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Home My WebLink AboutELJAY TR BeLaimil 54 litAcr [3 MUNICIPALITY OF ANCHORAGE • N t i \ \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME f I c c. /\ l L b PHONE G9q-Zzt3 7 NE NEW ❑ UPGRADE MAILING ADDRESS Sax 89�9'Tally 1Q►uck 4/c ?In) 8 LEGAL DESCRIPTION TR. 13 E1.TRJ LOCATION eat /e R;ue v \/c //� Rd NO. OF BEDROOMS 3 SEPTIC TANK DISTANCE TO: Well / Absorpti i n area 00 '7 Dwelling , N PERgIyO. A, ,�� V b Manufacturer /)NC / ZIONOti r^//J /) MaterialT�EL No. of compartmentski 0 Li capacity in gallons /0C) IF HOMEMADE: Inside length Width Liquid depth O Z 1 Z 1— DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer /�/� Material 1 Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO:GG.. Well /13 Foundatjgn� Nearest irk z_5"rr� PERMIT y{J3 p Ort /., // No. of lin s Length eactyline p Total ler�,gth of lines 5 6 Trench wigth (o O inches Distance between lines Top of tile to finish grade , 3, Material beneath tile , C inches Total effet tiveaptibsorn area ((moo .fS[�// J> SEEPAGE PIT Length idth Depth PERMIT NO. Type of crib N i diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J W Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS SOILTESTRATI G 01( 200 r INSTALLER bt)tUe ✓ IL REMARKS '2Sp.'/ dip,- rs'Yo 1 e 26001 A be /%`G/ 25/ �Y a Pr C.C. �• 09 µ r ee c. 4®.OF114p® Air ....... 4 / e:411 /a,/*49i:a, 7°S • f to C4)„*. `•uo, 0 Robart D. Bush II '. CE - 5333 / 0 /l.: APPRO - DATE LEGAL IP Ae • 4 72-013 (Rev. 3/78) mut4IoIlt_Au-r-vC1F1=11.41-2111-i DEPARTMENT ( IEALTH AND ENVIRONMENTAL rECTION 825 STREET, ANCHORAGE, AK. 99501 264-4720 Fir4D1 E;EWERz P'ER:MIT PERMIT NO. < 830077 ) APPLICANT ERIC E KILE BOX 8424 995O8 694-2223 LOCATION LEGAL TR, B ELJAY LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 200 THE REQUIRE[:' SIZE OF THE SOIL ABSORPTION SYSTEM IS: tED.11-1-11= ILO LEF-D3Ti-1=EL..c)laP-T-1— 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). *=F* -1-I17; "IrEINK .1_17-117-111-71 ir-A9LLONE: 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 -11-140 (a"7.) 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. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETIOR OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. 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 coma 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 IC E KILE ISSUED BY_ DATE_ f S?()10.?•-> Russell Oyster 694-2774 O & E ENG.NEERING & DEVELOr MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Performed for: Name. SOIL LOG L L. /E/ ! i Ocs12 Earl Ellis 688-2280 Tel. No. 6 941- 22 2 3 Mailing Address. � • /S °X /8e '6/964'6 "WE/`i Legal Description. -7Z/9-CT .1 �•�-°� V `; 08z), Depth (feet) Soli Characteristics 0 1 sM $ f 'T; ° 5,A -JV o / aP 5-6 /c. 2 3 4 5 6 7 8 9 10 11 .200 /e,/,12 ./, 13 T1514 e .T%c),,e4 0t •/7- 15 5M E111/47.,1:71 P;(46544/1)) 5.6414 5 /1.7 Co&gz E l-cJOL 4) S 72; Al J" CSC t<E7 S 5 j V L s 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments. No If yes, what depth Drain Field PLOT PLAN AI f5crE PERC. TEST / 7 ,41//v/m/ zpa /•2. .*OFAk �S •.,k 7 Performed by: �`. Earl P. EIIis cc 0 . NO. 1/45-E •�/ J' •• �? ••• •._ (cis i ``alee TIOFESSO Date• 57/ 3/22- (3v 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments. No If yes, what depth Drain Field PLOT PLAN AI f5crE PERC. TEST / 7 ,41//v/m/ zpa /•2. .*OFAk �S •.,k 7 Performed by: �`. Earl P. EIIis cc 0 . NO. 1/45-E •�/ J' •• �? ••• •._ (cis i ``alee TIOFESSO Date• 57/ 3/22- Mori I C I DEPARTMENT OF 825 'L' WELL FirvIEt' PERMIT, NO. t 821082 ) iL I T"r' OF FIt-.ICAIF FRCiE HEALTH AND ENVIRONMENTAL PROTECTION 0 STREET, ANCHORAGE, AK. 99501 264-4720 or -i --SITE SEE EE PEFZMIT APPLICANT ERIC E K I BOSS 8424 99508 LOCATION LEGAL TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS =3 SOIL RATING (SQ FT/BR)= 200 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I5:- IDErTH i LENC31rH= f.501 COF FIVEL pEP'TH= G THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R 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): LOT SIZE 694-2223 999999 SQUARE FEET REOLI I P2CLt E}EP'T I C 3.c000 cFILSO -4s 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 N -,F' P'ECT IONS- : FIf E F EQQtJ I F ED --- 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. 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� EFcM I T EXP I F-cE5~ E7 ECEMBEF X t 15'5 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 I5 REMODELED -TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: APPLICANT ERJ E KILE ISSUED BY__` OWNER OF.LAND ADDRESS LEGAL DESCRIPTIO DATE - Startgd f PERMIT NUMBER KIND OF FORMATI From '! Ft. to From Ft. to From Ft. to Ft t From Ft to Ft From Ft to Ft, / J 2<r -f r vr!{ r From Ft. to Ft: From Ft: to 2 Ft.' From - LL Ft. to <I F From Ft. to , Ft of i From Ft to-ic'ir Ft: 5 From Ft. to - Ft. ` ✓ # +r'J�'rt4 From From From From From From Froth Ft to Ft From - Ft to Ft. (prom Ft. to Ft From Ft: to Ft From Ft. to Ft From Ft. to Et. From Ft to Ft From Ft. toFrom Ft to Ft. From Ft to Ft Ft. to Ft:. Y >°' T r ... From• Ft. to fl From Ft to Ft. From Ft. to Ft. From Ft to Ft. From Ft to Ft MISCL. INFORMATION: DRILLER'S NAME