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HomeMy WebLinkAboutSECLUDED HILLS BLK 1 LT 2Onsite File Secluded Hills Block 1 Lot 2 #017-343-02 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191532 PID Number: 017-343-02 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name BOB & BETH HOPKINS FAMILY TRUST ABSORPTION FIELD ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 5241 SECLUDED CIRCLE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 10 FL LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot SECLUDED HILLS 1 2 Fill added above original grade VARIES 0.85 — 1.33 +/- Ft. Gravel length 55 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 770 Ft' 1 Ft. Well 100'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface water 100'+ 100'+ Material HDPE Number of compartments 2 Lot Line 10'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by Tank to PIPE MATERIAL House to tank 3034 Installer A+3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1s 7/23/2020 7/23/2020 Location and description 2�d 3`d 7/24/2020 4" 7/24/2020 BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date 40 d� �.. Curtis Huffman. ..� �., CE 128991 Septic Approved - PU� l�0 RJUl,dL1 Date / 1 is t �F . 1i19/202i.. C��FapROFESSIO�P Note: this approval does not include well permit requirements. (Kev ub/u2n 6) PID: 017-343-02 PERMIT: OSP191532 J' j 100' WELL !� RADIUS SCALE: 1' = 30 A -C=26.3' B—C=41.2' A -D=31.2' B -D=40.8' FCO XH co 99.04 A -E=33.7' 93.92 B - E = 4 0.5' 93.34 1,250 -GALLON 93.17 A -F=83.6' HDPE TANK B -F=74.8' A -G=83 5' B -G=42 3' SECLUDED HILLS BLOCK 1, LOT 2 PREPARED FOR: BOB & BETH HOPKINS 5241 SECLUDED CIRCLE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 NEW 1250—GAL SEPTIC TANK DIV COMT MT CO 66.69 FINAL GRADE 86.2' FILTER FABRIC 2• 4.36 64.36 SEWER ROCK ORIGINAL GRADE DRY -12/17/19 TH19-1 16' SEPTIC SECTION 71.36 BOH SCALE: NTS SUPPORT, SERVICES: Aft of ALS 1 c g DATE: 1/19/2021 , � rtis Huffman ,wx SURVEY: KGL 2020 1 fCE 128991 DRAWN: 1 1 1/19/21 �}�� SCALE: 1 " = 30' \ p�� stoPPv 907-350-9566 firstwaterAK©gmail.com ��='� Tract A-1 Lot 10 of 1 PLOT PLAN ___ AS BUILT _x_ SCALE _ 1= __ 60__ GRID _ SW 2937Project No. ____ 19=686fA2____ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 00000 (907) 522-4625 Fax ors Professional Land Surveyors kenOlangsurvey.com Jonothan®langsurvey.com 0 oo�/ X44 o o F A n P DO I hereby certify that I have surveyed the following described property: 81-1) o¢ 49TH LOT 2, BLOCK 1, SECLUDED HILLS SUBDIVISION (PLAT No. Anchorage Recording District, Alaska, and that the improvements situated thereon are �' within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed and that there are no roadways, transmission lines or other visible Q•• KENNiG........::.�.G �, o G premises easements on said property except as indicated hereon. 0 Q sa'..t2,1(�J�2CZ e ti.o Dated this the __��___ Day of _�V �+b1=_____, - "__, at Anchorage, Alaska ,.•0 •. S-5202.'' yJp� 444oR�..... It is the responsibility of the owner to determine the existence of any easements, ONP•��o� �00000�� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 12/31/19 E ic-1LP 1W.'S" Development Services Department = Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-343-02 Property owner(s) BOB & BETH HOPKINS TRUST Day phone 9075383722 Mailing address 5241 SECLUDED CIRCLE, ANCHORAGE, AK 99516 Site address 5241 SECLUDED CIRCLE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) SECLUDED HILLS B1, L2 Legal description (Township, Range & Section) Lot Size 68,527 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field © Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank ® Upgrade © Duplex (D) ElHolding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. FWCS - Brent Western (Signature of property owner or authorized agent) Permit/Rush Fees: 6q, Date of Payment: ia,_ Im IA Receipt Number: Gq.�35AZ> Permit No. (35 P I C1 153% Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 December 31 , 2019 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: SECLUDED HILLS BLOCK 1, LOT 2 We’ve been requested to obtain a septic permit on the above referenced lot to upgrade the existing system. We propose to install one deep trench with new 1250-gallon septic tank to serve the existing 4-bedroom residence. The design is based on the recent test hole conducted on December 20, 2019. The slopes are 12-17% at the proposed septic location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191532, Rebecca Carroll, 12/31/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191532, Rebecca Carroll, 12/31/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191532, Rebecca Carroll, 12/31/19 Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: SECLUDED HILLS B1, L2 PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 12/27/19 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 SM/SP 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 12/20/19 30 min 5/16”5 11/16” 30 min 4/16”5 12/16” 30 min 5/16”5 11/16” PERCOLATION RATE 5 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. 6” WATER START DEPTH PER READING. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 12/27/19 TESTHOLE # 19-1 DATE PERFORMED: 12/20/2019 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOLENE ANDERSON 12/27/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191532, Rebecca Carroll, 12/31/19 Tract A-1 J / L Lot 3 Lot 10 N 89'56'09"E 295.00' 0' UTILITY EASEMENTS Lot 2 zo 68,527 S.F. w 10.0'x10.2' SHED w/ 4' DECKS SEPTIC `r o 2.0' CANT \ 3g 2 ROOF70P �qyp 70p, P DECK ROT �9Y I fCT/i,e -4 Ojos I O o WELL_ --T �.52.2p• _ R,50 Op. 8 u / � S 80'00006�'o� PLOT PLAN ___ AS BUILT _X_ SCALE _1"_= 60__ GRID _ SW 2937__ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, in C.. (907) 522-6476 Phone oov�pp�O (907) 522-4625 Fax oo F A p�4 Professional Land Surveyors kenOlongsurvey.com o _ 9 jonothanOlongsurvey.com I hereby certify that I have surveyed the following described property: LOT 2, BLOCK 1, SECLUDED HILLS SUBDIVISION (PLAT No. 81-1) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. }t, ✓..o cuw. 1'a,.. <_ !-.�. \ Dated this the LI____ Day of ____\;—_____—__, ______, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH*JJ� KE� LANG Q �L5`5202 R � �On?FfSS10NA1- o� AECC963 16.1'x16.1' r Lot 1 W �sHED O N N ?�o 0 6.2'00.6' S.0 PORCH \ `r o 2.0' CANT \ 3g 2 ROOF70P �qyp 70p, P DECK ROT �9Y I fCT/i,e -4 Ojos I O o WELL_ --T �.52.2p• _ R,50 Op. 8 u / � S 80'00006�'o� PLOT PLAN ___ AS BUILT _X_ SCALE _1"_= 60__ GRID _ SW 2937__ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, in C.. (907) 522-6476 Phone oov�pp�O (907) 522-4625 Fax oo F A p�4 Professional Land Surveyors kenOlongsurvey.com o _ 9 jonothanOlongsurvey.com I hereby certify that I have surveyed the following described property: LOT 2, BLOCK 1, SECLUDED HILLS SUBDIVISION (PLAT No. 81-1) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. }t, ✓..o cuw. 1'a,.. <_ !-.�. \ Dated this the LI____ Day of ____\;—_____—__, ______, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH*JJ� KE� LANG Q �L5`5202 R � �On?FfSS10NA1- o� AECC963 RE' JRN TO: Division of Geological and G• 151Cal Surveys (DGGS) 3001 Porcupine Drive (Tele, 277-6615) Anchorage, Alaska 99501 W A T i. ---R W E L L R E --f, 0 R 0 Drl l l ing Company Nares �V@rn I ss j)r. 1,U Lj].gy,_uC._�31r..�--- in� rnt lnN OF WDLL Please complete either la, lb, or lc. U.S.G.S. Local Ile, Drilling Permit No. A.D.L. No. STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES la�^Borough Subdivision Lot Block vlb. Fraction Section No. Township Range Meridlan 's `� �....�.��. 1 � � � � f N/S � E/W lc. Distance and Direction from Road intersections 3. OWNER OF WELL: Yob Hopl-,in.3 Secluded Hills Address: Street Address and Area of Well Location 2. WELL LOG Feet Below 4. WELL DEPTH: (completed) Surface Elevation Date of Surface [, [[,, Completion Type Top Bottom ?/J ft. -1�:-�Maatterriiaall' r]"L tii�.1.y L.11J_. cob S 21 5. []Cable tool �DRotary ❑Driven []Dug ❑ []Jetted ❑ Bored ❑ Other: Auger cemented. silt ravel_ �fe. � _ silt sand vi ravel � ! — 6. USE: Domestic ❑ Public Supply ❑ Industry Recharge Cor" re 1a1 ❑ Irrigation 9e []Test Well ❑Other: ®� ------- 7. LASING: ❑ Threaded ®Welded —6—in. to t. Depth Weight Ibs/ft. in. to (_ ft. Depth 5 X45 _Zray bb rn h and a.n — _ p 6 1 20 -'�- (� boulders 0) 0 1 T 1 20 brn si.l.t�ti_1.1 1 22� silty gravel 7iTtIeVred lttl8 aterC?1 901 — 1 '220 11 11 11 1 _ard brn �ill�vr gavel �22� 2 0 bou:l.d.er at �22i 8. FINISH OF WELL: 1 Typeppen hole -o Diamcter: 11 Slot/Mesh Slie: `__ Length: Set between _ ft. and ft. Fittings: 1 1 1^ V 2 VJeL1� TOduCa_n (.r.• E •__• _ �1�,m. perfor- �r�ed - 1902001 9, STATIC WATER LEVEL: —._ee ft. ❑ Above ❑Oelow land surface Type of Measurement: 1—?251 ,� ®_ •^-� �s--�m--�-� 10. PUMPING LEVEL. below land surface ft. after hrs. pumping 9 -P.m - ft. after hrs. pumping g.p.m. 11. WELL HEAD COMPLETION: ❑ In Approved Pit ❑ Pitless Adapter _ inches above grade 12. GROUTING: Well Grouted: ❑ Yes ❑ No Material: []Neat Cement ❑ Other: ^�-----�-�— �� 13. PUMP: ( I f available) HPC, Length of Drop Pipe 21H5 ft. capacity �T 9.p• Type: ® Submersible ❑ Reciprocating ❑ Jet []Other: -�-�- A �P 14. REMARKS: wevlot lief-^- Water Temperature: 15. WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief: Ve rns_1xi-���� J&-1� i-a� - AA _33� — Registered Buss as Name Contract License Num e�— Address: Stall Route A Box 15660 Anchor, sI e, W fa05�`7 _ Signed: v of �,�� Date: �"'�f/ ""�•� e, Author zed Repres [alive Form 02-WWR Copy Distribution: WHITE - State DGGS, PINK - Driller, CANARY - Customer 0-11 b__ fl 11"A I 8._.- 1 0.,::" F-1 I_, _I.. _v "`@"" 8 _8 I n If ' -4 8_..,:1_...1 8__8 IF"::.". FA CA EW. E:'E'PART MEt•JT OF HEALTH AND E hl'v' I F:ONFIENT AL PPOTE'C:T I ON -25 ' . STREET, 1=NCFIC (RAGE, AK. ' 1'_ 'J_ 264-4720 PERI' 11 T NO. 83'00233* APDL T CANT ROBERT 1-I. HOPE:INS, SRA BO,'; -_---'74V., AN H. A._.ASK'F'1 LOCATION LEGAL 1_01' 2 BLK •1 SECLUDED HILL` SUB LOT SIZE 2000u00 SQLlARE. FEET. Y'11Y•JIt'IL11'1 DISTANCE EETWEEhl A WELL AN[.':' ANY ON-SITE 'SEWAGE E?I-C,POSAL SYST'EI'1 IS :100 FEET' FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC 41E:LL. E:'EPEY+ILi11%IG L_ipot•J THE TYPE OF PUBLIC WELL. l'-M.-IIL'IUM DISTANCE FROM A PRI'V'ATE I. -JELL TO A PRIVATE SEWER LINE* I'S 25 FEET 1=tt•JE:' TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE f..:'EPARTh1EhIT I.4ITHIN -:iii C?I=YS OF THE. [.JELL C '01%1PLETI ON. OTHER REQUIREMENTS h1A'1•' APPLY. SPECIFICATIONS AND CaONSTI=:U T'IOt'.1 C'IAGRAt,lS ARE AVAILABLE TO INSURE PF:OPER INSTALLATION. F—:-- o== FE t"y E: F: E_: :::I__ ".:E4 F�W I CEF:TIF"e' THAT 1: I All FAMILIAR WITH THE REQUIREMENT'S FOR ON -'SITE SEI-.IER': FIND [.•TELL'.: AS _,FT. FOR"I'FI BY .THE. 11UN I C I PAL I T'r' OF ANCHORAGE. 2. I WILL INS'rALL. THE: SY.STEt9 TYJ AC( CRGlANCE L'•1:I:T'H THE CODES APPI-ACIANT ROBERT FE. HOPK I NS e� % T SS�_�E:I�' IW,','r��....._�-7 L/.='.-�'e-=4= v4. 0 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROM-ECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99.901 Telephone 2.64-4720 ON-SITE SEWAGE DISPOSAL_ SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE_ NF.W ii.—.��e—��_�.��_�,.__.-.-.�.��.�.__ .. a L'� 1�1 -C., r2-7l J" IGf ❑UPGRADE MAILING ADDRESSCL/',/ — ----- LEGAL DESCRIPTION T 2 _-[ILDC,lC 1 L.L_C — LOCATION NO. OF 4ROOMS U � DISTANCE TO: Well � Jib' Absorption area Dwelling _ 1�p•i•- i Nt PERMIT NO. ; 2 UJ I- Manufacturer l Materia 1 _ 1 No. of compartme�ntt ss&/p. y Liq. capacity in gallons IF HOMEMADE; Inside length Width Liquid depth 6�z DISTANCE TO: Well Dwelling PERMIT NO. = Z y Manufacturer Material Liquid capacity in gallons Q U DISTANCE TO: Well 10 (-� Foundation �� IIV Nearest lot line �" PERMIT NO. c) a�,;� J LL 2 z aWC �- No. of lines Length of each line -- i.% Total lengtll of lines t � Trench width v3 4J inches Distance between lines .ate Top of tile to finish Material beneath tile Total effectiv,e�absorption CC F grade pp ��-r^ *„� area �1 r {%' ..iReheg /�2w ® Length Width Depth PERMIT NO. UJ U I- Type of crib Crib diameter - Crib depth Total effective absorption area w� LO Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller ®� Distance to lot line PERMIT NO. J UJ � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING I R INSTALLER REM/ARKS b-ely- - � w 44-1 i a - --, — Alk u.61 'SZ 3Nnr � '• J, °�7 . ONI a. ii” WL i b' 4 APPROVED DATE LEGAL 72-013 (Rev. 3/78) M U " I C--- I f=l �I -IF 1-e Cl 1= " r-4 9::: 1- >�n 17i F -- DEPARTMENT br HEALTH AND ENVIRONMENTAL, ��OTECTION v 825 'L' STREET/ ANCHORAGE., HK. 99501 2S4~4720 f_ -J Ir -4—.'F- I -r F -E 1-= L4 I=- FR F="EE F-1.0 r- I I -T_ PERMIT NO. ( 820825 ) APPLICANT BOB HOPKINS 203 W. 15TH HNCH LOCATION LEGAL LT.2 BLK.1 SECLUDED HILLS S/D LOT SIZE 50000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SO FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [----N EF F=l' -I- " ::L C-1 L_ EE r-4 Ci -r " -= -4 15 0 R: n V EE L_ L�- F-= P, -r "= 15. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H 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). �E_: Cw LJ I F."FEE r -;v �U F=* -F I C: -F F=l Ir -4 K_ �=- I��F=- 1-��0 0. 0 F -i L_ L_ f -I 1%4 0-S 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 WILL SERVE. -IF Ll 0 < ;2 > I r4!S F -"E-= :� -r I C:l r-4 E; �F;�-.* I=- F?. I=- 0". U :1 F;-�.o F= E> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY 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 H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ���M I -F EEXF=� I FRE:_�­ .1. <_4 I CERTIFY THAT 1: I All FAMILIAR WITH THE REQUIREMENTS FOR 0N -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 INCLU MORE THAN ] BEDROOMS. c1 ' �Tl�//� �7 v �I ~ �_ HPPLICHNBOB H8PKIN ` /'�� l(} / ISSUED B9 - --DATE. ' Y SOILS LOG MUNICIPALITY OF ANCNTMMIaLl of ANCHORAGE {� N"" '� '' DEPARTMENT OF HEALTH AND ENVIROI['"'T C" PERCOLATIONFNT/gL �F�OT'�CuTION 1 TEST B25 L. Street, Anchorage, Alaska 99501 7_64-4720 SOILS LOG — PERCOLATION Tdtl IR82 PERFORMED FOR: {� �S Q l (`� IV� i�T"E-PE MED: ('Me)- LEGAL 'MJ)- LEGAL DESCRIPTION: I�,C'iT V� l �' �--�`✓ �L--� I �-�^� SLOPE SITE PLAN I—TTr—! ITI"1—TT—lTI�� 2 r, Is4 '-�A N D 1 e�� L. r e-, PAI, T)F- tia � 3 4 Tl 6 7 8 9 10 11 12 13 14 a a hl L`t Q-A N". � D f t - /INS. -`�-AN0 G 't4 A 1\I WAS GROUND WATERS L 'e) ENCOUNTERED. I� O P E IF YES, AT WHAT DEPTH? 15 "' Q F q0 zk�16- 11 9TM 17 9gLL�a(('//cc�7��,, %•,• •V 18 f;-;1• N 2225-E JU E 251 1971 19 NAL 20 ®t,11�'V�'<. COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop FT AND ��_ FT 0 v .. / 0 i 1 3 76, % 8 G� z� r0 yd /y, r 'ly PERCOLATION RATE- —,(minutes/incch) TEST RUN BETWEEN FT AND ��_ FT 0 PERFORMED BY: 4' ° CERTIFIED BY: —Y7 - DATE: C011C eC- 72-008 (6/79) APPLY NT FILLS OUT UPPER HAI ONLY Property Owner �, 1�tlh� 1 Time /� k. ailing Address %;6. l�j I J ��y`, 1 (� V Zip Code y L Buyer - ' 1, Date �� Date Address - Zip Code Lending Institution f ( I-%'-�'�� (�- ( ri (- f-��-• c ' uV-:��_ Phone -1 Address ;'., - _> Zip Code Realty Co. & Agent c Phone Address Zip.Code� Inspector Legal Description Inspector\,, Street Location Type of Residence 1A Single Family L/ ❑ Multiple Family No. of Bedrooms L.D�f, ,`1`�� Field Notes: ❑ Other MUNICIPALITY OF ANCHORAGE Water Supply F] Individual ?t�) Z C�ln 9) ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community �� n1a�yLD For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility �iC Sewer Disposal Jfv� ( 1 j APPROVED BEDROOMS 0 Individual Year Individual Installed: ( ) DISAPPROVED ❑ Public Utility When Connected to Public Utility: ( ) CONDITIONAL APPROVAL' ❑ Holding Tank — NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time y L Dale Date Date Date C-l_.L c Inspector Inspector Inspector Inspector\,, L.D�f, ,`1`�� Field Notes: MUNICIPALITY OF ANCHORAGE DFPT C` i'-' T' I °. ENVIRui4J,',:t.,A- . ,u• -(-TION RECEIVED ( 1 j APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' — DATE v Soils Ratingg Date Sewer Installed Well To Absorption Area A0 Zf Well Log Received J Well to Tank Septic Tank Size. �5p 72 023 131827