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HomeMy WebLinkAboutVUE TOR LT 6 MUNICIPALITY OF ANCtlORAGE DEPARTMEN'r OF FtEALTH & ENVIRONMENTAl. PROTECTION ENVIRONMENTAl_ ENGINEERING DIVISION 825 [. Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEI_L INSPECTION REPORT . . '~ UPGRADE [ Absorption area r Dw/lling Foundation L?D' Total length of I nes Material beneath tile tMaterial TrenclT w~dth ~ / {.~'~ inches Depth Crib depth Total effective absorption area Building foundation Nearest lot line LOCATION O DISTANCE TO: ' ]L'c~ capacil~ i F HOMEMA D E: ~,(~ L DISTANCE TO: JWell ~--~1~ ~~No. oflines ~ ~ Top of tile to fin}~h grade . ~ '  Type of crib Crib diameter ~ DIS'FANC~ ~ell ~ CE TO: Building foundation Sewer line NO, OF BEDROOMS PERMIT NO. No. of compartments PERMIT NO, Liquid capacity in gallons PERMIT No. zOS_ 7 Distance between lines Total effective absorption area~ .~ ,~__jl,~ PERMIT NO. Distance to lei line Septic tank OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL 72 013 (Rev. 3/78) F:'Ef;;:H Z T i'.,lF 'TVF'E Cfi::' E;OZL. Fff?E;OFi:F'TZ[ON ff;'9'!!;TEH :[E;: 'TI"EE [~:EQI..I]:F?.IF:!::, E;ZZE; Cfi: THE: ~E;CC[I._ FIECa;O~:I:::'T ]: ON ?:;'9:~;'I'EH [..EN('~TH D ]:I"IEI"E'; ]: ON :[:~ THE L. ENG3H ':: :[1":i F:EE!') O1=' THE 'FRENCH OR C, RIq '~L ~::' I I. :.1 ,I .H OJ~: F:'): T .[.. THE' I.. J...., ~f,I-..E. BE:'f'HEE:N I"F'IF; '= - F'Ff:t '" E: CIF' '['HF' J, h-. [)EF"]"H OF I::1 '";'" ' . ~.. "": · (3RCILIN!/) FINE:, THE En:r]'T::t','l OF:' i'HE E:,.::C:FIVFFr:I:Cdq ,:::[l'.4 I='EE:'Y). THE: G?J=I',?[~:L I::,EPTI. I :[ S i'F.IE: i',1:1: I'.,i :1: FILli,I I_ El 1 t I OF' EiI;iZ:I',,,'Et ....... E. I t ...... ']'I..tE EiIJ'I-I::'F¢ i F:' f:ll'.,llZ:, THE: ExZFI'T'Eff, I Cfi::' TI.tE: E-. ~. ].-.' ':':IN F:!EFU'tZT :::'1:;:'I ["~J::IFFI" HRS; 'TH[-~: E:E;:~;F'CINE;ZJ3[]:L.J:T'9 'TC~ ]:NF'OI;~:P'! TH"E I::'JE:F:'f::IFi:Tr"IEI'.~T i:4 E'I['.~ :i 'f'HE N:~};"I'FaLLJ:::JT :[ ON :[I",J~;F'ECT Z (:;d",!~;OF' FIN'T' HELL. E; :E:,.:rF:IC:E:f'.If' TO "rH'l"::: F'I;b:31:::'E:F~:'T"¢ FIN[;:, F,iI.Jt',IEEER OF I:;;:E:~;]:[)E:NC:E~; 'THFIT THE: PJE:LL H:[I..L '=["f" ,"- [, ~,L.I...- ......... N..~ Eft: F:ff,l'~ ......... Z; ~ ..':TE:I I I,.! :[ 'IHOUT F :1: NRL f ":~ ::'E' T '[ -' N f:lN[) FIPF'I;,;:CCv'FIL. E?'r' [ I !.L , E:'EF'f::IRT.HE;N'f' I,t]:L.I... BE ;:,L.IE. r-'.t TO ::' :; E ':':;E .... I-I' '1'.1. i'"t];F,I]:F'IL.II"I t....I.:,lt. ',....E. EE. tHf::.I::.f, F:I I,.IFi;I..L FIIqE:, FIN'¢ ON"':i!;;E"i"IE :/:;EI,.!F:IG[E L.I._I U...l-... '~ "- ........ ::LETO F'EETf' f::'~'.~: F:I [.J., I E:. I,]E:LL. I:lF;: '[ ':::J TO ;2E:.¢O FEET l::'l;%:ff"l I:::t t::'1 [: NELL E:, F:'"'I"]THE: T'¢PEi; Cfi:;' ::;' " ' ' , I LI[,L.I.... F![.:_'L.L. i"l:i:N]:hll,,lt','l ', ................ , ..... ;. - .... .1..:, ti-I,I : F:'F;:C~f'I f::l F I~. I . IE. I,.II~EL.I... "f':'~ I:::l F f...[ I' 1: :~:;EZNEF~: I._:[I',!E:]:."; ;;'!= FE'f:::T FIt'.,II) "1~(;) F:I f" F' H"I Iq" 1"9 SEklEt;;: L.:!:I",IE: '['=: .... F E.,. I OTHE'I:;i: :'[:r: ] P :I .... ': :" ' . ........... I' I',11:1~.? ,~' ", ....... f [ F L ~ . .':, '" · -. ]. [..,I...1~ ~.1-, F:II'.,![) ' ~ '.J':: '1'1:~' "" t'" -' ['. [) :[ [:l(?i[~:l:lJ,l::,i; ': ' FI',,/f::I]iI...FIE',I..E; 'f'O ]:I'-,I:i~;I...IIE'.I!Fi F:'I;~:Cff:'EiF~: :[F,I~:!;'Tf:IL.LFIT;[OIq. '- , , t f.I. '" f~IE. ..... , ......... , ,~ . - , ; ,' , ? , MUNICIPALITY OF ANCHORAGE DEPARTMI-'NT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6- 7 8- 9 10 11 12 13 14 15 16 17 18 19- 20- (} SITE PLAN SLOPE wry r7'5 WAS GROUND WATER S ENCOUNTERED? ~"~C) ~ P IF YES, AT WHAT E DEPTH? Reading Date Gross Net Depth to Net Time Time ~Y~ ;l'~. Water Crop PERCOLATION RATE I J, I (minutes/inch) TEST RUN BETWEEN L~'~~ FT AND ~) ~ FT 72-008 (6/79) I DP,,,. RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME :z.3o DATE DATE DA.~T~E INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEAL'rH & ENVIRONMENTAL PROTEC'FION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI R ECTIONS: Complete aJI parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ~ ] PHONE MAILING ADDRESS PROPERTY RESIDENT (If different fro~bove[ '~0~ MAILING ADDRESS 3. LENDI GINSTITUTION / h -- MAILING ADDRESS / 5. LEGAL DESCRIPTION 6. TYPE~ OF[] RESIDENCE SINGLE MULTIPLE FAMILY FAMILY ;~[ [] I] NUMBER Three Two oneOF~BEDROOMS [][][] Six Five Four [] Other _ 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for ell wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIAT~ED. " - rillS SIDE FOR OFFICIAL USE - 1, TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM L'~INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified E~Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions; PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area ..[Sewer Line JNearest Lot Line 5. COMMENTS DATE L~"~PPROVED FOR ~.~ BEDROOMS [] CONDITIONAL APPROVAL (letter mu,~company certificate) D,SAPPROVED /ACHEMICAL & G~ LOGICAL LABORATORIES ~£ ALASKA, INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. Water System Name ', Phone No. (", ,"il' Mailing Address City ! State Zip Code Mo, Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. - ) [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. , I LOCATION J Time Collected Collected B~ TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~] .Satisfactory [] 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 E~Membrane Filter Lab Ref. NO, Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06.1220 (b) Rev. 1978 RACTERIOLOGICAL WATER ANALYSIS RECORD [)ate Collected Source , Date Received, Tim 24 Hours .=, 46 H0urs Confirmatory 24 Hours J DEPARTME[x OF HEALTH AND ENVIRONMENt[ 825 L Street, Anchora(~e. Alaska 264-4720 ~¢. ¢~%' Date Received: PROTECTION 99501 October 6, 1977 Time ~.L~¢1[ .... #2: TJ_me~,'i~- #3: Time __,~'_,~ Date ~L~_~S. Date ~~~ Daqe ~%~ I~sp ~/~_ ~ In sp _.~~ I nsp ~~__ Lending Institution Request: National Bank of Alaska % Marva Goodson Mailing Address Property Owner: Mailing Address: Post Office Box 3-3859 99509 Phone: 279-2506 E. Lovett Phone: % Rentschler Agency, Inc. Carl Rentschler, 272=8496 Legal Description: Lot 6 Vue-Tor Subdivision 2105 Otter Street Single Family Residence: (x) Nnmber of Bedrooms: Two Mn].tiple Family Residence: ( ) Number of Bedrooms: Well System: ]Permit tl conotr~ctlo~ Individual Well (x) Co~nunity/Public System ( ) Depth of Well We].]. ]Log on File Bacterial Analys~s ( ) Sewage Disposal System: Permit tt Septic Tank Size Absorption Area On-site Installed System (~ Public Utility Installer Manufacturer Soils Rate Material ( ) Distances: Well to ho Sewer Line to Nearest Lot Line Septic Tank Nearest Lon line 'no Absorption Area Absorption Area 'Page ,Two" Department of Request for Approval Health and Environmental Protection of Individual Sewer and Water Facilities Legal Description: Lot 6 Vue-Tor Subdivision Comments: - Disapproved: C--~ Date: Type of Inspection: Property Ownori L-] I\~ Ut\tlClIV~I.I'I'Y OF I)F}i'AII'I MIH\I'I OF I'.N\flllOigiCd:;Ikl I'AI. CRJAI.ITY 825 L Street Anchoragc~ A;I aska 9950]. '!~ECIUEST FOR API)I~OVAI. OF INDIVIDUAL SEWEI~ an(I WATER FACILITIES CMRO ........... VA Zo vd-.~ FHA _. MUNICIPALITY OF ANCHORAG~ · DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION OCT' 6 1977 RECEIVED ~._, (:C)NV-Z .... bmm:_~/05_ ©?+e~ 6~e e r _ Type of Facility to ........ Water Sul)ply No, Bdrms..~,~_=..' Type of Supply: Public LJtility Individual ~_ _ &'~m_.~__cd .......................... Sewage Disposal System Type cfi System: Public Utiliiy ............. Individual (on-site) ~ ................... '1~o-o2'/ (1/7,11 ' October 19, 1977 E. Lovet%e 2105 Otter Stree. t ~lohorage, Alaska 99504 Subject~ Lot 6 Vu~-Tor Subdivision '~his departm(.~nt has no records of design criteria regarding the. subjuct property. During an inspection of O(;tober 18, 1977 stan~lpt, pes were noted. n~xt to the house, which may indicate a septic tank, hew~ver, standpipes for the seepage pit could not be feund. Defome any determination can be made, standpipes into a s~ptic tank and seepage pit are necessary. Au adequacy t~st of the pit ia also required once the standpipes are located and insp~cted for well distance separation requir~nts. If there are any further questions, please contact this off,Ge at 264-4720. Sincerely, Les N. Buchholz, Sanitarian Carl Rentsehler 440 Eagl. e Street 99501 National Bank of Anohoragu % Matra Goodson Pest Office Box 3....3859 99509 November 10, 1977 Renl:sohler Agency, Inc. 440 Ea.~le Streot ~a~ohorage, Alaska 99501 Sure, eot: Lot 6 Vue~'~or Subdivision A phon~ (:onversation with the owner of th~ property has revealed an on-site sewer system consisting of a septic tank, original seepage pit, and an additional seepage pit(p~rforated steel rings), which was installed at a later dar(% due to failure of the ~riginal seepa~s~plt. (Thi~ pit was tested and failed.) This department ia requesting the standpipes for th(; last seepage pit installed be located(or installed if absent). t(ina~ adequacy test to bo conducted. There apparently is confusion over the presence and location of standpipes. As an alternative, 1:his department ~ould accept an escrow to install a not; ab~orption trench once a soil test has been conducted to establish specifications. If there are any furthest q~estlons, please contact this department at 264-4720. Sincerely, L~s N. Bu£1hholz~ Sanitarian National Ban~ of Alaska % Matra Goodson Post Office Box 3-3859 99509 November 21, 1977 Rentschler Agency, Inc. 440 Eagle Street Anchorage, Alaska 9!)501 Subj~ct~ Lot 6 Vue-:~or Sub~ivision The adequacy test perform~ on the subject property fazled. The leeter of O~tober ..7, 1977 by Les Buchholz is in effeeto If ther~ are any further questions, please contact this office at 264~.4720. Sincere%y, Robert (2. Pratt, Sant.tar:/an R~P/lJh Mational Bank of Alaska % Shirley Post Office Box 3-3859 99509 October 27, 1977 R~mtschlor Aqency, ~.nCo .440 Ea¢/le Street Anchoraqe, Alaska 99501 £1ubje~,t:: I,ot 6 Vue.,.Tor Subdivision adequacy test of the sewer syf~tem failed ~;o pass. upgrada of tl?,¢~ seepag~ pit is n~cessa~'y before this d. epartment Gan gr~t an approval. ¢2) (3) (4) L~f there are any further ques]:ions, office at 264--~720. S~il test in th8 area of th(~ s~,,epage ].)it. UDgra¢le permit issued, from f~ata on th(,~ soil test. Installation of additional leach line. Inspections of installation phases° ~'] in(;erc~ly, Les No Buchholz, SanitarY_an LNB/lj h 06-1220(a) ~ev. P773 DATE ALASI'~. DEPARTMENT OF HEALTH AND SOCIAL SEk.,.;ES , DIVISION OF PUBLIC HEALTH L,~b No. INDIVIDUAL AND SEMI.PUBLIC BACTERIOLOGICAL WATER ANALYSIS o,:EiCE NDIVIDUAL [] NAME SEMI-PUBLIC [] CItLORINE qESIDUAL PPM REPORT RESULTS TO kDDRESS ADDRESS OF SOURCE ZIP CODE - Analysis shows this Water SAMPLE to be: [] 'SaHsfac!ory [] gnsalisfaclory [] Questionable [] Sample too long in trans[b sample should not be over 48 hours old at examination to indicate reliable results. Please [] Bottle broken Jn transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY P WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED [:]in Yard [] Other _ MATERIAL~ Building Sewer - [] Cast Iron J~ Wood GENERALi Does Water Become Muddy or Discolored? [] Bored [] Under House' ~]tile [~Fibre [:]Asbestos Cement [] Yes [] N° [3 Roon, [] No .,' ''!'' READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 00-~BBO (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 Dale Received _ /l~/ !?"--/" ~ Time Received " ~m L~b. No. .actose Broth ' 10cc 1Otc 10c¢ 10cc 10c¢ 1,0c¢ 1.0cc 24 Hours 48 Hours 3rilBant Green 24 Hours 48 Hours