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HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 6R,114� J_ Municipality of Anchorage On -Site Water and Wastewater Program a (907) 343-7904 Page/ of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: Q SPA 6116 7 PID Number: 051 q 91 d1;Z Dwelling: °Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Pupgrade Name: 01-S5G ABSORPTION FIELD EX-1-T7-14ex ❑Deep Trench El Shallow Trench El Bed El Mound El Other Address z // PWK_ bit R Phone 227-7335 Number of Bedrooms Soil Rating GPD/SF Total depth from original grade Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision A' r � Block / Lot iC 1nshi ' V / Fill added above original grade Ft. Gravel length Ft. Township Range Section ng Gravel widthBeds: Ft. Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area Ftz Numberioltrenches Dist. between trenches Ft. Well NA AIA �) NA / ^ /V 4 w ry A TANK Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity C �2 SQ Gal. Surface Water lt��f Q � � Ma Number of compartments Lot Line lO 14 60' — — STEEL. NA FoundationSr l G r� _ LIFT STATION NA Manufacturer Capacity Curtain Drain (,IA f✓N r — Gal. RemarksPump on level at in. I Pump off level at in. High water alarm at In. Pump make and model Electrical Inspections performed by installer dIJ\ PIPE MATERIAL HousetotankExiSfw� Tankto� d_rainfield 30 Drainfield y r,t CO/MT 003 Inspector BENCHMARK (Assumed elevation) lV Q ft Inspection ffi I 7/ p dates: 1 Z ! l6 2n°.--•�j /ems` �6 Location and description � �� S / �0 3m am L� COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval Date �aa as nnn .� °C a • •�°° t�p� ¢5 0 S16Yan W. Eng' •; LC.�� s Ly® Approved N.�, Date Inspection Report9-1-12.doc AS—BUILT MEASUREMENTS A B fco 23 29 ST1 51 9 ST2 59 13 DCO 63 6 L5 Septic Area io_ riot --�--- Y_ Easerlent 25% Slope I+> -I CC EF, New 1250 Gallon I a 6 Septic Tank w/DC[I's w w Decommissioned ❑ld >1+P Septic Tank ER UPC to o 4 Bdrr co 10% Slope! I i ST d Existing] Trench 5% Slope' PPrK h, \�L 9 5% Slop L 1 Water Line L7 Septic Area Fri u H C-) D Z /7c F9 n 0 7u d t F- C-) n � M 70 r D D MX X A N h �n 5 -3- M - m 0 orD 9.Q h r0 3 ro N 0 h 0 3 fo 0 0 _ N D N p n 6o h 0 0 M 3 3v MG (O O p 3 W -{ m UI A h 3 N e 0 z fo 3 n 5 O 3 Q O _h O 3 C! ro v 3 O C .+ M < N A < IF O C+ 3 U Q f� O VI :5 o Ce) 3 0 C1 � N A 3 O 1 h Lq td N h f N N 3 0 N h n A 3 9. 3 ro 3 n S 0 On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161167 Tax Code Number: 05149147000 Work Type: SepticTank Upgrade Permit Effective Dates: June 22, 2016 to June 22, 2017 Design Engineer: NORTH RIM ENGINEERING Subdivision: WYNTER PARK #1 Site Legal Address: WYNTER PARK #1 BLK 1 LT 6 G:1361 Owner/Address: SOLSENG GERALD R PO BOX 298654 WASILLA AK 996298654 Site Mailing Address: 24111 PARK DR, Chugiak Lot Size in Sq Ft: 24673 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE J Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERMELL PERMIT APPLICATION / Parcel I.D. ©Si— 149/— s/7 Property owner(s) A1_4 .Sot--rc—a6 Day phone 227— ?3 o05 Mailing address _ Zd� /// u✓ iC A r � e �4 r� � Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size Zy, 673 Sq. Ft. Number of Bedrooms c� APPLICATION IS FOR: APPLICATION IS AN: TYPE �O`F—'DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Septic Tank Upgrade { (w/wo ADU) Holding Tank El Renewal Duplex (D) El Privy❑ 10 6 7 8 9 10 t Multiple Dwellings El u 7, (SF and/or D) Private Well El RUSH! Water Storage ❑ JUN 2 2 2016 p r 3r7USI;';f , THIS APPLICATION INCLUDES A VARI fV E / WAIVER ~ UEST FOR: t e O[ 6 9 (. 9 Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signatur of property owner or cWhoriZed aqent) Permit/Rush Fees: 0 d Waiver Fees: Date of Payment: to IZZIZO) to Date of Payment: Receipt Number: �� (D �_ Receipt Number: Permit No. OSPI b I I ln1 Waiver No. Permit App_9-1-12.doc TH Imo - ENGINEERING Date: 6/22/16 To: MOA On -Site Services i MEMO Steve Eng, PE, PH (907)694-7028 SteveEngPE@gmail.com Subject: Wynter Park #1, Block 1 Lot 6 Septic Tank Failure Number of Pages: 4 The subject property requires a new septic tank. The tank was pumped and found to contain rocks, requiring replacement. Please expedite a permit so the tank can be replaced. The existing trench will remain. Please review as soon as possible. If there is need for additional information or clarification please give me a call. Thanks -Steve I�"'`Th21M ENGINEERING Wynter Park #1, Block 1 Lot 6 s; SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 4 -bedroom, log home. Most of the neighboring lots are developed. The current septic tank has failed- the trench still functions. These lots are near half -acre and are served by the Dawn water system . No adverse impacts are expected from tank replacement. The easement is depicted on the lot. The driveway is in close proximity to the existing trench; trench is dry.. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • New 2- compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' to property lines. • 4' of cover or insulation is required for tank; an equivalent of 1" insulation for F foot soil cover. Minimum of 2' soil with insulation. Tank & solid pipe must be set on well compacted, stable soil. • 4" diameter cleanouts with airtight caps are required l' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) l"• E' °a sfs0.. storm W. ing DESIGN NOTES: 1. Existing Trench Remains In Place. 2. Sewer Service Line minimum 2% slope. 3. Replace Septic Tank/Decommission Old Tank Per UPC. Connect New Tank To Existing Crib/Trench. 4. Lots Served by Dawn Water System. 5. No Conflicts Within 200'. 6. Check Condition Of Sewer Service Line— Replace If Necessary. lO�Ut"it �5enent L5 Septic Area 257. Slope e +' C Qj £ 0) ul New 1250 Gallon Septic Tank w/DC❑'s W Decommission ❑lcl Septic Tank ER UPC � 0 4 Bdrrl co 10% Slope e e LMT � Existing, Trench 5% Slope e i Pari ,Dr"Je Water Line L7 Septic Area +rrrr�� °F.' N - > ao •''cE NORTHRIM WYNTER PARK #1 ENGINEERING *, 9 4m * BLOCK 1 LOT 6 DESIGN ao Box »o7z+, * Eagle Riwr. Alaska 99577 y� 907.694.7028f�r�7=� ILAYOUT WASTEWATER UPGRADE REPLACE SEPTIC TANK 6/22/16 2 of 3 O d t U N L F- O F- N d O F- 0) L N J L O d5 ao >U 0) L� w rn L- + U C3 x +� N f W 0, Y OJ 4' d 0 F- L O N O 0)d i d 0 U O -C CT W O Woi LO cW <i d' O N O F- 0) L N J L O d5 ao >U 0) L� w rn L- + U C3 x +� N f W IF. W J H - o z Q� w 0- z W Y u Z Q Q J F W U_ F � z W Q i d N 0) N U N Z H Cu d d 3 V) L U U H L Q El v 4' U d ai > O) d Q O o O L s 0l a U U L Q Ol O Q U U OT MJ d N� U 41 o �u 0, LN Cl. d> 4i U i O 3 5 3 LL7 +O PQ E d F- L N O_ E 7:i p � +, U O 4-l! 3 O L - N O)S E N N aN S�4 U '- N CU) L O aN� /) C O 0, a,0 a, C :1 Cl�U 5 LOL.6a p F-06 L, 0-- NU a 00 O)Y� U+' Up�' s 10 Lt' O Vi LJ L L O i' d U i 0l 4 F- U Q) E O 0 NF- (ILUCH N Ol NU Z LL,U� L LU O 3 EY u z aa+ 3a a,3�U o q .-i (U Fb IF. W J H - o z Q� w 0- z W Y u Z Q Q J F W U_ F � z W Q MUNICIPALITY OF ANCHORAGE / O f 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 PHONE —�i'i (��/ l -t( i 7 UPGRADE MAILING ADDRESS LEGAL DESCRIPTION —�— LOCATION NO. OF BEDROOMS i / 7 Well Absorption aeaDwelling PERMIT NO DISTANCE TO: Uy LG f ——�— F• 2 Manufacturer Materia No. of compartme is w iPJL 4 Liq. cape in allons � IF HOMEMADE: Inside length Width Liquid depth z s DISTANCE TO: Well Dwelling — PERMIT NO. 3: Manufacturer —ma—ter-RI Liquid capacity in gallons Foundation Nearest lot line PERMIT NO. m= DISTANCE TO: J w z F, z w No. of lines / Length of each line .7 Total length of line]i Sri Trench width /4 (%inchescc Distance bes tt P- Top of tile to finish grade ( Material beneath the sJ. Total effecttion area O 0 ncesJ v� Length Width [Depth PERMIT NO. Lo L7 C I— a — . Type of crib Crib diameter Crib depth Total effective absorption area ul vi DISTANCE TO: Well Building foundation Nearest lot line W Class ( Depth Driller Distance to lot line PERMIT NO. LC f(( W � DISTANCE TO: Building foundation Sewer line Septic tank Ahsorption area(s) OTHER PIPE MATERIALS ST �C:, ff _ SOIL TEST RATING G INSTALLER — REMARKS I, APPROVED DATE/ 7/LEGAL. 72-013 fay. 31YW -- (/ TYPE OF _OIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER: OF BEDROOMS _ 4 SOIL RATING 50 FT/BR:) 140 THE REQUIRED SIZE OF THE ;OIL. ABSORPTION SYSTEM IS: E-3 F_. Fes. F'""F C.3 F- F -F _._ 1-42-9 o:_u F' F- 9%010=1_. Vi=a EEE_ r ui .: F. THE LENGTH DIMENSION I' THE LENGTH (IN FEET) OF THE TRENCH OR: DRAINFIEI..D. THE DEPTH OF A TRENCH OR: PIT IS THE. DISTANdCa',=. BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION ':IN FEET). THERE IS NO SET WIDTH FOR: TRENCHES. THE GRAVEL DEPTH LG THE: MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE: EXCAVATION 0Nd FEET). IT" IF" C:: 4_F :F: F;; Fes. L + F'_. F=" "T 11: C Y 0 o 1' 4 Fn:" F : =- A- !:_N x A PERMIT APPL.IC:ANIT 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 WII_I_ SERVE. ,...._ _....... -I F,..F N_:u w_: F F F F_:, � a � .. I N_ p 114 " n N fl F R Ev F R F'= C,? k.G 1: F 91EE KT- _,.... BACKFILLING OF ANY SYSTEM WITHOUT FINIAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL.. BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON-SITE SEWAGE DISPOSAL.. SYSTEM I: 100 FEET FOR: A PRIVATE WELL. OR: 150 TO 200 FEET FROM A PUBLIC WELL DEPENdDING UPON iNd THE: TYPE: OF PUBLIC: WELL, MINIMUM DISTANdCE FROM A PRIVATE WEL.L.. TO A PRIVATE SEWER: LINE 15 25 FEET AND "l'O A Cul'lMUNIITY SEWER: LINdE IS 75 FEET. OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONS,TR:UCTION DIAGRAMS ARE: AVAILABLE TO INSUR:Ei. PROPER INSTALLATION. F=" F. 17 _1 B I F'• F .:= F :F. FREE', E> IE= M I CERTIFY THAT 1: .T. AN FAMILIAR: WITH THE R:EQUIR:EMENTS FORTH BY THE MUNICIPALITY IPAL.I.TY IIF ANCHORAGE C'.: I WILL 7:NSTALL.. THE: SYSTEM IN ACCORD : I UNDERSTAND D THAT" THE ON-SITE SEWER RESIDENCE 15 REMODELED TO INCLUDE MORE Nom: F ­ F F-=. : FT' A_. -� Er --€:: FOR ON-SITE SEWERS AND WELL_; AS SET' 9NC:E WITH THE CODES. SYSTEM MAY REQUIRE ENLARGEMENT IF THEE THAN 4 BEDROOMS. SIGNED: .......................................... AF'F'LTCI=It•Il" GEE._C: S,OLE:EI'•di W-4. fE aby 5�rn lhw f=F fi A P --- F4 �= FA as L=':: DEPARTMENT i„ HEALTH `L' AND ENVIRONMENTAL. PROTECTION pony -;/w 825 STREET', ANCHORAGE, AK. 9 9 01. 264-4720 c2 -N-• n:_d H'A -- -E-3 1 F:__ ST EE IAN Ew F -9 F=" F_- F=: F ^ 9 1._11_ PERMIT NO. < ;; AF'P'L.F:CFit••Il' IaERA4..C) SOL.S,ENFG ::.RL BOX 4610 (;E-ILIG7:Ak: LOCATION LEGAL. L6Bi I:.IYNdTER: PARK LOT S•I;_E 9=r:e999 SQUARE FEET TYPE OF _OIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER: OF BEDROOMS _ 4 SOIL RATING 50 FT/BR:) 140 THE REQUIRED SIZE OF THE ;OIL. ABSORPTION SYSTEM IS: E-3 F_. Fes. F'""F C.3 F- F -F _._ 1-42-9 o:_u F' F- 9%010=1_. Vi=a EEE_ r ui .: F. THE LENGTH DIMENSION I' THE LENGTH (IN FEET) OF THE TRENCH OR: DRAINFIEI..D. THE DEPTH OF A TRENCH OR: PIT IS THE. DISTANdCa',=. BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION ':IN FEET). THERE IS NO SET WIDTH FOR: TRENCHES. THE GRAVEL DEPTH LG THE: MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE: EXCAVATION 0Nd FEET). IT" IF" C:: 4_F :F: F;; Fes. L + F'_. F=" "T 11: C Y 0 o 1' 4 Fn:" F : =- A- !:_N x A PERMIT APPL.IC:ANIT 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 WII_I_ SERVE. ,...._ _....... -I F,..F N_:u w_: F F F F_:, � a � .. I N_ p 114 " n N fl F R Ev F R F'= C,? k.G 1: F 91EE KT- _,.... BACKFILLING OF ANY SYSTEM WITHOUT FINIAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL.. BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON-SITE SEWAGE DISPOSAL.. SYSTEM I: 100 FEET FOR: A PRIVATE WELL. OR: 150 TO 200 FEET FROM A PUBLIC WELL DEPENdDING UPON iNd THE: TYPE: OF PUBLIC: WELL, MINIMUM DISTANdCE FROM A PRIVATE WEL.L.. TO A PRIVATE SEWER: LINE 15 25 FEET AND "l'O A Cul'lMUNIITY SEWER: LINdE IS 75 FEET. OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONS,TR:UCTION DIAGRAMS ARE: AVAILABLE TO INSUR:Ei. PROPER INSTALLATION. F=" F. 17 _1 B I F'• F .:= F :F. FREE', E> IE= M I CERTIFY THAT 1: .T. AN FAMILIAR: WITH THE R:EQUIR:EMENTS FORTH BY THE MUNICIPALITY IPAL.I.TY IIF ANCHORAGE C'.: I WILL 7:NSTALL.. THE: SYSTEM IN ACCORD : I UNDERSTAND D THAT" THE ON-SITE SEWER RESIDENCE 15 REMODELED TO INCLUDE MORE Nom: F ­ F F-=. : FT' A_. -� Er --€:: FOR ON-SITE SEWERS AND WELL_; AS SET' 9NC:E WITH THE CODES. SYSTEM MAY REQUIRE ENLARGEMENT IF THEE THAN 4 BEDROOMS. SIGNED: .......................................... AF'F'LTCI=It•Il" GEE._C: S,OLE:EI'•di W-4. fE MUNICIPALITY OF ANCHORAGE Department Health and Environmenta. 'rotection 825 Street, Anchorage, AK. .j501 264-4720 # # # HANDWRITTEN PERMIT Permit #�t�_ WELL.AND/OR ON-SITE SEWER =PERMIT Applicant:)-,E,g« Jp( Mailing Address: Location: Phone Number: Legal Description: l��r/%? Lot Size: Type of Soil Absorption System Is: Trench: Y_ Dra.infield: _ eepage Bed: Holding Tank: Maximum Number of Bedrooms: `E Soil Rating(sq.ft/br) /LO_ The Required Size of the Soil Absorption System Is: DEPTH C _.LENGTH._ . GRAVEL DEPTH _//1 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 thb outfall pipe and the bottom of the excavation(in feet). * * REQUIRED S.EPTIC(HOLDING) TANK SIZE: GALLONS # # Permit applicant has the responsibility to -inform this department during the installation inspections of any wells adjacent to this property and the number ofresidencesthat the well will serve. . * * * TWO (2) INSPECTIONS ARE REQUIRED * * * 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 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 2 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 codes. (3) I understand that the on-site sewer system may equire enlargement if the residence is remodeled to include more tha o$ bedro/of Signer: Issued by:C�U� Applicant Date: //_ " / SWP/024(1/81.) 264"4720 AK- 9.9501 MANOWR I l TCH PERMI i Permit WELL AND/OR ON-SITE SEWER PERMIT / /} 4`Address:l �1 App l.:i�ant: 5 � t`� ��?���� Plx li sly � _ � _ � . Location: _ P � � � �� a � —« Phone Numbob tot: :a ]..TiA!:..•..`.-.__,..-±t: Type of a0t1 l esrrlt'hirrn SyltOm t , e tis ncrtrs , arainfi,elds aecapage Bad'., €lnl.<li:ttq `dank: Maximum NLWibor of BedrQ0Ms: �� Soil Rahi.nl0q.tLN-0 -rha #tegaired Size of the scL.l ihb*rrphlon S,ystftm Iu, a � t DEI''IH Rry �.. L E])iM ._ GRAVEL DEPTH ^� s W f Ul H he length dimenwLan is th, L,nclth(Ln feet) of the tounch or drai.nfield. death of a branch or pit to the ct.i:rt:ance between the surface ac€: of -t na 900und 1, tiro bottom OC the er cavaticrn (in feet:) , %'hese 's ncr scat-wltlth tAt kC� n�titas Int a grav€:l depth -is the minimuM -depth Of gravel between the Outfall pipejt 1 the bohhom of the Qx0avation(in fem). i ..+r ;o- RCOUIRED SEPI-I&HOLVInG) TANK 00C ' �. SALCt1Na V res Lt appL .ranj has the th& dMrrJn��nt cisaeinct t }yc ? f ir.shalJat i.on i0s�poohlons art any t A10 adjacent' to tln s p0poduy aw the nuul)A I of r6sidenc;es that the wall will ;seKya. �. ?WOM IN8PEUIONS ARE l2WU RCO tlaakfilli.nq Q any UYet-.= without tinal insp MOR and approval by this cl,c+dr;r! w> •Lt to subj[acts to prOMMYtON, minimum disi:anon botween a well and any onasriho sewage d.isponal syMm _Ls 1,00 for a private wool or ISO to 200 font from a pmblie wall depending upon the Q; i'F" Uilic well. tilni.mam distance tram a private well to a private 00WO 2 st Q 25 toot and to a community sewer line is 75 feet. Wa7_I- -logs are -raqurst;ars Gild must be retur;'n0d to this dcapartmOnt within 30 daYO oi' the wall- canmp7 cars.€ t. f Otharr zeacl+siremenha may apply, 9pescti.ficationa and ConatrU tion diagrams etre i avas.i_labl e her .insure proper i.n t:all.at i,on. PERMIT EXPIRES DECEMBER j :C caatrl:i.ty that. (. (1) 1 am familiar with the rog4tremem £err_ on-sita sewers and wells ist+ meat forth try+ the Municipality cif hnobaraege, (2j E will in :hall the system in aucordanCO with voden. (3) I Understand that the on-site sawer system may require, onla.egenta�i; 6 the rezidence to remodeled to include move tha ` bedrernss . 100u#md by: � lG �i• Ati,rlLc'attt 0 & E ENGNIAEERING & DEVELOr ME:NT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for: Name:_ � �� �� '5e;) ' 5E A/ (--r _.Tel. No. 6_,Y3 - -9'6 -3( 5,2,EZ/(/0,`1 �! Mailing Address: _ --L— , / box PI -1 r Legal Description: `n 7- 1-3e- c> c /<- /, 1/y �'A/ TC /'. PHA) A/ ? /=� G�• Depth (feet) Soil Characteristics 0 3 4 5 �� O 6 PLOT PLAN 10 — do Sen c G: 11 12 —_--e 13 -- PERC. TEST 14 15 'N 16 Ground Water Encountered: Yes_✓✓_ No___ If yes, what depth Proposed Installation: Seepage Pit_ Drain Field Comments: --- Y Bono .ums eve oe•� A z� Eurl P. Ellis a° °oo NO. 7745-L .° l Performed by: ��el Date: /Lo 6 s 2 Time Date APPLIC NT FILL.3 OUT UPPER HAL ONLY Property Owner '1 f ) ,- /-p Phone > (�i fr ! U � i l � - f� Mailing Address_ lc7 1161" �,�� ='�: r �{ /!- Zip Code Buyer ) Address � Field Nates: Zip Code Lending Institution �' Phone Address AJal Zip Code .ft Realty Co. & Agent Phone Address ( !) APPROVED BEDROOMS Code Legal Description /Zip Street Location Type of Residence Single Family Multiple Family No. of Bedrooms _ _..._ _^ Z %-`�R 3 U Other Size Water Supply U Individual �j� "� F '� WELL LOG. A well log is required for all wells drilled since June 1975. EForlog If [ Community `� r� drilled prior to that dale, give well depth (attach available). U Public Utility Sewer Disposal / ;�= j 7 Individual / _- Year Individual Installed: _L72- Public Utility When Connected to Public Utility: F1 Holding Tank / NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUES'r BEFORE PROCESSING CAN BE INITIATED. Time Date Time Date lime Date Time I Date` D \� G J ._,fes vs C,` Inspector Inspector Inspector Inspector Field Nates: AJal .ft Q4 AXAA ( !) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL. APPROVAL' DATE BY: stad Soils Rating Date Sewer Inlle WAbsorption Area Well Log ReceYved ell To ea _^ Z %-`�R 3 Well to Tank Septir, Tank Size 72,023131&I i :T'"LNI (' t. January 31, 1983 TO: Permit Applicant 9p7i 64-,1i NV riOiIN jTr ,1;FCiION Permit $: 8211.64 Subject: Lot 6 Block 1 Wynter Park Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as staged on the permit, by authority of Municipal Ordinance. If you have drilled the well., a well log needs to be sent to this department for documentation of the installation date and to close the permit. if a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely �C.. "g - Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057