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_ 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
—PHONE
NAME
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MAI LING ADDRESS _
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LEGAL DESCRIPTION
Lot I lock 6 ' t u r
LOCATION
Up_Pu011 Lgk,Lt LoldeylfNw, �,'Irolljlt zaleef,
NO. OF BEDROOMS
/9 Absorption area /
"f'
Dwelling J � !
PERMIT N0.
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DISTANCE TO: v 0 17
7 l�
Z
Manufacturer
Material
No. of compartments
ICSWell
rear
StN�/
Liq. capacity in gallons
HOMEMADE:
ngth
Width
Liquid depthIF
z
DISTANCE TO:
Well
Dwelling
PERMIT NO.
_ h
Manufacturer
Material
Liquid capacity in gallons
O
w =
DISTANCE TO:
Well n
DU �"
Foundation/
J 2
Nearest lot line !
PERMIT N0. `'
82 V 05-8
J LL Z
F- Z w
No. of lines
Length of each line /
�6j
Total length of lines /
�a,2
Trench width
2 .inches
Distance between lines /- i
(d
Q�
I...
Top of tile to finish grader
rGrwe
Material beneath tile
Total effective absorption area z
o
C SU1
v inches
Length
Width
Depth
PERMIT NO.
ur
ft F-
Type of crib
Crib diameter
Crib depth
Total effective absorption area
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w
Q)
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot line
PERMIT NO.
a
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DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS p 1V' c
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_
SOIL TEST RATING
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INSTALLER
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RE=MARKS /
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APPROVED DATE
LEGAL
e� I0-26-82
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72-013 (Rev. 3/78)
ALASKA C11UIR011IT611TAL C011TROL HEUSI Inc.
Cngineering & Environmental Studies
October 20, 1982
Department of Health and Environmental Protection MUNICIPALITY OF
825 L. Street: sr D �
Anchorage, Alaska 99501 ENVIR-, a,.
Attn: Larry Montgomery
Dear Larry:
R h E GVho
On October 19, 1982 I visited Mr. Lewis's property at Lot 1,
Block 6, Seatern Subdivision. I noted extensive flooding of
the North part of the trench. It was also too close to the
neighbor's well. I asked that the trench be filled.
We agreed that a bed would be better for this lot because of
the drainage patterns which have developed since the house was
built. The bed would be 23 feet wide by 46 feet long. Four
pipes would be installed at 5 foot centers, with 3 feet margin
around the field. Six inches of rock would be placed under
the pipe and two inches over. Either 4 feet of dirt or a
combination of insulation and dirt would be placed over the
top.
If you have any questions please let me know.
Sincerely
Leroy C. R d Jr., , PE
President
1220 West 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361
I `
M U r-- ��C:: F`l F -"f --i C.3 EF
DEPARTMENT HEALTH AND ENVIRONMENTAL �OTECTI8N
^ 825 'L' STREET/ ANCHORAGE/ AK. 99501
264-4720
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PERMIT NO. ( 820858
APPLICANT DONNY LEWIS P0 BOX 10-1375 99511 272--35]5 �
LOCATION
LEGAL SEH TURN SUB L6 B1 LOT SIZE 222222 SQUARE FEET
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TYPE OF SOIL ABSORPTION SYSTEM I��� � TRE -NCH
(�� Lx��1]/
MAXIMUM NUMBER OF BEDROOMS 3 SOIL RATING (SQ FT//BR)= 225 ^ -
�
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �
��. �
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I-= F -m -I- L_ F= 1-4 173 -r- !_S-41 -.7 �F;;;.'�����
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IW FEET).
THERE 15 NO -SET WIDTH FOR TRENCHES.
THE. GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
ANDTHE BOTTOM OF THE EXCAVATION (IN FEET).
�F-iL_L_Cxl�4!T-
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 NILL SERVE.
___ _rwo ���� �r-� FEE #::--T- :1 171 1�4!E3 19 F-,> E: ���U 31 F;: -a I -E r�A
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL 89 THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS
:100 FEET 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 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 APPLYSPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INS[/RE PROPER INSTALLATION.
�F=-C.F=r-jlE3E:F.� ��� �:F.l��
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 3 BEDROOMS.
SIGNED:
IFSUED BY������
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TESTOLATION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: l �i / DATE PERFOR�M-,YED:����y
LEGAL DESCRIPTION:Lo ♦���1�� I _
QEF 'P"1� SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
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I'll L- (,-c6 oI.a)cA qre, VvoJ
esltyl -I �-( '-j Y,CIVI
v d
`�J� c( 4ic, GROUNDWATER
ENCOUNTERED?
S
v L
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P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1 l
r
_2 _'0?-
(0
}-I•� z: C
� • (>
-ems-
> . > �-
02P
\y
r
PERCOLATION RATE L2 (minutes/inch)
f TEST R N BETWEEN --2L2- FT AND � 2 FT
10lh�n ,'�i1n k� N i f 1't1 r'�I '7
CERTIFIED BY:
DAT