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Home My WebLink AboutNORTH WOODS BLK 3 LT 4J~! ec~ 3 Name D~.j,RTMENT OF HEALTH AND HUMAN SEE~ Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES Township; Range, Section [~/'SEPTIC ~__.~/~-! ~/t_.,- [] HOLDING ManuI~ Capaaty ~n gallons Material ~::~)~mTrp~S~ TYPE OF SYSTEM [] TRENCH ~J~BED~/' [] W. DRAIN ,J~OTHER FT Depth to pipe bottom lrom original grade .~ ~, ~" Fill added above original grade -.-J--' 41/! FT Gravel length Total absorpbon area 8Q FI Total depth from original grade -/ Gravel depth beneath p~pe 69, Gravel w~dth Distance between lines / Pipe material Date Installed FT WELLS SEPTIC TANK ABSORPTION FIELD WELL WELL ~__ ~o/~ ~/~ LOT LINE / ~ ~.~L /4p/'ff ..____- FOUNOAflON _ AS-BUILT DIAGRAM (Show location el well, septic system, property lines, foundation, driveway, water bodies, etc.t [] PRIVATE Classdmat~on (A,B,C) [~"OTH ER (Identify) Total Depth FT Cased to Date Installed: REMARKS: FT $ & S ENG NEEf ING SEe 196X certify that Ihis inepeclien was perl0rmed accerding te all EAGLE RIVER, AK 99577 /,~ ,/~ ~ ,,//,~, ~ lYiuflicipal and State guidelines in el]ecl on this date: / Health Department Approval: *' ~ 72-013 (3/85J ~ / 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 IPRONE MAILING ADDRESS *~ C, ~~ , LEGAL DESCRIPTION ' ' ' ' Well ~ D~STANCETO: ~ .~ll Absorptionarea~ I I DwoIH~, PERMITNO.~ ~O~ ~.~ Manufacturer ~ Mater~ ~o. of compare.ts ~ ~ Liq. capacity in gallons ~ inside length Width Liquid depth / ~ IF HOME.DE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~_~O ~ ~ Manufacturer Material Liquid capacity in gallons Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effectNe absorption area ~ We]J Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER INSTAELER P REMARKS APPROVED DATE LEGAL (Rev. 3/781 L.Fi:GP~L Olili:.~%;i::L'. I F:' ',: S'LJB:01 V I S I ON = NC)F;'.'T'HWE)C).C,S L.O"['~ !i::',E::C:'{'i (::)lq ~ 4 T'C)NIqSH I F:' = l~Shl Fd.~iqEiE: I cco)"L i f' y ~:,?.,, ! ~.~:L:I. 1 :i.r'~ri:.all 'l:.he -.~r::,,,~U:.e:,m in a,:::C:CiF'CI~;:FI,::.::(.:=* ~.,;it.h ail MC),.'.?~ ,'.:::(::!de~(,s~ ar'~(::i ::~!;,, :[ ~,~.~:[.].I a(::ih(.:?ne 'Lc:) all t"!(]A ar'Jcl St. at.(.:~:, ,::::,.F F::'~ia.~'~l-::a r'e)clL~:Lp[.:~,m(.::ent.~s Fc:,p t. he:, s(:~.:,'L back :i:{::' ¢.:'~ k!F:"f' !iiYTA'F'!ON ]:.t:.~; ]:{',{S']"¢~L..L..EO it',.J r':~hi F:~F:;:IE¢~ C(:]VEIRIED BY {'"'li::)F:) bLIIL....OING CC)P-E':S, ]'HE:h! ( :L ) hi".} I%:I...I:-":E;"I"F;: ! Cf:'iL.. F:'Ei:I:4:PI i 'T' F-'ll".lO I J\I:!3F'IE[;]" :[ O{\{ {"JUST E',IE OEF'i"¢~ I NIEL [,'-JlL. L{g(3'F BIE ,'::t)::'F::'F:;~[)MELO t.',J:["l"l"li::tt..l"[' P"ilq IEL..ECTF:,:ZC'.?'~L. llq(3PE:£.~]";[OJq F;:EPF)F:;:'T'g ['4{x{)::> (:~!;) THE EL.{ii~E;T'!::;'. I [;,'..>,i_ WOF:;~I< Iq!.lS"l" B!E OONIE ):.i':Y h L I C;E:I"qE;E:O E:L.iEC]"F;.: I [; t F:"d',l ,, AF:'F:'L. :{: C,&l',i'f' :~ ~,1 lt..! ..,r... T'E:NNY Department k~Health and Environmental',jotection Pouch 6-650,264_Anchorage,4744 AK 99502~'~ ~--/~-- On-site Sewer/Water Permit~ HANDWRITTEN Permit No: Date Issued: Legal Description: S/D: ~-~ ~/~ ~" Lot: ~ Block: Section: ~ Township:. /~'/~ Range: Lot Size: or Acres) Lot Location: 7~24 Max Bedrooms: .~ Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. TRENCH BED W. DRAIN o ttom (ft.) Depth to pipe b Gravel depth (f~.) ~ Gravel width (f .) ~t~t~ ,-~ Gravel length (ft.) Tank size (gal.) Soil rating (sq. ft./br) ** Gravel length 75 feet requires multiple runs (not ex~eedi~g 75 feet each) ** Tank must have at least two compartments I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the .Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for the maximum number of bedrooms stated above, and any enlargement or modification will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICA~/~IT AND INSPECTION MUST BE OBTAINED; (2) AS-BHILTS WILL NOT BE APPROVEJF~WITHO~O~AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL~MU~/ON~A LICENSED ELECTRICIAN. -/ / App ' - " E:,EF'F!RTHENT Ci[: HERLTH FINE:, ENVIRONMENTRL F'ROTECT!ON ,,, .. 825 "'L'" STREET, RNC:HORRGE., RK. S,~SE,~ /~~ LEGRL LOT 4 BLK :~: N3~'THWOOD S,-"D LF'IT ':;[,..-F*~ ;;'~ ';E!I.I[~[;'E FEET ',~ _ '-' ~'-'TF'*~ TS ' THt= REf-.]Ui'F-':ED SIZE OF THE '-:;0I RE:SL]F.'.F'TI¢ff'~ .=,T.:,._r~ - THE LENGTH DIMENSION IS 'I'-IE LENGTH ,:.'IN FEET) OF THE TRENC:H OR DRFIINFIELD. TFIE DEPTH OF R TRENCF! PIT IS THE DISTRNCE BETHEEN THE SLIRFRCE OF THE GROUND RN[:, THE BOTTOM THE EXCR',,,'F~'FtON (IN FEET>. THERE IS; NO SET tqI[:,TH F( TRENCHES. ]"FIE ISRR'¢EL [::,EPTH IS THE "IINIMUM DEPTH OF GRFI',/EL BETHEEN THE OUTFRLL PIPE RN.D THE BOTTOM OF THE E',:.:CF¢,,,'RT.'[ON '.'.'IN FEET>. !N'Z;TFtLLRTICff.,t INSPEC:TIONS 0 · C · PROF'ERT',? FINE, THE NUMBER OF RESTE:,ENCES THFIT .[,.I~LL HILL ,/ ....... -E' l-,.,~ E} ,:.' :L::_" '::, .~-,~ .?;;IF" EEl L--:.- 1-: ]: f~ ~-:: [E£ E:_: C-:., E_~ % F~ EE __:, ......... BFICKFILLING OF F4N'¢ :E;"r'STEM FINRL :'ECTTGN RN£:' RP F-t3','RL [:,~ THIS E'.,EF'RRTMENT [,.tZEL. E:E SUE:JEC: F'R]SEZLTI HINIMUM DISTRNCE BE'FHEEN HELL. RND RN SITE SEH~RGI~] DISPOSRL ZE~E~ FEET FOR R F'RIVFFFE .L. OR :150 TO ~Of,1 R PUBLIC HELL DEPENDING UPON THE T'¢F'E OF PUBLIC ELL '""--L,J~'F~ ':~5 HINIMUM [:,IS]"RNCE FROM R ',,,'FITE HELL TO R F'RIVFITE :,b...EF~ _1~ IS FEET FIND TO R '¢]HHL. NIT'¢ :SEI.,.IER IS 75 FEE'I". '3THER REQUIREHE:N'r's MR'¢ RF'F'L'¢. EF'EC:!F'ICBTION'.5 RN[:, CONST RRE RVFIIL. RE:LE TO INSURE PR':~F:'EF' INS]"RLLRTIZn.4. i CERTIFY THFtT :2: I RM FRMILZRR HITH THE REQUIREMENTS FOR ON-S~TE SEHER5 [aND HELLS RS SET FORTH EW THE MUNICIPRLIT'¢ OF RNCHORRGE. 2: I [4!LL INSTRLL TFIE S'¢STEM IN RCCOR[:,BNCE WITH THE COPES. 2:: I L.INDERSTFff4D THRT THE ON-SITE SEHER S'¢STEM FIR'.? RE:~;iUIRE ENLFiRGEMENT ~F THE RESIDENCE iS REMOE:,ELE[:, TO INCLUDE MORE THFIN SR B 196X L~,OMPUTATION SHEET EAGLE RIVER; AK 99577 SUBJECT: Z ,4. ~-~ //~/'~ 7-/'/'~-")0~/F,~,.~ DATE: SHEET BY CKD OF 7 9, ~O- ~S 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED= Township, Range, Section: SLOPE SITEMPLAN ~/"~"~'~/~S GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? s Depth to Waler Alter Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ,~ FTAND ~/'t,-' FT PERFORMED BY: 196X _ ~_~/ CERTIFY THAT THIS TEST WAS PERFORMED IN ~GLE RIV~R~ AK 99577 ~-- ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~FFECT ON THIS DATE. DATE: 72~008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 2~. 4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: PJ & S DATE PERFORMED: April 23, 1981 LEGAL DESCRIPTION: Lot 4, Block 3, Northwood Subdivision Organics and organic silt, dark SLOPE brown, wet, soft, decaying tree debris. 1 2 3 4 5 6 7 8 9 10- ll 12 13 14 15 16 17 18 19 20 COMMENTS Gravelly-sandy-silt, light brown, moist, stiff, with some organics. (GM-ME) Silty-gravelly-sand, gray, moist, compact, rounded to sub- rounded particles to cobble size. (GM-SM) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? PERFORMED BY: SITE PLAN MCIIAN[ S ~ RII'E SO] L ES~ IE~i TI:ST -~ a (oo~)o) No PERCOLATION RATE 15 ,=~.~.~ (minutes/inch) · RUN BE EE, 3 __ Howard Grey & . · CGRT, F,EO~/~DATE~pril 27, 198] Reading Date Gross Net Depth to Net Time Time Water ~Fop 2 4-23-81 4:47 PM 20 Min. 18 5/8 3 4-23-81 4:57 PM 30 Min. 19 5/8 1 4 4-23-81 5:07 PM 40 Min. 20 1/2 7/6 5 4-23-81 5:17 PM 50 Min. 21 1/4 3/4 6 4-23-81 5:27 PM 60 Min. I 22 3/4 PERFORMED FOR: MUNICIPALITY OF ANCH~_iTy OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMEN~,,'.Pnv'~ =~ u_~ 825 L. Street, Anchorage, Alaska 99501 SOILS LOG - PERCOLATION TE}~R ~PJ & S LEGAL DESCRIPTION: Organics and organic silt, dark brown, wet, soft, decaying tree ~ debris. \ ~ (Pt-0t~ Gravelly-sandy-silt, light brown, moist, stiff, with some organics. (GM-ML) 1 2 3 4 5- 6 7 10 11 12 13 14 15 16 17 18 19 20 Lot 4, Block 3, Northwood Subdivision Silty-gravelly-sand, gray, moist, compact, rounded to sub- rounded particles to cobble size. (GM-SM) SOILS LOG PERCOLATION TEST SLOPE' SITE PLAN IMClqNLS ~RI'IE SO _ 'ES' ER( TI!ST lDO ' j (:001'0) WAS GROUND WATER No [ ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 2 4-23-81 4:47 PM 20 Min. 18 5/8 1 3 4-23-81 4:57 PM 30 Min. 19 5/8 1 4 4-23-81 5:07 PM 40 Min. 20 1/2 7/8 5 4-23-81 5:17 PM 50 Min. 21 1/4 3/4 6 4-23-81 5:27 PM 60 Min. 22 3/4 PERCOLATION RATE TEST RUN BETWEEN {minutes/inch) . CERTiFiED~ DATE: 1981 COMMENTS Howard Grey & Assoc., Inc. PERFORMED 72-008 (6/79) \, ~¥0~ o£ = I 131)1 V I I)IE I) 181.$0 NORTH 201,30 0 201.29 201.27 N 0° 02' 44" W 04. 180,02 ' NORTH 200.00 200.00 200.00 0 B E R G ,~5~oo I79,98 NORTH 200.00 RO0.O0 200.00 200 201.26 201.24 201.22 Rod NORTH 200.00 200.00 201.21 o O~ ,o o 'oo° co 8 ~Oo o~ 0 200.00 o ~ o O~ § 8 Rad 200.00 ,RTH 200.00 200. N OR___.~ 200J C HOWARD GREY & ASSOCIATES, INC. GEOLOGISTS aND ENGINEERS ?ID I STREET, SUITE S ANCHOP. AgE, ALASKA 99501 TELEPHONE (90?} 274-2314 July 15, 1981 Municipality of Anchorage Dept. of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Subject: Revision of Soil Logs Lot 2 and~-, Block~, Northwood Subdivjsion ~, 3p5. Gentlemen: Upon request of our client, our firm has re-examined ground water depths at the subject lots. Ground water in Lot 2 was 7 feet deep. Gound water in Lot 4 was at 10 feet. Soil conditions and percolation rates will remain as stated on prev- iously submitted logs. Thank you for your cooperation in this matter. If you have any questions, please contact our offices. Si ncerely, HOWARD GREY & ASSOCIATES, INC. Patrick Stidmon PS/st ~:- D~,~E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUN!CiP/\Li ~Y ()F ~UNICIPALITY OF ANCHORAGE D~:T O.: ' :: & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~N,/,,~ON~,L-q ~': ~C~ ~ON 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 .... ~ ~x REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PR~RTY OWNER ~E PROPE~T~ RESIDENT (If dif~nt }~om above) ! PHONE 2, BUYER PHONE MAI LING ADDRESS 3, LENDING INSTITUTION [ PHONE I MAILING ADDRESS 4, REALTOR/AGENT [ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four ~ Two [] Five I~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM J~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~ SINGLE FAMILY E~ ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS -'" ~ BEDROOMS [~ APPBOVED FOR [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~j4~ 72-010 (Rev. 6/79)