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Home My WebLink AboutHEISLER LT 2 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 LEGAL DESCRIPTION Well orption area DISTANCE TO: Manufacturer ~/ j_~.// /,~ ~ Li~ y in gallons IF HOMEMADE: Inside length DISTANCE TO: IWell ~1 1.~ Dwelling Manufacturer [ ~ // / / ~ Well, / ~ Length Type of crib LOCATION DISTANCE TO: Width Building foundation l. ONE [] NEW y,UPCRA,E Dwelling No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons Foundation/~_~" ~ Nearestlotline~F ~ Total ,e~gt, of¢in.e~ Treno~'wiCh /- al beneat~il~ ~ ~ Distance bet~ .~ I1~' Total ef~c.~krp~ ,r~ inches PERM T NO. ~ OTHER Crib ?pth Total effective absorption area Bui~ng foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorpt on area(s) 2. DATE LEGAL Robert A, PERMIT NO. [:'EPFIRTMENT OF HERL'TH RND ENVIRONMENTRL F, ROTEC'rlON 825 '"L'" :-];TREET., FtNCFIORFIGE., RK. S~S)50Z 264"-4728 C~"~ .... :5; Z ]-E ~;EB--IEF: F'EF:f'I Z T RF'PLICRNT LOCRTION LEGRL ERICKSONS BRCKHOE BIRCHWOOD LOOP L2 HEiSLER SR BOX D030 CHUGIFIK LOT SIZE 'TYPE OF SOIL RBSORPTtON SYSTEM IS: TRENCH. MRXIMUM NUMBER OF BE[:,ROOMS = 4 688-~280 40000 SQURRE FEET SOIL. RRTING (SQ F.f'/BR)= 85 TFIE REQUIRE[.', SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE LENGTH DIME:NS, ION tS THE LENGTH ,'IN FEET) OF THE TRENCH OF.: [:,RFIINFIEL[:,. THE [:,EF'TH OF R TRENCH OR. Pt.f' I':; THE DISTRNCE BETWEEN ]"HE SUF.'FFICE OF' THE GROUND RN[:, THE BOTTOM OF THE EXCRVFITION (IN FEET). THERE IS NO SET I.,.lI[:,,f'Ft FOF.' TRENCHES. THE GRR',,,'EL [:,EF'TH IS THE MINIMUM DEPTH OF GRFI',,,'EL BETWEEN THE OUTFRLL PIPE FIND THE 8OT.f'OM OF THE E',,.,',C:R',,,'RTION (IN FEET). PERMIT FIPPLICRNT HFIS ]"HE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTFILLRTION INSPEC.f'IONS OF FIN¥ WELLS RDJFICENT TO THIO-; PROF'ER'f'Y RND THE NUMBER OF RE'_=;!DENCES THFIT THE WELL WILL SERVE. ........ T ~--,..~ ~.]-~ ,:: 2 ::, :[ ~'-0 :.-]. F" E C: T ][ ~],:n, I%1. ~.E-; .~-3 F:: E E~: I.-] ~Z'.:~ L..~ ~.. t'4: E BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRR'TMENT WILL BE SUBJECT TO PROSECUTION. MINIMIJM DISTk~NCE BETWEEN R WELL RND FINY ON-SITE SEWRGE B, ISPOSRL S'¢STEM IS :[.00 FEE.f' FOR R PRI',/RTE WELL. OR. ±50~ TO 200 FEET FROM R PUBLIC 14ELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM FI PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RN[:, TO R COMMLINITY SEWER LINE IS 75 FEET. OTHEF.: REQUIREMENTS MR"r' FIF'PLY. SPECIFiCFITtONS RND CONSTRUCTION DIFIGRRMS FIRE FIVRILFIBLE TO INSURE PROPER INSTRLLFITION. F"EEE:F"I ][ 'T E.'-:-::F" · F:E:5 [:~EE:EI"IE:EP-.. ::]::1 .... ±.%=-.~:~:t. I CERTIF'¥ THRT :2: I RM FFIMILIRR WITH THE REQUIREMENTS FOR ON-SITE :SEWERS FIND WELLS FIS SET FORTH 8'-,.' THE MIJNICIPRLIT'-/ OF RNCHORRGE. 2: I WILL INSTFILL THE S"¢STEM IN RCCOR[:,RNCE 14I.f'H TFIE CODES. Ti:: ! IJN.[:,ERSTRN[:, THFIT THE ON-L~ITE SEWER S'.r'STEM .HF4Y REQUIRE ENI_FIRGEMENT .'FIPP! T F:FtN.f',-~ER. I C:K':-]ONS BRCKHOE ...... ...... IF THE V4. 0 /~'",, ~ ~1~" SOILS LOG MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 525 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SI'OPE 10 11 12 13 14 15 16 17' 18 19 20 COMMENTS Robed A. ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop //-~ PERCOLATION RATE (minutes/inch) / · TEST RUN BETWEEN FT AND -- FT PERFORMED BY: GRE?- ER ANCHORAGE AREA BOP UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM pH ON E ~'o~- ~L~)~ 7 LOCATION t ~, ~'~' /~ ~.) ~/, ~P~t~'~- LEGAL DESCRIPTION ~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH NUMBER OF MANUFACTURER ~-'~ ~d& MA TERIAL~I~e~'.t~<~ COMPARTMENTS ~ INSIDE WIDTH LIQUID DEPTH __.LIQUID CAPACITY I~'~'~) GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL .~.I~¢~ CRIB SIZE: BUILDING FOUNDATION , OR WIDTH !~, , LENGTH I~ , DEPTH DIAMETER ~) DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) ~)~ SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK__ , SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: REMARKS: DATE "~/h/7 ~ //' DIAGRAM OF SYSTEM GreaTer ANChOrAgE AReA Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C"STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTaLLaTiON Of: SEPTIC TANk TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE PIT , DRAIN FIELD TO BE INSTALLED BY c OTHEr SOIL TEST RESULTS NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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. MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK TO RIVER, LAKE, STREAM. FOUNDATION TO SEEPAGE PIT , DRA[N FIELD · , 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 CA~T IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. 4 ~NCN DIAMETER CAST IRON SIPHON PIPES. ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BAC:KFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, ' LiCENsEDODRESiONER [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. .... MUNICIPALITY OF ANCttORAG~-t-=' DEPARYMENT ur HEALTH AND ENVIRONMENTAL FROTECTION 825 L Street, ~mchorage, Alaska 99501 279-2511~ ext. 224, 225 Inypector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Date Received: April 5, 1977 2nd Inspection: Time Inspector Lending Institution Request: Mailing Address: Property Owner: Aa~ress; Mailing "~ 3. Legal Description: ~ ~ Heisler Lot 1 ~and ~ Heisler .Subdivision Single Family Residence: ( ) Multiple Family Residence: (x) Well Data: Type ~F~i~ln~l Construction Number of Bedrooms: Number of Bedrooms: Depth 220' Bacterial Analysis Well Log Filed ( ) Sewage Disposal System: Permit ~ Septic Tank Size Absorption Area On-site system (x) Installed 1969 Installer Manufacturer Public Utility ( ) Soils Rate Ma'Lerial D Distances: Well to Septic Tank to Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line to Absorption Area ~ Dep~rtment of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities '\ Legal Description: Lot 1 and 2 Heisler Subdivision Affadavit Attached: ( ) I Lehter Attached: ( ) Approved: Disapproved: Date: Date: Department Worksheet: ' ,' ' ' J , ", .,1UNICIPALITY OF ANCHORAGL . DEPT. 0~: ~ q~', J Departmen~ oz Health and Envlrommenual Pro[F~ ' ' ~~/ ' ''825 L. Street, Anchorage, AlaSka 99501 ,__ Property Owner: Mailing Address: e Name of Buyer: Mailing Address: ) 3o Lending Institution: Mailing Address: Phone: o o Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: Single Family Residence: ( ) Number of Bedrooms: Multiple Family Residence: (~ Number of Bedrooms: Water Supply: *Individual Well (~) If Individual Well, well depth A~ If Community System, name of system Public/Community System ( ) Sewage Disposal System: On--site System If On-site System, date of installation: (~) Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 ' September 2, 1977 7211 JewellLake Road Anchorage, Alaska 99502 Subject: Lot 1 Block 2 Heisler Subdivision The percolation test run on yoHr sewer system failed to pass the adequacy test. Therefore, before we can ~end an approval to the lending agency an upgrade of the sewer system will be needed. Pr~r to construction a permits must be obaained from this office. If there are any further questions~ please contact this office at 264-4720. Sincerely, Robert C. Pratt, Sanitarian RCP/ljh April 13, 1977 Mro William Heisler 7211 Jewel Lake Road Anchorage~ Alaska 99502 Subject: Lot 1 and 2 Heisler Subdivision Dear Mr. Heisler~ Before this department will give approval on the lending institution request for sewer and water approval~ several ~ems will need to be completed. (1) The eight (8) inch casing must be sealed to the six (6) inch casing serving the well. The well seal must be sealed sotthat it is air tight. The ground snuface must be sloped away from the well casing. (2) Standpipes for both tank and seepage pit must be available so that pumping can be done if necessary. (3) After the standpipes are made availalbe~ a percolation test must be perfommed on both systems. Enclosed is a set of instructions that you will need to follow. If there are any further questions, please contact this office at 279-2511, extension 225, 224° Sincerely, Robert Co Pratt, RoSo Snnitarian RCP/ljh ene: INDIVIDUAL SEWA, GE AND WATER FACILITIES (Fill out in Triplicate) , ~ (~ . /~A, ,.~_~'~ ~1., '~. ~ t ~..~,:~ ,~ ~ ] ~ ~ . %~ame of prope~y:owner /'~~~ ~.g~'~-. u.: .. / · ., ~ . :,>~ .~,~ ,~ ~., d. Distance from well to closest exls~ing o~ proposed~ 1. $ewe~ llne , 2, Septic tank_ ~/20 / 3, Seepage Area Cesspool' 7e 5. Property Line houses, barn, drainage ditch, etc. Other sources of Possible contamination, i.e., creeks, lakes~ Sewage disposal system. a. Age of system l/~ , ~ b. Septic tank capacity in gallons c. Name of septic tank man~factu~'r 1. If "home made" show diagram on reverse side of this form. d,' Disposal field or seepage pit size and type 1. Distance to property line to house foundation · e, Percmlation..Te~t'~esults f. Percolation Test performed by . . , _ ___, Use the reverse.side of this form to show diagram. Diagram should include '~['.~he foi].~,dng information: ~operty lines]-well location, house location~ ~n:~c tank location, disposal area location, location of percolation test~ a~d di~ectlon of ground slope~ 9. The l-n-~o~.~t~o~ on this form is true and correct to the best of my knowledge. ~ S~gnature 'of Applicant Da~e Signed T_~O BE FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL ~e above described sanitary facilities are hereby approved, subject to the ~6'l~owing conditions: ' Con di t i ohs: ~4 / ~;~9 The above described sanitary facilities are disspproved for the following reasons: Date' ?'. Approval is valid for one year following the date of approval. CPJ: cw