HomeMy WebLinkAboutT15N R1W SEC 8 LT 56AfsiCSN gilt)
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FNVlRONMENTAL ENGINEERllqG DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
,, DISTANCETO'. IWellj~'O/ ~ IAys°gti~'aroa Dwelling/~ PE,MITNO.
Iq 50 IF HOMEMADE:
tu~ ~ DISTANCE TO: Well]
~ ~"¢~ ~ Top of tile to finish grade~-~/ Material beneath tile.~/ / inches Total ef~cti~, absorption
.j Cla~
OTHER
REMARKS --
Z
----
d13 (Rev. 3/78)
DEPT. OF ENVIRONMENTAL CONSERVATION
SO~/THCE~TAA, ~,O~Z Or?~C~ / ~l~Z/ ~U,,~t ~00~ ,Z~
May 30, 1978
Richard Weis
SR 2 Box 9502.
Eagle River, ~laska 99577
Subject: Lot 56A, Section
Dear Mr. Weis:
We have received and reviewed the drawing you submitted regarding
the proposed location of a Class C well on the subject lot. The
plan is hereby approved for the features with which this depart-
ment is concerned. Enclosed is a certificate approving construc-
tion of the water system. The "Approval to Operate" section of the
certificate must be completed by a representative of this department
prior to putting the well in production.
Sincerely,
James O. Starr
Environmental Engineer
cc: DHEP
Enclosure
J~UNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF t~EALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~NViRONMENTAL F~,O;FCTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION JAN 5 1979
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be precesse,~:l~ ten [~0 days
1. PROPERTY OWNER
PROPERTY RESIDENT (If different from above)
PHONE
PHONE
PHONE
MAI LING AD DR ESS /
PHONE
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] One [] Four [] Other~
(~) ~ []Two []Five
x~ MULTIPLE FAMILY 6)/PLF_..X [] Three ,,~ Six
7. WATER SUPPLY
[~ INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**,' ·
I md v duaJ/on-s re, g ye msta atlon date
If system is over two (2) years old an adequacy test is required
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSP ECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SlX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] I N DI VI DUAL/ON -SITE DATE INSTALLED
[~PUBLIC UTILITY G --"'1~p
Connection Verified ~NSTALLER
[]Septic Tank or [] Holding Tank
Size: ] ~'~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUF~
TOTAL ABSORPTION AREA MATBRIAL
Absorption Area Sewer Line
4, DISTANCES Septic/Holding Tank Nearest Lot Line
WELL TO'. / ~-f.~ ~ [
Absorption Area to nearest Lot Line
5, COMMENTS
[~"~A~'~O V E D FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL {letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
PERMIT
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 "L~ STREET, ANCHORAGE, 8~, 9~50~
780225 )
AF'PLICANT
LOCATION
LEGAL
RICtiBRD NEIS
MCGONAN ST
L56A S8 TiSN R~N SM
99577
LOT SI~E
694
46000 z,:.LJAF. E FEET
TYPE OF SOIL. 8BSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING
THE REQUIRED SIZE OF 'THE SOIL. ABSORPTION SYSTEM IS:
THE: LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIEL.D.
THE DEPTH OF 8 TRENCH OR PIT IS TAE DISTRNC:E BETNEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION ,.'.IN FEET:',.
]'HERE IS NO SET HIDTH FOR TRENCHES.
THE GRW,/EL DEPTH IS THE ~INIMUM DEPTH OF GRAVEL ~ETHEEN THE OUTFALL PIPE
HND 'THE BOTTOM OF THE EXCAVATION ,.'.IN FEET).
PERMIT RPPLICANT HRS THE RESPONSIBILITY 1'0 INF'ORM.THIE; DEPRRT'MENT DURING THE
INSTALLATION INSPECTIONS OF ANY NELLS ADJACENT TO THIS PROPERTY AND ]'HE
NUMBER OF RESIDENCES THAT THE HELL Nit.l. SERVE.
~ACKFILL. ING OFF 8NY SYSTEM NITHOUT FINAL INSPECTION 8ND APPROVAL BY TAI$
D~RTMENT HILL BE SUB.~ECT TO PROSECIJTION.
MINIMUM DISTANCE B'ETi4EEN A NELl. AND ANY ON-SITE SEI4RGE DISPOSAl. SYSTEN IS
100 FEET FOR R PRIVATE NELL] OR
:t50 TO 200 FEET FROM R PUBI.~IC NELL DEPENDINO UPON THE TYPE OF PUBLIC NELL
OTMER RE~.UIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAII_.A~LE TO INi~URE PROPER INSTRLLRTION
PERD1 I 1- E:~."P I RES
I CERTIFY TMRT
l: I HM FAMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEHERS AND NEt.L% RS SET
FORTH BY THE MUNICIPALITY OF
2: I HILL INSTALL THE SYSTEM IN RCCORDRNCE NITH THE CODES.
~: I UNDERSTAND THRT THE ON-SITE SENER SYSTEM MRV REQUIRE ENLARGEMENT IF THE
RESIDENCE IS RE~O[:,EI_~ TO INCLUDE NORE 'THAN
S
PPt::ZCaNT : RICHARD HEIS