HomeMy WebLinkAboutUS SURVEY 3201 LT 9 T10N R1W SEC 9�1
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1 MUNICIPALITY OF ANCHORAGE
• :f -t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
--::-Ci ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME 1
Kie IA_ C L rzs
PHONE
FoJ S^%S.i i
R EVV
■ UPGRADE
I
MAILING ADDRA//e / „/ S`- `cj(0VC-C liuui
lC� ' / r �I'�' ��
1
LEGAL DESCRIPTION y /
C/5.; S :0 melon) R1to S<..-.7 e'_asf`i'
LOCATION
R/ Ph cP&-C- e
NO. OF BEDROOMS
-�
SEPTIC
TANK
DISTANCE TO:
Well
/ / �A 7
/
a
area
/ "'."�
Dwelling ,
9
PER NO.
z� ----, r,
Manufacturer
Material
/
No. of cpartments
p�
Lig. capacity in gallons
/100er)
IF HOMEMADE:
Inside length
AIA
Width
l�///l
Liquid depth
/J/h
O
J02
2 z F
DISTANCE TO:
Well
Dwelling -
PERMIT NO.
Manufacturer
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
C
WellFoundation
DISTANCE TO: /,9<
Nearest lot line PERMI
_ 5
_ /
,, sT�
No. of lines/Length of each line
—
Total length of lines
Trench width
Distance between lines
d'--).. '
j0 inches
/Top of tile to finish grade / rr
Nzi '
.Material eeath e , 7r '
a". A -M.1_
Total effective absorption area
t'3 1.0 c"_:.t. ti;
SEEPAGE
PIT
Length
Width
Depth
PERMIT NO• r --�'
rJ 1 J x"i ww.�-e�..-k
Type of crib
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
w
Class
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
lQ&. D AAs KK/i -%_
\4(
A
SOIL TEST RATING
/ 7.' e i ri A2-69t-Ott:c.71.
INSTALLER
JohnCON X2/:1 �U%:.fit
(v4
�
421`
A
REMARKS
)45 7-1 c PI P3 ro 7Z U
�`"
�p�
I
rt
al Com'' ar (-Rm/j 7,
U)f 1 (41LR OF pi -4-5.177
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54
JOHN E. SWANSON
M•
�� "•. 1834-E :' r'•'0
ea. ep.......••.... eta elmFESStnNM�r
LEGAL
APPR E ��Otir-
62,..,_-_0,--ThDATE
o,..,o -Th 6/44/62-2 S 7Is G•t--7 lh eers7n c ,
l
72.013 (Rev. 3/78)
GREA ,IR ANCHORAGE AREA BOR. iGH
1 thepartment of Environmental Quality
rt 3330 C Street
Q� 7 Anchorage, Alaska 99503
// ����
INSPECTION REPORT ON-SITE SEWAGE DISPOSA! L SYSTEM
NAMEW� 2. M.c�O1r11trirbrll MAILING ADDRESS 1 >-De / l' r..e.a L_ PHONE
LOC ATI ON5-d //'w 7,gyp tin /0/ LEGAL DESCRIPTION /O� / � C'-. % (. 32o( / �� �t K
SEPTIC TANK:
DISTANCE
FROM WELT IE -- MANUFACTURER
INSIDE LENGTH
INSIDE WIDTH
TERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS '
LIQUID CAPACITY GALLONS.
TI EtD.
DISTANCE FROM WELL
FOUNDATION G �/
TOTAL LENGTH
NEAREST LOT LINE'''. 0)4TOTAL
LINES �`"1"'
NUMBER OF LINES 2 DISTANCE BETWEEN LINES 3c / TRENCH( WIDTH -a IN TOTAL EFFECTIVE
Y
ABSORPTION AREA SQ FT LENGTH OF EACH LINE g east /
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE a MATERIAL BENEATH TILE ceS) IN ABOVE TILE (-/" IN
WELL: /iek571-6AJF�.
TYPE Y ` 2 V CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
REMARKS
DISTANCES•C*(S C/Cntlia
°/L) ), ic}Q I't3 n1
INSTALLED BY
644(
SEWER LINE DEPTH
PIPE MATERIAL
?-Q* Pc-WVX •
LOT SLOPE: lit
I A
Form EQ -032
DATE''41-74 APPROVE
GREQ_ cR ANCHORAGE AREA BOR.. GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
Q J ` 6cs3 -- b 1162—
NAME (/Um •J DLivSToD MAILING ADDRESS 6 //9rte gi Te ��/TLd-/"rZ�` PH ONE60,75.Gym .
c
LOCATION 4" -LI J cwcL t LUl/ ibi fol LEGAL DESCRIPTION" ' q See q L45 £`7O/ / /o / e i to
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURERIn/2e-e.2 MATERIAL STC''--/
-�- INSIDE WIDTH
NUMBER OF
COMPARTMENTS
LIQUID DEPTH — LIQUID CAPACIT4OP0fALLONS.
7-72C- A-10,6
TILE DRAIN G4EL-D.
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION /1-5-/ NEAREST LOT LINE =,O i OF LINES // rt
NUMBER OF LINES ca.DISTANCE BETWEEN LINES / TRENCH WIDTH7CO IN TOTAL EFFECTIVE
ABSORPTION AREA SQ FT LENGTH OF EACH LINE 5-6 6-7
DEPTH OF FILTER(��j /
DEPTH: TOP OF TILE TO FINISH GRADE �'" MATERIAL BENEATH TILE 7"O IN ABOVE TILE V "' IN
WELL: ( K�S�(6FtAI�
TYPE >M144 . CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE , TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DISTANCES As &-)600.13
-1)14 Gi R fl 11'1
INSTALLED BY
Cku e -VS f el4 (kik
SEWER LINE DEPTH -
PIPE MATERIAL ° T
ILi '�i
T SLOPE:
LO�''�-�-=�
REMARKS l `°
O I aA.,iN)8
r,..,,, F0.ng2
DIAGRAM OF SYSTEM
nei DATE r -C-4 `70, APPROVED
ti & aI C:17:ctfie. _ "G { ".n RDI...FRP-AL5R-HR.-II_ _P—
DEER RTM Ni HE,til Ir'! kW> E!I''; LR:!II:IF!F.N1F,I i7E_i_ I11q'+i
825 .'L'-TRf=E:T, ANCHORAGE, AK. _ 9501
264-4720
::E; _ ..._..ERE , •,
q-
I -I}' -'!-'I_. 1 1 :F'!,!T KEITH CHASE TO i _`
LOCATION 7/> S 69-c4 criQ
LEGt I LIS.`.: 7201 TiONRiM '=9 L9 / J_c4W?....OT SIZE 999999 ,SC:!I,.IARE FEET
EYF''E_ s.!F ;cif!If. ABSORPTION SYSTEM IS: C'F:RINFI.EL_D
MAXIMUM UMBER OF BEDROOMS —
SOIL. RATING (SC! FT
THE: F:Et![J:F:E:D SIZE OF THE SOIL. ABSORPTION 'SYSTEM I:3:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR C'PAINiFIEI_,D,
THE DEPTH OF A TRENCH OR P IT IS THE 01 TRN(E. BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM CF. THE. El;CAVA T ION (IN! FEET).
..—R •.z. ..-....R- -
=a R�::: n-"" h `�.=.i IN,_C. ""4.' w --B .I.:._„ "' ) y.;: a 3 � �. A:= a . _ ._.._ .,_._ _._ .
THE GRAVEL DEPTH I`: THE MINIMUM DEPTH OF GM: EL EiL:TI EEL THE 1IL.MrnI I_ FIFE:
AND THE BOTTOM Circ s-iF THE EXCAVATION CII'•? FEET:'.
FE C7V_I r'. -V_ — E r> :: _C T—._ F:...1.— I S7 9— Fi __.+ _ " — 7C ___ a�-r _:_. :"E._. eI a 0 Ca] K -W'-9 N—. fl.._. CIVA `<
PERMIT APPLICANT HAS THE RESPONSIBILITY TC INI-C,RM THIS DEPARTMENT DURING TE -IE:
It^t_L1-IC,INSPECTIONS _iiANY WELLS ADJACENT T' THIS PROPERTY F
iy THE
NUMBER OF RESIDE!',!C:FS THAT THF WELL WILL SERVE.
.
CI
_. .. _ _....... .._ a'@ r -.:a g=@ F72.! : F_ E C g._ n :7G FR E.._ L:
L-c1-'il_K;i-ILL ll''Ili OF ANY ..T_, CF_i+1 WITHOUT Elia INSPECTION t-IY'=.'[? APPROVAL F,! TF -II_,
DEPARTMENT WILL BF SUBJECT TO PROSECUTION.
MINIMUM (:'.STANCE E:ET L;IE:E.N A WEL..I_. AND ANY ON—'SITE SEWAGE DISPOSAL SYSTEM IS
:1170 FrEE j1F:( APRIVATE WE L OR :1` ,- TO :_:00 FEET E I F F:OM A PUE;i,-I C: WELL DEPENDING
UPON THE TYPE AF PIIBLIC: WELL..
MINIMUM ..= 'P.F FRAM H PRIVATE WELL l1 A PRIVATE -- Er LINE i 25 FEE"AND
T n A COMMUNITY sEWER I INE IS 75 FRET.
OTHER F:F lIlIF:E:iE:r':!TS MAY APPLY. cPFAIFIAATTANS Fi,!E? :;1!''?STRU:-Ei:DH DIAGRAMS ARE
AVA1 L..FIE,LE TCI INSURE EROiPEF: INSTALLATION.
C c_ P.n -:. - E '- 1 F: EE. S OFFR—REE.MF--FR.2— --L
:[
CERTIFY 7"1 -IAT
:L: I FIM FAMILIAR HITH THE: RE!.!_IIREMENT-. FUK ON --SITE: ;EWERS FII'lD WELLS RS SET
FORTH E' ` THE MUNICIPALITY 15 FIL: HUF:HGE.
2: I WIsL_L. INsTALL THE SYSTEM IN FP_C:IiRL:ANCE WITH THE C:LN_':'E5.
iUNDERSTAND THAI T-_ C.N"= I TF SEWER
SYSTEM MAY REQUIRE F_P!!_Ht;;GEt'!E't:!T :[Y= THE
--.SIC'E!''dCE IS REM 7DE:LED TA .INCLLiE>E MORE THAN E,EC:'F:1CIMS.
1,
L .1s CiANT KEITH 111-1 CHASE
bae14f � L�
2--
u(C' //c
11Q33 � i7 Q - oczJ
ci-g9r-7,0 Jule
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITYPERMIT NO
3330 "C" STREET ANCHORAGE, ALASKA 99503 ,�S' aQ� /-
TELEPHONE274-4561 Ck1�)L Li)
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT 500
NAME OF APPLICANT
YI/m Al, JJ04Ni7i✓
INSTALLATION LOCATION Sr 6H .;;;L --
LEGAL DESCRIPTION 4 . 7-7 Sro 6 '}v 0 /
I3c 5C7C 3j(gCY' C/\ PHONdS ��• W�3
`/
MAILING ADDRESS
M f ( C' / G / I f c "fN , f7/< 975yG 5Y1— 1471/X li4tV
>%.5
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED /1 Utit l /ic / r / ��017; 5- !/1-` /v-�i � /!'� f !/ � (-
FINANCED THROUGH /n� TO BE INSTALLED BY
SOIL TEST RESULTS / 7 `�19 ,rt NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED( Gy 'h/r P - 5-4-, 5[t /v
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
O 0- 0 b 7,( TYPE
SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK,
, SEEPAGE PIT DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
- _
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE r
62 6/74
APPLICANT'S SIGNATURE
28-68 AND THAT THE ABOVE
7
#
P .
c
G
0
0 11
-
P
SOM
e
'-
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I
C �I
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-
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etipir
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1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE r
62 6/74
APPLICANT'S SIGNATURE
28-68 AND THAT THE ABOVE
7
•
S
ENGINEERS INC.
PERFORMED FOR:
�\i 7125 OLD SEWARD HWY.
ANCHORAGE, ALASKA 99503
349-6561
SOILS LOG - PERCOLATION TEST
K16114 04 01/45E
LEGAL DESCRIPTION: us5 3ZO/ T /Q
otGaa/K11c. AAAIUMALS CQr)
stry S,4MPS CSA)
5tLTY G.MvE"LS f
coil les C.GrPh
10
11
12
14 40,inailkbf
.rt OF. Aqe
04' �'40%
‘,
• THOMAS R. SMIT : Of
,3• 1 r
tiZeiVSNatess
16
17
18
19
20
COMMENTS
LJ "'aUILS COG
PERCOLATION
TEST
DATE PERFORMED: 8 7 / 842.
L
SLOPE SITE PLAN
ilera Ceta
-
Time
Net
Time
LbC
Net
Drop
/ 4
side
tGross
v.as+�
o
_
2"
o
%bumf:so
LI
1‘4•0(1
I MIK
Piw
1 II
1,
h
I(:oc11
jrNUM
M
4 k
ette
gligit
/t"14
11
/Sw►1N
4JF„
42)i It
ire
11431 U
3044.
sal
3y2 61
l
g.
1
2
-
i
r
N
ran
PI
rib
11N
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Yes
1! /
S
L
O
PE
®■-30I\fl!M
■ I!■■■■SIIII11
munii IE ■ 16 Ita.i I ■ Il -.I ■ 111 m
Ma I I MAI
Reading
Date
-
Time
Net
Time
Depth to
Water
Net
Drop
/ 4
side
tGross
v.as+�
o
_
2"
o
21
LI
1‘4•0(1
I MIK
- 31/
1 II
1,
h
I(:oc11
jrNUM
M
4 k
gligit
/t"14
11
/Sw►1N
4JF„
42)i It
ire
11431 U
3044.
sal
3y2 61
PERCOLATION RATE /20141.1"
(minutes/inch)
TEST INN BETWEEN FT AND —6— FT
Sort. Vay wioesr/Wry Lod s p1G.i', c✓a Thr 37t4&/4
D A
PERFORMED BY: 7. I+ CERTIFIED BY: - DATE 3/7 �i `
72-008 (6/79)
APPLIC NT FILLS OUT UPPER HAI) ONLY
Property Owner ,724 2•4 2 f $2n1// 4<c2)44,17
Mailidg,Address .....S' , J /9 $ ,,y 1 --
Zip Codec/r7'...5y./)
woktS a4 Scc:its',
.DKK
Zip Code /d'9rYi0
/
L. 47 c • •- jam/ {27'c'6C%
//1� ,,,,...5. 0 Code 9/4 e
Phone
4S-3- 7?9
6S3A•'yz?a
?
��J �3S2
Phone
•7`7/ • clai i
<rey
Buyer -
<_ .,5 . . /� ,,g,0(r 4/2...e,•` Le
Address 5 i..a //%
/]-c�. /G7 !J L /j`-,fl,.//x lr/ f7s`f�S=..fL.a,�
/!.
Lending Institution/444 c.5i ,G/ S/.^ _ .7¢G7 �+,4,,,,
a2 LP bQ 1� 7 ){'/C
Address �x ,w,'-, r,7 /„..v/flt/-�,,,c,
_Zip
,54.L6
Realty Co. & Agent- -Phone
Address /I -My t Zip Code
Legal Description
tiiS 3;2o/. t/6,z/ /l'iGt) . ec ',sr F.
Street Location / , I
Type of Residence
❑ Single Family P
0 Multiple Family No. of Bedrooms 2
,
❑ Other
Water Supply
Ail Individual -
ID 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 available).
Sewer Disposal
K Individual
0 Public Utility
❑ Holding Tank.
Year Individual Installed: 9 y rpt RS.
/
When Connected to Public Utility: /
r2DioAs
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
1CV
n1QA
Time
la, 041.
• 4 -
Date
Date
Date
Date'.
Inspector
Inspector
Inspector
r2DioAs
Inspector
Field Notes:Guito
////���� ����7777
lj(_
th
LL Lit -Qt -LJ (� _ ip, ,.
d '1 1
_ NQoc§
i.7,/ 4 Cz9.-- LV r I 4
- 0
S r'�� l `LSl SY\.��� pp��� qc�(� Th_o
L- �A- S n_D-1"alktti
.9-0,c-
(PPROVED BEDROOMS �
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE ?/-J2- 3`9-l-
(.0if -
'CONDITIONS OF APPROVAL
-.
BY:'
!(/
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
72023131&1
L%s"S 3ct,/
/c /� ' / l -v
1
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<t
s2 -y„2,,
/ <`s
ry r` ,,,..----
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1 ,_
a a
50 q`€
p.sz e s c k7 /y2. p .ue-s o,vr s
Z
7 lav .74/s Pe
4,15-97a--rmtiX 176/. �— Sog4yc aZeec RR
P,
T
LA: KA>A°
4040 "B" STREET,
ANCHORAGE, ALASKA 99503
PHONE: 907-279-2581
August 17, 1976
W.O.# 17791
Mr. William M. Johnson
Box 8500
Bird Creek -Indian, Alaska 99540
Subject: Subsurface Investigation for Suitability of
On-site sewer
Scotties Inn, Bird Creek, Alaska
Dear Mr. Johnson:
Transmitted herein in accordance with your instructions are
the results of the above referenced investigation as performed
by us on August 12, 1976. The scope of this project is in-
vestigation for suitability of an on-site sewerage system.
Included in this transmittal are:
Test Hole Log
Grain Size Disbribution Curve
Explanatory Information
Table A
Sheet 1
Sheets 2-4
A 12,0' deep test pit had been dug approximately 50' from
the southwest side of the existing bar. The test pit was
logged and a representative sample was. tested, the results
of which are on the grain size distribution curve --sheet 1.
Based on this data, we recommend using a perculation rate of
15 minutes per inch which translates to a absorption area
requirement of 190 square feet per bedroom. .
The water table was detected at 12.0', though it should be
remembered that the water table will fluctuate with seasonal
climatic changes.
MRN: amc
Enclosures
Sincerely,
ALASKA
, �T�E S TLAB
g
Melvin R. Nichols, P.E.
Laboratory Manager
Scotties Inn
Date: August 12, 1976
Logged by: Terry Barber
Table A W.O.#17791
Depth in Feet
From To Soil Description
0.0' 12.0' F-3, brown sandy silty gravel, SM, damp
to wet, maximum particle size 3".
Bottom of Test Hole:
Frost Line:
Free Water Level:
12.0'
None observed
12.0'
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