Loading...
HomeMy WebLinkAboutSKYLINE VIEW BLK 1 LT 25 MUNICIPALITY OF ANCHORAGE He~ ch and Environmental Prote ~ion Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME A/~N,"'F_.,'~ CO/',JST, do. MAILING ADDRESS '~.O. ~O~ 351 C~L}6'I,,~(,~' PHONE LO C A T I O N __....~ O ~ WOO~__~ '~"'. ) ~/t~('"'6~/'~Ffl~'' LEGAL [)ESC RIPTION L ~-,-,.~ ~, J ,,~ ~"' Y' L I,'~'~ SEPTIC TANK: DISTANCE FROM WELL /"0~ INSIDE LENGTN MANUFACI'URE R INSIDE WIDTH NUMBER OF MA'FE RIAL ~= ~. F$ N P., 6'-F-.-,6~ $ COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY/'°°° GALLONS, TILE DRAIN FIELD: DISTANCE FROM WELL ~_~_~__FOU;IDATIONI~0 NEAREST LOT LINE TOTAL LENGTH OF LINE ~'~ ~: of Lines I DISTANCE BETWEEN LINES ~/~ _TREI',IEH WIDTH 3~-, IN. TOTAL EFFECTIVE ABSORPTION AREA DEPTIt: TOP OF TILE TO FINIStt GRADE SQ. FT. LENGTH OF EACH LINE ., ©EPTtl OF FILTER /'~ rvIATERIAL BENEATH TILE ABOVE TILE ~ IN. SEEPAGE PIT: Log Crib Rings BUILDING FOUNDATIO5J ___ DIAMETER __OR WIDTH ..... LENGTH DEPTH Crib size: DIAMETER .... DEPTH_ , DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) FT. Well Class: /~0. Depth: Well Distance To: Lot Line Bldg: /~' Sewer Line: Pipe Materials:~~ , ~ of Bedrooms: ~'~ Installer: ~ ~ k --~ ~ "'~ ~---'"': ~emar s: z This well is producing -,z' ~ gallons of water per hour. Sat pump @/~,-~eet. · SR BOX 668, BOGARD RD. PALMER, ALASKA 99645 NVOIOE NO, D~PTH D~PTH IN FT. CABIN FORMATION IN FT. CABIN FORMATION CABIN FORMATION IN _a ~ - ,o2 r t,, ~//~ !/,~/ 2o2 _~ ~. ~ ~ ~ ~o5 / /~ ~ ~ ~ 2o~ ~ goo / --14 114 214 ~ '~ _~1 ~ ~ .~ ~ ~,~ i2~ ,~ 22] _23 '; ' 128 / --22a 2~ ~/ 12o --220 __28 128 228 ~so~ lao 2ao __S2, 132 282 __85 133~ , ~2~a __86 130 230 __38 138' 238 ~(O / ~/~ / llO 240 ~41 ./ ' , , , , 141 241 --43 ~]~ ')/ 143 243 ~44/~ /-] /V 144 244' 45 / ~ / / 145 245' ~4~ 146 246 ~50. 1~0 250 --52 152" ~252 ~58 153" 2~3 I - .. . ~61' ~O~ ' ~f16 ..... ¢'/7'-2,,/ "1"1"11!!!: I:;i'.IZQLt]: I:;;:IZD 'j:.'i i ;ZE O1:::' TI-'II!!:-' ':: r')I L I:::tI:~!:SOI:;;'.I:::'TZ (:)t",1 :!~;"r'::'::!;'flEM I S ' 11;2:,, EZ IF::::' '"IF' ti'-".II == :E'?,: L... IEZ Ih,.lt "E3i q]'" I1"-,'~ ==: Z!~i:: :;TZ' ":3i t1::;;~:~ If:::::~ %,," lEE B ..... E;:;::" Bi!E; II:::':" '"IF ti"-'ti == .... :-lJ.. 'T'H[E L..EEH(3T'H 'E;, i[ MIENS t ON I 'Z; 'I"I'IE~: I...E]",IGTH ,:: I t',l I::'I~EE'T ::, O1:::' 'T'I'IE "I"Fi:EI'.,I(]:F~ 01:;;'. I.)1:?.1:::11 I'.,11::' I EL.I). THE DIZI::'TH 01:::' FI 'I"I:;ifl!iEI",tCH 01:;;: t::'IT' Ii!; 'TT'II~i: I)ISTI:::II'-,IC':E I!!i',l~iE"l'l,.ll:i~[]!:l'-,I 'TH!iE :ii;l..lt:,?.F!:::l(]:[i]: OF THE (]iF;?.OI...ll'.,l[) FINE:, TI'IE E:O'TTOM O1:::' TI-IE IZ::'::C:I:::IVI:T'I'IOI",t (I1",1 I;::'[iEl:!!]'l"::,. "t"l..l!iii:!:;i:l'.~: ]]!!; I",10 S!!ET I,.II[)"I'H FOP. THE!: GI:;?.I:;:I',,,'IEL [)['~T:'TH IS 'T'HI!E I"I]]I",tlMI.JM 12,[~:]:::"T'I'I Ol:::' [:'iI:;;:I::IVIZI.. IBtZTHIEli]]",I THE] OI.J"I'I:::'I:::II....L I:::'ZI::'IZ l':llg[:, T'I'It'.iE P, CJ'T'TOM 01:::' THE [iE',:-::CFIVI::ITIOI",I (I Iq I:::'IEE'T'). ¢:t I:::'l'::tCl'::]:::lCfil!ii; I:::'L.I:::II",IT I'"II:::I'T' Ei;Ei: I I",I:i~;]"I:::IL.L..IEI]:, FIT 'TH[E l:::'[iEl:;i:i'"lI'l"'l"E]i~:'":i!!; O1:::'"1'];O1",1 :!!i;I.JEiLJ'IZC'I" "1'O ]'HIE I:::'OM...OH I I",IG CON[:;, I "!' t OI",IS: ::I... Ei:ITI'IE:I';i: FI CI....I:::I'.iE;S I 01:;i'. I I I",ISI:':' 'I:~:II::'I:::'I:;i:O',,,'E[:, I:::'M:::iI',tT Ml'::l"r' [3E ];I",I'.!E;'I"I:::IL. LEE:,. ;',ii:. I:::1 C:ONT I Iql. J(]l.J~i; i"t1:;:11 I",ITI:!:I",II:::II".tCIi::'; I:¢IGI:;;'.E':E:]'"Ili!:I",IT I :!!i; i:;?.EQt. J I I:;i'.IEE;,. I I'::' I":I J"ll::! I I",ITEI",II::II",ICli!: I::IGI:;'.IiiEIii~MEI",IT IS I",tOT I<IZI:;:"I" E:I..II:;':'.I:;':'.Ei:I':,IT 'T'OL.I i~'11:::1"/ Ei~IE P. EC:!UII:;i'.E;E:, '1"O EI",IM:::II:;i'.GIE "t"1"'11~: SOIL. I:::IB:~5OI:;i:F:'"I'IOIq S"r'STIEM FiI"4[:',.'"OI:;?. 'T'CII...I i"ll:::i"r' b!Jli!i: :iSLIIBJ'IiliC'I" TO I:::'I:;i:O:!i!;E:.J:?U'T']iOI",I. t CIZt:;i'."I' I I:;:'"/ TI"II:::IT i: 'J: t:::IM I:::'I:::tMILII'::II:;?. I.,.IITH 'T'HIZ I:;i:EQIJ]:[;i:IZM[iI",IT'J!!; I:::'O1:;':: ON'""!ii;I'TIZ !];EH[EI:;i:'.E; I::lhl[) HELLS I::I:~; ~i[~"l" I:::'(:)F[:TH 13"/ ]"HIE MI...II",IIC]:PI:::IL.]:T'T' OF:' I:::INCHOI:;;:F:IE~i[E. ;~:: I I.,.I I L..L. I NST'I:::IL.L 'T'ItlZ '.!;"r'STEM I I",1 :::::::::::::::::::::::::::::::::::::::::: I.,.I I TH "1"1'"1[~ :~:: I LINDIEF;Y.~i~;]'I:::IN[:' ii'fi:IT 'I'I'IE~: C~I",I'-SITE~: SE].,.IE{I:;i: S"r'STE:F] MI:::I'T' I:;i:!Z(~:~I_III:;~:E: ENLFtt:;~:GEMEI",fT IF:' THE I~'.!~iSII)[~:I",IC[i !S F;:~M(:)[)EL..I~U:)'T'O INCLLID[~ I"IOI:~:E ]"1'11::11"4 2 13[EDI';~'.OCH"IS. I:::It:::'i:::'L ]:~:1':11'-,I]~ M-~' IEI:;;:S [;:(}t~~ ON CO O 8` E GEO, ECHNICAL 8-DEVEL,.~PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 6952774 _SOIL L0~ 688-2280 Soils ~' Foundations Land Development Performed for: Legal Description: Depth (feet) 0 Name:, ~kxJ~"'x~ Mailing Address: sol! Gharacteristic~ 3 4~ 5~ 8~ Ground Water Encountered: Yes No v/ If yes, what depth._~___ Proposed Installation~ Seepage Pit__Drain Field~ Comments: ~','~' ~.~v,~J..,,..~Q-_~c'~-c)~. ~ ~'~ ~' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAl. SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 14 OF ON-SITE SEWER AND WATER FACILITY 264-4744 t., Application Date GENERAL INFORMATION fMUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal~escription (include lot, block, subdivision, section, township, range) Location (address or directions) (b) ~roperty Ownor ~~,~~ lelophono: .ome Business (c) Lending Institution 7~ ~~ d (d, Real Estate Company and Agent Telephone ¢ ? {e) Mail the HAA to the followin~ address: or: Check here ~ if hold for pick up. List contact person and day phone number below. Eagle River, Alaska 9957~ TYPE OF RESIDENCE Single-Family Number of Bedrooms WATER SUPPLY Individual Well,J[~ Community [] Public [] Note: If corr)munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86~ Front MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MUNIQPALITY OF ANCHORAG~ CHECKLIST- FEBRUARY 1984 ENVIRONMENTAL Sr-RVICE$ DIVISION 264-4744 ~QV 1 c° ]987 Legal Description: ~_.c,'F- E C E I V D Well Classification ~' ~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y~ Date Completed ~ ~ ~ - ~ Yield Total Depth / ~ ~ Cased to /~ r Depth of Grouting Static Water Level ~ ~ ~ Pump Set At / Casing Height Above Ground ~ '¢ Sanitary Seal on Casing ~N) Electrical Wiring in Condui~N) Depression Around Wellhead Separation Distances from Well: To Septic~ Tank on Lot /~'~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /o~/¢ ; On Adjoining Lots To Nearest Public Sewer Line .~/~ To Nearest Public Sewer Cleanout/Manhole ~/~ To Nearest Sewer Service Line on Lot Water Sample Collected by _~m.% ~,~ ~,~L~ ; Date //- Water Sample Test Results ~%~Y ~ ~[I~RF- Comments ¢ ~/~u ~ ~7 ~~~ // --~ -- ~ B. SEPTIC/144~'~N61 TANK DATA Date Installed ~/%' '~'~_ Size r' O,-~'~ No. of Compartments Standpipes f~) Air-tight Caps (~N) _ Foundation Cleanout~, N) Depression over Tank (Y/~ Date Last Pumped '~//- ~, ~¢'.'~ Pumping/Maintenance Contract on File (Y/N) .'*'J/Pc-- ; for Holding Tank High-Water Alarm (Y/N) A J//2). Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev 8/861 Front CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~° ~ -~"X 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ~ /..M'L:.'o'_:.LZ,:'"-~ FEDERAL TAX ID # 92-0040440 ~' ENVIRONMENTAL SERVICEs DIVISION DA~E RECEIVED INSPECTION APPOINTMENTS ~(~V,_~i;r.Z~VL~ ~.~C~L~0..~ ~'~ TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR MUNICIPALITY OF ANCHORAGE ~ ~'~ ) ;'~ DEPARTMENT OF HEALTH & E~VIRON~EUTAL PROT~C~IdN: ' 825 L Street - Anchorage, A aska 99501 (~ ENVIRONMENTAL SANITATION DIVISION ['-; AUG 1 0 1983 Telephone 264.4720,, REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~R,~F~ClL~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (1 O) days for processing. 1, PROPERTY OWNER ~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3. EENDI~61NSTITUTIO~ [ PHONE MAI UING ADD~ESS 4. R~ALTOR/AG~NT J PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One [] Foul [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [~ Three [] Six [] Other__ 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if availablel) 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 INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified. INSTALLER [~]~eptic Tank or [] Holding Tank Size: /'I~C) O If Tank is homemade 8OILSRATING give dimensions: TYPEOF./~g,~K ~ . MANUFACTURER TOTAL ABSORPTIOi'~ AR EA MATERIAL 4. DISTANCESwELL TO: I ~"')0'{' Septic/Hol~Absorption~_ I- Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) '(~""~SAPP R OV E D DATE BY 72-010 (Rev. 6/79) EXCAVATION ROBERT A. SHAFER CIVIL ENGINEER 694-2979 WORK August 14, 1983 Linda Terry P.O. Box 628 Chugiak, Alaska 99567 ~ Dear Ms. Terry,~h~__ Reference: Lot ~: Block 1, Skyline View Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. However, in pumping the septic tank we noticed that a great deal of sludge had accumulated in the tank. Sanitary Pumpers were asked to place a caustic soada solution into the tank and return ~n'.sever~l days and repump the tank. The absorption trench was tested by a continuous flow of water over a period of 24 hours. During this time 588 gallons was placed into the system without any adverse effect~ It can be concluded from this test that the waste water disposal system servJ, ng the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to contact '.' US. P.'S. It was also noted that the well seal on the top of the well had been replaced and wires were in conduit. This installation appears to be adsquate. cc: Municipality of Anchorage Department of Health and Environmental Protection Dynamic Realty ATTENTION: Dave Dunckle SR8 196X EAGLE RIVER, ALASKA