HomeMy WebLinkAboutBONNIE VIEW LT 2fl o00
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
NAME PHONE ~UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
DISTANCE TO: I Well , O ,I A sor ,;.area Dwell0g~ PERMIT NO.
Material No. of comnartmen--
~Z Manufacturer ~ N(_,~ ~N I~ ST~ ~ ~
Liq. capacity in gallons Inside length Width Liquid depth
IF
HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~Z
O Z ~ Manufacturer Material Liquid capacity in gallons
~ Well / ~ ~ Foundation Nearest lot line PERMIT NO.
~ ~ DISTANCE TO: ~ ~ ~ 0
~ ~ ~ ~ NO. of lines / Length of each line Total length of lines Trench width Distance between lines
-~ ~ .~ ~ ~ '7~ inches
~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area
Q ~ / ~ inches
kenflth ~idth Depth ~fiBMIT ~0.
~ ~ Tgpa of crib Crib diameter Grib depth Tota} effectiue absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
o.
'g
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
HUNICtPFtLITY OF FI1",tCHORFIGE
[:,EPFi~;'."f'I"iEt",IT r HEFILTH FIN[:, ENVIRONHENTFtL "OTECTI01'"I
825; "L.' STREET, RI'.'ICHORRGE., RI..'.':.
'- 264-4'72E'~
It-.,.IEL. L IIR I"-.llE:, C, IP..,~--.?;.. :[ -I-E 5EI--.IEF,: F" E F-: I'"1 :[ '-Ir"
PERM I T 1'.40. ,:; 82:C~',=~74 )
PIF F L I _.PINT
L 0 L-: Fi T I 01",1
L. EGRL
I F'.V I N E,', ...
L2 BONN I E ',,,' i EH
20_-< H ::L5TH :99502
LOT ::, I ZE
'3'9'~'999 SE,_IFtRE FEET
T'¢PE OF SFtit_ RBSF~RF'TION S"r'STEH IS ' E:,RRINFIELD
I','tF~::-::II','II_II,1 NIJHF:ER. OF E:E[:,F.'3OHS = 3: SOIL RFITI1'-,IG ,::SI;! FT,..'E:R::,= '-'~"
THE REQIJIRED, SIZE OF THE SOIL FIBSORPTIOI",I SYSTEI"I iS:
[:, FZ F' -IF H == 6,; L E 1"4 ,::-ii T la = .=:1- 5 G F-: A"...' E L E:, E F" T H = 1
THE LENGTH DIHENSION IS THE LENGTH ,::TN FEET::, nF THE TRENCFI OR DRFIINFIELD.
THE DEPTH OF R TRENCH OR PIT :IS 'THE DISTRNCE BETNEEN THE SURFRCE OF THE
GROUN[> FIND 'THE BOTTOM OF THE E::.::C:FIVRTION ,::IN FEET::,.
T H EC qr" F: E t'-.~ C: H IL..I :E E:. 'T H ::lES 5. E'~ ~-Z~ F-~ F- E E T.
THE GR. FIVEL DEPTH IS THE HINIMUH DEF'TH OF GRRVEL BETHEEN THE OUTFFILL PIPE
FIND TFIE BOTTOr'I OF' THE E,':.:',CFIVFITION ,::TN FEET.':,.
F-: ~-: ,:;.,. IUl .'l[. F-: E: [."::. "_S E F" "l'" ."E C: "f F-t ~'-.I ~-:::: S I Z E = ' 1 ~---"~ ¢Z'~ ~-_-.'~ ,.~ii Ft L_ L Ci F.~ 2-;
F'ERMII" RPPL. ICFI1'..4T HFIS THE RESPONSIBILITY TO INFORI"I THIS DEPRRTMENT DURING TFIE
INSTFILLFITION INSPECTI'ONS OF FINY HELLS FID..TFIE:ENT TO THIS PROPERTY FIND THE
NUHBER OF RES ]: DENCES THFIT ']'HE .HELL HILL SERVE.
............ TI.--~L, ,':: 2 ::" IR. I"-.~S;F"EC:T :IR C,I"-.IS RF:E F."E~g!L.~ ][ F.."E[:,
BRCI<:FILLING OF FINY SYSTEFI HITHOLtT FINFIL INSPECTION RND RF'PROVRL BY THIS
E:,EPFIRTHENT HILL BE SUBJECT TO PROSECUTION.
HINIPII.JH [:,ISTRNCE E:ETHEEN R HELL RI'-,I[:, RN'T' FIN-SITE SEHRGE E:,ISPCFSRL S"r'STEM IS
:LC'"-":"~ FEET FOR. R PF.'.IVRTE HELL OF..: 150 TO ;-2F'"d FEET FRL3H Fi PUE:LIC HELL [:,EF'ENDING
UF'UN THE TYF'E OF F'IJE:LIL-: HEL. L.
MINII',IL.~r't [:,ISTRNCE FF.:OH R F'RIVF~TE HELL TO Fi F'RIVRTE SEHER LINE IS: ":....'5; FEET R1'.'I[:,
TO R COHMUNITY SEHEF.'. LINE IS 75 FEET.
HEL. L LCGS RF.'.E RE~.~LIF.'.E[:, FiN[:, HUST E:E RETURNE[:, Tn THE [:,EF'FtRTHENT HITHIN
OF THE HELL C:OHF'LETION.
LTFIER REQUIF.:Er,IENTS HRY FtPF'L'T'. SF'Ei:.":IFIF:RTIFINS FIN[:, CONSTRLICTIFIN DIFIGRRMS FIRE
R',,,'FIIL. RBL. E TO INSURE PF..'.OF'ER INSTRLL. RTIF~N.
F" E IF, i.: ~'-1
..EF. T IF'r THFIT
t' I RI"1 F'RHIL. IFtR I.,.IITH TFIE REC~JIREt'"IE1'-'ITS F3F.' FIN'-SITE SEHER'--; FIND 14ELLS RS SET
FOF.:TH E:Y THE HtJNIF:IF'RLIT"¢ OF H1'4uHuF. H~E
~ I HILL II'-,ISTFILL THE SYSTEH I1'.'i FIF:CFIRE:,FINF:E HITH THE F:FiDES.
.'2.':' I UI'.'IDERSTRI'-,ID THRT THE F~I'.,I-SITE SEI.,.IER ='r:.-TEH I"IFtY F.'Eg!LIF.'.E ENLFtF.:GEHENT IF THE
F.:ESIE:,ENCE IS F.:EHODELEE:, TO INCt..J,¢[¢~) HIDRE TPIFiN 3: E:EE:,F.:OOHS.
,,., .
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysicoi Surveys
LOCATION OF WELL (Please complete either Ia, lb or lc.)
Drilling Permit No.
A,D.L. No,
Meridian
I<imura
Wa rte, bull d e r
0 Driven
[~ Bored
Supply
Recharge
Welded
Anch !Bonnie VJ.o~ ~ _of_o,_of_ s[:] wE]
: DisTANcE AND OIRECTION FROM ROAO INTERSECTIONS 3. OWNER OF WELL:
= Joh~
Address: Je
Street Address end Area of Well Locallon
~. WELL LOG Flefsu.foclBelo. 4. WE~PTH: (final)
TYPe Top BoHom
~.ard pan .......... 1 5 18 ~ A~g,~ ~
be[!rock gray seepage 95-100' 18 1~2 7. US~:~Do~,,Hc
~e.enstone ? ~160 ' 1 ~2 175 ~ ~.i~.,,o.
~lack rock _ 175 180 Q?.,,w.,,
diam.__ira to ff
__ g. FINISH OF WELL:
_ Type:
Slot/MI ,h SIze:
Set between fi,
MUNICIPALITY OF ANC ~O~GE. Bockfilllng
~. OF HEALTH ~'
-- Equipment used:
ff. after h~
ft after
Well 6roufed:
12.GROUTING
Material: ~Neat Clmlnt [
I~, PUMP: (if available) HP
~ength of Drop Pipe
~ Subm. ~ Jet
..' 14. REMARKS:
16, WATER WELL CONTRACTOR'S CERTIFICATION:
15. Water Temperature
L-~ Dug
[] Other:
[] Industry
:] Commertcol
Weight lbs./ft.
Stickup_____~ ~t.
Diameter: ...................
I.e ngth
and fl
Gravel pacl~
land surface
surface and YIELD
pumping ..... g.p.m.
pumping ....... g.p.m.
[] Other:
ft. capacity g.p,m.
Csntrificol [] Other
L~jc
Tills well los drilled under my jurisdiction end this report Is true to the best of my knowledge end belier;
Alaska Now-~,Voll-Vorn' s 'l)rilling & Ent AA3327
Registered Businlsl Name Contract License Number
,~,,..;SRA Box 1~60 Anchora$o,
/7
Form O~-WWR (11/81) Copy Distribution: WHITE-Stole DGGS, PiNK-Driller, CANARY"C.stomer
PERMIT NO.
i-'l i_i I"-,t 1' C: ][ B .:t L 1'. -F ""r" C, F R I"-.i.C: H F.: R ,] E
DEF'RF.:THENT OF HERLTH RND ENVIRONMENTRL F~.'.OTECTION
:--;25 '"L'" STREET., RNCHORRGE., BK. 99.50±
264-4720
t-.JJEbL F" EIRB"I 1' T
,:.' :=:~:¢1:=:06
RPPLICRNT
L..OCRTION
LEGRL
FlY FRTHER BUSINESS
LOT 2 BONNIE VIEH SUB
SRR 76-[.',
LOT SIZE
~49-~00~
999999 SQURRE FEET
HiNIIIUH DISTRNCE BE'FHEEN R HELL RN[:, RNY ON-SITE SEHRGE DISPOSRL SYSTEM IS
:1.00 FEET FOR FI PRIVRTE HELL OR -150 TO 200 FEET FROM FI PUBLIC HELL DEPENDING
UPON THE TYPE OF PUIL::LIC HELL.
HINIML.IM [:,ISTRNCE FROM FI PRIVFtTE HELL TO FI PRIVFtTE SEHER LINE IS 25 FEET RND
TO R COMMUNIT'¢ SEHER LINE tS 75 FEET.
HELL LOGS RRE REL.-.!UIF.:E[:, 1=t1'4[:' MLIST E:E' RETURNE[:, TO THE [:,EPFIRTMENT HITHIN 3.0 [:,Ft'¢S
'OF THE PIELL COMPLETION.
OTHEF.: REL.":!I_I I REHE1,.,ITS MFI'¢ FIPPL'¢. SF'EC I F I CRT I OHS FII'.~[:, CONSTRUCT 101'4 D I FIGF.:FIMS FIF':E
R',,,'FIIL. FIBLE TO INSURE F'F.:OPER INSTRLLFtTION.
I CERTIF"r' THRT
-1: I AM FRHILIRR HtTH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS RS SET
FORTH B"r' THE MUNICIPRLIT'¢ OF RNCHORRGE. '
2: I HILL' INSTRLL. THE S'¢STEH IN RCCORDRNCE HITH THE CODES.
· "' "- M"r' FR'FHER E:IJSINESS
V4, 0
~Permit #: 821068
.January 31, 1983
TO: Permit Applicant
Subject: Lo'h 2 Bonnie View 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 inceret~.~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
icipality of
MEMORANDUM
DATE:
TO:
FROM:
SUBJECT:
October 12, 1982
Laura Crow
Environmental Health Division
Request for a Refund - Account #2460
Please make arrangements for a refund for the following; a
private engineer is going to do the inspections of the
installation of the on-site sewer system.
Thank you.
Ali-Bur Construction, Inc.
8404 Hartzell Road
Anchorage, Alaska 99507
Lot 2 Bonnie View Subdivision
Permit #821068
Receipt #206173
Amount $20.00
Laura J. Ward
Senior Office Assistant
LJW
attachments
91-010 (5/78)
PERMIT NO.
t.11_1[-4 IE:Ii ,~LIT'T" CIF R[-IIZ:H FIRI]E
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET¢ ANCHORRGE, AK. 99501
264-4720
IZl~--SITi SEbJEFI PERMIT
( 82t068 )
APPLICANT
LOCATION
LEGAL
ALI-BUR CONST. INC
L2 BONNIE VIEW
8404 HRRTZELL ROAD 59107 ~49-484t
LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRRINFIELD
MR%IMUM NUMBER OF BEDROOMS
SOIL RATING (SQ FT?BR)= 270
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C:,EPTI4= 5. 5 LEI'-1GTH= 195 m_]RR~.-'EL DEPTH= . 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THE TREf4E:H I-4I[)TH IS 5_ E~E~E4 FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL. BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
REb]LI I RE[-', SEPT I C:
PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TP~C~ (2) I F~SPEC:TI~]F~S RF~E ~EG!LIIRED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL 8E SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R NELL RND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS
IF10 FEET FOR A PR I',/RTE NELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPEN[:,ING
UPON THE TYPE OF PUBLIC NELL.
MINIMUM DISTANCE FROM R PRIVATE NELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MR'T' APPLY. SPECIFICATIONS AN[:, CONSTRUCTION DIAGRAMS ARE
RVRILRBLE TO INSURE PROPER INSTALLATION.
F'ERr~ I T E'~'"'qP I RE S C' E C:E£'I BE I~: -'~: i.- 1982
_.EF..T I F ? THAT
st' I AM FAMILIAR N ITH THE RE~ilIREMENT=, FOR ON-SITE =,ENER-, AND WELLS RS ~T
F~ZR. TH BY THE MLINICIF'RLITY 0F ANCHORAGE
2- I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3~' I UNDERSTAND THAT THE ON-SITE SEWER ~T_,TEM MAY REQUIRE ENLARGEMENT I -~.
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. ~ -- '
s, :c: .................................... s c 4.
RPPLZCRNT RL~-BUR CONST. ZNC ~ -.'/ '
I . .bE[ E~ ' , _~_=-__~ =~ - _ , ....... 4
__ ...... ................ -
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:
DATE PERFORMED:
LEGAL DESCRIPTION:
1
4
9 ~4~_0
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS 2 ~'0 ~ Y/,~,CJ r'~'~
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPT ?
q:;>;~. ~c¢,- ~%~'¢
Gross Net Depth to Net
Reading Date Time Time Water Drop
W~C~ ff,-zo ~o:H~ ,- ,.T&~
PERCOLATION RATE ~'~
TEST RUN BETWEEN
CERTIFIED BY:
PERFORMED BY: COFIr}Or" ~ ~'Oi,,U,o,,~
(minutes/inch)
DATE: ?~'- Z~'~-~'''' -'t
72-008 (6/79)
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:
1
2
3
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
SLOPE SITE PLAN
, !
WAS GROUND WATER ~ !
ENCOUNTERED? /~i~ ~)
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
(minutes/inch)
PERCOLATION RATE
TEST RUN BETWEEN , FT AND FT
PERFORMED BY:
72-oo8 (6/79)
k~ _ APPLIC..NT FILLS OUT UPPER HAl ONLY
Address Zip Code
Type of Resi~nce
~ Single Family
~ Multiple Family No. of Bedrooms. ~-.
~ Other
Water Supply
~ Individual A~ACH 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
~ Individual Year Individual Installed:
~ Public Utility 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 Inspec~r Inspector
Field Notes: MUNICIPALITY OF ANCHORAGE
//4.j/. f.~ DEPT. OF HF/,LTII
ENVIRONMVNI'AL PROTECTION
RECEIVED
{ ~;~"APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE / ~"~-~ ~)~0
72-023 (3182)