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Home My WebLink AboutPREUSS #2 BLK 4 LT 3 '~. t' 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 IPHONE t~EW MAILING ADDRESS ' - [] UPGRAD[ LEGAL DESCRIPTION LOCATION ~ ISTANCE TO: / ~O ~ Absorption area ~ Dwelling ~ PERMIT NO. ~ ~ Manufacturer Material No, of compartments Liq. capacity in gall0n~ ~%~ IFHOME~DE: Insidelength M I~; Width ~ [~ Liquid depth ~ ~ DISTANCE TO: Well Dwelling ~OZ ~ ~ PERMIT NO, O Z ~ Manufacturer ~ -- ~ ~ Material Liquid capacity in gallons Q Well Nearest lot line PERMIT NO. ~ DISTANCE TO: ~ ~ Foundation ~ ~ ~ Z No. of lines Length of each line Total length of line Trench width Distance between lines ~ ~ ~ Top of tile to finish grade Material beneath tile = ~ J ~ ~ ~ ~ ~ ~1 Total effective absorption area W~ inches ~ PERMIT NO. ~ ~ Type of crib ~ d~ Crib depth Total effective absorption area DISTANCE TO: Building foundation Nearest lot line ~ ~ass ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption areals) OTHER : SOIL TEST RATING INSTAELER REMARKS OVED~ DATE LEGAL 72-0 I~(R~ 3/78~' ' PERMIT NO. MUNICi~A& ! T'9 / OF ANCHORAGE DEPARTMENT OF H~Thi AND ENVIRONMENTAL PROTECTION 825 "L' S~R~ET, ANCHORAGE, AK. WELL I TE SEWER PERrq IT APPLICANT HARRY MACKEY SRBOX ii?$ CNUGIAK 99567 LOCATION E.R. LANE ~-.~'::" "' LEGAL L3B4 PRUE~'~: LOT SIZE TYPE OF SOIL RBSO~BTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: MAILING AD SQUARE FEET 8 THE L~GTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE ~E~H OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND:THE BOTTOM OF THE E~CAVATION (IN FEET). THERE:.I$ NO SET WIDTH FOR TRENCHES. THE G~BVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE E~CAVATION (IN FEET). SEPT I ~ T;:;NK Slr ZE= :1_2~10 GALLONS PERMIT A~PLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLAT~'ON INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ,~..TWO ( ~2 ) ! NSPFCT I OI'-~S ;]RE REnU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT:WILL BE SUBJECT TO PROSECUTION. MINIMUM~ISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEE~,'FOR A PRIVATE WELL~ OR 150 TO?200'PEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL, WE~O~"RRE REQUIRED AND MUST B~ RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF:~-.THEWELL COMPLETION. .OTHER REQUXREMENTS MAY APPLY. SPECXFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEMBER ~l, i~78 I CERTIFY THAT l' I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH 8Y THE MUNICIPALITY OF ANCHORAGE. ~: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS ................ V~. 2 ~:~£ (:~ou,,:~ ',,,,'ate~ ~ncount. eced: '." vc~5, A'L what [)~, te: 9-2i-78 Log: S Well L0g:l'Lot 3, Blk .4, Pruess ubdivision . IEagle River. Lane ~ !Eagle River, Alaska 99577 Drilled b~: Harry'A. Mackey ~ Triple M Cabinet and loorcov~ring Owners ~Robert and Judith T~sserand f~e~ - Clay, gravel and la?ge boulders f~et ~ Mixed with clay,i g~avel, silt, hardpan: More boulders boulders 6-20 ~0'44 44' 67 f~e~ 67- 8~ feet ~l- 90 f~et 90-96 feet 96 feet 96-12~ feet sand and gravel more sand and gravel some water gravel and course ~and Cased to:J20 feet --- lots of w~ater 20 gals ~er minute. MUNICIPALITY JF ANCHORAGE t.~ :~'(~t ~ *-.~- DEPT. OF/t EALTH & ¢ .- MUNICIPALITY OF ANCHORAGE ENVIRONMENT,'-.~ , ,;..':;ECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82E LStreet. Anchorage, Alaskagg501 FEB ~; ~97g ENVIRONMENTAL ENGINEERING DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAOILITIE8 ]IREOTION8: OompJete all parts on page 1. Incomplete requests will .ct be proaesse~. Please allow ten (10) days for processing. J PHONE 1. pBOPERTY OWNER 688--~8~3 Harry Mackey ~AJLING ADDRESS Star Route Box 1175 99567 PHONE PROPERTY RESIDENT (If different from above) MAILING ADDRESS PHONE 3, LENDING INSTITUTION MAI LING ADDRESS MAILING ADDRESS ~ I &~ g~ lC ~ ~ ~L~ ~ 5. LEGAL DESCRIPTION Lot 3 Block 4 Preuss Subdivision STREET LOCATION Eagle River Lane off of Eagle River Road NUMBER OF BEDROOMS 6. TYPE OF RESIDENCE [] One ~ Four [] Other~ 'El SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 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 ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY f ind~v~dua/on-s te, give installation date ) OL'"t ~"), 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. 2~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS '~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER '~ INDIVIDUAl_ DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER fl~] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [~SeptJc Tank or []Holding Tank Size:J~..~ If Tank is homemade SOILS RATING give dimen'sions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line J Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENT8 [] CONDITIONAL APPROVAL (letter must.~ompany certificate) LEGAL DESCRIPTION 72-010 IRev. 3/78)