HomeMy WebLinkAboutDEBORA #2 BLK E LT 16IG� # oso o4i 33 ado
0so oq{ S+000
MUNICIPALITY OF ANCHORAGE
Heall�' and Environmental Protec'`+n
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESS/
I PHONE
LOCATIONCn �Q"UA aT_ LEGAL DESCRIPTION _ LT
SEPTIC TANK:
DISTANCE / //,� p �1�- NUMBER OF
FROMWELL J�� MANUFACTURER v.2<2e.O_MATFRIAL �-' ✓'Q�'__COPAPARTMENTS
INSIDE LENGTH INSIDE WIDTH-_. LIQUID DEPTH LIQUID CAPACITVIQCO- GALLONS.
[wee i Pe___ - - -
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION Z_NE,AIREST LOT LINE-_/ --OF LINE ?1y
# of Lines DISTANCE BETWEEN LINES -J-1R TRENCH WIDTH*_ IN. TOTAL EFFECTIVE
ABSORPTION AREA _v'y-L� S0. 1 T. LENGTH OF EACH LINE
//DEPTH OF FILTER /
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE % IM. ABOVE TILE __ 6/ IN.
SEEPAGE PIT:
DIAMETER _OR WIDTH_, LENGTH_, DEPTH
Log Crib Rings_- Crib Size: OIAMETER__UEPTH_DISTANCC FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE AP.SORPTION AREA (WALL AREA) SQ. FT.
Well
Class: 4,,6 Depth:
Well Distance To: Lot Line _
Bldg: Sewer Line:
Pipe Materi is
# of Bedrooms:
Installer:
Remarks: 5�5r_ 45T
.¢
4. J. _: i I '21 J
I I
cEw�VQa
UATEd-'%�=%,�IR�OVEo
UATEd-'%�=%,�IR�OVEo
Traffirb Britting
by
A & L DRILLING COMPANY SEP
(r-g 19?74cobc)
BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 6942588
OWNER OF LAND _/ OT /iy.TC H l fie../
ADDRESS /;nX f O 4S" EA.CG ,e/ 7-'/1
/6
LEGAL DESCRIPTION_1 'Ir' A /7 /{C /C F.- Q&.,60 f'4_1
DATE -Started g1 7777 Ended ��
PERMIT NUMBER "77 660-
KIND OF FORMATION:
r
N
DEPTH OF WELL G I G
STATIC LEVEL OF WATER FT. �S /
DRAW DOWN FT. J S
GALS. PER HR
KIND OF CASING 0 O
From 0 Ft. to--L—Ft.
n V -i'4 L'3 Ot;'Pj From
Ft. to
Ft.
i
From Ft. to�_Ft.
Sd4.�o
From
Ft. to
Ft. ,
'I
From 1 Ft. to-2,L—Ft.—
( L e
From
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S'I7N0
From
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FromFt.to__4LE_eFt.
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J, 7-W-v7'E4
From
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Ft
From S i) Ft. to-4L—Ft.
S 9w0
44". z t �RrEFrom
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MISCL. INFORMATION:
(.tW E.« �.PE/=ri.Qi4 Te=e
i fl uinP To !!6 SEi
From
Ft. to
Ft.
From
, Ft. to
Ft. �J~
From
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FL
From
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From Ft.
From Ft.
From Ft.
SG Tr, 5'9 / (5 j f/or.S
45- 70 0 ' fto.r, 7-6/'' of CACI`(,
DRILLERS NAME f' = • <<-
M f:tL.,I -F kr' OF F=l rJCHOrZ—F
TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL 86SORPTION SYSTEM IS:
E>EF�'TH= �1 LEtJGTH= 1S3 GRf=jVEL_ OEF=�TH= 7,
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DP,AINFIELD.
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 15 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION <IN FEET).
REr? U I RFE: r-> SEF}T I C TFitVFL S I 2M = 1OE-+0 GflLLOrJS
--------- F='f:4CKF=l GE F=>L_n"IF OF}T I Or -.1 ---------
A PACKAGE PLANT MAY BE INSTALLED AT THE PEP,MITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OP, YOU MAY BE SUBJECT TO PROSECUTION.
----------------------------------------
--- TWO { 2 ] I hJSF"EiCT I CDrJS fl RE REGeIJ 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 200 FEET FOR A PUBLIC WELL.
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.
F}ERM I T E}CF} I RES DECEME.ER s1..
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT T ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE ;!� REMODELEDfjO jjNCLUDE MORE THAN 3 BEDROOMS.
SIGNED
APPLI
SCHUMUNN
1.5> 7' 7
AND WELLS AS SET
ENLARGEMENT IF THE
ISSUED Byn--=-''�L __ _ DATE _!_ _, V3. 0
DEPARTMENT
OF HEALTH
AND ENVIRONMENTAL PROTECTION
II:1sc n1A
� 6 825
'I' PTP,EET,
ANCHORAGE, AK. 95.
_
.
279-2511
WELL nrJO OFV—SITE
SELJER PERMIT
r
PERMIT
NO. < 77660 )
V-17-%%L&U
.APPLICANT
STEVE SCHUMUNN
147 CRESTVIEW LANE
694 9237,5;CD,
LOCATION
ELORNA ST
LEGAL
LT.16&17 ELK. E
DEBORA S/D
LOT SIZE 6253
SQUARE FEET
TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL 86SORPTION SYSTEM IS:
E>EF�'TH= �1 LEtJGTH= 1S3 GRf=jVEL_ OEF=�TH= 7,
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DP,AINFIELD.
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 15 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION <IN FEET).
REr? U I RFE: r-> SEF}T I C TFitVFL S I 2M = 1OE-+0 GflLLOrJS
--------- F='f:4CKF=l GE F=>L_n"IF OF}T I Or -.1 ---------
A PACKAGE PLANT MAY BE INSTALLED AT THE PEP,MITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OP, YOU MAY BE SUBJECT TO PROSECUTION.
----------------------------------------
--- TWO { 2 ] I hJSF"EiCT I CDrJS fl RE REGeIJ 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 200 FEET FOR A PUBLIC WELL.
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.
F}ERM I T E}CF} I RES DECEME.ER s1..
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT T ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE ;!� REMODELEDfjO jjNCLUDE MORE THAN 3 BEDROOMS.
SIGNED
APPLI
SCHUMUNN
1.5> 7' 7
AND WELLS AS SET
ENLARGEMENT IF THE
ISSUED Byn--=-''�L __ _ DATE _!_ _, V3. 0
0 $ E GE07' CHNI CAL & DEVEL",~�'MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2260
Russell Oyster Earl alis
694-2774 SOIL LOG 688-2280
Soils & Foundations Land Development
Performed for: Name: STEVE .5s1ax1yvI✓ Tel. No..09sl-523%
Mailing Address:
Legal Description: Le 7- 16 , ,AGK. F DEP-o,C,q SlJr'A.
Depth (feet) Soil Characteristics
0
1
ML 51c r Ti� S
2
4
5
6 �� SAUDS� C724d�L w L'a�'LS /
n
7
8 /,00sE
9.
10
11
12
13
14
15
16
Ground Water Encountered: Yes No ✓ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by: /� tee, � Date
77
' 0 £t E GEb CHNI CAL & DEVEL )MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 6882280
Russel/ Oyster Earl Elis
694-2774 SOIL LOG 6gg-22g0
Soils Et Foundations Land Development
Performed for: Name:_:77',✓r.el. No.�
Mailing Address:
Legal Description:( 77, /6
Depth (feet) •1-
11 ,�/ Soil CharacterlsticsJ JJ/
o \
P
9.
� rr
-t �12—
—T c9
t
7o Z. I?
13 L 5
1.� ,
7
15 �.
16
Ground Water Encountered: Yes No '/ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by: –.-----.Date: