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HomeMy WebLinkAboutMCCABE LT 3i 7 AL # (SIS Z31 ZI I_ 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 NAME PHONE TrNEW ❑UPGRADE MAILING ADDRESS �1 i` 0 LEGAL DESCRIPTION y b LOCATION NO. OF BEDROOMS Forst Mr. 0&13p- 6_11 3 ell Absorption area Dwelling PERMIT NO. UY DISTANCE TO: L L /& / /6/ 3 c),3G.r_ o~ 4 Manufacturer Material No. of compartments LU Liq. capacity in gallons • Y- -� IF HOMEMADE: Inside length Width Liquid depth � °�z DISTANCE TO: Well Dwelling PERMIT NO. = z F Manufacturer Material Liquid capacity in gallons 0 w z DISTANCE TO: Well C Foundation Nearest lot line PERMIT NO. Lu LL zNo. of lines Length o each line Total length of lines 1 Trench width Distance between lines P z w 1 5 3 1�i inches — � Fc- Top of the to finish grade Material beneath tile Total effective absorption area 0 { '% inches 647 Length Width Depth PERMIT NO. LU 0 <!- Type of crib Crib diameter Crib depth Total effective absorption area w °- Uj DISTANCE TO: Well Building foundation Nearest lot line _j ss Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER MATERIALS /P'IPE SOIL TEST RATING /so A INSTALLER AkztA,7 & r REMARKS `o d CA, t1 /f T —l -n W tic L)t C� ' bf� dd e y f Ci rtC t 7` APPROVED DATE LEGAL 7-d L o t 3 rbc hF- c s 72-013 (Rev. 3/78) 4 � DEPARTMENT HEALTH AND ENVIRONMENTAL (. .OTECTIO| 825 'L/ STREET, ANCHORAGE, HK. 99501 264-4720 . &4 E= L. L. FT PA E> C3 AA_oz. 1 1- Em "s EE KH E_ I F -C �E_ F -CH -1 I�� PERMIT NO. ( 8]0]62 ) APPLICANT GENE R. JHNIGO PO BOX 11122] 345-5140 LOCATION LEGAL LOT ] MCCHBE SUB ^ -A ST LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: H:]iFVFANRE=L_ E>E=F>1FlA' = EE. 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 OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F;_'=-C--!L_llF-_'E=E> ATEE����� ������ ������= ���� ����_����� 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. �E`y Cl < :2 10FREE ��QUIF;-:_'��Cu BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. i1INIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF 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. " E=7 "? "! I -I- ���I F;:-' F=_ '—=-- �������� =< -1 �-"==a =< 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: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED:__ _^,`-�_________________ HPPLIYnl �� �� ISSUED BY Ely;iw;v`___ Y4.0 ©f SOILS LOG MUNICIPALITY OF ANCHORAGE • yc DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: J/ +/y G> U DATE PERFORMED: LEGAL DESCRIPTION: L i4G ca ie— SP CA -5'1 - DEPTH A-1DEPTH SLOPE SITE PLAN (FEET) o-1 0'l�C7 4 6\) i C 1 2 I _Z 'e) m 3 Z-lD ---4 C I -N G-7 f A- (-/:F L 5 C7 LA-) �' S 6 7 8 9 -� 10- Date 11 Net Time 12 Net Drop 13- 3141516 14- 15- 16- 17 17- - Z fTI 18- V 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) JIl u +I'�L L7 WAS GROUND WATER j� 0 S ENCOUNTERED? ` L O P IF YES, AT WHAT E DEPTH? 00 'Airy Reading Date Gross Time Net Time Depth to Water Net Drop t: PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED B DATE: WELL LOG Date Drilled: 6-27-83 Static Water Level 80 feet feet Draw Down N/A feet Tyre Material Drilled: Gallons Per Minute i2 Total Feet of Casing2��. 0 feet to 10 fe&t Sand and Gravel 10 feet. to 20 Feet Sandv Clav 20 feel, to 60 feet Gravel. and Sm-,dv Qav 60 - feet to 90 feet Gravel Tq/ Boulders 90 feet. to 99 feet to Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska, 99507 Ln t 3 McCabe Sub. Time APPLIG, AT PILLS OUT UPPER HAL( ONLY Property Owner' • _ r 7 t _ Phone Mailing Address ,t Zip Code Buyer Date Address Zip Code Lending Institution ,:. �. >. , ; j: Phone Address �z; `y�' (!\'`:� 4.. ;'� ;,, j �1 �_ �`i-a l� ,` %t�. Zip Code Inspect r C ,ANCHORAGE Realty Co. & Agent 1._v Phone Address S CI PALITY�OF Zip Code Legal Description f 4 - l` w (Mc Cabe East Subdivision Street Location �� �� a� ( '= ] _ , t - I Type of Residence ls'Single Family ❑ Multiple Family No. of Bedrooms ❑ Other APPROVED BEDROOMS Water Supply 'CONDITIONS OF APPROVAL DISAPPROVED E'Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility DATE Sewer Disposal BY: Vindividual Soils Rating Year Individual Installed: ❑ Public Utility Log Received When Connected to Public Utility: ❑ Holding Tank 2 d J Well to Tank E NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Ia-9,--2, tA Inspector Inspector Inspector Inspect r C ,ANCHORAGE S CI PALITY�OF Field Notes: DEPT. OF HEP,LTH c: ENVIRO\,Vi_NTAL PROTECTION. LJ t� 9 ®ECEIVE APPROVED BEDROOMS 'CONDITIONS OF APPROVAL DISAPPROVED ( ) CONDITIONAL APPROVAL` DATE BY: Soils Rating Date Sewer Installed Well To Absorption AreaWell Log Received v 2 d J Well to Tank E Septic Tank Size Z �, 72.023 (3182(