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HomeMy WebLinkAboutWILK LT 2A GAAB-HD ~ GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ~' ~ '~. ADDRESS C~tL~'.:S ! LEGAL DESCRIPTION ~'~ SEPTIC TANK: ~ , ~.~.~_ NUMBER OF DISTANCE FROM WELL ~"~' MATERIAl COMPARTMENTS LIQUID CAPACITY -~"~'~ GALLONS. INSIDE LENGTH INSIDE WIDTH· LIQUID DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: I TILE DRAIN FIELD: i~$.~,,t D~STANCE EROM WEL~ NUMBER OF LINES ABSORPTION AREA '~/ DEP~IH: TOP OF TILDE TO/fINISH GP~DEJ~ ~'WELL: , DEPTH. ~ EAREST LOT LINE ~ LINE , FOUNDATION. '~ , NEAREST LOT LINE DISTANCE BETWEEN LINES ~ TRENCH WIDTH Bc . FT. LENGTH OF EACH L,NE /2--" · OF LINES IN. TOTAL EFFECTIVE DEPTH OF F LTER MATERIAL BENEATH TIL~:. IN. ABOVE TILE /~,~) DISTANCE FROM ~ ~6 1 : WATER J~/'zg _, BUILDING FOUNDATIOIq. · SAMPLE . NEAREST SEPTIC i ~-Ot SEEPAGE ~/,-~,~ .~--~.~'- OTHER ~ iANK , SYSTEM , CESSPOOl . SOURCES DISTANCES: DATE DIAGRAM OF SYSTEM APPROVED~( ~' /~' '~HEADH AUTHORITY GAAB-HD-2 GREATEF ANCHORAGE AREA '-OROUGH Cye No. ~fg 327 Eagle St. Anchorage, Alaska 99501 279-2511 · . ;? SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT '7~-'~ ,~/~g'C~"L RESIDENCE ADDRESS ¢~i.~_ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK MAILING AGORESS/¢,2.~/ ~¢,~ //_~, PHONE NO.~:¢/...Q'-g~',~<: LOCATION OF INSTALLATION ~/¢-.:~-.,,2/~' L~ ,~_~. SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FACILI.T~' . FINANCED THIrd'uGH , f i TO BE INSTALLED BY P~RCOLATmN TEST RESU~T~ ~-- )~'~ ~EP~mANT*C~PATED aATE OF COM~LET~O. , . ~B~LOW TO BEeF LLED OUT BY HEALTH DEPARTMENT . ' t~HIS IS TO SERVE AS~i '/~ ,J//~,q;~.':L "~ -,-PERMIT TO INSTALL A ~' AS DES~RiBED BELOW. S',Z, OF UNITTO BE SERVED SEPTIC TA'Nk SIZE /~:¢ ' ~Pk~ SEEPAGE AREA DIAGRAM 0F SYSTEM DisTANcEsi I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above/~so~bed system is in accordance with said code. ~ff~(~ L~~ : /?7: BATE /~ APPLICANTS SIGNATURE ~GREATER ANCHORAGE AREA BOROU~ HEALTH DEPARTMENT ~-~/ CASE # Y06 327 EAGLE STREET " ~ ANCHORAGE, ADASKA99501 o Unhma~ed / Performed For H ...... e ' ". _ ~D . e .ormed._J~t~_,ul 2, 1970 Legal Description: Lot Z-ABlock__~n Wtlk ....... This Form Reports a: So~--~sLog X ~~'~'~'- .... Depth Feet iff, Soil Characteristics Brown Silty Sand (ML) Dark Gray and Brown Peat Fine to Coarse Well Graded . (sw) Was Ground ~iater Encountered?__Yes If Yes, At ~',;~at Depth.~ .8.0 . -------- Readi ~te Gross Time Net Time Location Sketch Depth To H20 Net Drop Proposed Inst'aliat~on:?~-~-~-Seepage Pit Drain Field Depth Of Inlet Depth To B~'~tom Of ~it Or COMMENTS: , ~, ~re Ieet c[r~in~-e surfnce~per h~droom will ha nacco~sary ........ Test Performed By: R.E. Carlisle, National Testing Services Data Certified By: Date:-- - DEPT. OF ENVIRONMENTAL CONSERVATION /~/~1~ - / ANCHORAGE, ALASKA 99503 PHONE: (907) 563-6775 October 24, 1991 Mr. Roger J. Shafer, P.E. s & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 99577 Subject: Lot 2A, Wilk Subdivision, Class C Public Water System, Anchorage, Alaska, ADEC Project Number 9221-DW-022; Review Dear Mr. Shafer: This is in response to your submittal, received in this office on September 3, 1991 in which you requested a letter of approval for the above-referenced public water system. Based on the submitted information, this office's files and other agency's files, it appears that this system, if previously approved, was approved as a single family water system. Assuming 16 gallons per minute (gpm) for a peak demand, with a well yield of 7.7 gpm, it appears that there is a need for additional storage. To resolve the problem that someone needs to close on this property, an Interim Operational Approval is being issued at this time. An Interim Operation Certificate, constituting this approval, is enclosed. Prior to the expiration of this approval (January 28, 1992) additional hydropneumatic water storage tank capacity of 42 gallons, effective storage, will need to be installed. Written verification, under your stamp as a Professional Engineer, that the need volume has been installed will enable me to issue the Final Operation Approval. At this time, the Department is assigning Public Water System Identification (PWSID) Numbers to all Public Water Systems in the State. As a result, the pWSID Number assigned to this system is 217429. The current State Drinking Water Regulations do not require any routine water sampling for Class C Public Water Systems; however, if the regulations change, the Department will notify your clients. In order for the Department to contact your client on the changes to the State Drinking Water Regulations, please have them complete the highlighted areas on the enclosed "Inventory Update Form" and return it to me. ~oger Schafer 2 October 24, 1991 Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to contact me. Sincerely,, ! ~ Keven K. Kleweno Environmental Engineer KKK/cf Enclosures: As Stated cc: ~'~ohn~Sm~.~a.'/,DH~S~,~ ~.,..~ATER gNC4OP~GE gREA BOROUGH I~^LTI-I DEPARTbIENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES FOR 2, Property Owner ~~ PHone 4. Type of Facility to be Inspected Number o_~ Bedrooms 5. Well Datai A. 'Type ' 'D 1(1 I L~(~, B. Depth ,' /-'2-0 C. Size ~ E. Bacterial ~alysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 1. size 5. Manufacturer 4. Installer :~ 325 ~affle ,~X~i~ ...... ~200 Cranberry Road -~nchora~e, Alaska ~02 Anchorage: Alasks. 9950] }~{ SUBJECT ~Urity Protection of Semi-Public Class fl -- ~ At the present, I am attempting to secure easements to insure purity of my water system. Request that~ sanitary system Rermits be deniedto any and all applicants who apply for permits on adjoining property unless they the subdivision plat. On a previous personal visit to your office I have noted that you already have on fil:e a diagram of the well location. In the event denial of a sanitary system permit is not feasible or within i,[ R~.1~thirty (30) days so that I may obtain legal remedy. Presentlyt I have been refused my request for an easement from the owner of Lot lB, Wilk Subd., ~.~ ~ ~,,,~. I h~v~ z'ea~on to suspect ~ha~ he will at%erupt to znstall ~ a sanitar3 system which wi%l ~n~:rl~ e ~nnn ~ma/n~ ~n~m~ ~9 ??.~er system which is in existence on ~ property. ~ Sincerely_~ ~ Richard A. Peternel SEND PARTS I AND 3 WITH CARBON INTACT - PART S WILL BE RETURNED WITH REPLY Redi~prm® 4S 472 ,I