HomeMy WebLinkAboutMEADOW RIDGE ESTATES NORTH ADD BLK 5 LT 1YhElaDou) Rl bbE EST�
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MUNICIPALITY OF ANCHORAGE
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.�` DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
+) ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 2644720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME•
Pt0OON/EEW
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'DQ �J�•
❑ UPGRADE
MAILING ADDR S
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LEGAL DESCRIPTION ^ %
LOCATION
NO. OF BEDYMS
`•���
DISTANCE TO:
AbsorPbrea/,j.
Dwelhnr�,O
PFb
G
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Ci •..
<
_Y
i <
Manufacture �!
M .en
No. of [ mp ents
W f-
G
Liq, c cii Vallons
C/ a/
IF HOMEMADE:
Inside length
Width
Liquid depth
6W
TO:
ell
Well
welling
PERMIT NO.
-10 z
�Jt
Z=
Manufacturer /'j
Material
Liquid capacity in gallons
DISTANCE TO:
Weg s
N
Foundau
Neot 17he
JU
PERMIS, . ?z -
L
-IM E
No. of lines
Lengt o4a .(.
Total Ipgg IM44-
Trench th tr
Distancer lines
F,?su
L
L —
inches
Top til de
1 b�
•I?'"
G F¢•
of eJ�wJli sh
Ll
_ O ��
'
Tolel el a prion area
p
j •�
=I�tile
f/ orches
Length
Width
pth
PEO IT NO
w
t7
4s-
Type of crib
Crib ner
Crib depth
Total effective absorption area
W fl
y
DISTANCE TO:
We
Building foundation
Nearest lot line
J
Class
Depth
Driller
Distance to lot fine
P ERMIT NO.
r
W
W 3
DISTANCE TO:
Building founds n
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
�C
SOIL TEST RATING
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J
INSTA
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REMARKS
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APPROVE DATE LEGAL rj•� $�13 IVN ••"•"
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a'11E'PH. RIVER, 2970 ££T1
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72-013(Ref78) //
MUr+F I C I P iL I TY 01F FINC3HFXFZRGE
DEPARTMENT C HEALTH AND ENVIRONMENTAL , 3TECTION
825 'L' STREET. ANCHORAGE, AK. 99501
264-4720
O N —S I T E S E W E R P E R M I T
PEP.MIT NO. < 820922 )
O cC *A
APPLICANT MARK E SETTEYDER SR2 6387 PIONEER CHUGIAK 99567 688-9391
LOCATION
LEGAL L1 B5 MEADOWRIDGE ESTATES LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= 150
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E>EPTH= 12 LENGTH= 25 0FZnVEIL E>EPTH= 9
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A 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).
` REE: GlU I RE<? SEPT I C TFardF< S I 2M E: 1000 GFILL(]NS
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.
--- TWC? <2> I "SPECT I ONS FIRE REQU I REE> ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A 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 A COMMUNITY SEWER LINE IS 75 FEET.
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES E>EiCEr'1BER 31� 1S)c 2
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED: ----------
APPLICANT
ISSUED BY
MA^RK,^ SETTE)YDER
V4. 0
THE REQUIRED SIZE OF THE SOIL Fxmwriom swsmm is:
THE LENGTH DIMD610M IS THE LENGTH <IN FEM OF THE TRENCH OR ORAENFIG-O."t
THE DEPTH OF 8 TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE z!
(31RUILM F;M THE BOTTOM OF THE E}�CAYATIGM C IN FEM.
THERE 15 NO SET WIDTH FOR TRENCHES.
THE oRRYEL DEPTH is THE mrNimum DEPTH oFewvpeL oemem THE OUTFALL PIPE 1I
AM THE BOTTOM OF THE 00VMTIOM <tM FEET).
F2lE(;lUZf2E:1> SF-rfmb"rZg= 'rnNf< !Sr=a= :1.101010 nF7#1-1-4"I
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE?
INSTFNJLATIOM INSPECTIONS OF FW WELLS ADJAccHr TO THIS PROPERTY AND THE
NUMSM OF RESIDENCES THAT THE WELL WILL SERVE,
maGtuzf;tEA>
ISPECTICH AND A13PROYFL BY IS
BnrwrLLiNa OF ANY SYSTEM wtimur FINAL IN THIS sal
DEPARTMENT WILL BE "JEcr TO PRoscomom.
NINE" DISTANCE BETWEEN A WELL AND ANY ON-SITE SS*W DjSp05AL SYSTEM is
tgA FEET FOP 8 PRIVATE WELL OR im TO ;M FZ FROM A PUBLIC 14exj_ D&pool"a 1:
--UPOM THE TYPE (IF PUBLIC Mal -
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE is 25 FEET Fm
TO A COMMLMtTY BIER LINE 15 n FEET.
OTHER RCWIREMMrS MAY WFLY. SPECIFICATIONS A?V CONSTRUCTION DIRMV5 ARE
FIVAILI*XE TO m5upc PROPER m5m"rxom
f:)-*zF;zm x -r 1=XP Z fwzS
I CERTIFY THAT
L: I RM FAMILIAR WITH THE REQUIREMENTS FOR OM SITE SEWERS AND WELL'S AS SET
FORTH BY THE MUNICIPALITY OF FV040RAM
osrem rm PrA)ooRoF*m WITH THE CODES.2: 1 WILL INSTALL THE s
3: 1 UNDERSTAND THAT THE O)f--Sttc SEWER swren MAY REcpj iRc o&mma"r IF THE:
RESID0KC 95 REMODELED To INCLUDE MW THAN 3 BEDROOMS.
FV"-ICRNT
ESSUIED By A
L
MU" X lZ X fnlp-4t- X 'r4srA C31F=*
oepARrmmr OF HEALTH AND ENvzRoNmeNmL PRoTecriom
025 'L' STREET. FP#.1f3RFKJEp
W 99501
264-47"
X -rjE: !Sf=we:f;t FDl—=f;zm X or
PERMIT M
< S20922 3
FFFLICPMT MFW
E SCRVVVER SR2 5387
PIONEER CHUGIRK 99567 SM -9391`
LOCATION
LE(m Lt
85 MFFN>OWRIDOE ESTATES
LOT Sim qqq,-,:oo"
saLFmE-Fv,
TYPE OF SOIL
FAr-;ORPTIOff SYSTEM IS: TRENCH
rm ImUh NUMBER
OF OWROWS 3 SOIL
RATING (SO FTeW)-
L50
THE REQUIRED SIZE OF THE SOIL Fxmwriom swsmm is:
THE LENGTH DIMD610M IS THE LENGTH <IN FEM OF THE TRENCH OR ORAENFIG-O."t
THE DEPTH OF 8 TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE z!
(31RUILM F;M THE BOTTOM OF THE E}�CAYATIGM C IN FEM.
THERE 15 NO SET WIDTH FOR TRENCHES.
THE oRRYEL DEPTH is THE mrNimum DEPTH oFewvpeL oemem THE OUTFALL PIPE 1I
AM THE BOTTOM OF THE 00VMTIOM <tM FEET).
F2lE(;lUZf2E:1> SF-rfmb"rZg= 'rnNf< !Sr=a= :1.101010 nF7#1-1-4"I
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE?
INSTFNJLATIOM INSPECTIONS OF FW WELLS ADJAccHr TO THIS PROPERTY AND THE
NUMSM OF RESIDENCES THAT THE WELL WILL SERVE,
maGtuzf;tEA>
ISPECTICH AND A13PROYFL BY IS
BnrwrLLiNa OF ANY SYSTEM wtimur FINAL IN THIS sal
DEPARTMENT WILL BE "JEcr TO PRoscomom.
NINE" DISTANCE BETWEEN A WELL AND ANY ON-SITE SS*W DjSp05AL SYSTEM is
tgA FEET FOP 8 PRIVATE WELL OR im TO ;M FZ FROM A PUBLIC 14exj_ D&pool"a 1:
--UPOM THE TYPE (IF PUBLIC Mal -
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE is 25 FEET Fm
TO A COMMLMtTY BIER LINE 15 n FEET.
OTHER RCWIREMMrS MAY WFLY. SPECIFICATIONS A?V CONSTRUCTION DIRMV5 ARE
FIVAILI*XE TO m5upc PROPER m5m"rxom
f:)-*zF;zm x -r 1=XP Z fwzS
I CERTIFY THAT
L: I RM FAMILIAR WITH THE REQUIREMENTS FOR OM SITE SEWERS AND WELL'S AS SET
FORTH BY THE MUNICIPALITY OF FV040RAM
osrem rm PrA)ooRoF*m WITH THE CODES.2: 1 WILL INSTALL THE s
3: 1 UNDERSTAND THAT THE O)f--Sttc SEWER swren MAY REcpj iRc o&mma"r IF THE:
RESID0KC 95 REMODELED To INCLUDE MW THAN 3 BEDROOMS.
FV"-ICRNT
ESSUIED By A
L
rl
% - MUNICIPALITY OF ANCHORAGE
1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 2644720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: S� ` -�� e
LEGAL DESCRIPTION: L /
DEPTH
(FEET
1 6
2 / l.7
3-
4-
5-
6-
45 6 o 6� Z/V// r
7
0
ao
10
_
Gross
Time
Net 1.•
Time
Depth to
Water
Nat
Drop
r
WASGROUNDWATER I /�
11
�j ;
ENCOUNTERED?
12
IF YES, AT WHAT
DEPTH?
13
14 d `: SOF 1�e11
15
sort
W411w..
RobertA.
18• No. 14
19 I1F°p »
20
0Go i 14P 1
SOILS LOG
❑ PERCOLATION
TEST
DATE PERFORMED: J O
Sln
SITE PLAN
Reading
Date
Gross
Time
Net 1.•
Time
Depth to
Water
Nat
Drop
PERCOLATION RATE (minutes/inch)
TES'/ RUN BETWEEN( FT AND FT
PERFORMED B nay �},Al_7.131C•� CERTIFIED
X�SL StlS
nillti:�MISt�3 S "3.8 i
72-008 (6/791
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