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Home My WebLink AboutHUFFMAN #1 BLK 3 LT 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISI~OSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~- IPHONE t [] NEW MAILING ADD~S . DESCRIPTION NO. OF BEDROOMS LOCATION I~ ~ ~~ ~ Well ~ Absorption area Dwelling PERMIT NO. ~-- DISTANCE TO: ~~ ] ~ Z Manufacturer rial No. of compartments ~ ~ Liq. capacity in gallons ~ ~nside length ' ~d~h Liquid depth IF HOMEMADE: ~ ~ DISTANCE TO: Well D~eIHno PERMIT NO. ~_~0 ~ ~ Manufacturer /~/~t ~ Materialo~e ~ Liquid capacity in gallons O Well Foundatio~ ~ DISTANCE TO: //¢ ~__ No. oflines/ Lengt~o,~, Totallengt~' Trench~i~inches Distance between lines ~ Top of tile to finish grade ~ ~- &O inch~s Total effect' 'o~ea Length Width ~epth PERMIT ~ ~ TVpe of crib Crib diameter / ~/ ~rib depth Total effective absorption area // Well / Building foundation Nearest lot line m DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ ~ '1~~ ~ ~ DISTA~ B~ld~o&da~o~ ~ ~er line Septic tank Absorption area(s) OTHER PIPE MATERIALS~ SOIL TEST RAil REMARKS MUNICIPALITY OF ANCHORAGE Departmental Health and Environmenta~-~rotection - ~ 825 Street,264-4720 Anchorage, AK. ~9501 ~ ~ .. ~ ~ * * * HANDWRITTEN PERMIT * * * Rermi~ ~ ~ ~-A-~"~ ON-SITE SEWER PERMIT ~ APplicant: 2~,~t r~-w,~' Mailing A~dress: ~~' ~,~~ Location:~--~~ ~ Phone Number': ~gq'~{ Legal Description: /~t ~ 6/~ % ~/~/S Lot Size: -~ Type of Soil Absorption System Is: Trench: ~ D~ainfield: Maximum Number of Bedrooms: ~ Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH / 0 LENGTH ~' ? ' '~/'//~' . GRAVEL DEPTH WIDTH The length dimension ~s 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(-HOt'D-]NG) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this d~partmen~ during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. *** * * * TW0(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 ms 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 3 * * * I certify that: (1) I am familiar with the requmrements 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 ~equire enlargement if the~s~dence is remodeled to include more tha~3b~dro~m~./~ A~i~ ~~ ~7 Date: ~--/~--~ SOILS LOG PERFORMED FOR: -~ LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST I 2 3 4 5 6 7 8 9 10 11 12 13 WAS GROUND WATER IF YES, AT WHAT DEPTH? SLOPE [] PERCOLATION TEST DATE PERFORMED: '~'-/~' -- / SITE PLAN 14 15- 16- 17 18 19- 20- Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE / ~ minutes/inch) TES,~IAUI~BETW.~E~N FT AND 7~ FT .;/ GR~=-,.&TER ANCHORAGE AREA BOROUt'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LO CATION .J"~'"7~'J~J'~/.~l/~; LEG AL SEPTIC TANK: ,, l ._ ~ 77-/~/ MAILING /~ ~ /~/~/~-~ iPHONE ADDRESS DISTANCE FROM WELL LIQUID CAPACITY ~, ~;g~'~ GALLONS. MATERIAL C~,~/,,~c/~'~-~"'~?' NUMBER OF COMPARTMENTS // ~?',~",,~l~'/j~ i 7~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS JJ OUTSIDE DIAMETER NEAREST LOT LINE ,~.~ i.,~ OR WIDTH '~ ~ DISTANCE FROM WELL //¢ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) . LENGTH ,/!'Z'~"" /, DEPTH ~ /' , BUILDING FOUNDATION ,..-~"7 I '~///3 '~"/ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO ~INISH GJ~DE FOUNDATION /NEAREST LOT LINE DISTANCE 3~S TRENCH WIDTH ~/.c,~FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH · OF bINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPe ~)/'~/¢i¢L,~--'-~ DEPTH /',~ 7 ¢' ~..-! NEAREST ~,~2 ',j. SEPTIC LOT LINE , SEWER LINE TANK DISTANCE FROM ,~ ! WATER -, BUILDING FOUNDATION. SAMPLE L~ ~ t SEEPAGE ' SYSTEM /'J~ , CESSPOOL NEAREST OTHER SOURCES DISTANCES: /¢~C =11~' DIAGRAM OF SYSTEM DATE APPROVED GREATE1, ANCHORAGE AREA . )ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No. -- /~: ':~'~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~/~/d~ MAILING ADDRESS , , P~.HONE NO~, £'3 ' LOCATION 0F INSTALLATION ~'~~ RESIDENCE ADDRESS ~~~ ~~ ,LEGAL DESC,IPT, O" ~ / ~ ~ '~/" APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ?~&-~ PERCOLATION TEST RESULTS ., SEEPAGE PiT , DRAIN FIELD , OTHER TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT Z THIS IS TO SERVE AS ~J' /~/~X~ ,PERMIT TO INSTALL A ~/"~/ AS DESCRIBED BELOW. SI ZE O(~U N I;;~¢ S E R V ED DIAGRAM OF SYSTEM Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. .... ApoI If'Al~lT~ ~IRklATIIRF ~'hGREATER ANCHORAGE AREA .... ' HEALTH DEPARTMENT CASE # .. 3~7 EAGLE STREET ANCHORAGE, ALASKA 99501 Owner -Mt. Wayne ~hillips - ~7-/~ g! Performed For Build~r.r L~.~her Enter~_'s.~Date Performed ~< ]/~.~/70 _ ~ ~ ~ ..... ~+¥'An. Lot 1 Bt°ck 3 Subd~.vls~on Huffman ' Depth Feet Soll Characteristics Location Sketch ;' 2 CH - Clay, Silt & Mix 6 GM - Silty, Sandy Gravel 8 ,~ SP '- Poorly Graded Sands GM - Silty Sandy Gravels lO 12 ~ ~ SP,- Poorly Graded Sands ~' ~7~' i'[~S, At What Depth %:.¢ / Date Gross Time Net Time Net Drop Test Performed B): ....... / .--._.i1,.2~. _u~ar tls, te ~? Data Certified By: ~1 Pro.m~,sed Instal . ~'~on: Seepage Pit Drain Field Depth Of Inlet Depth To B~tom O~ " P~t Or Trenc~''---~ .... MM' ~, '.-' CO · ENT~.~Sifica~on S ~tem, this would n~ ~essl ........ a e an area o ~ - APPLIC-% IT FILLS OUT UPPER HAL-' '3NLY Buyer Address Zip Code ~ Phone Lendinglnstitution ~G~/~rg ~, ~.~., ~¢~t*~ ~k~ Address Zip Cods Realty Co. & Agent Phone Address Zip Code LegalDescriptt°n~o ~ ~/ ~/~, ~ /~~ ~, Type of Resi~nce-' ' ~ '' ' ~ ~ Single Family ~ Multiple Family No. of Bedrooms _~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community ~ For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ ~, > X,~.-(~L~ I~ ~' ~ ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED .... Time Time Time ~"~/ ~/73 Date Date Insp~tor Insp~tor Insp~tor Insp~tor *CONDITIONS OF APPROVAL ~ ~ if monies are escrowed to have the exposed wiring on the well head placed in conduit. This will need to be reinspected by this department DA~e~ after completion of the work. BY: ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size Au9ust 30, i993 Jack B. L~)ggett P. O. aoz 4-1856 Anchorage, AK 99509 Subject: LOt i, Block 3~ Huffman Subdivision Approval for the individual sei~er and water ~acilities cannot ..~.be granted until the following items have been conlpletedt o Expose¢] electrical wires to the well head are in violation of the ~iunicipality of Anchorage codes and must be encased in condait. Please notify this Departrnent for a reinspection when the noted discrepancies have been corrected, if. there are any further questions, plaase call this ofi.tc at 264-4720. Sincerely, CW20/ej/Ig2 Cory ~illis, ROAD LEGAL DE$CB,~PTiON 'LEGEND'. ~ · , 5e.t [~o~ ~ o~ P~d T~i w~trt so ~t~ 5'L,; a< w~['~% p~rks ~d other ope~ sp~ces to 'p~;c AC&NOWLEDG~.H.~bIT -~O~RD