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Home My WebLink AboutVILLAGE PARKWAY ESTATES LT 1 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 )~-'~ 1,~ PHONE ~NEW LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS IW~H J Ab~o~pt,o..~.~ Dwelling PERMIT NO. ~ ~ Manufacturer ~.~ Mater~ / No. of con~rtments Liq. capacity in allons Inside length Width Liquid depth / O O~ m IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO, ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. ~ NO. of ~ Tren wi th D~stance between lines -- lines/ kenoth ol~_,~each line Total Ion~th of lines'~' ~ inches ~ Total effectivo a sorption aroa Top of tile to finish r de Material Bonoath tile ~, ~o Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS ~ ~ ~// SOIL TEST RATING ~ f / INSTALLER ~ APPROVED DATE LEGAL 72-013 (Rev, 3/78) PERMIT NO. 8PPL I C~NT JRNtS FLE I ~SCNHF~N LOCFiT I ON Y!LLBGE SCENIC !..EGF!L. LOT t ¥'ILLSGE P~RKWBY EST. S,."]} T'fPE OF SOIL RBSORP]"!ON SY~;TEM IS: DRBINFiELD h'!8XIMUM NUMBER OF E~E[:,ROOM~9 = 3: SOIL RW'rZNG THE REQUIRED SIZE' OF THE SOIL BBSORPTtON S'¢BTEM IS: 3-852 ECB LO"r SIZE :t~a±ao~.z~ Sg!UFIRE FEET ':.' E; Q F'T,,'E..-'R ) = 90 THE LENG'TH DIMENSION IS THE LENGTH (IN FEET) OF TNE "FRENCH OR DRRZNF!EL_D. THE DEPTH OF Fl TRENCN OR PIT IS THE DISTF!NCE 8E]"HEEN THE SURFF!E',E OF' THE GROUND RND THE BOT"FOH OF TNE ENCR'¢RT!ON (IN FEET). THE GRR',/EL DEPTH I[5 THE MINIMUM [:,EPTH OF GE:RVEL BETI.qEEN THE OUTFRI_L PIPE RND THE BOTTOM OF TNE E:,.::CFF/R'rzoN (IN FEET). PEF:'.MIT RF'PLICRNT HFIS TFIE RESPONSIBILITY TO !NFORH THIS DEPRRTME?.,F!" DLIRING 'THE iNSTFtL. LF:ITiON !N::SF'ECTIONS OF RN'-¢ i-,,IELL. S RDJRCENT TO THiS PROPERT? RND 'THE hlUHBER OF RESIDENCES THRT 'THE NELL HILL F.';ERVE. BRCKF!LLING OF RN'E SYSTEM WITHOUT FINRL INSPECTION RND RPPRO',,¢FIL B'¢ THIS DEF'FiRTMENT HILL BE SUBJECT "FO PROSECLITION. f'!lf..~II'"!L.iM DIE;TFtNCE BETHEEN FI NELL RND RN'¢ ON--SITE SENRGE DISPOSRL S"r'STEM IS ±OE't FEET FOR R PRt',/RTE WELL OR :'L50 TO 200 FEET FROM FI PUBLIC HELL, DEPENDING UPON THE T'~'PE OF' PUBLIC WELL. HINIHUM DISTRNCE FROH R PRIVRTE WELL TO R PRZVRTE ~;EWER LINE iS 25 FEET RN[:, TO R COi"1HUNIT'¢ %EWER LINE IS 75 FEET. OTHER REE:!U ! REHENTS ,¢~VFK[L.P]BL,E TO INSURE PROF'ER !NSTRLLRTION. I CERTIF'Y THFflT 1: i Ffl"l FRHZLZRR H!-f'H THE REQUIREMENTS FOR ON-SITE SEHERS FIND HELLS RS SET FORTH B'¢ THE MUNICtPRLiT'¢ OF RNCHORRGE. 2: I HIL. L tNST~LL THE S'¢STEH IN RC:CORDRNCE WI'TH THE CODES. 3: Z UNDERSTRNE:' THRT THE ON-LSITE SEFIE:R S'¢S'TEM MB'¢ REQUIRE ENLRRGEMENT IF' 'TF!E RESIDENCE !¢ REMO[:,ELED TO INCLUE:'E MORE THRN ]: BEDROOMS.~fO'%~ 177',:5 UED DY, .................... [)FIT 94. 0 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: LEGAL D E $CRIPTION' ~,~ I 2 3 4 5 6 7 8 9 SITE PLAN 10 11 12 13 14 15 16 17 18 19 20- WAS GROUND WATER S ENCOUNTERED? (~ P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop -'-If'D, ~ ~ ~'.~g ~ o ,2o , so PERCOLATION RATE , ~-~ (minutes/inch) -- / : TEST RUN BETWEEN I' 5''~ . FT AI~D ~?~' b FT 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION POUCH 6-650 ANChlORAGE. ALASKA 99502 0650 (907) 264-4111 TON Y KNO WI ES. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEC'rlON January 4, 1982 Janis Fleischman Post Office Box 3-852 ECB Anchorage, Alaska 99501 Permit = ~ 810805 Subject: Lot 1 Block A Village Parkway Estates Subdivision A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit F'ERHIT NO. FIF'F'L I CRNT LOCRT t BN LEGRL DEPRRTMENT OF HERLTH RND ENVIRONNENTRL PROTECTION 825 "L" STREET., RNCHORRGE, RK. 264-4720 I.qELL.. F'EZF:hl Z T' .... · 1_ ~l,_,~d._ .~HF,, I =, F'LE I SCHMBN ',,,' I LLFIGE ,:,LEN I C PO E,,.', ]:-B52EL-:B L~BH ILLH.~E F'RRk.::NR'-r' E=,TRTE_, LOT ':"] I ZE tE1JF,'-$O SQUBRE FEET MINIMUM DISTRNCE BETNEEN R WELL RND RN"," ON-SITE SEWRGE DISPOSRL S"r'STEM IS ±E10 FEET FOR R PRIVRTE WELL OR Z50 TO 200 FEET FRON R PIJBLIC NELL DEPEN[:,ING UPON THE T"r'PE OF PUBLIC NELL MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEklER LINE IS 25 FEET RND TO R COMMUNIT'? SENER LINE IS 75 FEET. F!ELL LOGS RRE: REQUIRE[:, RND MUST BE RETURNED TO THE DEPRRTMENT IqITHIN 2:8 DR'CS OF THE !4ELL COMPLETION. OTHER REQUIREMENTS MR'¢ RPPL'¢. SPECIFICRTIONS AND CONS]'RLICTION DIRGRRMS RRE RVRIL. RBLE TO INSURE PROPER INSTRLLRTION. ! CERTIF'¢ THRT ~..: IRM FRMILIRR WITH THE REb]UIREMENTS FOR ON-SITE SEktERS RND WELLS RS SET FORTH BY THE MUNICIPRL. IT'? OF BNCHORRGE. 2: I NILL INSTRLL THE S'¢STEM IN BCCORDRNCE t4ITN THE CODES. Time ' Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received I Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY . Property Owner ~-A/¥I ~ 'J'- ~ J --c-c~(,.i~ ~'~t%/ Phone Lending Institution ~' ~Z~ (F~U~U~. ~ Phone Realty Co, & Agent -~ Phone Address Street Location O&g ~ ~ Typ~f Residence ~ Single Family ~ Multiple Family No, of Bedrooms ~ Other Wat~upply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975, For wells drilled prior to that date, give well depth (attach bg if ~ Public Utility available.) Sew~ Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility:_ ~ Holdin~ Tank NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. /CHEMICAL & GI~.LOGICAL LABORATORIES ~,£ ALASKA, INC. TELEPHONE (g07)-27g-4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER , WAT}~R SYSTEM· I I I LO. NO. Water System Name Phone No. Ci~ State Zip C~ Me. Day Year SAMPLE TYPE: ~.~ Routine Check Sample (for routine with lab ref. no. r-I Special Purpose sample ) [] Treated Water [] Untreated water SAMPLE NO. , I 2 I I , I I LOCATION Time Collected Collected By .Iloo ,L/~,.d "I TO BE COMPLETED BY LABORATORY AnalYsis shows this Water SAMPLE to be: ~S. atisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube Membrane Filter Lab Ref. No. Result* Analyst CT-] CCI I I FT-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (t~) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Lab. NO, Pre~mptlve 10mi 10mi ]0mi 10mi 10ml 1.0ml 0.1mi 24 Hours Flnll Membrane F I er ReSu tsr { ,~ ALASKA I]UIRO[lm nTAL CORTROL $ RUIC S, ~ngineePinq ~- ~nui~'onmcnlal Slu~ics inc. Janauary 12,1982 Department of Health 825 L. Street Anchorage, Ak. 99503 Attn: Les Buchottz & Environmental Protection Dear Les: On January 11,1982 I inspected the well and took a water sample for loan approval for Lot 1 Village Parkway Estates Subdivision. The results of the bacterial test for the water are attached. It was satisfactory. The well has a seal and is approximately 1 ft above the ground level. The electrical wires are encased in conduit. The well construction meets the Municipal code. The septic tank is over 100 feet from the well. The bed is a distance of 130 feet. The sewer s caps on all standpipes. at SincerelTM Leroy C. President 1220 UJ~st 25th/~ucnue ,'/~nchora§e, Alaska 99503 · [907/ 276-1361