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Home My WebLink AboutDEBORA BLK B LT 9Sip (ow 0 7""""' *#v50 035 30 1 f MUNICIPALITY OF ANCHORAGE ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ({00 OUPGRADE MAILING ADDRESS S.R. o LEGAL DESCRIPTION r,' ^ k .l_L IXI LOCATION NO. BEDROOMS O DISTANCE TO: Well V 1 Absorption area Dwelling PERMIT NO. Y WQ Manufacturer Material No, of compartments N ~ Lin. cap city in gallons IF HOMEMADE: Insidelength Width Liquid depth 6 Y DISTANCE TO: Well Dwelling PERMIT NO. —ioz _?F Manufacturer Material Liquid capacity in gallons p W= DISTANCE TO: Well /1y t �\ 1 Foundation Nearest lot line PERMIT NO. � u.2 Z W No. of lines Length of each line Total length al li 5es (,) Trench width inches Distance between lines H O Top of tile to finis grade Material beneath tile s 5 i"r" Total off v abso tion area r W Length Width Depth PERMIT NO. df W� Type of crib Crib diameter Crib depth Total effective absorption area W rn DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. W W DISTANCE TO: Building foundation Sewer line Septic tank Absorption &reals) OTHER PIPE MATERIALS 0.1"a 1�1 t. n SOIL TEST RATING INSTALLER s REMARKS Jz D t I Qc t O APPROVED94-95 DATE LEGAL _t r 72-013 (Rev. 3/78 bow r'1FJt�J I r' I r"`+�L I TY ��F k=if-�L.•H^F= t-.��i� DEPARTMENT L, HEALTH AND ENVIRONMENTAL t-OTECTION �GE' 825 'L' STREET, ANCHORAGE, AK. 54501 -Ars� 264-3720 WELL FFrJv or J— I TE 1EL•JER P E-= I PO PERMIT NO. C 7_0506 ) ,� Q� uAPPLICANT ART SAYLES SR. BX 217 EP, 654 LOCATION ELENOR ST LEGAL LT.SBLK.B DEBORA S/D LOT SIZE 10115 SQUAREL94 TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FTIBR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: wtv f CsEFTH= 1.� LEr-,JC3TH= �D GRtl'.�EL L+EFTH= THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN FEET). F:EG:5U I F:EC• _•EFT 10 TF=ir•iu< S I 2.E= lriciC21 GFiLLrAr-a:F. 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. --- TWtA w' 1-2 7 I FJ'SFECT I or-a�7, nFZE REID- F_F I F_EE> 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. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAY_ OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F•ERr•1 I T FEE XF I RE'S L?EGEE: r7FDEFZ - 1.. 1'v+ r I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR OM -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 APPLICANT PART SPYLES ISSUED BY V3. 2 �p�Sia08d.L_ �: L) MUN I C I F' -1 TY (OF= n"C"( ' n0l= zpq? ' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRuFECTION Lhhrll 825 'L' STREET, ANCHORAGE, AK. 99501 2E4-4720 Cr4-S ITE •SEWER PERM I T '�/A , r PERMIT NO. C 790442 ) / APPLICANT ART SAYLES ST RT BOX 217 EAGLE RVR 9I✓'/ LOCATION ELEANOR LEGAL L9 BLK B DEBORA S/D LOT SIZE 10115 SQUARE _BET 1 TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH tiY k ; it ''/ MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 12� 1 2 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C�EF="TH= 12 LErJC�T,H= 27 THE LEFJGTH DIMENSION IS"T�E LENGTH CIN THE DEPTH OF A TRENCH OR' IT IS THE DIS GROUND AND THE BOTT M F THE EXCAVATION THERE IS FJO SET W D F R TRENCHES. THE -GRAVEL DEPT THE MINIMUM DEPTH AND TO BOTTOM 6` E EXCAVATION�(IN E REiGU I F}TIC T PERMIT TION PLIC, HAS THE RESPONS INSTALL IJSPECTIONS OFlANY NUMBER 0k FESI EFJCES THAT TF{,E l WE --- TWQ C2? IRF- BACKFILLING OF ANY SYSTEM WIT DEPARTMENT WILL BE SUBJECT TO FEET) OF THE TRENCH OR DRAIHFIELD� t� TAF�E BETWEEN THE SURFACEF;JTHE CIFEET). �A BETWEEN THE S I ZE= 1C-+Gl1:21 UTFAL !'P PFS} C3nL-L4r-j j BXgTY TO INFORM THIS DEPARTMENT DURING THE ELS ADJACENT TO THIS PROPERTY AND THE L! t� LL SERVE. i .CT I OrJS RFSE REGU I REF? --- FINAL INSPECTION AND APPROVAL BY THIS iSECUTION. 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. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. F=`ERM I T E:XF3 I RES FJECEM0FEE R 2:1.� I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR OFJ-SITE SEWERS 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 RESIDENCE IS REMODELED TQ INCLUDE MORE THAN 3 BEDROOMS. 'SIGNED ISSUED 1070 AND WELLS AS SET ENLARGEMENT IF THE y,,lprn7 A, ®+5 Sem Hersh l� x.•15 cve !/- C�.lz V3. 2 ?DO LfoSE Ta O & E ENGINEERING & DEVELO V1ENT CO. i- Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for. Name: �/ %2 �-+��% S,fd `7 L16;- s' Te►. �`��`/O�'� Mailing Address: ��P I ` �n�—_2!7 �f11.4' rtle2 Legal Description: 5 IF -3 r� �'aQ i . Depth (fest) Soil Characteristics , 0- 2- 2 3 3 CpL�/�LL b Td �'j /illli�t�`a 8.S-' r - 6- 7- 78 8 10 — Cs :.iviAr� L/O %o PLOT PLAN 11 _ 12 — C.)j"tet L- 13 _ �c'�/ CLQ �n PERC. TEST 14 i 15 16-- �077D QT M tP J/ Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit— Drain Field Comments: Performed by: ��'` ` �/ `�- Date: 1jae. 9 O & E E�=NEERING.& DEVELt`�MENT CO. Box 90, Davis St.. Eagle River, Alaska 995.. 694-2774 or 688-2280 Russell Oyster .1. Earl Ellis 694-2774 ••.. SOIL LOG 688-2280 Performed for: Name: AC7 SA y&f--n; Tel. N0. N 2V - yoo / Mailing Address: 5•R, Bc x -?/7, Eg ;cE P,r/6 e, A-<• 9?r'77 Legal Description: 407-s f3 e? BLOCK U, /�CBoQ/� $rlEc,✓rsio.,/ Depth (lest) Soil Characteristics 0 1 2 3 4 �5 SlJNO W/T.V SfjACC 6 �� f /✓JL L/JYE s o� s/� T 8 e. 9 10 L11 —'�/� L/N/Fi'F..L1 1•�E D. S//ti/O .. .. � 12 13PERC. TEST ML Sic T —14 15 _ " /•-/EA. S9,vo I EA/JE / 2 6/e oe 16 , BoTlr*.s! Ground Water Encountered: Yes No 1/ If yes, what depth Proposed Installation: Seepage Pit_ Drain Field Comments: PLOT PLAN All :5;Z44.E OiW PA IA .A,V' dl /Yo7G� /�co•trP�IJ��.r�% calls C 4/1EP IN �EiiYL / Nf7�t✓/ED Too @lose % G'p ssrlo/gloms'%t, �UE[�, SP�� AW '$ T- pIc Tkerce� ST//�,uTeV 4,vo Ao&,IvV 7v ge- 0 o c/o;?' T /I/tr ibC.ts Iaa/1, Ae Si17/rS T 7� 74, fYb� A�rV %'rse/vc 'afolsle/yt - ,�1 �ko 7d F /E' DA7e° o MtI7g +" MUNICIPALITY OF ANCHORAGE L:UNI DEPT. y i & 9ups.9, DEPT. GT i `lG ...TANCHH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION .'O i' "• •` OKry Ei\TAL I LOiECT10N 625 L Street • Anehoraya, Aladta 96601 ENVIRONMENTAL ENGINEERING DIVISION SEP 17 1979 Telephone 264.4720 R F(� F I � � (� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWETrFAdLITICS' DIRECTIONS: Complete all parts on page 1. Incompleb requaab will net M proaowd. Plasm allow tan (10) days for protesting. 1. PROPERTY OWNER P ONE MAILING ADDRESS TX17 GGIm r�✓�'A ROP TVR IOENI lit different from above) PH ONE �0 GPG Three ❑ Six 2. BUY R /Pd PHONE MAILINGA DRESS 3. LE D N N T TUT PHONE G a C'0 G— ❑ PUBLIC UTILITY MAILING ADORE55 4. REALTOR/AOENT G//t � PHONE MAILING ADDRESS I fq r/ al- ^ S. LEGAL DES RIPTION 6"' 7- Go G r. C i R F C-'# /(/C STREET OCATION G0 Al o !� 6. TYPE OF RESIDENCE NUMBER --"'SINGLE 1:1One ❑ Four ❑ Other P FAMILY ❑ o ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATERS Y EV 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 lattach log if available.) S. SEWAGE � DISPOSAL SYSTEM self individual/on-site, give installation date �J [LI INDIVIDUAL/ON-SITE�e If system is over two (2) years old an adeq acy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) 'A�� -.)kw qLS 0 -ii X.71 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED � TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ 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/ONSITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLEO 4fttic Tank or ❑ Holding Tank Size: `A_ If Tank is homemade give dimensions: INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Aree Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS %APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE e^q0 BY Title) LEGAL DESCRIPTION »ntn toe., eros