HomeMy WebLinkAboutSAND LAKE #2 BLK 7 LT 18SAND EKE SD #as�L
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
-e ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME /�6� �'7
l/!'��":.�X�' L.,L�
PHONE '7
3"'7,Q7L
❑ NEW
UPGRADE
MAILING ADDRESS g
LEGAL DESCRIPT12� \k`7
LOCATION .�S[�l
NO. OF BEDROOMS
Uy
DISTANCE TO:
Well i
Absorption area r
Dwelling 7
PERMIT NO. D 9 s
i Q
W F
Manufacturer
Meter i
No. of compartrr)6nts
v'
Liq. capacity in gallons
�6
IF HOMEMADE
Inside length
Width
Liquid depth
—
O y
J Z
DISTANCE T
Well
Dwelling
PERMIT NO.
= z H
Manufa er
Materi
id capaci ons
o
w=
DISTANCE TO:
Well
Foundation t
0
Nearest lot line
PERMIT NO.
�QQ 9
J LL Z
F Z w
No. of lines
Length of each ine
�
Total length of It
n
Trench width
'� inches
Distance between Ines
% a
To o the to finish rade
6 f�
Materi geatt�h tile / / �T
Total effective a s r t' area
w
C7
Length
Width
Depth -
PERMIT NO.
Q F-
as
w
Type of cri
Crib ete
Cr' depth To ective sorption area
wWell
rn
STANCE TO:
Building foun n Nearest lot line
J
J
Depth
Driller Distance to lot line
PERMIT NO.
w
DISTANCE TO:
Building foundation
Sewer line Septic tan 8
Absorption area(s)
OTHER
�
PIPE MATERIALS
-
SOIL TESTgATI NG ...
o o
r
INSTALL
@e
REMAR S
1
APPROVED DAT.5 LEGAL
'///�3 Le
72-013 (Rev. 3/78)
rr-1 U r --I I c: 1 F: -n L_ I "'I" °-e 0, F- n I"A I-- I -✓I F='B C— F
DEPARTMENT tyr-` HEALTH AND Eh-JVIROt-JMENTAL f-''F,.o-rE:u.'T IUF-4
825 `'L' STREET, ANCHORAGE: Al.... 9=501 j:L E -Z 1.4 FE Fe F" FE R"M I 'T o
IC2t�A�i�.,r�ti1-
PERM I T NO. 810094 ) IQ
Y `c L-"-,)L� (a s
APPLICANT CHARLES KORDUS '5'2 Eh' D I C CETT ST. FINCH. 23 , 0
LOCATION ENDICOTT 'ST. �
LEGAL L.T. 18 SAh- DLAKE S/D LOT SIZE 6750 SQUARE FEET
TYPE OF SOIL ABSORPTION :::'r=,TEM IS: GRAINFIELD
MAXIMUM NUMBER OF' BEDROOMS 4 SOIL RATING (SO FT/BR) r_
THE REQUIRED SIZE OF THE SOIL ABSOFRT ON SYSTEM IS:
E-, E F=" -r g- j = _E4 L_ F_= 1".'4 1.3'*T s"' a-3 F=' n %.-E-: L
THE LENGTH DIMENSION 15 THE LENGTH (IN FEET) OF THE TRENCH C SR. DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (I N FEET).
"r i- J EE _r r__' F= p_4 c_: i -E 9-•-i T Iv _lF" 1 '
THE GRAVEL DEPTH IS THE MINIMi_M DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
Fto E-= CA U I F-� EEC.- E_ F=" -F 1 0 _' Fl Ir -4 9-=-: _ 12! .! F= -= -1 1.2" !fffi PER 9:3 H L_ 1 _ c -A r.•3
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE:
INSTALLATION I NSPEC T I ON'.5 OF ANY WELLS ADJACENT 'TCS THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT' THE WELL WILL SERVE.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AP• D APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL. OR 150 TO wR: 0 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO i H COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F=•[---r--"rl :I: -T' E: -°.F"" I F-sF= Fe�EC`-EEP1EDFEF' 21=1: - A-SEY =-_-
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
- . I UNDERSTAND D 'T'HAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO � INCLUDE MORE THAN 4BEDROOMS.
/
SIGNED:4Aza
APPLIC:AhdT CHARLES f:::CRDUS K_'
r) 6
ISSUED BY .. _ " ` �_ L �_ �L; __ _DATE__//� G-,f1'�.� � "� "� r ".•
..
SOILS LOG
' MUNICIPALITY OF ANCHORAGE
• +.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: Ko 9 ✓e% r e,,, DATE PERFORMED:
LEGAL DESCRIPTION:_ /0 (– ` 0 S� n �� �� d "tJ
DEPTH SLOPE SITE PLAN 4L,
(FEET)
1
CJe/� y'f2 �a
2 cJrav< (d i� �►
3i I (67IV)
IJIsw)
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
L
O
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
GV �,
IIIIulll' PERCOLATION RATE (minutes/inch)
/y�� �y n TEST RUN BETWEEN FT AND FT
COMMENTS h–TiJ'C la ��U �,/ �.QYI -
PERFORMED BY:
72-008 (6/79)
CERTIFIED BY:
DATE4—/
9
ALASKA MUIROnn1 WL COnTROL ScRUICCS, Inc.
Engineering & Enuironmental Studies
April 6, 1981
Mr. Les Bucholz
Municipality of Anchorage
Department of Health and Environmental Protection
825 L. Street
Anchorage, Alaska, 99501
This is to state that to a depth of 16 feet there is
no water on Lot 18, Sand Lake Subdivision.
Sincerely,
Leroy Reid Jr., ➢, PE
President
OF PACHORAC'E
MUN410' �1IO f V�-r% N - \ON
EN�IR��V`�NZaL
V1,C,
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1220 West 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361