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INSIPFCTION UPOR.AA
Eklf /1C' 0 1 S P 0S A L S -
NAME: kf-rr4� 5vjAyow' ccedild! r;G Af;t)-' S,
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FROM WILILL C>Q. mr,f'Jui i.0 IURLP -
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INSIDE t-uwm I NYI)L All 'I
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Log Crib R1ngS Cri-b Size: i,l i6,1L I R MAJ
tjiU'1IVF
L3UIj_j)ji,q(_; F-oL)N()A-i ION NEARF-',I I OF 1 :,4 (Vv1i\LL APEA1 F
We 11
Cl ra ss Depth:
Well. Distance To: Lot Li-ne IQ
Bldg: 9.ID Sewer Line:
Pipe Materials: WL
of Bedrooms:
Installer: -Tec" j
Remarks: 7T
AN
------ 4ij
0
10
20
30
e0
SO
60
7C
8C
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12
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L
WATER WELL LOG
CHAMPION DRILLING COMPANY, INC.
Lot 1 , Block 4 , Schroeder. East
Date 8/28/77_
Subdivision
Recovery from pump test 1.0 � _ gallons per minute,
ons.
THE REQUIRED SIZE OF THE SOIL H8SORPTION SY,TEM IS�
- ~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THEN|M� �TRENCH ORH�c DRHINFIELU
THE DEPTH OF H TRENCH OR PIT IS THE DI"THNCE BET WEE uRr .. ...�
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET)
THE�� IS NO SET WT�TH FOR TF�NCHESTH OF GRHyEL BETWEEN THE OUTFHLL PIPE
THE GRHVEL DEPTH IS THE MINIMUM DEP
HND THE BOTTOM OF THE EXCHVHTION (IN FEET>
��V�
!�5_�t cii U�"�UEK-
V�UEp.�U�� �
����� ��������� __
INSTHLLED HT THE PERHITT�E/S OPTION �UF0ECT TO lH�
H PHCKHGE PLHNT RH
FOLLUWING CONDITIONSI OR II NS� HppRUyED PLANT MHY BE INST�LLED�ENHNCE
1EITHERIMU�L���AINT�NANC� HGREEME�T I, R��QUI�ED� IF A MHINTE THE SOIL
uus nOT �EPT CUR�ENT YOU MHY BE REQUIRE� TO ENLHRU
HGREEMENTNISYNTEM HND/OR YOU MRY BE SUBJECT TO PROSECUTION
HBSORPT]O ���____._�~~�_�
������������� �� ���������
OF HNY SYSTEM WITHOUT FINHL IN�PECTION HND APPR�VHL BY |M1�
BACKFI
SUBJECT TO PROS�CUTIO��
DEPHRTMEN| ~_
MINIMUM DISTHNCE 8ETWEEN H WELL HND HN� ON"..; TE SEWHGEEDI�POSRL SYSTEM IS
100 FEET FOR H PRIVHTE WELL OR 200 FT -ET FOR H PUBLICEWAL�ENT WITHIN ]0 DHyS
WELL LOGS FIRE REQUIRED 8ND MUST BE RETURNED TO THE D � ��n
OF 'RE -DU
WELL COMPLETION� 8ppLy 5pECIFIC�TIONS HND CONSTRUCTION DIRGRHMS HRE
OTHER REQUIREMENTS MHY
AHILHBLE TO INSURE PROPER IN�TFU.LHTION'
F-��
I CERTIFY THHTHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS RS SET
1 I HM FHMILl /
F�RTH By THE MUNICIPALlTY OF HNCHORHGENCE WITH THE:.: CODES �
?" I WILL INSTHLL THE SYSTEMINHCCORU�mnv ����UIRE ENLHRGEMENT IF THE
'' ] UND�RSTHND THHT THE �`�/�� "".R..'�-
�S-DENCE IS REM0}ELED TO INCLUDE MORE TAHN fm
����
v�-
\y�ry
STGNED�
- NT TERRY�5UL|.IVHN CONST
"/
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ENVIRONMENTAL U(��|�um
DEPHRTMENT HEHLTH
HND
HNCHORAGE,
AK9� �1
���
825 ' ' STREET,
~~
V,����K.�K.. �I��K���" ����A-~��][^��-��
�������� ��������][��
PERMIT
NO ( 77711 )
HPPLICAN
T TERRY SULLIVHN CONST
POBX
10~]05 HNCH 02
]44~4624
LOCHTlON
SHNTH MHRIH
LOT SIZE 16470
SQUHRE FEET
LEGHL
L�T 1 BK 4 SCHROEDER
L.T. �
TYPE OF
SOIL HBSORBTICIN SYSTEM I
TRENCH
SOIL
RHTING (SQ FT/BR)=
250
MAXIMUM
NUMBER OF BEDROOMS � ]
THE REQUIRED SIZE OF THE SOIL H8SORPTION SY,TEM IS�
- ~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THEN|M� �TRENCH ORH�c DRHINFIELU
THE DEPTH OF H TRENCH OR PIT IS THE DI"THNCE BET WEE uRr .. ...�
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET)
THE�� IS NO SET WT�TH FOR TF�NCHESTH OF GRHyEL BETWEEN THE OUTFHLL PIPE
THE GRHVEL DEPTH IS THE MINIMUM DEP
HND THE BOTTOM OF THE EXCHVHTION (IN FEET>
��V�
!�5_�t cii U�"�UEK-
V�UEp.�U�� �
����� ��������� __
INSTHLLED HT THE PERHITT�E/S OPTION �UF0ECT TO lH�
H PHCKHGE PLHNT RH
FOLLUWING CONDITIONSI OR II NS� HppRUyED PLANT MHY BE INST�LLED�ENHNCE
1EITHERIMU�L���AINT�NANC� HGREEME�T I, R��QUI�ED� IF A MHINTE THE SOIL
uus nOT �EPT CUR�ENT YOU MHY BE REQUIRE� TO ENLHRU
HGREEMENTNISYNTEM HND/OR YOU MRY BE SUBJECT TO PROSECUTION
HBSORPT]O ���____._�~~�_�
������������� �� ���������
OF HNY SYSTEM WITHOUT FINHL IN�PECTION HND APPR�VHL BY |M1�
BACKFI
SUBJECT TO PROS�CUTIO��
DEPHRTMEN| ~_
MINIMUM DISTHNCE 8ETWEEN H WELL HND HN� ON"..; TE SEWHGEEDI�POSRL SYSTEM IS
100 FEET FOR H PRIVHTE WELL OR 200 FT -ET FOR H PUBLICEWAL�ENT WITHIN ]0 DHyS
WELL LOGS FIRE REQUIRED 8ND MUST BE RETURNED TO THE D � ��n
OF 'RE -DU
WELL COMPLETION� 8ppLy 5pECIFIC�TIONS HND CONSTRUCTION DIRGRHMS HRE
OTHER REQUIREMENTS MHY
AHILHBLE TO INSURE PROPER IN�TFU.LHTION'
F-��
I CERTIFY THHTHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS RS SET
1 I HM FHMILl /
F�RTH By THE MUNICIPALlTY OF HNCHORHGENCE WITH THE:.: CODES �
?" I WILL INSTHLL THE SYSTEMINHCCORU�mnv ����UIRE ENLHRGEMENT IF THE
'' ] UND�RSTHND THHT THE �`�/�� "".R..'�-
�S-DENCE IS REM0}ELED TO INCLUDE MORE TAHN fm
����
v�-
\y�ry
STGNED�
- NT TERRY�5UL|.IVHN CONST
"/
~~-�--~~~�
'
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of F'ealtiz and Bn r .ro^. '-ntal tc ct..ion
SOILS LOG
{�
LLP\COli' TIONI '11.J1
Date Per.forned-�] �—
Perfo�_ed for Terry Sullivan —
Legal Description Lot 1, Block 4 Schroeder Subdivision
0.
rbrown
wn sandy silt w/organics (ML)
Z _
G _TG oist silty sandy,gravel (G1�4) w/cobbles
inches 225 ft 2/bdrm
6
g
d)
0
u
43
�� 12
U
14
16- Total Depth = 17 feet
r
water table encountered
18-
20
AVERAGE ABSORPTION AREA FROM SOILS LOG � 225 f-t:2/bdrm
y I Net ='llP.^c _ t --Dr
D -a e
--8/18/77 30 miri 2.5 in.
12, min/in.
30 min. 1.75 in. I? mi.n
31
--+-- --- 0�ninpL29
min.1._10 in. 2.7
— _min. 1 .0 in29 mn/nn1.028 min in.
— _--- — - -- -----
r}inutes/in.
1 CHAMPION DRILLING CO., INC.
MUNICHDAI..ITY 01 dr ii;l2i,c;F.
DEPARTMEN JF HEALTH AND L ; i(ONMENT, PROTECT l ON
�
825 h Street, Anchoracle, A1as),U1 99501
264-4720
October 12, 1977
-� Date Received: _-__ _-----
�k 2 : T ime #4 3 : Time
-------
Time 1:30 �_ m;-------
Date Date —
Date 10-12--77-Wed —--_----
Ins]? :Cnsp
Insp Pratt------._ - -;.
-�—REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Home Federal Savings and Loan
D Street 99501 Phone: 272-1451.`
Mailing Address: 535 5
2. Property Owner_: ,Sul_livan Construction ��-� Phone: 344-4624
Mai -"ling Address: Post Office Box 10-305 99502
3. Legal. Description: _ Lot 1 Block 4 Schroeder Subdivision—__---
4-
ubdivision _ ___, ---
Number of Bedrooms: - Three___
4: Single Family Residence: (x) ------
Number of Bedrooms:
-----
Multiple gamily Residence: ( ) --
5, Well System: Ind Lvi.dual We:11 (x) Conununity/Public System ( )
Permit �( ----_.--
Depth of. Well. _135' e _ Well Log on File (�)
ConsLruction ^ e—� Bacterial Analysis
6. Sewage Disposal System: On-site System fix) Public Util_i_ty ( )
Permit It _ ..___-rnstalled 1977 LL Install-er _ ----
- -----
Septic .Tank Size ___ Manufacturer-----
Soils Rate Material
Absorption Area —.._ -- ----
7. Distances: We]-.I- to Septic 'Dto Absorption Arcaank —"
Nearest Lot line _ Absorption Area
to Sewer. Line _ --T
to Nearest Lot
�� 1
Page Two
Department of Health and l3nvi.ronmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Block 4 Schroeder Subdivision _
Comments:
4( _ '!l. _-
Affadavit Attached: ( ) Letter Attached: ( )-
—` i\
Approved: 4�' l Date: _ LJf--LL�
Disapproved: Date:
Department Worksheet
WNICIPALITY OF ANCHORAGE
Department of Health and Environmental Protection
825 L Street, Anchorage, Alaska 99501
2.64-4720
quest for Approval of Individual. Sewer and Water_ Facilities
1, Property Owner:
Phone:
Mailing Address: �/you �a 3 °�
2. Name of Buyer:—
��� F� Phone:
Mailing Address:
3, Lending Institution:
Te �l � ate,
Mailing Address: _
Phone:./Y-%
4, Realtor/Agent:
��— Phone: 7 7-
Mailing Address: "ice' (I'-'–
5, Legal Description: `� f
Street Location:
6. Single Family Residence:
Multiple Family Residence:
()<�) Number of Bedrooms:
( ) Number of Bedrooms:
7. Water Supp.Ly: *Individual Well Public/Community System ( )
If Individual Well, well depth /.-715
If Community System, name of system ---
8. Sewage Disposal System: On-site System K) Public System ( )
If On-site System, date of installation:
*NOTE: A well log is required on ALL wells drilled since 6/75.
I
3/77