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Home My WebLink AboutSHEETS LT 4MUNICIPALITY OF ANCHORAGE He; h and Pnvironmental Prote ion Fourth Floor West 825 L Str_eeL Anchorage, Alaska 99501- 264-4720 INSP LC,T10N R1:1 P0 RT CSN -SI'II S1:WAGE D1`,k't: ,5 A 1_ `iY`>0:PA ri/Ir'l1:- .�. �-� �" jsy- MAII ING AO-6"� DPF—,S C/inG _ j' _r 2I ___l_.__ PIIONC LVCA1,0 �_ l.LiiY-t�P� Lt�l./ _ _.__-LF.GnL UI`SC.RIPIION _(_QI SEPTIC TANK !111 I A A_I C NUNI11 .R or F INYI'(_ IVIDl ll _ LIQUID DCPHI I_IOUID CAPACITYGALLONS, TILL URRIf! Flf._LD TOTAL LENG-ri-I :,1-•I�..!:, ft ci'.i `;:; Lt_ _FOU�'IUATION._ "NC!\REST LOI 1. lf!f: _...--_-_--_-.. ._OF L.I NF_ f? of Lines -. __ _ U111:.�NCE b'-t••i,'LL N'' LIrJES __._.___.._. TRFNCII WIDTH__`. IN. DOTAL EFFECTIVE L (.NGTI I OF E_ACI I L INh_ DFPI11 01- 1 It_Tt_R ;(-I c^f til.!.. 1 r, I-!r,I�I+ C -,nE -MAU Rlnl_ kFNEATH TILE.. ,✓Kj. ABOVE_ TII E E_r_E`,^,cr_ rrr: [j1. ^%.I ILR __.-.__0R WIDTH- ___ ., L!_`:GTN_....., DI.PT)I_...._____..__..-__.�...__..____.. Log Crib Z:i.nge Crib Size: DI MOL -I t R_ ____Of Pf11-_--.__ CjISTANC(`. FROM; WELL 10T;' L LI--FE.C-IVE C,I!:• �..;;JC%!.-I.10'1 - "�L.f�i?[Si LOr LIiV I:. _.._--_-. - l-.PSO1W I"ION ARI A (WAL..L. ARFAI-.-----___--._._.fi C�. FT. of Bed Y001lLi i! a ls t aper ()_" i� l i ;marks • (` 1� .- Gl � � i ! -��rl DEPHRTMENT � HEALTH HND ENVIRONMENTFirrHOTECTI 11-AUE8L8L PERMIT NO. ( 7764] ) 279-2511 HPPLICHNT WILEIT' DENSON BOX 966 EAGLE LOCHTION THUNDERBIRD LEGHL L 4 S�EETS S/D TYPE OF SOIL HBSORBTION SYSTE-1 IS: TREN1-11 / LOT SIZE 22000 SQU E P _ �� MHXIMUM NUMBER OF BEDROOMS � 6 SOIL RATING (SQ ��-^ THE RE�IJIRE1' SIZE OF THE HBSM I�� - ' -�� = �� THE LENTH DIMENSION IS THE LENGTH, (~ GN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). THERE IS NO SET WIDTA FOR TRENCHES. THE GRAVEL DEPTH I:�: THE MINIMUM DEPTH OF GRAVEL BETWEEN T FALL PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET). /)(~ �� J � �� = �2�� F:' 11'=`11 IC"s FE. ��F411 V-4 CA F��'� 1, ..... ..... ..... ... ___�� H PHCKHGE PLHNT MHY BE INST HLLE) AT THE PERMITTE�'S OPTION S�B�ECT TO THE FOLL�WI�G �ONDITI0�S� 1 EITHER H CLHSS I OR II NSF HPPROVED PLHNT MHY BE INSTALLED. 2� R CONT�NUOUS MHI�TENH�CE HGREEMENT I� RE(" U' �F A �H�NT�N�NC� � AGREEMENT IS NOT KEPT CURRENT YOU MHY BE REQUIRED TO ENI -HF -GE THE SOIL �BSORPTIO� �H YST�� ND/�R Y�U [VY BE S��J�CT T(l P�OSEC)T1ON 1INIMUM DISTHNCE BETWEEN A WELL HND ANY ON—SITE SEWHGE DISPOSHL SYSTEM IS 1.00 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL ELL LI. -IGS FIRE REQUIRED FIND NUST BE �ETURN�D TO THE �EPHRTM�NT �ITHIN ]0 DHY� |F THE WELL COMPLET�ON THER MHV APPLY. SPECIFICATIONS AND C�NST�UCT�ON DIH�RHMS HRE HVHILHBLE TO INSURE PROPBR INSTALLATION. 7�� I CERTIFY THHT 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDANCE WITH THE CODES ]� I UNDERSTHND THHT THE ON~SITE SEHER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMQDELED TO INCLUDE MORE THAN 6 �_� --__- HPPLICHNT WILEY DENSON fh �� ISSUED BY�HTEVI0 P-4�� BHCKFILLIN� OF HNY SYSTEM IT�UT FIL N�INSPECTN I�HND APPROVAL BY THIS WO DEPHRTMENT WILL BE SUB,YECT TO PROSECUTION- 1INIMUM DISTHNCE BETWEEN A WELL HND ANY ON—SITE SEWHGE DISPOSHL SYSTEM IS 1.00 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL ELL LI. -IGS FIRE REQUIRED FIND NUST BE �ETURN�D TO THE �EPHRTM�NT �ITHIN ]0 DHY� |F THE WELL COMPLET�ON THER MHV APPLY. SPECIFICATIONS AND C�NST�UCT�ON DIH�RHMS HRE HVHILHBLE TO INSURE PROPBR INSTALLATION. 7�� I CERTIFY THHT 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDANCE WITH THE CODES ]� I UNDERSTHND THHT THE ON~SITE SEHER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMQDELED TO INCLUDE MORE THAN 6 �_� --__- HPPLICHNT WILEY DENSON fh �� ISSUED BY�HTEVI0 GREATER ANCHORAGE AREA BOROUGH JNc ,,ncxoxtoq t4 ' DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. IInC` 3 3330 "C" STREET ANCHORAGE, ALASKA 99503 L U 1 TELEPHONE 274-4561 �ghlt[0111M\•V\, Ytl SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT f NAME OF APPLICANT %%/BoBo wl �V�' MAILING ADDRESS „ c16 `/� PHONE oq - I1, INSTALLATION LOCATION � ^�✓�" LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED � \C? to ddLG4f:Ylti ,9 �� FINANCED THROUGHTO BE INSTALLED BY SOIL TEST RESULTS 1// 3Q NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ��"'�"' F TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS f FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD / r SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT _ - DRAIN FIELD TO NEAREST LOT LINE. JG \ I WELL TO SEPTIC TANK + SEEPAGE PIT D`C/ �RAIN FIELD I MSwI ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK , SEEPAGE PIT , DRAIN FIELD _ g' I SEPTIC TANK, ()a SEEPAGE PIT S DRAIN FIELD _�_, TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGA I INSTALLATION. G.A. .B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, i i DATE APPLICANT'S SIGNATURE FORM NO, EQ -016 I� II 111111 I „ 1 I I - C -iI-�- )_';-; 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, i i DATE APPLICANT'S SIGNATURE FORM NO, EQ -016 0 & E GEO) ECHNI CAL & DEVELuPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Sails & Foundations Land Development Performed for: Name: �X� \IN f< -'X Tel. No. U 60 Mailing Address: iIISLL L :-l �-L' Legal Description: CST \A Depth (feet) Soil Characteristics 3 4 5 6 7 We, 12 13 14 IZ- 15 16 Ground Water Encountered: Yes— No If yes, what depths__,__® Proposed Installation: Seepage Pit Drain Field Comments: o �A- Performed by: Date: 1, �> GREATER ANCIIORAGI- P,RI.:A C0R0U(j,, � Uepartment of Lnvirornnenl"al (luali ty 3330 "C" Street ti Anchorage, Alaska 99;03 SOILS LOG - I'h:ROLATION TEST Performed forJate Perforrit�.' Legal Uescription:_--____.__.___.__.1♦_T_;�______.S.vBJ?1�h(1�N_-----__.-- This form reports: Soils log X _ _ _ Percolation test Depth Feet Z- 3- J � 6 7 - 9- Date - GW 85 Net Time Depth to Water - 10 - S'7opo 11 - 13 - 14 - Was ground water encountered? ___WQ If yes, at what depth? Reading Date Gross Time Net Time Depth to Water percolation rate rnnuLe. --- -- ------- Proposed installation: Seepage Pit _ Drain Field Depth of Inlet Depth to h ttom ole hit or trenci Pc.rforrned [3y: Certified fay: - —�- -- --_ 75-XEQ-040 (6/74) Net Drop 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS _ TIME TIME TIME DATE DATE DATE INSPECT INSPECTOR INSPECTOR �Five ❑ Three E, 7. WATER SUPPLY MUNICIPALITY OF ANCHORAGE '' ^ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION iON 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 depth (attach log if available.) REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTYOWNER PHO S 099 MAILINGADDRESS PROPERTY RESIDENT (If differ nt from ab ve) 611 PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION _ STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ SjVGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ L_(.�/ MULTIPLE FAMILY �Five ❑ Three E, 7. WATER SUPPLY ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ f.F7MMUNITY since June 1975. For wells drilled prior to that date, give well �- PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DIS SAL SYSTEM INDIVIDUAL/ON-SITE** 1_YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79)