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HomeMy WebLinkAboutDEBORA #3 LT 13DSO U 3Z I z. c000 \\ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street. Anchorage, Alaska 99501 Telephone 26411720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE " nn �7 L/� LZ ❑ UPGRADE MAILING ADDREIS _ S LEGAL DESCRIPTION 2- LOCATION NO. OF RED20OMS Well � Absorpt r Dwelling J ,� PEHMI 110. U Y DISTANCE T0: F-2 Manufacturer rZeeiI M No. of compartments Llq, ca aLL!! lg'nplons IF HOMEMADE: Inside length Width Liquid depth 6 Y DISTANCE TO: Well Dwelling PERMIT NO. JZ2 _ _ Manufacturer Material Liquid capacity in gallons D W DISTANCE TO: Well/ J /36 un u Fon / ,+(„ Nearest to a ,I/., P M T NO . = .� j(�/(/!/Ie1 _JI,:Z No. of lines / Lengt ecfyfing( Total len p1 Yn?v Trefn�, hnnwidtf✓ Distance f/W�ns � W G 1 ✓V inches /l Top the to finis1yg•adef bent 0vile G I,. of ro errun /C' �� Total effective absorption area o .S / . T, .s �% inches Length Width Depth PERMIT NO. W 0 n f- Type of crib Crib diameter Crib depth Total effective absorption area W f1 DISTANCE TO: Well Building foundation Nearest lot line , J Class Depth G Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING 2!7 .e INSTALLER i 1 REMARKS i%,•%1' P '�• Jn� �„ • ,. o" E lie S loor APPRO -D DATE LEGAL r O IS G C Engincc•:ing 7 01 (Rev. 3/7:31 ML_lt1F I O I PRL I Tl -r' OF= n"f_-"C__jF<:RrE DEPARTMENT /l HEALTH AND ENVIRONMENTAL X-nOTECTION r 825 STREET, ANCHORAGE, AK. 95 -Ji 254-4720 Oto -S I TE noEWEFZ F}EFZP1 I T PERMIT NO. C 810773 ) APPLICANT HARRY WITMAN X SR BOX 196X 99577 694-2387 LOCATION LEGAL L 13 DEBORA S/D #3 LOT SIZE 15000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BP,)= 238 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 11 E>EF"TH= E3 L_EtJGTH= t C3F0FlV EL ©EF'TH= O 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). RE LY I REC7 QEF -r I C TR"K S I 2:E= 1O00 C3RL_L_CD"n3 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. --- TWCA C 2 7 I t4noF'E=C K I CAtA03 RFZE FZEQU I FZEQ 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. OTHER, REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F`EFZPl I T EXP I FZEny OEC E=VlE3EFZ _TKY AL Sac 1 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:---------------------------------------- APPLICANT HARRY WITMAN cIti ISSUED BY ------------------------------GATE �_L1_Sl------ V4.0 MUNICIPALITY OF ANCHORAGE Department _ Health and Environmental lrotection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT WELL AND/OR ON-SITE SEWER PERMIT Applicant: W mw,ot, Mailing Address: S2 IS ne ��6X Location: Phone Number; h 9 c` x 3,? 7 Legal Description: L/ 6 .0 eiy� * Z Lot Size: ) . an n Type of Soil Absorption System Is: Trench: t/ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: _ Soil Rating(sq.ft/br) J.3 f The Required Size of the Soil Absorption System Is: DEPTH _Z LENGTH :7 1 . GRAVEL DEPTH J5 WIDTH The length dimension is the length(in 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). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ 1/12 0 GALLONS 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 M INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen- will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee 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 this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1 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) 1 will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more thCa�t^3 bedrooms. Signed: issued by: S)`I.LtiL�Q_,c '% , A1 -12t_ Applicant 7 /R / Date: /a- SWP/024(1/81) PERFORMED LEGAL DESCRI 4 5 / ./ 6 7 9 / �t 10 12 13 14 15 16 17 18 r , ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2641720 SOILS LOG — PERCOLATION TEST s/ /—Ty 2395 " WAS GROUND WATER ENCOUNTERED? Ly( JL IF YES, AT WHAT DEPTH? 19 ......... "• �j'J".RoNrt 1 3 A. S 20ore, P DATE PERFORMED: OL, tJ / �60rez--3 SAD SLOPE SITE PLAN ■■NESE■■■_■ Reading Date Gross Time Net Time Depth to Water Net Drop 23 J o �� PERCOLATION RATE `_ / (minutes/inch) TEST RUN BETWEEN FT AND 6 FT PERFORMED BY: S IS S En4innfelrltjy CERTIFIED 72-008 (6/79) I RETURN TO: Division of Geological an, iophysical Surveys (DGGS) 3001 Porcupine Drive (i hone: 277-6615) Anchorage, Alaska 99501 W A T E R W E L L R E C O R D Drilling Company Name - U.S.G.S. Local No. ❑rillina Permit No. STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES LOCATION OF WELL Please complete either la, lb, or lc. A.D.L. No. Ia. Borough Subdivision Lot Block 11b. Fraction / Section No. Township N/S Range E/W Meridian ic. Distance and Direction from Road Intersections l r Street AddressandArea of Well Location 3, OWNER OF WELL: Address: _ 2. WELL LOG Material Type Feet Below Surface +• WELL DEPTH: (completed) ft. Surface Elevation Date of Completion 0- Z - Top Bottom" 5. ❑ Gable tool Rotary Driven Dug r-� LJ Auger ❑ Jetted ❑ Bored- F� Other: n 2-1 L 6. USE: M Domestic11 Public Supply Industry Irrigation ❑ Recharge ❑ Commercial Test Well 11Other: 7. CASING: Threaded Welded in. to L" Zt. Depth Weight >ylbs/ft. in. to ft. Depth 8. FINISH OF WELL: f/ Type: Diameter: Slot/Mesh Size: Length: Set between ft. and ft. Fittings: 9. STATIC WATER LEVEL( 2- / ft. 0 Above 1Raelow land surface Type of Measurement; 10. PUMPING LEVEL below land surface ft. after hrs. pumping g.p.m. ft. after hrs. pumping g.p.m. 11. WELL HEAD COMPLETION: 0In Approved Pit Pitless Adapter inches above grade 12. GROUTING: Weil Grouted: Yes 11No Material; ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity g-p., Type: ❑ Submersible FIReciprocating ❑ Jet ❑ Other: 14. /REMARKS: ]-�- r-�i 15. WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief: Registered Business Name 'Contract License Number —'- Address: Signed: ' Date: , _ Z�, s, k. Authorized Representative Form 02-WWR Copy Distribution: WHITE - State DGGS, PINK - Driller. 4 APPLIC'"NT FILLS OUT UPPER HALE" -ONLY, Property Owngr `/' , SZzr Phone •Malling Address / •{J eC Zip Code ;771 BuyerEh �� f,. Address 21p Code Lending Instltullon SOLI �.�. M — Phone Address ` Zip Code Date^ Realty Co. d Agent Phone Address Zip Code ^\,71 Legal Description t/-�J •( Inspector Street Location , d Type of Residence Field Notes: �CSingle Family MUNICIPALliY O ANCHORAGE ❑Multiple Family No. of Bedroom2 ❑ Other Water Supply 7C 1 1982 Individual ATTACH WELL LOG. A well tog Is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date• give well depth (attach log It available). ❑ Public Utility ( ) DISAPPROVED APPROVAL'�L�Oj` Sewer Disposal ) / Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time M — Date Date Date^ Date C1,11 ^\,71 Inspector Inspector Inspector �� Inspector Field Notes: MUNICIPALliY O ANCHORAGE ENVIR:•l'.:t 7C 1 1982 RECEIVED ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED APPROVAL'�L�Oj` 'n/ , /oo..✓v,c�T ( Z,) -CONDITIONAL DATE 'Z �'��'� B L Y? NNN✓✓vvv.�`��� BY: Solis Ratlnp Date Sewer Installed Well To Absorption Area Well Log Received Aoylllo Well to Tank Septic Tank Size 72423 even -4 s4 W1 Pi PLO. I - Flt itr LOCI Bf Al 'UA December 8, 1982 Harry Witman Star Rte Box 247 Eagle River, AK 99577 Subject: Lot 13 Debra #3 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: YqThe water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. , A four (4) inch cleanout needs to be installed to the sep— tic tank. ° A four (4) inch cleanout needs to be installed to the leaching area. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. RP243/p/EIi Sincerely, Robert C. Pratt Associate Environmental Specialist C o