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HomeMy WebLinkAboutDEBORA #2 BLK D LT 2O5d 041 l(S Ooo MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION • 1, w 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Y� 1 M It-, ���vN PHONE NEW 2?�I� ❑UPGRADE MAILING ADDRESS LEGAL DESCRIPTION L-2 �Lat.� O �-fsa ea -et z S rsa LOCATION 151 EN � '� NO. OF BEDROOMS Lam, c..s BL DY Wcll 30� Absorption Brea / DISTANCE TO: �Z Dwelling / �j PERMIT NO. 791-;)2 f 2 W FQ- Manufacturer /) 2 C.�— Material No, of comp a_rnts Liq, capacity in gallons Inside len th IF HOMEMADE: g Width �G Liquid depth d Y Jzz DISTANCE TO: Well Dwelling PERMIT NO. SManufacturer Material Liquid capacity in gallons W = DISTANCE TO: Well Foundation // / / l0 Nearest lyt hn y , PERMIT NO. �s w Z Z ~ No. of lines Length of each li a Total length of nes Trenc idth inches Distance between lines cc H Top of the to finish grade Material benea It the Total ef( absorption area O inches W Length Width Depth PERMIT NO. C7 d a W W Type of [rib Crib diameter Crib tlepth Total effective absorption area m DISTANCE TO: Well Building foundation Nearest lot line 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 el �,✓GP,Og� �O/,r , A, SOIL TEST RATING /^O y p INSTALLER REMARKS T,-4CL E".0 /z5d OT /000 AL. j�� A.c`Z7 r] or 0.1 Iaa. •.aNIN•.• N,1• .••' 0 �M � •• Russell L Oys:w Js • o. 5-c r APPP/R�OVEEDD/7DATE LEGAL wg, o� 6 -7-7 72.013 (R oiwa rlL_1t-1 a I_ I F'FiL_ I T•.e ID F= F=1 rA HClF_F-i(3 E . , DEPARTMENT P`" EALTH AND ENVIRONMENTAL tm"tTECTION 825 STREET, ANCHORAGE, nK. 9_ 0(y Clt-d—_. I TE EEWEF? F E= F? t•l I T PERMIT NO. C 780271 ) APPLICANT TOMMIE BROWN 615 PRICE ST 59504 279 2055 LOCATION ELENIOR:A ST LEGAL LZ ELK D DEBOR:A #2 S/D LOT SIZE 1=1138 SQUARE FEET TYPE OF SOIL ABSOR:BTION SYSTEM IS: TRENCH MAXIMUM NUMBER.. OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 185 THE R:EQUIR:ED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E> En FO IF VA == 1.1 L_Esr4GTH= toto CAF; FAV?E=L_ C•EF'TH= L 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 (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). F= EC -70 Ul I F?EE} •SBFT I C IFnr-JF< _ I =Ez— 1C=y Cy Cl GFiLLr tJ� 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. --- T4JCti C ii !• I tJ 0F=•EC::T I 0r4: • F--lF=_E REG!1_1 I F EC> --- 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F•EF= tl I -- Ew>AF=' I FZE- E>EwC:EtlE3EFQ TfLv AL c9 e .^. 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 RESIDENICE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED/'.' �- ------------ APPLICAt TOMMIE BR. dNl ISSUED EY---- // c tits 2 r'1Ur.1 I C I�1L_ I TY Ci F= F=1r-4CF(A�.r--:Fi0E DEPARTMENT HEALTH AND ENVIRONMENTAL OTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 279-2511 Ot+l-S~ I TE = ELJEFR F E:FRM I T PERMIT NO. ( 77306 ) APPLICANT STEVE CAIN 801 AIRPORT HGTS 272-7939 LOCATION E. F:. LEGAL L2 BD DEBORA SUED #2 LOT SIZE 10138 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BP,)= 185 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: S- SG V� GEF'TH� = PLEr-IGTH= S+_. 1:3FRFI':0EL E>EF}-T- 1 THE LENGTH DI IAENSION IS THE LENGTH CIF! 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'HCICr=HGE F Lt1t�T FRErDu I F<*EO EITHER. A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIR..ED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION. IF A CLASS I SYSTEM IS USED THE LENGTH IS 66.0 FEET. IF A CLASS II SYSTEM IS USED THE LENGTH IS 84.0 FEET. TL4OD C 2 ] I tAI 'FJECT I Clr-4� F=l F2E FREG!U I FZE© BACKFILLING OF ANY SYSTEM 141THOUT 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 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO IN'=URE PROPER INSTALLATION. F'EF2M I T '•SRL I C? F= OFR CDt11E kOE:nF2 F= FROr•1 I �-,UE 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 IPJ 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:___���� AP ICAPIT STEVE CAIN ISSUED I 0 E GE01 -ZHN1 CAL & DEVELL �MENT CO. • Box 90, Davis St., Eagle River, Alaska 99577 ' 694.2774 or 686.2260 Russell Oyster Earl 694 6 2774 SOIL LOG 88-2280 Soils Er Foundations Land Development Performed for: Name: J% E6'E CA/A! Tel. No. Z 7Z — 793J Mailing Address: C166gs �. SPRcE A(� XVct/, Legal Description: LnT 7_ fs'coc-,e j), j)4"4 Sdes # Z p/ Depth (feet) 0 1 Pr- - 124=4 7- 2 3 4 S/LT 5 Soil Characteristics z 7s %06' 6 7 —14&0, &,CAA/, 6 /iYiFZt2,y 8 9 - � � ✓iLT ��� 10 11 12 pR 13 1js77T.t1 sr �t� - 14 15 16 T7ME /G IninliI Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: bi/.4TEFL // ia/ DOGE INKS Sv2x/-IrcS PA24/.v.4GF_ Performed by: February 9, 1978 577027 Tommie L. Brown 616 Price Street Anchorage, Alaska 99504 Subjects Permit Expiration A permit issued by this department for well and/or on-site Bawer installation on Lot 2 Block D Debora Subdivision V has expired since the issue date exceeds one(1) year. In the event you still plan to install the well and/or on- site sewer system, a new permit is required. The original Wil test may be used to obtain a current permit. If the well has been drilled, a well log should be sent to this department to document the installation date. If you have any questions regarding the above matter, please contact this office ir..adiately at 264-4720. Sincerely, Les t1. Buchholz, R.S. Senior Environmental Specialist UM/1jh MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DIS'OSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PURLC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETUR14ED T THE pEPAF:TM_NT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMSIARE A'AIL I:LE INSURE PROPER INSTALLATION. F'E�_ry I T %. FiL I C� SOF_, r c44E_j FF:Cur•7 I'S=.1JE I CEF.:TIFY THAT 1: I AM FAMILIAR WITH THE !:UIREMENjj.A,! ASN SITE SEWERS AND WELLS ASET FORTH EY THE MUNICIPALITY ANCHORA2: I WILL INSTALL THE SYSTIN ACCOANCE WITH THE CODES. APPLICANT TOMMIE L ISSUED BY TE-Zf _'_a-/ -- 7, r•y �_� r -.I x �� � � L I T'4' O F= F=1 t -J i� h''�' �_ H �� E DEPARTMENT yr HEALTH AND ENVIRONMENTAL PROTECTION 2516 E. TUDOR RD., ANCHORAGE, AK. 55507 276-2221 IJELL. PEF:r 011 IT - PERMIT PERMIT NO. f 77027 ) APPLICANT TnMMIE L BROWN 515 PENCE ST 275-3055 LOCATION ELENuRH 51 LEGAL L2 ED DEBORA #2 LOT/TSE 10133 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DIS'OSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PURLC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETUR14ED T THE pEPAF:TM_NT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMSIARE A'AIL I:LE INSURE PROPER INSTALLATION. F'E�_ry I T %. FiL I C� SOF_, r c44E_j FF:Cur•7 I'S=.1JE I CEF.:TIFY THAT 1: I AM FAMILIAR WITH THE !:UIREMENjj.A,! ASN SITE SEWERS AND WELLS ASET FORTH EY THE MUNICIPALITY ANCHORA2: I WILL INSTALL THE SYSTIN ACCOANCE WITH THE CODES. APPLICANT TOMMIE L ISSUED BY TE-Zf _'_a-/ -- 7,