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Home My WebLink AboutSCHROEDER EAST BLK 3 LT 6i SSD a MUNICIPALITY OF ANCHORAGE j DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 264-472.0 - Anchorage, A ON-SITE SEWAGE DISPOSAL SYSTFM ANC)/OR WELL INSPECTION REPORT NAME /��-�'_�.�_____NEW ?' {X {.y XXX Robert I rofseng OuPCRaoE MAILING ADDRESS LEGAL. DESCRIPTION --� / F CC C� s� JC0;r%zf / LOCATION _ NO. OF BEDROOMS Wel Absor tj�i ar t „� Dwellingr( ( DISTANCE TO: �� l U x Manufacturer lyJ Mate �� j a2/ l PE 91j� 10 No. of Corripartments W - to Uri c;fpeY ir{c_I y"' Inside length Width l C1 C% l.� IF HOMEMADE=: Liquid depth �= JUI DISTANCE TO: ____ _ Well _ Dwelling �� PERMIT NO. 0 z c( Y F- Manufacturer �7 f Material _ _ Liquid capacity in gallons w - u Well DISTANCE TO: No. lines Length line Foundation -- Nearest lot line ^� f lines Trench PERMIT NO. 7 e z °J ¢ F_ of of each tai eng width inches M- erial beneath tilt. Distance between lines Top of ule to finish grade Total effective absorption area 0 inches w Length �,�- t v Width® --- Depth.,j - / j —j PE9Il'2- Qa- W Type of crib Crib diameter Crib depth Total effective absorptipn rep W N' DISTANCE TO: Well Buildi fo ot�, v Nearest lot line f" J Class DISTANCE TO: --�---G- •� Dept) Building foundation Driller Sewer line - Distance to lot line PERMIT NO. Septic tank Absorption area s) OTHER PIPE MATERIALS _ SOI L TEST RATING INSTALLE REMARKS — d�'1� ,g Y I' v ve v• No. 1437.E a rJu,l,. . lia,-., APPR D ATE THE REQUIRED SIZE OF THE SOIL FIBSORPT!ON SYSTEN IS: U! 114 9"T "J Q R__ Ely FE! �� Q" THE LENGTM DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTRNCE BETNEEN THE SURPHCE OF THE GROUND RND THE BOTTOM OF 7HE EXCHVHTION (IN FEET). �� _� , F? EH 141 Q 1-1 1 1: VON -1 - 1-1 A! S5 U Q F. THE GRHVEL DEPTH IS THE DEPTH OF GRHVEL BETNEEN TH� OUTFHLL PIPE AND TIT ROTTOM OF THE EXCHVRTION (IN FETET). �L."11 :11: V�:, !-E�:: pL::!I RE� Fol -F I oil -F Wof 01107 03 2! F":: 1:::.-; �v:;:'.J1 F-11 11�� PERMIT HPPLICHNT HAS THE TO INFORM THIS THE INSTHLLHTION INSPECTIONS OF NAY WELLS HDJRCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. �I - g^N win < GO 34 IF� � BHCKFILLING OF HNY SYSTEM WITHOUT FINRL INSPECTIOM HND HPPROVHL BY THTS | DEPARTMENT HILL BE SUBJECT 1-0 PROSECUTION MINIMUM DISTFNCE BETNEEN H WELL HND ANY 011-40 HE SEWAGE DISPOSHL SYSTEM IS 100 FEET F(T: H PRIVATE NELL OR i50 TO 200 FEET FROM H pU8LIC WELL �EPENDING U31191 THE TYPE O� PUBLIC /�E�L MINIMUM DISTANCE FROM H PRIVHTE WELL TO H PRl)HTE LINE IS 25 FEET HND TO H COMMUNlTY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MHY HPPLY� SPECIFICHTIONS HND CONSTRUCTION DIRGRHMS ARE 8YRILHBLE TO INSURE PROPER INSTRLLHTION to" �Q 1-p 1 "T- KEE X to, 1: Q Q AS �1SK F-1 KEY FR: FQ �0� �S-"n ME: S! I CERTIFY THHT 1HM FHMlLIHR NITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY QF HNCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDHMCE WITTHE CODES� ]� I UNDERSTHND THHT THE REQUIRE ENLHRGEMENT IF THE RE�IDENCE IS REMODELED TO INCLUDE MORE THRN ] BEDROOMS � o�N / SIGNED�_��~�~��_~��~�.~___�_~~.-~.~�~�.�~~��~_~ '� JL.� HPPLICHNT ROBERT KROGSENG Y^^ ��l�U , Department of Health and Environmental Protection 825 l, Street, Anchorage, AK. 09501 264-4720 * * * HANDWRITTEN PERMIT Permit^C� ,;�(� ,�- /0 ON-SITE SEWER PERMIT Applicant: 4G66.'a; K'�_0 S0- Mailing Address: 90// kCJtc_ Location: c' k2 l V Phone Number: Legal Description: _ L f"a _ Sckh -omd-e k. - Lot Size: ^�� 00o Type of. Soil Absorption System Is: Trench: A--- Drainf:i.eld: ^_ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil. Rating(sq.ft/br) 3-3 6 The Required Size of the Soil Absorption System Is: DEPTH LENGTH _ «' L_—. GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a 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). * * REQUIRED SEPTIC(HOLDING) TANK SIZE= _ / 5c�c� GALLONS Permit applica t 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. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departme will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fe for a private well, or 150 to 200 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 a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well. completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. -u. * .9. PERMIT EXPIRES DECEMBER 31, 1 9 3 2 � {F T certify that: (1) T am familiar with the requirements for on --site sewers and wells as set forth by the Municipality of Anchorage. (2) T will install the system in accordance with codes. (3) T understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signed: d<u r Issued by:— Applicant �! Date: SWP/024 (.1/81) a Q Ron Starheim 5901 E. 6th Anchorage, AK Permit 71 811120 99504 I, 'it . i i January 4, 1982 Subject: L6 I33 Schroeder East SD. A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our. files. If there are any further questions, please call this office at 264-4720. Sincerely, �v�1- Les DI. Buchholz R. Program Manager Sewer and Water Program Enclosure: Copy of Permit THE REQUIRED SIZE OF THE SOIL HBSORPTIOH SYSTEM IS: �� W" PON BY to, '11 Kin L. 17N F" "T- 1-1� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DlSTHNCE BETNEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) F- F-1 121 Y to! Q V-4 12 1-1 Us 1 Ell -1 - 1-1 3: !G 05. KEP go 12P F01K K -T THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETHEEN THE OUTFHLL PIPE 8ND THE BOTTOM OF TH2 EXCAV91ION (IN FEET) 17t BEE pit U 11 ��1 F-�- '!I- 1=0 1,1 f< Y: J. 121529 Q Q oil L-A.. (IV P, 4 G� PERMIT APPLICANT HAS; THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE IN5TH1,101-ION INSPECTIONS OF HNY NELLS HDJHCENT TO TH{S PROPERTY HND THF�'. NUMBER OF RESIDENCES THAT' THE WELL DULL SERVE- 10 X r"T 10 to, K 11; -1FX 01) KI 00 w? FQ K Q E21 Gs 1.3 :1 Q F�E ED ~�~ FI: HCKFILL[NG OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROYHL 8Y THIS DEPARTMENT WILL 8E SUBJECT TO PROSECUTION MIpsIMUM DISTHNCE BETNEEN H WELL RND HHY ON~SITE SEWHGE DISPOSHL SYSTEM IS i00 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVATE WELL TO H PRIVHTE SEWER LINE IS 25 FEET "11'.11) TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MHY HPPLY" SPECIFICHTIONS HND CONSTRUCTION DI�GRHMS HRE HVRILHBLE TO 1NSURE PROPER INSTRLLHTION. �Q Q EVE rw 1 PEY ITE FQ 10 Y. �now not � I CERTIFY THHT 1� I HM FHMILIHR NITH THE REQUIREMENTS FOR UPSIDE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF RNCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDONCE WITH THE CODES OQ��TTF MHY REQUIRE ENLHRGEMENT IF THE O SOILS LOG MUNICIPALITY OF ANCHORAGE 0 +Ye`, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION x PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR:L %/ DATE PERFORMED: LEGAL DESCRIPTION: Z-6 �-(�� h lU e,4 1 FOE SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMM S/L� •S'fa/ J_D� ii✓ �i r I / C' Ci AIF t .S q iij 0 n47 C' � %z t V/�CLO- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? C S - L O P _ E Reading Date Gross Time Net Time Depth to Water Net Drop .3 J(te C 1 / `I_d/ U 9 J CJ 5," r� /, �o 30 (M,Aj ., t 2-0 C' � %z t V/�CLO- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? C S - L O P _ E Reading Date Gross Time Net Time Depth to Water Net Drop .3 J(te C 1 / `I_d/ U 9 5," r� /, �o 30 (M,Aj ., t 2-0 �( /0 '3 r� l V l q--0 7 PERCOLATION RATE `-" (minutes/inch) TEST RUN BETWEEN FT AND � FT PERFORMED BY: .amt' j•,�''-i'?� v CERTIFIED i 72-008 (6/79) DATE: