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Home My WebLink AboutAJASMI LT 1A cl, mi Lot I #050- 561 - 12 I~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telel]hone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ,~NEW MAILING ADDRESS Iwell I Absorption area i Dwelling PERMIT NO. ~ ~ Manufacturer Material No. of compartmen ~ ~ ~ WeN / DweliMg PERMITNO. %--~0 ~ < ' Manufacturer/~ Material Liquid capacity in gallons ~ Well , Foundation I Nearest lot dne PERMIT NO. Length qfe h !iqe J rotai~ pf lines [ Trench a ~ ~.¢ -- ~,0 ~ 4~ inci~es Total effective abso ption area ~ Length Width Depth ~ PERMIT ~ ~ Type of crib Crib diameter Cdb depth Total effective absorption area ~ Well Buildh~g foundation Nearest lot line ~ DISTANCE TO: ~ Cia Depth Driller Distance to lot line PERMIT NO. ~ ~ DISTANCE TO: ~ Building foundation Sewer Hne ~ Septic tank Absorption area(s) PIPE MATERIALS SOIL TEST RATING REMARKS J APPROVED -- -- 'S~h'~~ ....... DATE LEGAL SULLIVAN' WATER' WELLS P.O. BOX670272, CHUOPAK, A£~',$KA995~i?. TE~EPHONE68~.~?S9 · · --' .......... ~.--~ .... DE'ITII O~ WELL ~' '~:. ~". "~,. :' ":.'" ...... --" ~:-'-' ---' .':-~--: :"-~'-- · ST'S~iS Lev.et GALS. PER HR <~PE~MIT ~IJ~:IBER .... .=. .... I~Ni:)' OF FgRMATfON ~,Z~ 0 ~, I ~ . .: ..: ............................' '.' -- -~" ~ -- ,'. Fn)m ~.~. ' ' .............. ~ ..... Fro~ ' ~ .... ~ ~':': , . F'~o.~ ...... Ft. ~(, ...... ~:~. _.. ............ ........... ,.--~.. ~._:.~; From~F~. to ..... FI.~O. :__ _ F~ ~: '- -':'.T ............... From.~...:._Z-FL' I~.. .... ~ ..... . , . ' ........................... Ft. ~o .... F~ ....... ~ ....... ~ (~ .... ~', ............... ... , . ~ron) ............. .{-:.:=Y~Ft: ~o.. _&..'__ F~ ........... ' _ :: u._� u .. _�_ �._..,• .., li.:.._;! L._._ 1 u ,i L_..{ TO— you in designing D1=:1-=ARTI"fEN T DEPARTMENT uF HEALTH AND ENVIRONMENTAL PROTECTION Cf--' S25 i.... STREET, ANCHORAGE, G AK 9950:1. �• '.�F_- i: 10. .11.—'iI e.._'4. f 264-4720 TO F'IF'E BClTTnI`i (E=T.) PERMIT NOR DATE ISSUED: APPLICANTN r`-'i1:)DRESS CONTACT PHONEa LEGAL DESCRIP: LOT SI..'_E„ MAX BEDROONS2 850372 07/01/85 LOUIE H. SHAW SR 2421 EAGLE•. RIVER RD, EAGLE RIVER, ALS:. 99577 279-0602 Sl_JBDI'tirISIClNi NA SECTION: lU TOWNSHIP: 13N LOTm NA BLOCKN NA RANGE: RIE Listed below are the options available to you in designing your. <.::>ept.i.c system. Choose the option that: best fits your site. f�_ :=_ FP'41 li 4 '.�F_- i: 10. .11.—'iI e.._'4. f DEPTH TO F'IF'E BClTTnI`i (E=T.) 4.o 4.0 40-D GRAVEL DEPTH (FT.) 8.0 0.5 3.5 TOTAL DEPTH (FT.) 12.0 4.5 •7., 5 GRAVEL_ WIDTH (FT.) 2.5 17.0 `.°;„ ci GRAVEL.... LENGTH (FT.) 24.(::) 34.0 41.() GRAVEL VOLUME (C:U„ ` DS,.) 18.9 21.5' 30.411. TANK SI?h. (GALS) 1,000.0 1,000.0 = 1,000.0 SOIL RATING (SO . F -T . !BR) 125 125 125 T(ilaK MUST HAVE AT LEAS -1 TWO COMPARTMENTS I certify that-., 1, 1 airy: familiar with the requirements for on-site sewers and wells as scat forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2.. 1 will install 1. the system in accordance with all. MOA codes and regulations,, and in compliance with the design criteria of this permit_., _. 1 will adhere to all MOA and State of Alaska requirements for the sot back distances from any existing well, wastewater disposal system orpublic: sewerage system on this or any adjacent or nearby lot,. =!-,. 1 understand that this permit_ is valid for a maximum of :T bedrooms and any enlargement will require an additional. permit. IF A LIFT STATION N I S INSTALLED IN AN AREA COVERED BY MOA i BUIL))ING CODE'_i, THEN (1) AN ELECTRICAL PERMIT T AND INSPECTION MUST BE OBTA I. NED (') AS -BUILT` WILL NOT BE A!`'F'h:OVED WITHOUT 1iN ELECTRICAL INSPECTION REf-•'GFtT i AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE,. � APPLICANT- LOUIE H. SE••IA — 1 .:_l c.! E i:_ DATER -Municipauity of n l ovage P06,, -f 6-650 ANCHORAGE, AI_ASICA 99502-0650 (907) 264-4111 TONY KNIOWi,FS, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION! Permit #: 840348 January 31, 1985 TO: Permit Applicant SUBJECT: T13N RlE Section 10 Ski N,'-, NW, SW 4 NW 4 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as -built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supe visor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/0 5 7 ~IIJr~ICIPAEIT,~ OF 8r-~CHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 2~4-4720 ' O1'-.I--$ I TE SEI~,-IER ._-% WELL PERM I T PERMIT NO: DATE ISSUED: 840~48 05716784 ~PPLICANT: ADDRESS: ]ONTACT PHONE: LOUIE SHAW SR 2421 EAGLE RIVER, 279-0602. AK 99577 LEGAL. DESCRIP: LOT SIZE: ~ LOT LOCATION: ~X BEDROOMS: SUBDIVISION: NB SECTION:-iO TOWNSHIP: 54?80 (SQ. FT. OR ACRES)' Si?2'NI?2.NWi?4 SWi?4 LOT: NR BLOCK: NR RANGE: LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE: )EPTH TO PIPE BOTTOM (FT.) 3RRVEL DEPTH (FT.) ~0TRL DEPTH'(FT, ) 3RRVEL WIDTH (FT.) ]RAVEL LENGTH <FT.) SRRVEL VOLUME (cU. YDS.) rANK SIZE (GALS> ~OIL RATING (SQ. FTi/BR) ** TANK MUST HAVE RT CERTIFY THAT: TRENCH BED ~. g,RBIN 4.0 4.0 4.8 8.0' 0.5 12.0 4.5 ?.5 2.5 17.0 5~0 24. 0 -~4. 0 . 4i. 0 lB, 8 21. 4- 1, 000. 0 ** i, 000. 0 ** i25 i25 LESST TWO COMP~RTMENTS 1. I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL. INSTALL THE SYSTEM IN RCC~RDRNCE~ ~ WITH ALL MOB CODES AND REGULRTIONS~ " AND IN COMPLIANCE ~qlTH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK · DISTANCES FROM ANY EXISTING WELL, WRSTEWRTER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTRND THAT THIS PERMIT IS VALID FOR R MAXIMUM OF 3 BEDROOMS RND RNV ENLARGEMENT WILL REQUIRE RN RDDITIONRL PERMIT. / R;LIFT STATION IS INSTALLED IN RN ARER COVERED BY MOA BUILDING CDDES, ;HEN (l) RN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTRINED; (2) RS-BUILTS ~ILL NOT BE APPROVED WITHOUT RN ELECTRICAL INSPECTION REPORT; AND (~) THE ~LECTRICRL~'~T BE DONE BVA LICENSED ELECTRICIAN. '.: ;IGNED ~_ _~____ .~_~.~ DATE: iPPLICRNT: LOUIE SHAW ' ' · , . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG ~ PERCOLATION TEST PERFORMED FOR: Louie Shaw DATE PERFORMED: 5/]/4,/83 LEGAl_DESCRIPTION: T13NRiES10$½ofN½ orS½ ofNW¼ofSW¼of NW¼ (Unplatted) 1 4- 5- 6- 7- 8- 9- 10- 11 13- 14- 16- 17 18 19 2O COMMENTS Organics SLOPE SiTE PLAN Bottom of Hoie 4381. E Visual absorption WAS GROUND WATER S ENCOUNTERED? · NO ~L E IF YES, AT WHAT DEPTH? Time Time Water Drop ............... Visual .......................... ATION RATE (mlnutesfinch) TEST RUN BETWEEN FT AND -- FT ~aded gravel with a large quantity rat~.nq of 17'5 Ft.~/Bedroom. of cobbles. PERFORMED BY: M. Anderson CERTIFIED BY: M ~ Anderson DATE: