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Home My WebLink AboutTHOMSON LT 5Thomson Lot 5 #067-041-05 MAI LIN-G ADDRESS ILEGAL DESCRIPTION - LOCATION DISTANCE TO: · ! MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE 7~/~'' 3~0 [] UPGRADE Absorption area Liq. capacity Inside length ~ ~.~ IF HOMEMADE: NO. OFBEDROOMS PERMIT NO. 7.. No. of compartments Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Materlal Liquid capacity in gallons Well Nearest lot line PERMIT NO D,STA.CE To: ' ' -, NO. of lines / t line Total length of lines Trench width Distance between lines Top finish grade Length W~dth PERMIT NO. Type of crib Crib diameter Crib depth Total ef recline absorption area Well Building foundation Nearest lot line DISTANCE TO: ;lass Depth Driller Distance to lot hne DISTANCE TO: Building foundation Septic tank OTHER PiPE MATERIALS SOIL TEST RATING INSTALLER REMARKS IPERMIT NO. Absorption area(s) APPROV DAT LEGAL PERMIT HO. DEPARTMENT ."' HEALTH AND ENVIRONMENTAL ROTECTION 825 ~L~ STREET~ ANCHORAGE, AK, 99501 2~4-472~ O~W--S I TE SEIWER PER~d I T ~2~542 ) RPFLIC~NT MUSCRAT BUILDERS LOCAT I OM LEGAL 'L5 THOMPSON PO BOX I?~8 E.R. LOT SIZE 745-~807 ~999 SOUARE FEET TYPE OF SOIL 8BSORPTIOM SYSTEM IS: TRENCH HA',:{IMUH NUME:ER OF BEDROOMS SOIL RATING <SO FT?BR>= ~5 THE REOUIP. ED ,SIZE OF THE SOIL ABSORPTION SYSTEH IS: DEF"TH: G: LE~,IGTH= ~':-'. -'~'~ G ~: R'-.-' E L DEPTH= THE LENGTH DIHENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEF'TH OF ~ TRENCH OR PIT IS THE DISTANCE 8ETHEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET>. THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTF~LL PIPE ~ND THE BOTTOM OF THE E.'.<C~VBTION <IN FEET>. F:EL--!.LI T F.'ED .....C:.EPT I C TR I'-.I I-.-. S I ZE= :l_Cd£1C-I GRLLO[-4.....C:. PERMIT RF'F'LICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE IN_qTRLLRTION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL HILL SERVE. TI-lO < 2 .', I I'-.I--'--'--c:-P ECT I OIl',iS RF:E RE~;!.I_~ I RED BACKFILLING OF ANY SYSTEH HITHOUT FINAL IIqSPECTION AND APPROVAL E:Y THIS DEPRRTHENT HILL BE SUBJECT TO PROSECUTION. MINIHUr. I DISTANCE BETWEEN A HELL AND ANY ON-SITE SEWAGE DISPOSRL SYSTEM IS 100 FEET FOR A PRIVATE HELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPO~I THE TYPE OF PUBLIC HELL. MINIMUM [>ISTRNCE FROM R PRIVATE HELL TO R PRIVATE SEHER LINE IS .°5 FEET AND TO R COMMUNITY E. EHER LINE IS 75 FEET. OTHER REQUIREMENTS HAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLRTIOM. PERt-1 T T EXP I RE.....C:. DEI;EIdE:ER 3-1.. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS AS SET FORTH BY THE HUNICIPALIT¥ OF ANCHORAGE. 2: I HILL INSTALL THE SYSTEH IN ACCORDANCE filTH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE S, EI,IER SYSTEM HAY REOUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE HORE THAN ~ BEDROOMS. APPLICANT r,ILISCRRT BUILDERS ' TE V4. 0 & ,EN~IHEERS, ~NC. S 7125 OLD SEWARD HWY. ANCHORAGE, ALASKA 99503 349 -6561 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST PE.PORMEO FOR: I'4U$c~"F ibU I/--I~l~i~ LEGAL DESCR,.T,ON: (:: L£PI 4 5' I SLOPE SITE PLAN 10- 11 13- 14 15 16- 17 18 19- 20- COMMENTS E WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH~ PERCOLATION RATE g//5(/~. ~-~ TEST RUN BETWEEN ~' ~) · FT AND (minutes/inch) ~.~,. FT DATE: 72.008 (6/79) PERMIT NO. ~'lL~r~I C I,E'RL I T~' OF R[~I--'"~RR GE .-DEPRRTHENT~ HERLTH RN[> ENVIRONMENTRL .ROTECTION 825 ~L' STREET, RNCHORRGE~ RK. ~501 264-4720 I-IEEE PERH~T ( 82055~ ) RPF'LICRNT YRLLEY DRYWRLL CONST IN PO BOY, ~091 E.R. -q9577 LOCRT I ON LEGRL L5 THOMPSON LOT SIZE 999~99 SQURRE FEET MINIf'IU~'I DISTRHCE E:ETI4EEN R NELL RND 8NY ON-SITE SEI,IRGE DISPOSRL SYSTEM IS i00 PEET FOR R PRIVRTE NELL OR i58 TO 288 PEET FROM R PUBLIC 14ELL DEPENDING UPON THE TYPE OF PUBLIC NELL. MINIMUM DISTRNCE FROM R PRIVRTE NELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMHUHITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED 8ND MUST E:E RETURNED TO THE DEPRRTMENT NITHIN 2¢ DRYS OF THE 14ELL COMPLETION. OTHER REQUIREMENTS f'lRY RPPLY. ~PECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ERr,1 I T E."--:-," P I RES DECEf4E:ER _-~-:=-2_.. I CERTIFY THRT l: I BM FRHILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS -C, ET FQRTH BY THE NUNICIPRLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE NITH THE CODES. V4. 0 by SULLIVAN WATER WELLS P. O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 LEGAL DESCRiPTiON /-'' ~- ?/=J ,:.~,~ ,~,~'o .~.) DATE-Started ~'/"' '//~ ~'i Ended PERMIT NUMBER DEPTH OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR 2o OO KIND OF CASING ~ ~' 00 KIND OF FORMATION: From ~ FI. to ''-) Ft. From -0 Ft. to-5-D Ft. ~ From ~'~ FI. to ~ Ft. F~m:-' 7 FI. to ~ Ft._ Fr~ Ft. to Ft. Fr~Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft.. Fr~ Ft. to Ft. From - Ft.'to ....... Ft.' ................. From Ft. to Ft. ~ From Ft. to Ft. Fr~ Ft. to Ft. From Ft. to__Ft. From FI. to Ft From__.Ft. to Ft. From Ft. to Ft. From__FI. to Ft. From--Ft. to Ft From__.Ft. to Ft. From__Ft. to Ft. From__Ft. to Ft. From__.Ft. to Ft. From__.Ft. to Ft. From Ft. to Ft, From__Ft. to Ft, From'- '- Ft. to ' ''Ft, From Ft. to Ft. From__.Ft. to Ft. From__.Ft. to Ft. From__.Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME '," ~ '~ ~r ..... ~ ~'"' - APPLI(--'NT FILL'S OUT UPPER HAl"-! ONLY Property Owne~ Phone Buyer Address Zip Code Lending Institution Phone Zip Code Realty Co. & Agent Phone Address ~ /t~ Zip Code Legal Description $1reet Location Typo of Residence I [] Mulllple Family No. of Bedrooms. (~ Other Water Supply C1 Community For wefts clrllled pr{or to that date. give well depth (attach log if available). Sewer Disposal [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REC3JEST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time y~.~v~,~,I Time /~ Date Dale Dale ~////f~ Date ~/~ Inspector Inspector Inspector InspectOr JUL 06 1983 / "De~t. of Hea~tR ~ ( ~PPROVED BEORO~S~ 'CONDITIONS OF APPROVA~Vironmental Prote~ion" ( ) OlSAP~OVED Soils Rating Date ~wer Installed Well To ~sorptlon Area Well Log Recelv~ Well to Tank Septic T~k Size Date ~ ~ Date Date Inspector Inspector / I RECE!gED Date Sewer Installed Permit No. ~ptlc Tank Size ~ -- E ~ Holding Tank Size ~ils Rating Well To Absorption Area Well L~ Receiv~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY D'~ ~ Phone ;..: Realty~.&Agent ~[~ /~ ~ AC~ / b~ /~ Phone L~al ~scription X¢~ ~ /~ C~(O ~ ~ ~C/. Street L~atlon ~ /~ /~ (2/i ~ ~t ~ ~ ~ Single Family ~ Multiple Family No. of Bedr~ms Wat~Supply /~ Individual A~ACH WELL LOG. A well log Is requtr~ for all wells drilled since June ~ ~mmunlty 1975. For wells drilled prior to that date, give well depth (attach ~g If ~ Public Utllit~ available.) Se~e Disposal ~ Public Utility When ~nnected to Public Utility: ~ Ho~d[n~ Tank NOT~ THE INSPECTION FEE MUST ACCOMPANY ~CH REQUEST BEFOflE~ROCESSING CAN BE INITIATED. CHEMICAL & GA LOGICAL LABORATORIES ~./ ALASKA, INC. TELEPHONE (g~7)-27g-4014 274-33~4 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: · '- . _/, I.D. NO. Water System Name v' ~' Phone No. Mo. Day Year SAMPLE TYPE: D Routine ri Check Sample (for routine sample with lab ref. no. ' I-I Special Purpose -- D Treated Water [] Untreated Water SAMPLE NO. I I I I I LOCATION Time Collected Coliecte, d By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,[] Satisfactory [] Unsatisfactory [] Sample too long in transit: sample should not be over 48 hours old at examination 'to indicate reliable results, Please send new sample. Date Received / L~ "'~ · ~2_ Time Received / £ ~ / Analytical Method: 13 Fermentation Tube ,/']'Membrane Filter Lab Ref. No, Result' Analyst It-~°/-,:P II-FI.---/~'?' / I II'-i-I I I I-[-'1 I I FT-I I I I-I-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 0&-1220 (~) BACTERIOLOGICAL WATER ANALYSIS RECORD WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geolo~;col & Geopr, ysicol Surveys _ Tho~o=cn I -- ~'-- ~'~' -- s O I wE) I'~______~~DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS ~,~.*, A~.... 0~ a..o e~ w.,, ~o~o,~0. Eagle Pdvcr~ ~. 4. WELLpEPTH. (finol) 5.~ATE OF ~PLETIO~ $. CASING: ~ ThreAded ~ Wlldld I0. STATIC WAT~ ~[V[L: If / Length of Oro; Pi~. ~ ~~ &. 5385