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6 264 -al 11
DEPARTMENT OF HEALTH HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit it 850215
Lot 16 Schroeder Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31., 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as -built inspection report(three part form) must be sent to
this office for review and approval,and. for documentation.
If there are any further questions, please call this office at 264-4720
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
����������
PAT- ��"Y"
1 -111 � CA% VIA
11707 M 7 0
OF
HEALTH AND
ENVIRONMENTAL
PROTECT�ON
DEPARTMENT
825 L
STREET� ANCHORAGE�
AK
9�501
21)4~4720
*
it l , 1 To
G 117 MY 1 E�
850215
PEitMIT NO:
DATE ISSIAED:
05/23/85
WILSON
APPLICANT:
VlCKY
ADDRESS:
% S&S ENGINEERING
EAGLE RIVE��
AK 99577
CONTACT PHONE:
694-2979
SU8DIYISION
DE
0CK: NA
LEGAL DESCR!P:
SECTION: 2
TOWNSHI
14N RANGE
AN
LOT SIZ�:
12400 (SW
OR ACRES,
.FT.
.
MAX 8EDROO�S:
3
Listod below
are the o3tions
available
to you in de:ig:ing
W
your septc
system. Choose
the option
siLe.
DEPTH T[} PIPE
M (FT.)
4.0
5.0
GRAVEL DEPTH
(F�.)
4.0
�.5
3.�
TOTAL DEPTH (FT.)
8.0
GRAVEL WIDTH
(FT)
GRAVEL I ! 1
(FT.)
32.0
GRAVEL VOLUME
UK, .YDin, )
13.4
14.6
2�.G
SOIL RATING <SQ.FT./GR>
'
*« TANK MUST
HAVE AT LEAST
TWO CONUM
TMUTS
'k SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION E) PERCOLATION
825 L. Street, Anchorage, Alaska 99501 264-4720 TEST
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: k Q- v- x V� I I—,) U a\f DATE PERFORMED:
LEGAL DESCRIPTION: (I—C3 ? 1, �" ItT FZ- SLOPE SITE PLAN
FTEqTy P
2-1 5AA
3
4
5 0
6
7
8
0,
9
0
10
WAS GROUND WATER
ENCOUNTERED?
12
IF YES, AT WH AT
DEPTH?
13
14 -
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
16
K'
17
ZL
A
19
P
-/IV
0
10
WAS GROUND WATER
ENCOUNTERED?
12
IF YES, AT WH AT
DEPTH?
13
14 -
S
L
0
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
16
K'
17
ZL
A
19
P
S
L
0
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
ZL
20- PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT FT
COMMENTS
4
PERFORMED BY:
72-008 (G/79)
CERTIFIED B
DATE: '.512