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DENALI LT 124A
Municipality of Anchorage ' Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 343-4744 January 9, 1989 Peter G. Chalifour PO Box 671327 Chugiak, Alaska 99567 Subject: Lot 124A Denali Subdivision Permit #880231, P.I.D. #051-144-61 A permit issued by this Department for an individual well and/or On-site.sewer system has expired as of December 31, 1988. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A neW permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the orginal as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. When applying for a new permit, the fees are: $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sincerely, Daniel J. Roth Acting Program Manager On-site Services Section DJR/ljw enc: Copy of Permit Ch,,.~r',~ ~. Name,", P[iii ['3:.( G. [:.:i-.h::~k J: t:::C)UI::~ ~..~.ess,~ F:'I.:) BOX ~J? :~"~:"~'"~.~,~:,.. f..'a r. c: e .!. ]. d .", L.(::rL L. ecl a t: Sub d :i. 'v :t !~ :i. ~:)l"~: L)ENAL .t: I....(:)t ~ J ~4[a B Ioc k: ..... . Sect..:i. on~ ? Iownsl"lip: I5IxI Ranqe: 1W ~'..'L.:,~... .L:~,,::irc~c~ms~ lhi~ Per. mi.'L: () lo'La.[ Capacit'¥.': 3 W!:::i i :~ ~..,. (:) (:'! f~'~,L.i.~ii~iL i:::,e ~n..~bmJ.'Lt.~,~:-)d ~:o Mun:i.(::::ipa:l..i.t.y (:)~ i::~nchc~"aq-c...., L)epavLmer~t o-.,' HeaJ. tl'"~ ~ : i [E.~F:'IR~.:iiS :!.;i.:~.~311E18 AND :IS tSSUED FOR 'I'HE EXIS]iNG · : ~...;.:,:~i...~kl S:[NGL. I:ii. F:AFI.[ LY Fd.CSI DENCE ONL'Y. :..~.~-:i .[ 'f ti-IAI': :I.,. 1 ,.':~ 'am:i.].iav w:i. th the r'equir'ement~ ~'ov .r.)n-site sewers and wel].s~ as {c,r"Lh by the Mur~:[,:::~.l~a].ity of Anchorage (MOA) and t.h~ State ~ Alaska, ~::,~ .[ I.,)].].]. :J.~"isLa.l.J. the ~V'Z~t. eiT~ ~.n ac:c:cH".danc:e with a].J MI]~ c:c~des ancl vegulat.~.ons, :.~nd :i.n compliar~ce v..~i't.h the design cp'it.~pia of this per'mit. J,,, ] ~4:~..~J. adher'e 'L() aJ..I. MOA and S{.a'Le (:)t' Alaska pequive[~ents fop the set back al:[statices ['Porn any e).~isting k~e].:[, wastewater, dispersal sys'Lem C)l" public: sew(~:,pacjm ~ystem (::~n th].s of any acljacent, oP near'by lot, ': Lu]d~-r'.starid tha.'~.. 'L!']i~ per'mi'L is valid {'or a maximum o{' 0 at~E.c) L~TidE:~i'"~-ti~:il"id th~a'[. 't.l"ic.:.) c:apacit~' (:)~' 'Lh~ Coral. system is 3 bedrooms and (Lh,'~i']E,i") I:::'Ei I:~.R G,, C;I"i?~i.... 'i F' 31 ]. ~su,:~:.d ~:':P,"~ ~ DATE: MUN~CIPA[ffY OF ANO4ORN~ .,~- ' DEPT. OF HEALTH & WATER WELL RECORD · ENVIRONMENTAL PROTECTION ~. -.. STATE OF ALASKA .:~ [~' Division of Geological ~ Geophysical Sur~eys RECEIVED ~ OrilllnI Flrmlt ~. ~' LOCkTIO~ OF ~[LL (PJlgll ~o~pJltl tlt~er I~, I~ o~ I~.) ~.D.L. ~. Street AddreJ, an, Area of Well Location ' ' ' ' C:-~..~.~.:~ ;~.~ WELL LO; ;let Belo~ 4. WELL O;PTH; [flnoJ-~/'''' 5. DATE OF COMPLETIOH ' ' Surface -' " Type: ~ ,~ Diameter: ~ // Slet/M~h 81ze: Length:,. Set between ft. and ft. /~ Baakfilllng Gravel pack II.PUMPING LEVEL below lend surface and YIELD ~ ~ft, after / hrl. pumping - ~ g.p.m. ~t. after bro. pumping g.p.m. I~,GROUTING Well Grouted: ~ Yes ~No . M~terial: ~ Neat Cement ~ -~ I~,PUMP: (If available) HP Length of Orop Pipe ft. capacity g.p,m, - ' ~ S"b'.- ~ del ~ C*,t~tflc,l' ~ other 14. REMARKS; WATER WELL CONTRACTOR'S C~RTIFICATION: . 15. W;ler Temperelure e ~ F ~ C This well w'a~ d'ri I-I~d"'v~-r'm~d~io'~'and' ~his r~ort is true to the ~est of my knowled · and belief' - / R~gister;d Busines, Nam~ ~ / Conlract Llcen~Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502. Telephone 264~4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~'VI e¢¢' t e., (_~o ,,-cLo~ ~0 SEPTIC ABSORPTION WELL Townsr, p. Range. Sechon AS-BUILT DIA6RAM (Show Iocabon of wed, sephc system, property hnes. foundation, ~t~ ~f~ ~ drweway, water bomes, etc ) TANKS ~n~actu,er Capacity m ~allons Matenal No of Compadments TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER Depth to pipe bottom horn I ~ota~ depth lrom original grade Fill added above orlg,l~de Gravel depth beneath pipe "~ Gravel lerlgtl, Gravel w~dth ~ oral absorption area i Distance between hnes Number ,4 hr, es --~ Soil ,ahng Pipe material Ins~aller Date installed WELLS ~ PRIVATE ~ OTHER (Identify) Classdlcatlon (A,B C) ~otal Depth Cased to FT FT REMARKS: I_ C~ Cedily that ;his inspeclm was ,odarmed accerding to all ' ~% ~. ,732-E ~,~ 72-013 (3/85) HENRY ~/ILSON 96OI BUDDY WERNER OR.: ANCHORAGE~ AK 99516 (~7) 3,46.2000 Constru ineers, Inc CHARLES A. LANDERS SR BOX 19'LA, MYRTLE DR. EAGLE RIVER, AK 99577 (90'/) November 26, 1987 L lZ4A DENALI SUBDIVISION SEC 9 RiW T15N SOILS SIEVE ANALYSIS A soil sieve analysis was performed on two soil samples taken from the exposed trench on the above referenced project. Sample #1 was located about 10' from the North end of the trench. Sample #2 was located about 50' south of the first sample. Analysis of each is as follows: SIEVE SIZE PERCENT PASSING SAMPLE #1 PERCENT PASSING SAMPLE #2 #4 100 100 #10 78 81 #60 21 22 #200 6 7 These soils meet the requirements of Sec 15.65.060 of the Municipality of Anchorage reguarding subsurface disposal fields. &unicipalitYo Anchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 8, 1988 Merle Gordon SR 192A Myrtle Drive Eagle River, Alaska 99577 Subject: Lot 124A Denali Subdivision Permit #870295, Tax #051-144-61 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. S in~re ly, _ Program Manager On-site Services RWR/ljw enc: Copy of Permit Block .p 90 gl~ ©0 g9/ ~ "1 8 OEPARTU~NT OF HEALTH & HUMAN SERVJC~"~Z~~r;~ TOWeShip, Range, Section: SITE ~AN T 10- 13-, 14 15 18 19 20 if-,.- SLOPE WA3 GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depfh to Waler A~r Reading Date PErCOLATiON RATE Gross Net Depth to Net Time Time Water Drop (m~nutes:inch) PERC HOLE DIAMETER S & S ENGINEERING TEST RUN BETWEEN ......... FT AND COMMenT'S ---Sf~--~O(-~- ' PERFO[iMED ~Y: ! ACCORDANCE WITH ALL STATE AND MUt~tCtPAL GUIDELINES IN EFFECT ON TN;S DATE. ~. FT CER'iIFY THAT THiS TEST WAS PERFORMEO IN DATE: