HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 8 LT 15 MUNICIPALITY OF ANCHORAGE
~-:,,"~ ~'"~.~.~. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SI'rE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION RI:PORT / .__
-- PH O-N~ T
__ _ [] UPGRADE
MA,L,NGADDR S _ q
LEGAL DESCRIPTION
LOCATION ~t~_ ~ ~/( ~. NO' OF BEDROOMS ~
Well Absorption a~e~ Dwelling PERMIT NO. ,~ ~ ~
~ ~ DISTANCE TO: ~O ~* ~ ~q q~ O
~ ~ Manufacturer No, of c~rtments
~ ~ Width Liquid depth
Liq. c~acity[~3ingallons IF HOMEMADE: Insidelength~ ~ ~ ~ ~
0 Z~ Manulacturer~ [- ~ Mate~ ~iquidc~aciwin~allons
~ DISTANCE TO: ~O~) ___ '
~ ~ ~ ~n~ -~ Trench widdz Distance between [~es[ __
~ No. of lines Length of ea Total length of e
Length ~ Width Depth PERMIT NO~
~ Type of crib ~ Crib diameter Crib depth Total effectiv~or9tion area
~ Well Building foundation Nearest lot ~ine ~
~ DISTANCE TO: .....
Cla~s ,/ Depth Driller Distance tdl6~'[lne .~ PERMIT NO.
~ Buildingfou~d~,~ Sewerl~c Septictank [ ~, Absorptionarea(s~ 0(~ ~'
~ DISTANCE TO: ~d ~]-- .
PIPE MATERIALS
SOIL TEST RATING
/ I 20t
INSTALLER ~
APPROVED DATE LEGAL
PERMIT IqO.
RF'PL I CRNT
LOCRTI ON
LEr3RL
JIM EFIMEL
RIDGEYIEN
L 15 B 8 ~'l"r PARI< E,STRTES
SRR BO',:',', i592'""B 9~507
LOT SIZE
TYPE OF SOIL RBSOF..'BTION SYST[.'".~'I IS: TRENCH
MF1XIf'ILIM NUMBER OF BEDROOMS = 3: SOIl.. RATING (SC! FT,."BR)=
THE RE(~UIRED SIZE OF THE ':""=,LIIL HB~URPI'" "- ..... ION _.,~=,rE. II':"'"'- ", I=,."""
l
'344.-9446
24¢
THE LENGTH DIMENSION IS 'EHE L..ENr~TH <IN FEET) OF THE TRENCI4 OR DRI"IINF'IELI).
TIlE [:'EPTN OF R TRENCH OR P~'¥' %5 THE D~STFINC:E BWrHEEN THE SURFRE:E Cfi.'. TIlE
GROUND RND TNE BOTTOH OF THE EXC:RVRT~ON (~N FE[-"f).
THERE ~2; NO _,E r HIDTHI OF... Ti..ENCltEz,.
TIIE GRFIVEL DEPTH ZS THE MZN'rMUM DEr:'TH OF GRFIVEL BETHEEN THE OUTFRI_L PZF'E
FIND THE BOTI"OM OF THE EXCR',/I~TION ,,'ZN FEET).
PERMIT RPPLICRNT I-'IRS THE RESPONSIE>,ILITY TO INFORI"I THIS DEF'RRTMENT DURING THE
INSTf:ILL.F1TION INSPECTIONS OF' ANY HELLS RDJFICENT TO THI:S PROF'ERTY RND THE
NUMi3ER OF RESIDENCES THFIT THE NELL. NILL SERVE.
-r[,4[li ¢-[ ;:2 ), I tsI [~.:;IF¢ E; C':"l- I Oi'-,tS FIRIE F,~."EE~.Lt ~
BFICI:.'.'FILLINO OF RNY SYSTEM HITHOUT FINAL INSPECTION f~f.,ID RPP.ROYRL BY THIS
DEF'RRTMENT HILl_ BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE DETWEEN R HELl_ AND FINY ON..-.SITE SEWRL3E DISF'OSRL SYSTEM IS
lO0 FEET FOR R F'RIVfll'E NELL~ OR
i58 TO 2¢8 FEET FROM R PUBLIC HEI...L DEPENDING UPON THE TYPE OF PUBLIC NELL.
O'FHER REQUIREMENTS blRY RPPLY. SPEC:IFICRTIONS AND CONSTRUCTION DIflGRRt'IS RRE
RYRILRBLE TO INSURE F'ROPER INSTRLLRTION.
F' IE I~ t"1 ][ l'" E ::'41'--~' Z R E 5; [:, E IS: E f'l E; F,,? R 3: :l. ~, :.t ~'¢ '~"" E:
I CERTIFY THAT
2L: I AM FRHILII:~R HITH THE REC. UIREMEN'rS FOR ON-SITE" SENERS AND HELLS RS SET
FORTII BY THE MUNICIPALITY OF RNCHORRGE.
2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE HIl'tt TI4E CODES.
Si: I UNDERSTRND THRT THE ON-SITE 5ENER SYSTEM MRY REC~UIRE ENLRRGEf,IENT IF THE
RESIDENCE IS REf~OBELEb TO INCLUDE MORE THRN ~ BEDROOMS.
......
:,., I UNED ........................ ~
FtPPL l CRNT ¢IH EMMEL
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A · ANCHORAGE, ALASKA 99507 · PHONE 344-?07!
SOILS LOG
16
18
20
Soil Type Water Level
Remarks
Total Depth of Excavation //__~ Material at Total Depth
Groundwater Bedrock
Not Reached
Depth~ if Reached
Not Reached
Depth, if Reached
Classification Method
h
Visual
( ) Sieve Analysls
Gary F. Player~ Consulting Geologist
RECE
Certified Well
For ...................... Jame~ ~mel '
Lo=on ~,';.. /.: zrz~: ~ '~".;':'":.,.:' ......... :'~::','"~ ..........
· . ........ - ............. : ...... ........... .,..:. ~..:.~.~ ....... ,. .............
Date com-lo*oa i~oril, 1978 '
Depth o[ well ~3 ~ ,, ~: ''~
..... .............. ....... :":~"7~ '?'i':';: ............ :~;": ................ ::::" :: ....
Si~e of ~,ing ........... ..6. Y....~.~.2.,..,:,., : ,.. '- ........................ ......................
Distance to rater....~..5.,,~ ......... ..... :,:, -
D/stance to water while pumni'iiv ~ :
· . ~ er"?,:.-...r...,: -~-, ............................... ,....,at rate
o~ .......... :.~..~. .................. :.-..~";.",i
Description of I~orma/mm,. ,~,, ,? :.,~. ~,- from
.., .... ~.~ ~:.~.~:~ ~. '~ ~ . .
.... . '. ',-., 93
Brown t · ll~harg-~-~+~.-~. - -' .o ~ 135
Sandy ela~. ~.-~-~.~:~j~T~' .... ,. ~ I 170
_. .. '4~' ~- - /~ .~.,'~ ~% .... , ~ ,
- . '" .,-' ?' :./~:%x.-.,-: ,...,... ' - .
I kertlfy th~/' above-trde hnd correct.
DOTTEN DRILLING CO.
loire's Ro~cl
SPENARD, ALASKA
We advise you to ~-tta~h this certificate to your deed.
I:::'IEF:?.H III T
L E T !ii; ); Z E