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Home My WebLink AboutZODIAK MANOR ALASKA BLK 9 LT 1MUNICIPALITY 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 NAME�P/HONE�) %7 [KNEW UPGRADE MAI MAI LINGAD'DRESS 44�/7. S 0/1 LEGAL D SCRIPTION �l .�- I LOCATION NO. OF BEDROOMS DISTANCE TO: Well �c Absorption area f.L e Dwelling PERMIT NO U _Y w2 Manufacturer Materia_ 415r4 No. of compartments U)~ Liq. capaci y in gallons IF HOMEMADE: Inside length Width Liquid depth DG'S STANC ' Well Dwelling PERMIT NO. �z 0z< z< Man tur Material Liquid capacity in gallons O w = DISTANCE TO: Well/j j f/ Foundation Nearest lot line J rj PERMIT NO. J LL z No. o lines Length of each line � ` s' Total lengtlwf I' es, G Trench width Distance between lines ' F Z � -1 _ Z inches j' Q Top tile to finish Material beneath tile Total F. p of grade 4 �(... '' `` �['� 1� effective absorption area V inches 0 Length Width Depth PERMIT NO. W QaF— Type o ri Crib diameter Crib depth Total effective absorption area W s N ISTANCE Well Building foundation Nearest lot line Class/11 _ Depth Driller Distance to lot line PERMIT NO. _j W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER 1,7". 1A' PIPE MATERIALS . SOILTESTRATING ry+ !r 3 . I I NST LER /', `• REMARKS y f c YE APPROVED DATE LEGAL Ile i7'ynlq 10— 1/141 0-11-0104 1 C-0 l" �_ IE-�� K�� P�� < ��C�� DEPARTMENT � HEALTH HND ENYIRONMENTHLA/OTECTION Unw, `I 825 'L' STREET,ANCHORAGE, HK 9950-1. ) . ' � ' 264-4720 1-1 E07 L. L. FA F-0 �L-ii Pr -1 10, 1 1- E07 "o, EE L4 E" FR FF--' E E: F; Z P I� .. � PERMIT NO. ( 820511 ) }LI -9a 'APPLICANT THERMAL CONST I.0 4958 FAIRBANKS ST 274-9571Ln1 LOCATION _--_ LEGAL L1 99 ZODIHK MHNQR LOT SIZE 222222 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 222- THE 2] THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: Kos E=7 0' 7- 40= 10 ��7" 1-1-11= E3 -1 �� Ills 1=7 Fl -F 1-1= 41 - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). I F_-_.".E"E> :li 7-901NIfs' IT 1 ;WEEL= PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ___ -F AA C3 �� 1 1"�! _—E..-� I--,: E=7 a-: -F 1 K-0 lvz Co FA FZ EE ��1 E=_ E:-� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTANCE BETWEEN H WELL HND ANY ON-SITE SEWAGE DISPOSAL SYSTEM 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE -IF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. �5- - 1, 1- 7 11 E. - ' 1 R!- � E > E � C 0 E = r I E 3 F R '"I - I I ., 0.�� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2:-1 WILL INSTALL THE SYSTEM IN ACCORDANCEWITH THE CODES. ]: !-UNDERSTAND THAT THE.0N-SI7IE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO.INCLUDE MORE THAN_] BEDROO| SIGNED: APPLICANT THERMAL C.ONS T INC. ISSUED BY_...DSTE_ .2-� Y4.0 61�5 0.-,t- a `�� . v a, .yam • s �� C �t 1 �r�� •=�� ;--i ^i �•; 1. �'t._1''is S_� a1�..:�_lt� :�`�• sw'S li�:1��i �1� ft�k�(1 ._ �-•��}) EYE4--3,_TL. ,4 2oO 5-t&� '`t TI Ci`#[. ? 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Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: kP r- rn I \ rC>)")S l rw4,'C' n DATE PERFORMED: �� -Ig 0 Z LEGAL DESCRIPTION: o C'11 �1j.(. Kl = f_)1 C,C'.k CI L- of r� SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 5and 5J+ M i 1C etre WAS GROUND WATER S ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? ENEE Date Gross Time Net Time Depth to Water EMM 1 MISEENEEMEN ■E■■■■NIZEE mmommosimom. 41:6741 to C1 14 z :&L 1D i,2- 26 6i . .E/Z 431 T'2-7� 109 Reading Date Gross Time Net Time Depth to Water Net Drop 1 41:6741 to C1 14 z :&L 1D i,2- 26 6i . .E/Z 431 T'2-7� 109 PERCOLATION RATE '��, (minutes/inch) .fea- TEST RUN BETWEEN s(S FT AND FT l- z PERFORMED BY: C—onrn- r /n, mo py CERTIFI oqe� I cX 2 72-008 (6/79) v DATE: n — IT— V T { pV ALM, INC. 1220 W, 2-q-1, AVENUE MIRAGE, AK, 99501 Supplemental. Soils Information. Subdivision Z d itg k Block 9 LOT LOT Z LOT LOT TH 2. TH3 - TH TH P DEPTH (FEET) DEPTH (FEET) 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 5 5 5 5 6 6 6 6 7 �5ilfl(� 7 7 7 8 s II 8_ 10 10 51 I+V , 10 10 911aue-1 11 11 11 11 12 12 12 12 13 13 13 13- 14- 14 14 14- 15- 15 15 15 16 16 16 16- 17 17 17 17 18 18 18 18 19 19 19 19 20 20 20 20 asp 2 0 2 TIC 8�535( 19A C, 2 e,-p),,9X IVIIA),41--A APPLIC` NT FILLS OUT UPPER HALE ONLY T'roperty Owner Phone ^< 1 c Mailing Address Zip Code Buyer (� Bu fi Address �+C� / ��7 zo `� /f7 r , v rs Zip Code Lending Insti tion Phone Address /�%�v S v -j 27/Z rC)— C %7 '-V C Zip Code Realty Co. & Agent w �� %�P \l Phone Address 2 S , ,,� , v /S v Zip Cod q ,�- en— 6 Legal Description �- Street Location V f v� �- _ .(� O a Type of Residence Xingle Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply 11 5<Individual Ca` 1Q C:ILDA ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community ( 2S For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal JD<(ndividual Year Individual Installed: ✓2X2 ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time L Ac, U L1ASQ Date Date Date Date - 'q Inspector Inspector Inspector Inspector ( "MUNICIPALITY OFc�NCnORAGE Field Notes: �.V� - ` DF f .,C�14a-TION Qggidj G "-f 0 1982 RECEItu ( 3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL - DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received U 2-- Well to Tank Septic Tank Size , 000 72023 (3192)