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HomeMy WebLinkAboutNORTH WOODS BLK 2 LT 2North Wood lock 2 Lot 2 051-741 -17 Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101125 05174117000 Septic 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 Upgrade Permit Effective Dates: August 12, 2010 to August 12, 2011 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: NORTH WOODS Site Legal Address: NORTH WOODS BLK 2 LT 2 G:1559 Owner/Address: HUMMEL DAVID L PO BOX 672462 CHUGIAK AK 995672462 Site Mailing Address: 22906 NORTHWOODS DR, Chugiak Lot Size in Sq Ft: 33500 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y SepticTank 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. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-741-17 Property owner(s) Hummel, David L Mailing addressl9718 Adrian Avenue Site address 22908 Northwoods Drive Legal description (Sub'd., Block & Lot) North Woods S/D, Block 2, Lot 2 Legal description (Township, Range & Section) Lot Size 33,500 Sq. Ft. Day phone 688-3364 .Zip Code 99567 .Zip Code 99567 Number of Bedrooms 4 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pannone Engineering Services, LLC,,~~_/~~ (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: ~ ~ ~ / : ~ ' _ - I ~ / / /~XISTING ~ ~SEPTIC TANK. ~ ~ / / ~~~A~AN~ON P~m CO~. ~ ~ / / / ~ ~ SEEPAGE BED. - /~ / ~EE~sE~s 4B~ ~o ~ BIOCYCLE SYSTEM ~ ~~~0' ~ ~~ i~/~'' ~vc~~-~ V ~ / FORCE MAIN ..... -~ - // ~RAV~L~m,VZ~AY~ ~'~ ~~]~~OZ.~ ~ / / // / z !.; ~~ ~ ,, / ~ PROPOSED NEW LEACH FI~LD / ~7.9 ~ 50.OLFX20'WXO.SED,~'TD ~ ~ / ~ / ,~ A~ ~AC, COroNeR ~ / / / . , , /~/ / ~ ~ ~,~,~ // / / ~o, ~ ~,,~ /~ ~ // ~ ~o~'~m~ , ~ ~ ~ / / / / / / ,o~s: ~~O~ ~G ~C, ~ ~.oE.~L~'~, o~/~o/~o FOR CONSTRUCTION P,0. BOX 102954 ~NCH0~6E, ~K 99510 ~.~." ~,o,~ (~oz) ~z~-~ r,x (~0z) ~z~-~l ~..- ~.~. s~ ~..'~ ~ ~ '..~i~, ~"=~o' ~"'~~'"" ~. .......... P.I.D. NO North Woods S/D, BIk 2, Lot 2 ~~~.~051-7~1-17 David Hummel~~~'~ PERMIT NO. 22g08 North Woods Dr. ~a~( ~' SWx~xxxx PLaN Chu~,~, ~ ~: ,~ .~~_ s~.~, 1 OF5 SOILS LOG - PERCOLATION TEST TEST HOLE 1 -- 1 -- OR ORGANICS GRAVEL/ ....... GM SANDY SILT 3 BROWN SAND/ ~ ~ 5- SP/SM ~ COBBLES i 6 -- TEST 8 -- HOLE 2 /// 9 -- GM WELL GRADED GRAVEL 10 i / 42 I / / DATE PERFORMED: 07-0'1-10 SLOPE WAS GROUND WAIER TH 2 TH 1 IF YES, AT WHAT 2o~ DEPTH? -0-' X X DEPTH TO WATER A~ER MONITORING? 6.7' DATE: 07/07/10 J WATER NET ~TE R~ING DATE CLOCK NET TIME LEVEL DROP (MPI) TIME R~ING i 1 7-1-10 10:08 4.02" 2 10:38 30 MIN i 4.97" 0.95" 31.58 3 10:39 ~ 4.15" 4 11:09 30MIN 4.79" 0.~" 46.88 5 11:10 4.14" 6 11:40 30 MIN 4.65" 0.51" 58.82 7 11:42 4.05" 8 12:12 30 MIN 4.78" 0.73" 41.10 PEROLATION ~TE 41 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BE~EEN 2~AND 3 ~ COMMENTS: Test hole excavated by P~none En~nee~ng Svc. Test Hole was preso~ed before perc test. PERFORMED BY: Steven R. P~none~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL ~TATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ~~, D a t e NOTES: ~ ~ ~.. ~k~ ~i, o7/~o/~ o FOR CONSTRUCTION P.0. BOX 102954 ANCHORAGE, AK 99510 ~.~..' ;..o~-~ PHONE (~07) 272-2218 F~X (~07) 272-8211 ~..' ~rJ~ Scole ~ls ~rth W¢~ds S/D, BIk 2, ~ot 2 ~~~-741-~7 SOILS LOG Chugi~k, AK 99567--~ ~---- ~--'~*~0~{~5~ Sheet CLOCK WATER NET RATE READING DATE NET TIME LEVEL TIME READING DROP (MPI) 1 7-1-10 10:08 4,02" 2 10:38 30 MIN 4,97" 0.95" 31.58 3 10:39 4.15" 4 11:09 30 MIN 4.79" 0.64" 46.88 5 11:10 4.14" 6 11:40 30 MIN 4.65" 0.51" 58.82 7 11:42 4.05" 8 12:12 30 MIN 4.78" 0.73" 41.10 SOILS LOG - PERCOLATION TEST TEST HOLE 2 2 /.~o / ~-'"'- 3 ~ GM SANDY SILT 5 --- SM SAND 6 -- TEST 7 X TEST ~ ~ HOkfi 2 ~2 SANDY SILT/ / 9 ~ GM ~LL G~DED G~VEL ~2 / / DATE PERFORMED: 07-01-10 SLOPE WAS GROUND WATER ENCOUNTERED? ~ TH 2 TH 1 IF YES, AT WHAT DEPTH? 8' ~ X 2~ X DEPTH TO WATER A~ER MONITORING? 6.7' DATE: 07/07/10 CLOCK WATER NET ~TE R~ING DATE N~ TIME LEVEL TIME R~ING DROP (MPI) 1 7-1-10 11:18 1.79" 2 11:48 30 MIN 2.~" 1.17" 25.~ 3 11:~ 1.~" 4 12:20 30 MIN 2.52" 0,96" 31.25 5 12:23 1.68" 6 12:53 30 MIN 2.67" 0.99" 30.50 PERO~TION ~TE 31 (rain/inch) PERC HOLE DIAMETER 6 inches TEST RUN BE~EEN 2~ AND 3~ COMMENTS: Test hole excavated by P~none En~neering Svc. Test Hole was preso~ed before parc test. PERFORMED BY: Steven R. P~none~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ~~ Date NOTES: ~ OF ~L2~, 07/20/10 ~ ....... ~ ~. FOR CONSTRUCTION P.0. BOX 102954 ANCHORAGE, AK 99510 ~"' ~-':~{~ Sc~e PHONE (907) 272-8218 FAX (907) 272-8211 ~."~m ".~ NTS North Woods S/D, BIk 2, Lot 2' ~~~~-~~~ ..... ,,~ P.I.D. NO David Hummel PERMIT NO. 22908 North Woods Dr. ~i~;.j~~. SWxxxxxx SOLES LOG Chugiak, AK 99567"-'"~--~~s~ Sheet SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE MANUFACTURERS SPECIFICATIONS. 3. SCOPE OF WORK: BIOCYCLE SEWER ABSORPTION SYSTEM AND FIELD FOR AN EXISTING 4-BEDROOM HOUSE. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 6.7 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 6.7 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. EXISTING SEEPAGE BED TO BE UPGRADED TO PRESSURE SYSTEM AND REUSED AS RESERVE FOR PROPOSED SYSTEM AS NECESSARY. Of_) ,, ~'-~'~ ~. ~_< /L~ 6 TOPSOIL .~-< .AD . . ' ' ORIGINAL GROUND TEST HOLE 2_~_ GM -4.0''--- FILTER FABRIC ABOVE DRAIN ROCK _A, suit_6.7, \\\~-DRA~N ROCK O.S' ~OW ~[ ~V. -/.u - -- WATER ~ DRAIN ROCK 0.5' BELOW PIPE INV. GM ~1 1/4"¢ PERFORATED PIPE ~ 1.4' FILTER SAND (TO BOSOM OF ORGANICS) -12'0'B0~ SECTION ~mz /4" ~ aa 1 1 PERFORATED LINE ~ o ~ ~ F W/ 1/4"~ HOLES ON 1.5' aa ~ / CENTERS [.M. SLOPE VARIES DESIGN PARAMETERS ABBREVIATIONS LEGEND SEPTIC SYSTEM CU COPPER W WATER LINE/ NO. BEDROOM: 4 (600 gpd) DIP DUCTILE IRON PIPE WELL RADIUS TANK SIZE: 1500 gallon BIOCYCLE TH TEST HOLE PERC. RATE: ~0-60 MPI FC FOUNDATION CLEAN OUT SS EXIST'G SEPTIC SOIL RATING: 1 gpd/SF T~ TANK CLEAN OUT NO. AREA RQD: 600 SF C~ CLEAN OUT NO. NEW SEPTIC SYS. ~PE: BED MC MONITOR TUBE NO. SS (FORCE MAIN) USE: R.I. RIGID INSU~TION 50LFx 20' WIDE, 0.5'ED, 4' TD DCO DOUBLE CLEAN OUT TOTAL AREA: 600 SF DV DIVERTER VALVE FS FLOW SPLICER ~~ Date o¥ o/ o FOR CONSTRUCTION P.O. BOX 102954 ANOHORA~E, AK 99510 ~xT." David Hummelr~~~lh~, CE 81~? .";~ :ERMIT NO. 22908 North Woods Dr.'~17~'~ ~¢-~'~~fl'~¢;''/~[L~ SWxxxxxx SITE SECTION Chugi~k, AK 99567 ~ ~S{~ Sheet BIOC¥CLE INSTALLA T/ON NTS EXPOSE TOP 6" 60 L/MIN ~ ABOVE GRADE 4" 3034 PVC ~ ~ DI..D_IS.~CSCHARGE ,~xk~&~ 8'-0" ~ 2~8' BLUEBOARD .......4~0"~ [ 4 SHEETS OF  INSULA UON BIOCYCLE TREATMENT LEGEND 4" SAND/GRAVEL LEVELING COURSE ~ PRIMARY AERATION ~ SECONDARY AERATION ~ CLARIFICATION ~ DISCHARGE ~~ ~ D a t e ~~r ~C .~ 07/20/10 ,o~s: P~O~ ~G ~C, L~~- ...... FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 -"' N ...-~ ~ ~ -... ~ ~TS 2290~ ~orth Woods ~r. *~ '. ..' ~ 5 OF 5 i MUNICIPALITY OF ANCHORAGE ' 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 MAILING ADDRESS LEGAL DESCRIDTION PHONE 1~ NEW [] UPGRADE LOCATION 0 v DISTANCE TO: Well ~V/~ ~- ~ Manufacturer ~ ~ Liq. capacity in gallons ~ ............. ' ' /COO .............. : ~ DISTANCE TO: ~Well ~,] ~ ~ ~ Manufacturer / V/~ ~ I DISTANCE TO; I ~ ~ No.o~in,~ I",,,~h o~,~h ~i,e ~ Top of tile to finish grade /~//~ ] Length ~ i ~ Width ~ t ~ ~ I o~ ~ ~O - ~ ~ Type of crib Crib diameter ~ DISTANCE TO: Well ~/~ ~ Class .., Depth ~ -- Building foundation DISTANCE TO: Absorpti~ ~/ea Inside length Dwelling Dwelling W dth Material Foundation Nearest lot line Total length of lines Material beneath tile Trench width inches Depth ~ ' /! 6~t'}V~iL Crib depth Building fou ni~l? Driller Sewer line inches NO. OF BEDROOMS PERMIT NO. t 7~ IV O~B~:R E I9 No. of commitments Liquid dept~{ PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area PERMIT NO. i.]rFtvv m B E ~ ED ITotal effective absorption area [¢~.~ ¢ Nearest Io, line ,o' Distance to lot line Septic tank Absorption area(s) OTHER PIPE MATERIALS 2V'6 SOIL TEST RATING iNSTALLER REMARKS APPR::x/////ED/, 72](~ ~,/(Rev. 3/78J - ! DATE LEGAL Departmen' ~f Health and Environmental ,rotection 825'%~ Street, Anchorage, AK. ~501 264-4720 / - ~ * * * HANDWRITTEN PERMIT * * * Permit ~ ~(2/~-,..~ W:~LL AND/OR ON-SITE SEWER PERMIT Applicant: ~C~r~q } ~-[ ~Fo~ G~SPMailing Address: ~k~ Location: P~ CFe~ Phone Number: e~-3~3 Legal escription: £ k Size: Type of Soil AbSorption System Is: Trench: Drainfield: ~._ Seepage Bed: ~ Holdin9 Tank: Ma×imum umber of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH ~/t LENGTH GRAVEL DEPTH / WIDTH The length dimension is the le~gth(±n feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground ~nd the bottom of the excavation(in feet). There is no set width for tre~ches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). · * REQUIRED SEPTIC(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 of residences that 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 8 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 require enlargement if the residence is remodeled to include more that 3 bedrooms. Applicant Issued by: ~ SWP/024 (1/81) POUCH 6~650 ANCHOi/AGE, Ai ASKA ': (907) 2r),-'-41 i: (JA YOf~ ©EPARlf/IENi'OF tlEALTH AND ENVIRONMENTAL PROFECFi() . January 4, 1982 Skaggs Construction P.O. Box D Chugiak, AK 99567 Permit ~ 810462 Subject: L 2 B 2 Northwood Sub. A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit PERMIT ':":'~ '"[ / STF. EET., RN-:Hr~F.'RGE, RK. 95, ;1 264-4720 o~..~---.s ][ TE SE~..4EF.: F'E--_F...'.['.I. ]E T ( 8:I0462 ::, RPF'LICRNT L. OC:RTION LEGRL SKRGGS CONSTRUCTION NORTHWOODS SUB L2 B2 NORTHI.4OOD SUB PO BOX D CHUGIRK DD567 LOT SIZE 688 28]:% 20000 SQURRE FEET T?PE OF SOIL RBSORF'TION S'T'STEM IS: TRENCH MRX!MUM NLIMBER OF' BEDROOMS SOIL RRTING <SQ FT/BR)= 85 TFIE REQUIRE[) SIZE OF THE SOIL RBSORPTION SYSTEM IS: TNE LENGTH DIMENSION IS THE LENGTH (!N FEET) OF THE TRENCH OR DRRINFIELD. ]'HE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETkIEEN THE SURFFICE OF THE GROUND FIND THE BOTTOM OF THE E',,.,iCFI',,,'RTION (IN FEET). THERE IS NO '_'SE]' WIDTH FOR TRENCHES. THE GRRVEL [:,EPTH I:_=; THE MINIMUM DEPTH OF GRR',/EL BETWEEN THE OLtTFF~LL.. PIPE RND THE BOTTOM OF 'rilE E>,iCR',/RTION (IN FEE]'). PERMIT RF'PLICRNT I-.IP, S THE RESPONSIBILIT'¢ TO INFORM THIS DEPFIRTMENT DURING THE tNSTFILLF:ITION INSF'ECTIONS OF FtN'¢ HELLS RDJRCENT TO THIS PROPERT'¢ FIND THE NUMBER OF RESIDENCES THFtT THE WELL WILL SERVE. BRC:KFILL. ING ElF FtN'¢ S'¢STEM WITHOLIT FINFIL INSPECTION RND RPPROVRL B'T' THIS; DEPFIRTMENT P.!ILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNC. E E:E'FWEEN R WELL FIND FINN' ON-SITE SEWFIGE DISPOSFIL S'T'STEM tS '1_00 FEET FOR R F'RI',,,'FITE WELL OR ±50 TO 2EIO FEET FROM FI PUBLIC WELL. DEPENDING UPON THE T'¢F'E OF PUBLIC WELL MINIMLIM DISTRNCE FROM R PRI',/RTE WELL TO FI PRIVRTE SEWER LINE IS 25 FEET FIND TO FI COMMUNIT'¢ SEI.4ER LINE IS }"5 FEET. OTHER REQUIREMENTS MR'T' RPPL'T'. SPECIFICFITIONS FIND CONSTRUCTION DtRGRFIMS FIRE Ft',,,'RILRBLE TO INSURE PROPER INSTRLLFITION. I CER. T!F"r' THR]' !: I RM FFtMILIRR WITH THE REQUIREMENTS FOR ON-SITE SENERS RND P.IELLS RS SET FORTH B'¢ THE MUN!CIF'RLIT'¢ OF RNCHORRGE, 2: I WILL INSTFILL THE S'¢STEM IN RCCORDRNCE I4!TH THE CODES. ]:: I UNDERSTRND THRT THE ON-SITE SEWER S'YSTEM MRV' RE6iUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ]: BEDROOMS. . ............. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 WAS GROUND WATER ENCOUNTERED? DEPTH? 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: SOILS LOG [] PERCOLATION TE~T DATE PERFORMED: 2 SITE PLAN 'go Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND __ FT CERTIFIED B~ ~_/'~~W~~-~ DATE: t Fr.A(~LIE RIVER, ALASKA 99577 I PH. 694-¢979 72-008 ~6/79) , O & E ENG,~qEERING & DEVELO~-.MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Name: Mailing Address: -/~ ~-~ Performed for: Earl Ellis 688-2280 Legal Description: Depth (feel) 3__ 4__ 5__ 6__ 7__ 8__ 9 11__ 12__ 15__ Soil Characteristics Tel. No PLOT PLAN PERC. TEST Ground Water Encountered: Yes ~"" No Proposed Installation: Seepage Pit__ Comments: C~ a~ If yes, what depth Drain Field ~ I Time ,,. ~ Time Date Date Date Inspector Inspe~ctor Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size ' (.~..~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~ F_~/q~r ~t~/t Phone Buyer Address Lending Institution Phone Address ,,~-/~/ ~/ ~'~, ~ '~'~- ~'~''~''' / Realty Co. & Agent J .. Phone Address Street Lo°at,on Type o f. qJ,..l~d e n ce ~ Single Family [] Multiple Family No. of Bedrooms [] Other Water Su pp~[y E]~rd"~vidual ATTACH WELL LOG. A well log is required for all wells drilled since June [] Community 1975. For wells drilled prior to that date, give well depth (attach log if [] Public Utility available.) S ewa~.,.Di$-p os al ~2~' ~ [] Individual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holdin~ Tank NOTE: THE INSPECTION FEE IVIUST ACCOIVIPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. May 10, 1982 Mr. Ken Best SRA 78-B Anchorage, AK 99507 Subject: Lot 2 Block 2 Northwood Subdivision A~proval for the individual sewer and water facilities cannot ' s t~ave been comolete~: bY granted until the following Item .... " ~e lina into the tank h~s not been installed. o The septic tank has no earth cover over Please notify this Department for a reinspec%ion when noted discrepancies have been corrected. If %here are any further questions, please c511 this office at 264-A720. Sil!cerely~} Robert C. Pra. tt Associate Environmental Specialist