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Home My WebLink AboutDEBORA BLK B LT 40 X050 t)357 25 r. r. . \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ❑UPGRADE MAI LINGA ESS O x LEGAL ESCRIP7( 4-e �/ ^l £� 1-,/� Y/J LOCATION!`/ NO.OF BEDROr-3 Ube DISTANCE TO: Well r / O S Absorption area ,p Dwefling / 3 Q PERMITf�O. /03 aZ W ta„ Manufacturer / R�u•2 �! Material STEEL No. of comypartments m Liq, capacit in gallons / 2 -Ka IF HOMEMADE: Inside length Width Liquid depth Y JDZ DISTANCE TO: Dwelling PERMIT NO. _? YQ- Manufacturer Material Liquid capacity in gallons W = DISTANCE TO: Well / Foundation �� Near J T PERMIT NO. J u.Z Z W No. of lines Length e. lin Total lengtof line / Trench width Inches Distance between lines 93 Top of tile to finish rade 9 L[ / Material beneath Tile p L{O inches Total effective hso uo area �� it r W Length h Depth PERMIT NO. Qs- � 6 W Type of crib rib meter Crib depth Total effective absorption area y DISTANCE TO: we Building foundation Nearest lot line J J Class _ Depth Driller Distance to lot line PERMIT NO. W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS , ,,i /c+ ki 11 e SOIL TEST RATING INSTALLER LA+e s0 n/ A c. REMARKS / / 7 I A fD I/(� A + DATE LEGAL G/y rl 72-013 (Rev. 3/78) Mur. I C I F *RL- I T',r OF RN0"0F2nl3E \ DEPARTMENT G" -HEALTH AND ENVIRONMENTAL P&IOTECTION 1 825 'L' STREET, ANCHORAGE, AK. 99'- 264-4720 LJELL Fit -4O Or+7-SITE SEL�IER PERMIT uc 11BIa PERMIT NO.' C 810389 ) APPLICANT EINAR A. LARSON PO BOX 227 E.R. LOCATION ELENORA ST. LEGAL LOT 4 BLK B DEBORA SUB LOT SIZE —�94- �4 1 L Lv 10125 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUP18ER OF BEDROOMS = 3 SOIL RATING CSO FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 1 `-Gtc CA m -(y 1 141�s Lo -q-21 OEFTH= O SS 13r-ZnVE---L- C EPTH= -dt THE LENGTH DIMENSION IS THE LENGTH (IF! 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 CIN 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). / 1- 5'�, - . _j I REO SEF'T I C TL�t.1K S I 2E= 103 » GRLLOt�IS ERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING T NSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE UMBER. OF RESIDENCES THAT THE WELL WILL SERVE. TLJO C 2 ? I .PELT I OMS RFZE FZEIMlJ I FREE? --- 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. ' WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS: OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXP I FZES OEGEr1BER 311 1L 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: I 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:__:�i--- _ -------- APPLICANT EINAR A. LARSON / ISSUED BY --�'-'-'_'- -- ---- DATE__J_��_��yC_- V4. 0 Municipality Of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 ,(9071264-4111 GEORGEM. SULLIVAN, MAYOR . j DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION December 31, 1980 Einar A. Larson . Post Office Box 227 Eagle River, Alaska 99577 Permit # 800599, Subject: Lot 4 Block`B.Debora Subdivision!`, A permit issued by this department for: well and/or system has expired as of this date.:, sewer; . Permits are issued on•a'calendar`year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. if there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental cialist I� IIS .I Ii. LNB/ljw Y enc: Copy of Permit SWP/057 I a I1' I '� :I �ii i•.II fid i' I ornwT"r MftLTM RHQ EwL?0.+ffv-'nvm ►+c' gas -L• STt?EEr, f7trt��f#3E, � �9s� 254-4T2A �l—t_ t�NO rJt•�—'= I T� •� 1=17ER faf't`LIrfINT-I�4„•filZ�nli ��C)• ��nh �,�% LEGrIa11 ci�L.� izi UQ �. • Lor S' TYPE a- SOIL TISSORMLIN SYSTEM rMI"JM tPRICER OF BEDROOMS = PERM L T �012;s��Jf rE[T SOIL WING (Sq PT?0R?A TW- F2EoiJ[PED SIZE OF THC SOIL POS-OAPTION 51051£11 C��PTt-1� � [_1E=tVr3Ti-i� �1� t3RT�`v'ECr Ot;I�Tt-t� {.t THE LENGTH DIMETI`SIOM IS THE LE1fi3TIl <<IN FEET) OF THE Tf'£ttCM OR DRHttrIELD. Tt% DCPTH OF A TMJCli OR PIT IS THE DISTArOX SEY'RE£N TIC St"RCE OF THC GROUND f*iD T1le E:O TOM OF THE 83 mVF1rION <IN FEET?. THE.£ Is NO ser WIDTH FOR TFi'Et1Ct&'l TW t3RFrV. DCFnt tS THE MINIMUM DEPTFI OF GRAVEL BETWEE1i THC OUTFALL PIF'C AND THE BOTTOM OF THE EXCF"rION <IN FEET). fps=t�tJ L s.t=0 c>=fa T I C 5ZZE� F£RMIT f l' LIQgNt ►W5 TfIC > CS$5ON'IOILtrr TO ItlFoRM TtltS OFX-ApTMETIT DMIt♦r It6TAI.LATION INspecrIONS OF W? I -ELLS HOJAMIT TO THIS PROFEFTV IVID TI -NE ummft OF RESIDENCES THAT .THE WELL WILL SfJ�s E. SACKFILL:INO OF DEPRRTMENT IJI <2> il�1�fJEt=T*ro IS r�RC I;;GsMUIf2E0 W? !Fc' WITHO�JT f INFL TtiEi' I104 Atm ii£'FROYflL BY THIS LL B£ 51JSJECr TO Prov---oxitom HC ,s MINIMUM DtSTPIJFX OCTWECN A WCU- ANO f34V ON-SITE SE]•tfit"Es DI;PO-4-AL SY-eTEM'IS 108 fCCr FOR A PR I VA TC s JELL OR 130 TO 200 FEET FROM A PUBLIC I -JELL . VCM V I I -M L PON 'THE r!P£ OF PUBLIC 1.1E1 -t - HtNIMJM DtSTPJ= FROM A PRIVATE 1•*11- TO R PRIVATE 5E4EP LINE 15 25 FS[r AMD TO A Ca*UNITY SEI•" LtHC 15 75 rCET. 1• CLL LOGS Fl;.E REUJIFED FUD MJST CE MTM?ED TO tHC O£f Vtf'[Nr WITHIN 3A Days of- nfz HELL r-gt1At.ETIOM. OT►IGR RoijiFEr1ENTS MAY APPLY. 5F£C[FICATIOh15 im CONSTRUCTION DIio T ARE { AYAILAeC.0 TO I"YRE PPOPER 1N6TALLATIOX fit=fQ:M I T t=S{P L REs PElz> MICR 31-A :3.0.:4-ssa ' I CERTI>'r rrWi �, 1: I AM FFVIILIRR WITH THE PSWI1ti KITS FOR CW -SITE SEIJ£RS FIND WELLS W5 SET FORTH By rK tlJMICIPF"rr Or At>t + 2: [ WILL Iti;rRLL- n< $VSTCM IN FfXt320FI6lIC:F 141TH THE CODES 3: t La*CX*5-Tfit1D TF•Wr THE On-StTE _S 4FR S STEM Ilti'r REQUIRE EHt-%'GUKNT IF THE ; RESIDCHfX IS RErr)Oe-CD TO INr.I.QM tUR£ rrM 3 BEDROOM. ' A 0 • Harr jS I.0 d V4_ A i O & E ENG 4EERING & DEVELO SENT CO. • Box 90, Davis St., Eagle River, Alaska 99577 ` 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Earl Ellis 688-2280 Performed for. Name: 671.A1,4 1Z LA4SoN Tel. No.49� Alpo8 Mailing Address: j6c)x 227, EF}<[E /�/✓E/C, 4 . 99S 77 Legal Description: LoT 4, Z541<. B ,de5BC4 Depth (feet) Soil Characteristics 0 1 M c. .5.i-> TP Se,c .276 2 3 n 5 UP— C R 4.7 fY .Selo Y C, -q ✓6t. 6 ✓E.CY PE/✓SE (-5//-r //V /SUG/3T60 7 Et�EA1oAe19 57—, 8 /`fF_o. aoi14Sd — T OPF_N tit//i/o/os 9 / qE— 10- 11 — c T`� 12 . OTOAr C'F � 040 Ground Water Encountered: Yes No t/ If yes, what depth Proposed Installation: Seepage Pit_ Drain Field PLOT PLAN At, --5c,9445 PERC.TEST Earl P. Ellis NO. 1745-E i Performed by: �� ✓ Date: S 6s. Q z5� Et�EA1oAe19 57—, Ground Water Encountered: Yes No t/ If yes, what depth Proposed Installation: Seepage Pit_ Drain Field PLOT PLAN At, --5c,9445 PERC.TEST Earl P. Ellis NO. 1745-E i Performed by: �� ✓ Date: S I m Rl {L LQ f` F •�� 3 r'i i? i s 3 O o > VA. H a z p3 o = La c �• r: i r.E i'i i ci c_c e m Rl {L LQ F •�� 3 r'i i? i s 3 O o > VA. H a z p3 o = La m Rl •�� r'i i? i s is I_ i r.E i'i i ci c_c e G W Q N N L W C9 W I I I Z a F H �ajt O Q 3 O O dud �c�r drJ P r� 1 S 5. LEGAL DESCRIPTION g}dJr1 </pels 81 LATIN MUNICIPALITY OF ANCHORAGE t' DEPARTMENT OF HEALTH B ENVIRONMENTAL PROTECTION 825 L Street • Anchorage, Alrks 99501 MUNICIPALITY OF ANCHORAGE _ P_ . h DEPT. OF HEALTH & S. TYPE OF RESIDENCE ENVIRONMENTAL ENGINEERING DIVISION ENVIRONMENTAL PCOTECTION Telephone 2844720 SINGLE FAMILY AUG 5 1991 �? REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not M procseeag. PIs ete allow ten (101 Heys or pr UV 1. PROPERTYOWNER INDIVIDUAL' PHONE ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) MAILING ADDRESS a FP P. as I PROPERTY RESIDENT (it different from above)PH NE 2. BUYERPHONE1 IIT ang NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. F1 MAILING ADDRESS '5 S • 1 3. L DING INSTITl1T1 N PHONE Mo MAILt G ADDRESS �)�) /7C h _ si 4 REALTOR/AGENT PHONE MAILING ADDRESS P. 33 E !�r Ai• R9S� _ 0633 5. LEGAL DESCRIPTION g}dJr1 </pels 81 LATIN SLI aK4 116(11r- STREET _ P_ . h r � S. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ..If individual/on-site,installation date 1q�` /ver rxj INDIVIDUAL/ON-SITE" adequacy If system is over two (21 Years old an adequacy test is required ystem is two (2) ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) yY D rr THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS GATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING [--]Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding lank Absorption Area Sewer Llne Nearest Lot Line Absorption Area to nearest Lot Line , 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY T 1 C LEGAL DESCRIPTION 72-010 iRev. J//or CHEMICAL & GL LOGICAL LABORATORIES .� ALASKA, INC. TELEPHONE (907).279.4014 ANCHORAGE INDUSTRIAL CENTER — Y74-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER II TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. 1 , . / , t,/• . /S5 Water System Name Phone No. Mailing Address City Stele.. _.... _ ..... Zip Cade _ t rc. L SAMPLE DATE: Mo. Day .. Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. i ❑ Special Purpose m a ❑ Treated Water ❑ Untreated Water SAMPLE NO. LOCATION � I 2 3 4 ' 5 READ INSTRUCTIONS BEFORE Time Collected Collected, r- By / (l 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 Time Received �" o-. Analytical Method: ❑ Fermentation Tube P Membrane Filter Lab Ref. No. Result* Analyst I I � I I m M . •No 01cdo.wr/ 100 ml. or No W Vpvl" pon'mr 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1918 Date collectee source EMB Broth 24 eaYret Bratn e■ n011re1 COLLECTING SAMPLE Multiple Tube Report, 10ml Tubes PONItw/Totel 10ml Portions Wmorens ►eters Dimt Count collto m/looml Verltkstlom LTB B6B Final Menton" Fete, Results •'rte Coliform/loomi Reowted By D.b Time a.m. P.M. CSt `"Sr App