HomeMy WebLinkAboutCREEKSIDE PARK #3 LT 37icl
'D' N°
L 7
Anchorage
825 "L" STREET
ANCHOR,AGE, ALASKA 99,501
~9()7i 264-41 I i
December 31, 1979
Merrill A. Wilson
7320 Old Harbor Avenue
Anchorage, Alaska 99504
Permit ~ 790518
Subject: Lot 37 Creekside Subdivision ~
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If an engineer has inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Les N. Buchholz, "R.S. .~
Senior Environmental Speci~l~ist
LNB/!jw
enc: Copy of Permit
F'ERMIT NO.
APPLICANT
LOCRTION
LEGAL
MERRILL A. WILSON
7320 OLD HARBOR AVE
L37 CREEKSIDE S?D
LOT SIZE 32400 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ FT/BR)= ±00
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EF"TH= :..tEl LEI%It3TH= _~---: _-----:-- L] F-: fi',,,,' E L [:,EF'TH= 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFAOE 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 OtJTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
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.
TL4CI (2) I ~SF'Em]:TII][-IS ARE ~EZm2~l_II ~:E:[:,
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
t00 FEET FOR A PRIVATE WELL~ OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.,
OTHER REQUIREMENTS M8Y APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
, F'ERr-1 I T E::<:P I RES E--',EI:: EPIBEF-:
I CERTIFY THAT
i: I AM FAMILIAR WITH THE RE¢;.UIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
RPPL I CANT MERRILL R. WI LSON
ISSUED
.... DATE .......
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-2221
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST ·
PERFORMED FOR:
LEGAL DESCRIPTION:
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
DATE PERFORMED:
SLOPE SITE PLAN
....,,~ ~ ~ ~ __~__.: ,'4--
~ ......... , ......... ~ ................. ~ ....
ho~~ ' d~ - 'h~/~ ~ ..... "II-' .......... ~ ~ - -~ '-' ~ .... t ......
....................... ~ .... ~ .... ~ ~ ....... =-.
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to · Net'
Reading Date Time Time Water ' Drop
72 008 [?t76)
PERCOLATION RATE "~ ~ (minutes/inch)
TEST RUN BETWEEN FT AND ~ FT
'ED BY:
DATE:
- '"[-.: -"'..~.
.................................. j~...
REQUEST FOR APPROVAL OF
IN~VIDUAL SEWAGE ^ND WATER FACILIT~:S'
(Fill out in T~iplicate) ~..~
· owner
q. Numb~. ~,~ b~dr~ms in house ,. '
5. Wat-~. Analysis:
a, Bacte~q a 1
. Detergent__
data:
c. Casing. Siz-~ .
d. Distance from well to closest existing oP pmoposed:
2. Septic tank__
3. Seepage Ar,ea. --." ~
~. Cesspool~
5. ProperIy Line
6. OTher sources of ~osstble contamlna%ion, i.e., creeks, lakes,
~wage disposal system. . / g&O
a. Age of system /~ ~
b. Septic tank capacity in gallons ~~ .
c. Name of septic tank manufactum~~~ .... .
1. If "home made" show diagram on revemse side of this fo~m.
d.' Disposal field or seepage pit size and t~e_
" to house f~dation
f. Percolation Test perfermed by
Use the reverse .side of this form to show dia£ram. Diagram should include
".?·~he foJ_lowing information: p.~opePty lines; .well location, house location,
~-i'~'ic tank location, disposal area location, location of percolation test,
a~d d~rection of ground slope.
The ~¥t~,'~m~;on ~on ~his form is true and correct to the best of my knowledge.
~ '~'~g~a'ture 'of Applicant '' ' Date Si~ned'
TO BE FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL
Th~. above described sanitapy facilities are hereby approved subject to the
fol!owin~ con~ons: '
Conditions
The above described sanitary facilities are disapproved for the following
l~e asoRs l
.Approval is valid fop one yea~ following the date of
CPJ: cw