HomeMy WebLinkAboutDEBORA #2 BLK E LT 32* OS b 041 4`1 000
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I ENVIRONMENTAL
ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
\
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
P —
9
NEW
UPGRADE
-- Inc Q e
MAILING s DSS 1
LEGAL DESCRIPTION
L -o7- 3a LOG E
bDCAl
LOCATION
NO. OF BEDROOMS
E G
ell f
Absorpuon area
Dwelling r
PERMIT NO.
I (D (O
DISTANCE TO: y -D 10
T
u
E Q
Manufacturer
QIZ.�
Maters
No. of compartments
Fe
F
N~
in
Liq. ca acit gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
DISTANCE TO:
Well
Dwelling
PERMIT NO.
–1OZ
S=F
Manufacturer
Material
Liquid capacity in gallons
p
Well l,
Foundation
F�
Nearest lot line
+-
PERMIT NO. D /
(O
W =
DISTANCE TO:
rO
,u t2 2
No. Of lines
Length Of each lineTotal
-7F7-
IengN of ins
Trenc id
Distance bet we I'
2 W44
F�
inches
s=
7( f
Top of tile to finish grade
MateriaY neath tile
inches
Total effectiverpuon area
%
Length Width
Depth
PERMIT NO.
W
s l–
Type of crib
Crib diameter
Crib depth
Total effective absorption area
Wil
W
Well
Building foundation
Nearest lot line
�'
DISTANCE T0:
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
C A -X T s R oto
SOILTEST RATING
h
INSTALLER
S;7e'
`
R
REMARKS
Q
li
C4
r -
Q
s�
ppgp DATE LEGAL
72-013 (Rev. 31781 V
13 1 hill
t'iLFt 1 I iC I Frit I T'T OF At4t__11 ?n131 �8
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,33
825 'L' STREET, ANCHORAGE, AK. 95501
264-4720
WELL 1=1rJC7 ID r4—'s I TE Is EL•JEF: F"E=f t
PERMIT NO. C 720766 )
APPLICANT GENE MCGOWEN PO BOX 433 694 9202
LOCATION MERCY DR
LEGAL L32 ELK E DEBORAH #2 LOT SIZE 12000 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL EATING CSa FT/BR)= 210
THE'REGUIRED
SIZE OF
THE SOIL ABSORPTION
SYSTEM IS:
C•EF='TH=
11
LFE: r4C3_r f= -4 EF-
"Zi F> F--1tisFE: L C•EE: F'�"TH=
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DR.AINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
i GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
,fi S THEPE 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).
t 1,
F:E�=lL_F I F,-, I--- �EF•T I �C TFir-JF� I „E= 1 yC-1tj GFILLt1r J
i
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.
--- TWO C � } I r4S> -c.T I-1r+F= FIFE F Er--.ILJ I F EE 1> ---
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 DAYS
OF THE WELL COMPLETION.
OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
iAVAILABLE TO INSURE PROPER INSTALLATION.
F'EF:rl I T EXP I 2E'= C•F=CEt1F ER - 1: 1 �• : El
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
RE_IDENCE I5 REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
', ALIC NT
ISSUED BY - 6' JL
V3. 2
Percolation rate
R
Signed
minutes/inch
Steven A. Johnson
Soils Log
••
Box 76
Percolation Test
Chugiak, Alaska 99567
�•
Phone: 688-3085
Performed for
Gene McGowen
Date 8/16/78
Legal Description
Lot 12 Plonk r Daborsh #9 SubdlyislAn
Test Pit Location
30'S and 12514: of the Ny- rnrnor
0
0'- 5' light brown silty clay
with some organics
CL
(CL)
350 ft2/bdrm
2
sandy zone in—c er,7Mick at 3'
4
'•v
GM
50- 6' .gray brown silty sandy
gravel (GM)
ft2/bdrm
225
v.0
6
6'- 15' gray brown well graded san y graveT with
feet
some silt (GA' -GM) and
boulders to two
130 ft2/bdrm
r
y)
B
GW -
w
Gvl
a
10
u
a
12
14
no water table encountered
Total depth this test 15 feet
16
AVERAGE ABSORPTION AREA REQUIRED FROM SOILS LOG - 210
ft.2/bdrm.
Percolation rate
R
Signed
minutes/inch
r�.
10,
au-uv�-.
w
_
t
• C
10,
au-uv�-.
w
Af TJ1t. TJX 'r',iNon of cwloq;<.1 Ina C•p_ jC.I Surwfl
)ODI PUr4.Pl,• O,ir,
A,<Iwr.q., AI.l:4 9553i
F^SE FOLD ,,ORM
STAPLE oR uit-c OEPU(TAE,T Of MATVIWL AES"ACIS
V A T[ A ..I+ . t
Cotten—Magnuson Drilling
'I l^'+1;pr pf vtll
i WD801
Dr .l inq Ia..1'M .4•r '7 5
Nrw,
4vD4 i,; 1.w,
Lot 141 o<, fr.<t .on S•<t;on 1w, TO -n ,.nqr FF rP,n„ .
Deborah
32 E
+ + + ./S ESvt,
O4t.n44 .n4 D.,.<ll.n Era• Ao.4
Intpl.CllM♦
) O'rn E< OF Y[LL:Gene McGowan
1/
Mercy Dr. two blocks
off of
Adores.: ` l•
Old Glenn Hiway
Merc, Dr.
stI-It 0441-11 .-4 Ar.. UI brn
Lo, .00.
EF Ele River, Mk. 99577
1 WELL LOC
I.ane.
inie.n•1+
4 %,[.L :IPT-I (co -p 4 1.41 S.rf.l. 04,.(10"
Cot* of (o.pl.11on
n.rvin Tr^r
w'r.,.
IT" 6.tto'.
cl
Stra,
210 It.
1C'-11-7 A
i IL'_
0-5
5'
s [](.44 tool,4l.rY `jo.lr.n �D„q
1—) A,<,r D:.ttic `)&,I., LJ ot,.,:
—
5-7—
2
e7-
3
q`_flnlga
2116
C
USE [�io,raK Couu11<S..P,1, �i^aelt/f
f�!-�
lora f5ec r.r�• I ;(o,+ -e r,,la
—=T-5T.Ona
L------..,. -."- --
Ljo•n1r
J 5
77
(A$I,:: 1 ...4.4 ..W., n (� Ai... G got.
in t, a:I ar4.. ft.
a.^.o el ore
c'r Z
-' tl—'�
In. to _rt. erpl' ..,vnt 17 lb,/ft.'
-
---!
ori,. soon C,., 0"'!
r— ---
F-71 NISI (f YCI:
✓Fen };ole
f.tt.",'
�'—_-----_
-
-- 9 STATI: .<!E< Li.C: i? __,t
--
Tr:. Of ...... _
----"—
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----
'
to G_•p.nL :E,(: L -:o- 1.,4 •..r 1.-. La il t e a t e d
ri. r.l'r„ 1,.: l.1 ... ...
e •
J SA.i T:1C
i• I:-': ..1 .r.il.l11' �i/Cs no
unknown
I 4,Ir, . ....... of Po.1lll. Cent.w.
n.r ;Un
Lman of Crop Hp. ft. :.;.c.tr 4.D•.•
fret
-Type
I
•,:1 4;1in1<t I.! epo,. .. ,
J T.. ^ n-,
I ^ :a C 4ec;p1«.{req
is q[1.:.IIl. [11,.(iGn. 0011..
U� i.'r, ..t -r <...".t(
to,:%. II_.
t ll ( C . . Ct
C
Trail —11 .11 4111 44 n,.r
.y J,1114i<ti.n .no 011 -.port If tru to In. 4.It of ., ..wn.4q• 1n4 L.II.f:
SSRIs^.".nI4
.•q n t•n4
11.0. Box
;04 'oEle River,
Ake �
A44nN:
Do to
for. 07 •,A<
W
�!,
Time
e
Date
Date
Date
-- �a
-v
Inspector
Inspector
Inspector
d r a0
Comments
Conditional Approval -4
r— -
Date Sewer Installed .-r
Permit No.
Septic Tank Size /000
16 `.� f�
1!
Holding Tank Size
Solis Rating
Well To Absorption Area
Well Log Received
Well to Tank
Y•„E.,�,,
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner V0"`l..
�, 1
Phone 1(��
Malling Address
Buyer
Address
'v,
Lending Institution J�
Phone
Address
Really Co. 6 Agent
Phone
Address
Legal Descriptton (yt;rl
�� , (✓. L 3a
Street Location QN'Zr(-' Q( ,
TypeKResidence
Cl Single Family
;
O Multiple Family
No. of Bedrooms
❑ Other
WatSupply
LkIndividual
❑ Community
ATTACH WELL LOG. A well log Is required for all wells drilled since June
- 1975. For wells skilled prior to that date, give well depth (attach log If
O Public Utility
available.
SewDisposal
R- Individual
Year Individual Installed:
❑ Public Utility
When Connected to Public Utility
O Holdina Tank
NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
�!,
G
February 25, 1992
Dilly E. mcGowen
P.O. Dox 433
Eagle River, AK 99577
Subjects Lot 32 Block E Debora 42
Aproval
bepgranted ountil the ifollowingwitems vival neer dhave ebeen ccannot
comnleted=
• The top of the well casing sealed laith a sanitary seal so
that it is water tight.
ell
ad
• Exoseofpthe�Municipalitywofes to the Anchoragewcodeseandamestnviolation
electrical be encased
in conduit.
• The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
• The septic tank pupped with a receipt submitte to this
department.
please notify this department for a reinspection when the
noted discrepancies have been
correctthis ed. i f t2ere4are anv
further questions, please
RP40/p/DII
Sincerely,
Robert C. Pratt
Associate Unvironnental Specialist