codes and Pegu:l. at:i. or'n~,
and in (::c~ml:~l:i. ance ~4ith the design cpit. epia o[' this pePmi'L.
:3,, I k~:i.:l. 1 adher'e to all MOa and Btat'..e of Alaska nequipemen'Ls fr.:)p 'Ll"m) ~:~e't. back
~JJ.!B'I~Fi[:[~)!B [POril any E, xJ. st.~l][J k~e].:l.~ NasteNa'f,.eP disposal system ch- public
4,, :[ t.u"lder'.s'l:,arld that this per'mit :i.s valid ~'op a max:Emum of :3 bedr'ooms,,
a:I. sD undepst, and that the cal::~ac:i, ty of the tc,'Lal system is :3 bedr'.oc, ms ,'and
any en~ar'gem~:.:,n'L v~:i. 1], r'equ:i.r'e an addi't..ior~al per'raft,
(Ot*.¢m:.:.n") RLISSEI....L.
By~
SPECI'FZCATIONS FOR ON~FE SEPTZC SYSTEM
LEGAl_:
G [ N i R A L,.
~1 (} I1 t; $.,
modi-fLi, ed :i.n lshe f~.e]d by t;l~c~
m<)d:i.f;i¢~d ;in gh~} 'F~.e].cl by fsh(:} (sOngl'a(::gor i;o me(aL Hqn:io:ipatl:i,i.y ot:
cc)rllfriL.lrlLi. J}'/ t'.J(.)] 3..
*-*>I<NOTE: SAND FILTER NOT REQUIRED.
DLBERD RDAD
PRIVATE WELL
TL1 HBME--F_-~
~ oX, G)XT
I
IBP BF SLBPE I
_. _~I~E .SL ,B P__E. ~ ~E._A.K
30' × 32'
4' TMTAL [IEPTH
NO ~/ELL2 +100'
EASEMENT .........
EXISTIN6 LEACH FIELD
NEW LEAt:H FI£LD "-~-
CLEANBUT - o
SCALE, l' : 50'
WELL AN]] SEPTIC SITE PLAN
LEGAL, TRACT 'B-i'-A LAMPERT ESTATES
B~NER~MR, RUSSELL OLBERG
CBNTRACTBR~CHUCK BARR
EAGLE RIVER ENGINEERING
PO BX 773294
EAGLE RIVER, AK, 99577
694-5195
SERVICES
MUNICIPALITY OF ANCHORAGE
DI:PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
B25 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
~ERCOLATION
TEST
PERFORMED FOR:
DATE PERFORMED: ~--/~/~ ~'
LEGAL DESCRIPTION: 7"-/~,~- ~ ,~ /- ,'~
SLOPE SITE PLAN
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
WAS GROU
ENCOUNTE
IF YES, AT
DEPTH?
Reading
WATER
TERED?
TWHAT
/
% ,
%,
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ x/;,/'~ //..~,%,~ /o~,,~ ~-~-,~ '~,"
RATE /~, 7 (minutes/inch)
TEST RUN BETWEEN ~- FT AND ~ FT
PERFORMED BY:
72-008 (6/79)
Eagle River Engineering Se~lc0$
P. 0. Box
Eagle River, AK 99577
694-5195
CEI~TIFIED BY~
DATE:
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 * TELEPHONE 688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
Ended "
DEl'TH OF WELL
S'F.VHC LEVEL OF wATER FI-.
I)RAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From Ft, to Ft.
From Ft. to · Ft.
From_~ Ft. to_ Ft.
From ' Ft. to ' Ft.
From ;i -. Ft. to ~ ~ Ft.
From /_ Ft. to . Ft.
From__FI. to_ Ft.
From ' ~ Ft. to [ / /'Ft.
From' : s FI. to ~'~ FI.
From__Ft. to Ft
From Ft. to FI
From Ft. to Ft
From__Ft, to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
FFom.
From
From
From
From
From
From
From
Ft. to___ Ft.
__ Ft. to_ Ft.
__Ft, to Ft.
__ Ft. to Ft
Fl. Io Ft
____Fl. to_ Ft,
Ft. to Fl
Ft. to Ft.
Ft. to FI,
Ft. to Ft
Ft. to___Ft
Ft. to___Ft
___Ft
Ft
Ft.
Ft.
___FI,
From _Ft. to
From ..__Ft. lo
From Ft.. to
From Ft. to
From Ft. to
MISCL. INFORMATION:
DRILLER'S NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX ].96650 ANCHORAGE, ALASKA 99519 343-.4744
HAND WRITTEN PERMIT
Permit Number:
Date Issued:/~--~/
Design Engineer: ~O~
Owner Name:~;$a£&
Owner Address:Ad.
Parcel ID:d~'/'
Lot Legal: Subdivision:
Section:g Township:/~V Range:/~,
Lot Size: ~6 ?/~ s~_q.~t, or acres)
Permit Type: ~/~
Expiration Date:/
Day
Max Bedrooms: This Permit:~ Total Capacity:3
SEPTIC TANK: Minimum septic tank capacity: gallons. Each
septic tank must have at least 2 compartments, insulation is
required if depth to top of septic tank(s) is less than 4.0'
Lift stations require an appropriate electrical inspection.
WELL LOG: A cody of the well log must be sent to DHHS within 30
days of the well's completion.
I CERTIFY THAT:
1. I will install the on-site sewer system and/or well in
accordance with all codes and regulations of the
Municipality of Anchorage (MOA) and State of Alaska , and
in compliance with the design criteria of this permit.
2. I will adhere to all MOA and State of Alaska requirements
for separation distances from any existing well, septic
system, or surface water on this or any adjacent or
nearby lot.
3. I understand that this permit is v a~id for a single
family dwelling with a maximum of ~ bedrooms also
understand that any enlargement will require ~n
additional permit.
5. I will notify DHHS prior to all inspections by the
engineer or well driller.
(own~-~/designee) ~,
ISSUED BY: ~-~~ ~/~.
DATE: //~j//~/
DATE: --~/~~
db/ll5
TOP_~". _S. L_.RPE: L,_
C~RIVAT£
VELL
Nil Vr.,LLI *tOO'
WELL AND SEPTIC SITE PLAN
LEGALt TRACT 'B-I'-A LAMPERT ESTATES
pWNERJMR. RUSSELL []LBERG
CONTRACTOR~CHUCK BARR
EAGLE RIVER E:NGINEERING SERVICES
PO BX 773894
EAGLE RIVER, AK, 99577
694-5195
EASEMENT ..... -~'
EXiSTiN§ LEACH FIELD mm,.
NEV LEACH FIELD ~ .
CLEAN'UT ' ·