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HomeMy WebLinkAboutSEACLIFF BLK 1 LT 17A9tac,l��P�P S� trU W k 11 IJ MVH 40 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 172 d 0 87 PID Number: 6 l I ?. 2. 1 L6 - Name: Wastewater System: W<ew ❑ Upgrade Address: _r ABSORPTION FIELD Phone: No. of Bed/come: L� eep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: s2 GPD/Sq. Ft. % J Lot:/7 Bloc Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe - �, 0e" ,� 112/ Ft. t... 5 Ft. Township: Range: Section: Fill added above original grade: Gravel length: r • WELL: ❑ New ❑ Upgrade Gravel depth: Number of lines: Distance between lines: S Ft. ,<� �6 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: too/Y (Y) (,)&) Ft. Ft. S%( SQ. Ft. .0 � Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. T ,e5:/iI 71'31Q2_ Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Ek -Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines 1,2 ag—o Well >Z581 r / � A1111 /// c�P�'II Material: S / Number of Compartments: a Watere >/00'700 F / >N LIFT STATIO Loti Line b r 117) /� %� .00 f Size in gallons: Manufacturer: Foundation f2 / n/ /n / // p �� f "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Drain AJ6 { A ilfy� Pump Make & Model Electrical Inspections performed b y Remarks: BENCH MARK Location and Description: .2D, © /--i2 e) R/ 6? 67'4Rd6 - Assumed Elevation: ' eg FINF R'S SEAL Q17b� J o r e' Inspections performed by: �/�% jVl��4Db�1�1 Dates: 1st 2 2nd 74,3Z!22- E' a r, /J;khacl E. Anderson o 4�ve Department of Healt H ervices approval 4381 - E Reviewed and approved Date: 1J trU W k 11 IJ MVH 40 Permit No. l 2 DO Cq -I Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L 17A SLI SEA G L I FF-- PID No.: 6 117 -Z -Z I/ 8 30; ENGINE., R'S SEAL 44 s c 7 3 9 8(� F �o ' CGC-p��g9C0f 603bvOE1.`O`1Q i ;z C+84 �p �epOa 9OBE0 aB A90 �O F� O n S L n a Michael E. Anderson o," 1381 • E IZ- 13 A (2/91) MOA 25 /oo NEI W q Permit No. q z 0 0 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: e- i 7 A & I SFS c- t- I r1 = PID No.: 0//Z?- 1 1 8 1 I ,V: -.:�.,� f 'Q� Y� ✓'fl � 1 0 8 V�}J 4 -.:�.,� f 72-013 A(2/91) MOA 25 -_---- L 11\1 i 30' -- E 'S SEAL .ME) of 0 13 - v0 .—�j� 2 J 06 ! `V 3�6 ° a 00 0 W806o0 l/.�� 000. 00� o ---- f1�...A�'....� 6%ooh - 4 ou '��+x<acdo co oao oa oo 000 a9°o f�^ o �r �uG� 0 60e IAichaeI F. Rndclson bo� �PBafnyS t. G. ok 4387-E e° n 1 3 i4 o° 'a AcOO^o°vac 72-013 A(2/91) MOA 25 -_---- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920087 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:LOWENFELS, JEFF OWNER ADDRESS:5328 SHORECREST ANCHORAGE, ALASKA 99515 PARCEL ID:01122118 LEGAL DESCRIPTION: SEACLIFF BLK 1 LT 17A LOT SIZE: 29412 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 5/19/92 EXPIRATION DATE: 5/19/93 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: 5 -zo n - ISSUED BY: k_'� DATE: S-?� -Tz— May 16, 1992 Municipality of Anchorage DHHS 825 L Street Anchorage, Alaska 99501 Attention: Susan Oswalt Regarding: Lot 17A Seacliff Subd.� RECEIVED MAY 18 1992' iViunicipaiity of ,anchorage Dept. Heaith & Human Services Dear Susan, This letter is in regard to the questions you had upon initial review of the application for a sewer permit. The following changes have been made to the system design: 1. Cleanouts have been added to the trenches. 2. The total depth has been changed from 10 to 9 feet. Another question was slope. The 13 foot removed prior to any the entire lot which I absorption system characteristics. the installation of the trench parallel to the change in elevation accross the lot will be construction to approximately 4 feet accross feel will not have a bearing of the trench given the surrounding area drainage If you have any questions please contact me at 561-5829. Yours Truly, L. Wayne McFadden ON SITE SYSTEM IMPACT CL1 FF L17A BL 1 Seams Subd. Installation of an on site wastewater system for this lot should have little if any impact on the surrounding properties due to: 1. The soil types and absence of water in the test hole monitoring tubes during breakup, as the soil provides a good condition for natural percolation. 2. The lot is served by a community water system with no neighboring wells. 3. Due to the topography of the lot and surrounding area there should be no impact of drainage caused by constructing an on site system on this lot. 4. The reserve space for a second system contains good soils as well as the primary location. If you have any questions please contact me at 561-5829. Yours Truly, n. A �w ovvt W Michael E. Anderson, P.E. bo S'G C.-a+'Uo EEFiO OOG O OO®0CG ] I 6'. ��yy 6Ea6 LL.l EOG�e0800oeoo OOOCV O llq 1 S 'Michael E..'erclarson d ��lcFa oe man �,,�C�syy tJJ1 "zi+ N,5TF: LOT 9,F2L) F-0 6y 06r>'imunriy i I ,"OAT -)59 Syn7-FM 1 LOT I a 'A f -o -,Michael E. Anderson 4381 - E J�F00 F E S Sw\ — 0 Prtop 1069 L- 105 1C>0 4 5-,F? 71 C SySrFm > L 07- /(0 t to - \00 - 10&" 108- 1°-7 0-7 IOW 165 l04- -5� 7-/C- 5 YIS775,," 03 ?2 • 101 (00 LOT I a 'A f -o -,Michael E. Anderson 4381 - E J�F00 F E S Sw\ — 0 Prtop 1069 L- 105 1C>0 4 5-,F? 71 C SySrFm > L 07- /(0 BY DATE f -/b-q2 CLIENT //A0rEr,J SHEET OF _ CHKD. BY DESCRIPTION 7 A Sg 4Vr� ;LJ rr- Joe NO. ' 84R..X /So elpolB10,2 = 500 5G ---- - XZ --...-_1�E�.�.�.N_....TR��,IcH_.U.S.Lr�tG -5_V✓__.�0_r1-.`.�aFi. ACG_��rLn+�'�._`,za.1G..s'_.._...__. 11V -)(15 - - GRAD ..... ...... .. D� 0 907-7 vrr or_T2f _ a. _c i ------------ Doc ...as�asa caa EN 1S (10/78) e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG_ — PERCOLATION TEST J ENGIN�_�irS SFAfj) m a L a � 'aaaozJc3oaac o¢3� o oe ao o �? ..00ze 000 0..0 090000¢ Mich E. Anderson a mar® ,a- A381 -E �CdiPTEKI ` 0&I ST. DATE PERFORM D�" 'a®2- ?.Z. PERFORMED FOR: �1 LEGAL DESCRIPTION: L 17A ( SE/-JCL/FF Township, Range, Section: DEPTH SLOPE SITE PLAN (F E ETI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 SP POORLY G,eAD6D 5An+Ds GP PooRu y G RAo" CRAVI=_LS S L(./ INCL L 6 RAAeo %d TH-1 0 WAS GROUND WATER ENCOUNTERED? NO S IF YES, AT WHAT L 0 DEPTH? P E Depth to Water After Monitoring? N O 1.1 i_ papc Reading Date GrossNet Time I%�IAJ Depth to Net Time /1'I �N Water Drop 20 // '/ PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER _S� TEST RUN BETWEEN 7 FT AND B FT COMMENTS _SLOUGt!/N�i /N �P S4/LS , 51.tJ So I LS V EZV �2 G gdN PERFORMED BY: W • ' `\c FA ap �-u I 1 >rv'"L L"1etM'1rY THAT TNI TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage ® `�' ` • �! ®p09 Sao3 eeaa �-coac DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 e°° ° .. Michael E. Anderson � r� SOILS LOG — PERCOLATION TEST/� as�1-E �° V' 1C�Ca0°e ace`�e";Cty 13 pirOF .—' PERFORMED FOR: 11,497-.E/U (20IBJ yr DATE PERFORMED: LEGAL DESCRIPTION: L 17 / SE/-ACL/FF Township, Range, Section: DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 19 SP POORLY 6mpEl� SA M DS C, P PooRL y 6 AAp6G ,'�AAVCL 5 VI/ We:LL SA ND Rom WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Atter Monitoring? NO I.11_ Date: �E- 1i -9z S L O P E 20 „ PERCOLATION RATE -3 Immutesiinchl PERC HOLE DIAMETER TEST RUN BETWEEN 7 FT AND A FT COMMENTS SLOUGH IN6 /A-/ 6P SOILS — S1A) Se) ILS F— Ry CLE'AAJ PERFORMED BY: �� 1 \C �D �-� I '^�`� �6"�RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Depth to Water ... 20 „ PERCOLATION RATE -3 Immutesiinchl PERC HOLE DIAMETER TEST RUN BETWEEN 7 FT AND A FT COMMENTS SLOUGH IN6 /A-/ 6P SOILS — S1A) Se) ILS F— Ry CLE'AAJ PERFORMED BY: �� 1 \C �D �-� I '^�`� �6"�RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: %' Date Gross Time ,�lct1 11 -SEA f._�'L CrC4 w Municipality of Anchorage 0VID • DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 d E. Anderson W rnMichael SOILS LOG_— PERCOLATION TEST Q o��q o 4381 -E / ��PiroFL�sioe� PERFORMED FOR: A97-E/U CO &I ST. DATE PERFORM &:—`�v�'�4y,— 9Z LEGAL DESCRIPTION:/— 17A � L/FF Township, Range, Section: DEPTH SLOPE SITE PLAN 2 3 4 5 6 7 8 9 C,0 � 11 12 13 14 15 16 17 18 19 20 (FEET) SP POORLY 6RAAIWD I St�►.tDS 6P PO 012 Ly C RAO1—p GRAVEL S W I)J E L L- e7PA la EIS S A, "D em TH-3 WAS GROUND WATER w ENCOUNTERED? N� IF YES, AT WHAT DEPTH? Depth to Water Alter Monitoring? NO U E— Date: ' 4z 0 !!!!!!!!!! !!lie. !■!ii! Reading Date Gross Time Net Time Depth to Water Net Drop y ire 3 7 PERCOLATION RATE r2l � (minutes inch) PERC HOLE DIAMETER TEST RUN BETWEEN /0 FT AND Z/ FT COMMENTS SLOUIifIItiG 11V G/2 50L S. ,SLIT O/Li V0IZV CGr�nt PERFORMED BY: W • ' ,\c P7A np E—f i -j 4 `^""�IFY THA THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ��� /7 y m e Municipality of Anchorage DEPARTMENT OF HEALTH 8, HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 11,4A77—jE/U (2o m ST DATE PERK ^(ENGINEER'S SEAT ASici aet E. Anderson a 4381-E ° e i��4A.. _eCFG• ` Gy LEGAL DESCRIPTION:/- 17A 5E/-1C1/FF Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) r'TTr� 1 S 2 R06A Ly 3 ( 44 0 9-D 4 � 1 514-1 los 5 r 6 GP 7 8 /�ooR LY 67/Ip�� 9 G,2AvE � 10 11 12 SW 13 WELL 6 R.4DE:D SAND 14 15 16 17 18 19 20t__] I PERCOLATION RATE -2 (minutesiinch) PERC HOLE DIAMETER � TEST RUN BETWEEN FT AND 7 FT COMMENTS SP ILAVER_ ER 1 t (j T11- q WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Aller Monitoring? NO U 1= Date: E- 11-9Z S L O P E Reading Date Gross Time %%/A/ Net Time Depth to Depth Water Net Drop s 2.5 02, o PERFORMED BY: W • 1 ' \C I�i�t D -D ��1 I �.{C.t,lLR�,(� aM.CC_ CERTIFY THAT HI/TS/�TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /�! 7 1/ MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services M On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O If 2 Z Na 8 1. GENERAL INFORMATION HAA #-UCQgQ(Q9,���� Complete legal description L /7A BG / 5EA LtFF: Location (site address or directions) Property owner TFF-;= LDWEN FEL5 Day phone Mailing address 55ZF3 S,/02EG�REST Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 1'ftDEI2S0�j C,4G_,,)L-Z 1 JL Phone 3yy—`�S5 Address PO EcoA LL/V 17-3 4cy p1W Ge' /a !L 99ST�1 Engineer's signature 7�✓� G (/iiln �^ Date /L6D l9?, 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments By. IuTi!r dty � 3 "t 1, osa°om •e• oeo`a 34 ,God C_? oeo as oae •e oe eooea '�° i . o,o o., comoo An1+-r '�9�'aMichael E. d erson V� V'i 3F�CCO O000• ao eaoo.t�.?QSA QW bedrooms, with the following stipulations: Date I Z/j_ 7 �(7 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1191) Back MOA 421 munlclpauTy oT Hncnorage v • i! Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: / /7 4 BL / S&'ACL I FF Parcel I.D. O 11 22 t I e A. WELL DATA Well type C / 1)1 U19iT If A, B, or C, attach ADEC letter. ADEC water system number 216111,95 Log present(Y/N) Total depth Sanitary seal (Y/N) Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION ,q, 5 a Date of test 55 a 7) z Static water level <, Well flow g.p.m. g•p• m o M Pump level z o SEPARATION DISTANCES FROM WELL TO:—, � Septic/holding tank lot m On adjacent lots Z on ; Absorption field on lot ::t_ ;On adjacent lots Public sewer main r� Public sewer manhole/cleanout Public sewer service line �/ Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate Collected by: Other bacteria Date installed ?Z�i9-`— Tank size I- S0 Compartments 2 Cleanouts (Y/N) i Foundation cleanout (Y/N) y Depression (Y/N) N High water alarm (Y/N) N�A Alarm tested (Y/N) NZ�9 Date of pumping NiFW61�57"— Dc��C'y -111193 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: i Well(s) on lot ,VOAIE om Lo -r On adjacent lots > /OOH Foundation 8 To property line -201 Absorption field Surface water/drainage > ioo' Water main/service line 3:5 r 72-026(11". 3/91) Front MOA 21 CONTINUED ON BACK PAGE Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface water Date installed 7��iz Soil rating Z System type TRFti(crl _704 Length Cp y r Width 3 Gravel thickness S Total depth 7.5 Total absorption area 574, Cleanouts present (Y/N) Depression over field (Y/N) N Date of adequacy test Results (pass/fail) PASS for y Peroxide treatment (Past 12 months) (Y/N) Al If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: bedrooms Well on lot NONE ON DoT On adjacent lots ';,266' Property line /e5) To building foundation To existing orabandoned system on lot NQNF oN Cor m% On adjacent lots >/00' _Cutbank 6o' Water main/service line 11 Surface water >/00 Driveway, parking/vehicle storage area ZS / Curtain drain A101 -)E /ll A2EA E. ENGINEER'S CERTIFICATION 1 certify that i have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAA Fee $ l � 0 ` �D Waiver Fee: $ Date of Payment / /L Z Date of Payment Receipt Number ��� �� e L y/ Receipt Number 72-026 (Rev. 3/91) Back MOA 21 7� ' c� (Ln_k= o ' Signature Engineer's Name 1����%�! a c �`�e booaeooanao� .� Data (�` f E aci E ;indurson � 4331 Clt,.iy)�o�o `.1C�,yty HAA Fee $ l � 0 ` �D Waiver Fee: $ Date of Payment / /L Z Date of Payment Receipt Number ��� �� e L y/ Receipt Number 72-026 (Rev. 3/91) Back MOA 21 , f DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 3 ANCHORAGE, ALASKA 99515 December 14, 1992 Mr. Wayne McFadden Anderson Engineering SUBJECT: SeaCliff Subdivision Class "A" Public Water System, PWSID 210485 Dear Mr. McFadden: WALTER J. HICKEL, GOVERNOR (907) 349-7755 I have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on November 19, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on April 7, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on July 15, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical were submitted to this Department on May 27, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II r/,�, pnnYcd on roc/sled paper U y June 6, 1977 Jerry Ulmer Box 1420 moborage, Alaska. 99510 subject: Permit Expiration Dear 11r. Mer A permit issued by this _=denartlMant-__tor_.-W011_.��s�_c��� Seeger installation on Lot 17A Block 1 seacliff subdi has expired since the =t ,.dazi . e�rcoert�' In the event you still Plan to install the %jel,l and/or on-site Sevier system, a neva Permit is required, The original sail test racy be used to obtain a current permit. if the well has been dri.l.l,ed# a well lox should be sent to this departnent to document the installation date. if: veru have any questions regarding the above matter, Tease CIO not hesitate to contact this Office iaatntedi.ately at 279-2511, extension 2='4 or .2250 sincerely, Los X. Buchholz# R.S. sanitarian. IM, 3h -T- 0 F:1 C ir-lUr-4 I C: I i\ -IL- I -e I:) F= i�J 9:� H ' F- � -A DEPARTMENT OF" HEALTH AND ENVIRONMENTAL FfkTECIION 2510 E. TUDOR RD., ANCHORAGE, AK. 99507 276-2221 Amiks cl r -A T -r E�=_ F_.- Fz-. ITS L = 8T PERMIT NO.. 76182 ) APPLICANT JERRY LILMEP BOX 1420 277-2567 LOCATION SHORECREST DR LEGAL L1.7A 81 SEACLIFF SUBD LOT SIZE 3-3673 SCIUARE FEET' TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 Sol THE REQUIRED SIZE OF THE SOIL ABSORPTION INN (SO FT/BR)= 117 IS: THE LENGTH DIMENSION IS THE LENGTH .'INFEET) OF THE TRENCH OR GRA INFIELD, THE DEPTH OF A TRENCH OR PIT IS THE tDISTANCE BETWEEN THE SURFACE OF GROUND AND THE BOTTOM OF THE .,C�q if";(IN EE 1 r , THERE IS NO SET' WIDTH For-.' Tf .7 THE GRAVEL DEPTH 15 THE MINIMLIM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATI,N (IN FEET".,,. �:., E- (;� U I F;? F= E -v FEF-Im 7F I @ = -r" F::! r -.i ic :z- F= -1 ea el "a o:3 F:. -i P.-1 ica V-4 s. BACKFILLING OF ANY SYSTEM WITHOUT FT INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE PETWEEN A WELL AND St(Y ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FORA FEI�T-NFOR A PUBLIC WELL. WE�,"R 20 -7 TIENT WITHIi4 30 DAY.S WELL LOGS ARE Rf_ JWRED At"r S1 QtONED TO THE DEPART OF THE WELL CO TION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F:::, KE k; -N M I -r V " I I E -a F= IZI K! 1_3 " E= V E-= " F-* F= F,:' CA Ir.1 'I ! F.'=- - P_ J E-:: I CERTIFY THAT 1: 1 AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND [JELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE 15 REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. si ISSUED JERRY ULMER /I M tK ANUHUKAUL AKLA 13UKUU' ruV'tment of Environmental Ouu_,rty J ' 3330 "C" Street 'i Anchorage, Alaska 99503 SOILS LOG .�. �_�r� 1 1 Lim u<� a aviti--Z Performed for less_- cam_ t.l�iy Legal Description: t_,,} i�� S Sa This form reports:— Soils log X Depth Feet z -r� (5 4,- 5 - Sc ") ce�a�vs i \ i 6 - T_ 8 __. 9; - 10 11 12 - 13 14 Was ground water encountered? S/,o Date Performed J/3/76 anon tes If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop iiercolation rateminute. Proposed installat of n_ Seepage Pit Drain Field Depth of Inlet _ Depth to bottom of pit or trench C01,1f1EfiTS: qQ_ — --- - z/litE �l�a -N.. --_Lia. Performed [3y: �'crvw -- CertiDate:_� (3 7 LQ -040 (6/14) .:.� � .. f-- C� � �- �� � �� �� �� � � �- � � f 2 c� C) (, r I � Ig � �' __--- - �,