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HomeMy WebLinkAboutNORTH WOODS BLK 3 LT 11 j) L._.,~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 ~ ~ Manufacturer / Mat ~ Liq, capacity in gallons Inside length Width ~ Liquid depth ~) ~ IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons O Well Foundation Nearest lot line PERMIT NO, ~ ~ DISTANCE TO: ~ ~ ~ No, of lines Length of ea~;ne/~__/ Total length of lines Trench width Distance between lines -- Z ~ . inches ~ ~ ~ Top of the to finish grade Material beneath tile Total effective absorption area D inches ~ PERMIT NO. ~ - ~ Type of crib Crib diameter Crib depth~ ~ Total effective a~s~n are~ ~ - '~ DISTANCE TO: Well~/ /'~ 8uildingf~nda~o~ ~ Nearcstlotline C~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO~ Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ,-- SOIL TEST RATING APPRO~EO f/ /Il .g DATE LEGAL qev. 3/78) Permit ~ Applicant: ~ r~ I ~ T Location: P~F~ Legal Description: ~-[[ ~ Type of Soil Absorption System Is-' Trench: Drain field: Maximum N~ber of Bedrooms: ~ ,IUNICIPALITY OF ANCHORAGE . ~ Department~'f Health and Environmental~rotection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * ~."L AND/OR ON-SITE SEWER PERMIT ~S~Mailing Address: Phone Number: ~OFT~O~D~ Lot Size: Seepage Bed: ~ Holding Tank: Soil Rating(sq.ft/br) ,Q~ DEPTH The Required Size of the Soil Absorption System Is: LENGTH GRAVEL DEPTH /' 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 the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = [F.~,~--O 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 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. Signe~: ~ ~ ~/v~/./V ~//~ Issued by: ~ ~-~t_~ C~ Applicant Date: ~-~N~. /~ / SWP/024 (1/8~ ~ PERFORMED FOR: L.GALDESCR,PT,ON: :¢ [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG-- PERCOLATION TEST 1 2 3 4 5 6 7 8 9 I/ / SLOPE ~ SITE PLAN 10 11 1,2 13 14 15- 16- 17 18 19 2O COMMENTS PERFORMED BY: 72-008 (6/79) ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I ;?/l/i~x~~ / c.sl,~ ------ '7 ,, ~Rober~ A- N~ PERCOLATION RATE /J~L/'~ (minutes/inch) TEST RUN BETWEEN ~ FT AND FT '~. . Time Time Inspector Comments Date Date Inspector Inspector Conditional Approval ( ) Ap.,?rcved BedroomS, r-d ~D.~rov~O (~) Co,qditional 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 Mailing Address Buyer Address Lending Institution Realty Co. & Agent Address Legal Description Street Location Type o,9,(..Residence [3 Single Family [] Multiple Family No. of Bedrooms [] Other Phone Phone Water Supply E~dividual [] Community [] Public Utility Sewagp.~.D~osal [] Individual A~rACH 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.) Year Individual Installed: [] Public Utility [] Holding Tank When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PRocESSING CAN BE INITIATED. ~ay !0, 1922 r4r. Ken Best SRA 70-B Anchorage~ AK 99507 Subject.~ Lot 11 Bloc}: 3 Northwood Subdivision A]?proval for the individual sewer an~_-I water facilities cannot be grante¢t until the fotlov;inq it~n~s have been complete~.~.-~ ° 9qle depression over the sewer system will need to be filled so that surface water drains away from the sewer system. Please notify this Department for a reinspection when ~he noted discrepancies have been corrected. If ~ere are any further questions, please call ~lis office at 264-4720. - . .e._.y, . / Robert C. Pratt Associate Environmental Specialist RPiOO/p/XH 3201 Spenard Road Anchorage,Alaska 99503 (907) 272-2407 WOODWARD- LUflDGREfl & ASSOCIATES, iflC. CONSULTING ENGINEERS AND GEOLOGISTS AN AFFILIATE OF WOODWARD-CLYDE CONSULTANTS Raymond Lundgren Lloyd S. Cluff George E.He~vert B.A,VallePga William T, Black June 19, 1973 Job No. A12109-11 Needles and Son P.O. Box 8 Chugiak, Alaska 99567 Dear Mr. Needles: Seepage Pit Inspection Lot 11, Block 3;~Broadwater Subdivision Eagle River, Alaska At your request, the undersigned inspected and logged the ver- tical soil. profile at the subject site on June 18, 1973. The proposed seepage pit location is shown in Figure 1 and the respective soil profile in Figure 2. The soils were visually classified and absorbtion values assigned accordingly on the basis of our experience and by written guideline of the Greater Anchorage Borough. Respective absorbtion values are given under "Remarks" in Figure 2. If we can be of any further service to you, please call. Very truly yours, WOODWARD-LUN.DGREN ~ ASSOCIATES Chief Engineer RPK:nck OAKLAND SAN JOSE SAN FRANCISCO ANCHORAGE, ALASKA z o~ / SAMPL 6..~ ~ SAMPLES SAMPLE DESCRIPTION color, moisture, particle size, consistency Geologist , depth of cosing~ coring blows, fluid Ioss~ bit condi- rio% crowd~ rpm~ etc,) Of:' WOODWARD-LUNDGREN & ASSOCIATES WOODWARD-LUNDGREN & ASSOCIATES