HomeMy WebLinkAboutCHARLICE TR A-1Chczrlice
TRA1
#067-011--01
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE-SF,WERANELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SW 0 7 -02 -et
Parcel I.D. nF6g - Dk)' Ocl
Property owner(s) Day phone
Mailing address (1)
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size
Acres/Sq.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only 0 Well Only ❑
Sewer and Well ® Water Storage ❑
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
Hot Tub 0 Jacuzzi 0
Swimming Pool 0 Water Softening Unit 0
Therapy Pool 0
I certify that the above information is correct. I further certify that this application is being made for a
Sing! Family Dwelling and is in accordance with applicable Municipal Codes.
( �), nal R 1 oS
(Sig re of property owner or authorized agent)
Permit Fees: ck 1 n \ 12e, 'Uwvaiver Fees:
Date of Payment: b I II 0 3 Date of Payment:
Receipt Number: 3 `'4 (p' Receipt Number:
(Rev. 12/00) S r
July 28, 2003
Municipality of Anchorage
Mark Begich. Mayor
Building Safety Division
P.O. l3ox 196650 • 4700 Bragaw Street
Anchorage. Alaska 99519-6650 • (907) 343.8301. Fax (907) 343.8200
http://www.numi.org
Jim Lee
26643 White Spruce Drive
Eagle River, AK 99577
•
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW020295
Legal Descriptioni CharliceTract c1AI
Dear Jim Lee:
An On -Site Water/Wastewater Permit, number SW020295, issued by this office for a single-family
system, will expire on August 15, 2003. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Sine
Ja Cross, P.E.
M ager
On -Site Water and Wastewater Program
Enc: Copy of permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Renewal
Permit Number: SW020295
Legal Description: CHARLICE TR C -1A1
Design Engineer: 0070 KND Engineering
Owner Name: Jim Lee
Owner Address. 26643 White Spruce Dr.
Eagle River , AK 99577 -
Date Issued: Aug 15, 2002
Expiration Date: Aug 15, 2003
Parcel ID: 068-011-09
Site Address:
Lot Size: 2541552 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
J✓ Disposal Field j✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
g. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
15. -The following special provisions.
1AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL PERFORM AN ADDITIONAL SOILS TEST TO
1 COVER THE PROPOSED ORIGINAL AND UPGRADE WASTEWATER SITES PURSUANT TO AMC 15.65.
Received By:
Issued By:
Date. 90?
Date: afrr/Gz
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
OcoP—f(—Oi
Property owner(s) f; n Le e
Mailing address (1) E CoCo N 3 1/.i h: ie Spu vc e
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) i ti4 a 1;c £ .S/.0 ra c -f- C. — 14 1
Legal description (Section, Township & Range)
Lot Size 2 , Sy i , 5SZ Acres/;Ll Number of Bedrooms S
Permit Number SW020295
Day phone G 9 '-I — `I'{ `!3
Dec Eau IF R i ✓Er'i; , Ms 9? S V- i -
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
0
0
0
Well Only
Water Storage
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made for a
S (p, le Family Dwelling and is in accordance with applicable Municipal Codes.
ature of property owner or authorized agent)
Permit Fees: g e Neirk//1 I S 100. a°
Date of Payment: $l9 /0
Receipt Number: OZ 39 Vo
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
July 3, 2002
Municipality of Anchorage
George P. Il itcrch. Mayor
Jim Lee
26643 White Spruce Dr.
Eagle River AK 99577
Building Safety Division
P.O. Box 196650 • 4700 S. Bragaw Street
Anchorage, Alaska 99519.6650 • (907) 343-8301
http://www.cLanchorage.ak.us
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW010314
¶Legal Description: Charlice Tract C -1A1
Dear Jim Lee:
An On -Site Water/Wastewater Permit, number SW010314, issued by this office for a single-family
system, will expire on August 13, 2002. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Since
Ji Cross, P.E.
M lager
On -Site Water and Wastewater Program
Enc: Copy of permit
7"
i4
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW010314
Legal Description: CHARLICE TR C -1A1
Design Engineer: 0070 KND Engineering
Owner Name: Jim Lee
Owner Address: 26643 White Spruce Dr.
Eagle River . AK 99577 -
Date Issued: Aug 13, 2001
Expiration Date: Aug 13, 2002
Parcel ID: 068-011-09
Site Address:
Lot Size: 2541552 SO. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit Is for the construction of:
E Disposal Field 0 Septic Tank E Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel l.D. V I9 8- b //- b9
Property owner(s) Jim Lee
Permit Number SW 010 �t
Day phone 694.4443
Mailing address (1) 26643 White Spruce Drive. Eagle River. AK. 99577
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Charlice Subd. Tract C-14.1
Legal description (Section, Township & Range)
Lot Size 58.312.539.548Number of Bedrooms 5
:2,.5'l 1,CSa CAcre q.Ft
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only El
Sewer and Well ® Water Storage 0
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi 0
Swimming Pool 0 Water Softening Unit 0
Therapy Pool 0
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Sigrfature of property owner or authorized agent)
Permit Fees: two
Date of Payment: 0I00/
Receipt Number: 0/ 66
(Rev.12N0)
Waiver Fees:
Date of Payment:
Receipt Number:
IK lD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 1, 2001
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer/well permit — Charlice Subd. Tract C-1
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit on the subject
lot. On March 19,1984 S & S Engineers dug one testhole for the proposed system. The
results of this test are attached. The general slope of this lot is from north to south at a
grade of approximately 20-25%.
We have designed our system utilizing the existing testhole that was excavated for the
5 -bedroom house, which is proposed for this lot. The lot will be served by an individual
well, located on the northern portion of the lot. We propose to install two 5' wide
shallow trenches. Water was encountered during the excavation and monitoring at 7'.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
END Engineering
Kenneth M. Duffus, P.E.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISPDSAL SYSTEM DETAILS/SITE PLAN
CHARLICE S/D, TRACT C-1
MO ►URIC WELLS WITHIN 2Ca' Cr
PRCPOSCO SYSTEM.
MO PRIVATE KLLS VITMIN tar Et
PROPOSED SYSTEM. EXCEPT AS M01C11
Iq SEPTIC SYSTEMS VITMIN 2W or
PRCPOSEO WELL CREEP? AS NOTES
KENNETH -kr. DUFFU
CE -7116
DESIGN DETAILS
5 BDRM X 150 GPD = 750 GPD
750 GPD/.8 GPD PER SO. FT. (10 MIN/IN.)= 937.50 SO. FT
(937.50/5'(W)) X .78(RF) (1.5' GRAVEL) = 146.13 FT. TRENCH
USE 2 TRENCHES - 74 CO X 5' (V) X 1.5'(D)
Total depth of system is 2.0' from original grade.
Total depth of gravel below distribution pipe is 1.5' .
NOTES:
1. USE 1500 GALLON SEPTIC TANK AND INSULATE TANK IF <4. OF COVER.
2. INSULATE TRENCHES WITH r HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REOUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 6 SEPTICS.
PREPARED FOR:
JIM LEE
26643 WHITE SPRUCE DRIVE
EAGLE RIVER, AK. 99577
(907) 694-4443
FIELD BOOKS COMPUTER
fRiaait . SEWARD °R""` VBC
STMMMC SEWARD OiCOtCo KIAD
*S8I*I SEWARD OAR' 8/10/01
°Ma .t cma SW364
MG'S 97070.DWC a M" 97070
Salle: 1'= 100'
PAGE 1 OF 2
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
WASTEWATER DISPOSAL SYSTEM DETAILS
CHARLICE S/D, TRACT C-1
59'
PROPOSED 1500 GAL
SEPTIC TANK
PROPOSED ZABEL Z200 FLOW DIVI
105'
CE -7116
PREPARED FOR:
JIM LEE
26643 WHITE SPRUCE DRIVE
EAGLE RIVER. AK. 99577
(907) 694-4443
Scale: V= 20'
PAGE 2 OF 2
tal"
\ FES3100-
FIELD BOOKS
casurzm
40w0"1" SEWARD
""n.° SEWARD
(swot VBG
ocaw 1040
ASeuar. SEWARD
"ti 8/10/01
JKN D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
MC MC:
(s"• SW364
A") ' 97070.DWC
dab w' 97070
(907)696-6111/FAX (907)696-8111
12-05-1997 10:16 907 e712915
AAL -456 Como Ie
fL6.
Municipality of Anchorage
DEPARTMENT OF HEALTH fi HUMAN SERVICES
1125 •L' SUM, Anchorage, Alaska 98502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: 1M Lu
LEGAL DESCRIPTION: PQ*P.UO TRAcT C -IA Township, Range, Section
Ost•Gbq([ ORAC.T h• t) SLOPE
DATE
10
11
12
13
14
15
COMMENTS
WAS GROUND WATER
ENCOUNTERED? YES
P.01/01
im.
•
ER FIORME ),
�ry
'1
1144 P. mit; ...c. 2y
!ITE PLAN
N
�fV
Alto A"-Cd4E,
site, Pum,
S
IF YES.
1
Witt DEPTH?
AT WHAT
O
aatr 7? 3/21/91
a
1
Radial
Data
Gros.
Tanawow
, NE
!
Death to
Nat
Dreg
tAgso.c.
Pe two
:
i
10/1/417
14415
I
Mis
1'
1ot'Rp
br,�
SW
3
Iet1S
6"
off
4
1e t yo
1
C. /12"
'h'
5
to DK
1"
ys«
PERCOLATION RATE I O (Mmulwnelp PERC H6LE DIAMETER
TEST RUN BETWEEN a FT ANO 4 FT
`M
3 LNVIPRLRtnia
PERFORMED ay: 17014 E.«!. thy lane Read NA_ nil `tR4GQ'��AJ[� CERT
ACCORDANCE WIf1TAIE SDlUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE
72.406 (Rev. vl;I
Y T?j*T TH19 TEST WAS PERFORMED IN
!Jo /Y/ 17
To: Ken Duffus
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
Legal description: Charlice Subdivision, Tract C -1A1
The attached paperwork has been reviewed and is being returned for the following reasons:
® Original signature or stamp missing on soils log. Need stamped document of work performed under
your supervision (per Occupational Licensing).
❑ Calculation error in design.
❑ Additional soils information needed.
❑ Water monitoring results inadequate.
o Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
® Incomplete; missing Verify slope k less than 25%.
® Incomplete; missing specify approved splitter valve.
❑ Additional adequacy test information needed.
❑ Water sample unacceptable.
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
o Omission in narrative.
❑ Insufficient fill over tank or field.
® Other. Shallow trenches must be installed perpendicular to slope, not at 45 degrees.
Name of reviewer: Jim Cross Date: 8/08/01
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
/ MUNICIPALITY OF ANCHORAGE
•
i r
q /
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
,,c) I rn W , le -e
PHONE
1 qr r6`6
NEW
■ UPGRADE
MAILING ADDRESS
.S-C�l ,n /4-e_ g. � `0
K
LEGAL DESCRIPTION
-Trot 4A 0 -Kee r I t e e amu19d t to s a -y..
LOCATION
nC-r 6Prue
NO. OF BEDROO�(S
v\\
SEPTIC
TANK
DISTANCE TO:
WellO��
ye
q�'�
Absorption area r L
1
Dwelling g 1
PERMIT NO1 s� euQ
Manufacturer/
r� ei(
Material Q
../1
No. of compartments
a
Liq. c'pa ty,inn gallons
A 50
IF HOMEMADE:
Insj�eie,�gth
//��
Width
Liquid depth
D Y
J0Z
024
DISTANCE TO:
Well (
il
Dwelling
PERMIT NO.
Manufacturer
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:,�'rti:
Well
Foundation 1
`�- �((/
Nearest lot ne
I' �CL('JcQS
PERMIT NO. {% pc
70 Q 7 (j
No. of lines
Le gth of ach Iirle, tbv
Total length of line; rt 1
C
Trench width` -✓
(pinches
Distance between Nays
cel,
Top of tile to finish gradeMaterial
3
beneath tile
(�
D L- inches
Total effective ab or ion area
SEEPAGE
PIT
Length "cu
Width
Depth
PERMIT NO.
Type ofd
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
w
CIaG „ /J ` , ti
C yt.42,z t1
Depth
Driller
Distance to lot line
PERMIT Nal go g �O
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
-1) 30 34I"
4
��
P
SOIL TEST RATING
t 011
.
,
64-r„
s F-
0
iii
INSTALLyR,
at YVIO"Y, c62/a1
tV
I
REMARKS
s
L&) -u ao"'rt<AJ W! i
l
tAittc-25re 41,i1N,
$
plLr
huts
P p�
APPROVED DATE LEGAL
/
C—X6' -1 ..0 , cib . 9172
72-013 (Rev.3
e����/��-��
�t T rA L..... ��� Fl VI [Eft������
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
n�� '/ ' �r�FFT. �wcHnp�nF. �x qq�N1
~�~ ^ -��.'__�. ..'__�'__. �- ----_ '
264-4720 h�/°ae
0,E�� F���� ����—� � F� ���U-��� ���;!rff � � '�—'6-
PERMIT NO. ( 7S0840 )
HPPLICHNl JIM W LEE
LOCATION OFF SPRUCE LANE
LEGAL TRACT H CHHRLICE SSD
ST RT BOX 210 EAGLE RIVER 694 96]6
LOT SIZE 100000 SQUARE FEET
TYPE OF SOIL HBSURBTION SYSTEM IS: TRENCH
MHXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR),:, 150
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS.
��r..!1Cii-1- VA F!. El! 'V LE L_ 1E> EE r--11-0-11=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H 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 EXCHVHTION (IN FEET)
1:: 11,7 F.::: �IF" �t1-1 ��L..... It__����
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER 8F RESIDENCES THAT THE WELL WILL SERVE.
___ 1- 0-4 (' > 0"-.11:=J'1= g_11 CD P4 fE; FVFAE1�R--"D N r7.
BHCkFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL, OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
1-;,:;7. 1:::::" P:;;;!! ��11-1 FE3: fL°
:1 ^.7.:;11 77"��
I CERTIFY THAT
1� I HM 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 THE CODES.
I UNDE c ND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
)
A �
� � � o // . o
RESIDENCE
DENCE
TO INCLUDE MORE THAN 4 BEDROOMS.
�
INCLUDE MORE THHN
REMODELED
REMO�ELED�T JIM
po
� .
��
=__ �_
K .��Jm�~�
�� -1i° �'��~
IGNED�PP
LEE
�__-__DHTE_�-�%i1
r-� It✓a t-1 I C: =- w=t 1__ 1 -1-1-r` CIF"= H t c:
DEPARTMENT 0 IEALTH AND ENVIRONMENTAL F 1"ECT I ON
825 q_./ STREET, ANCHORAGE, AF':. 99501
x'01
264-4720
•-! EE L.__ L r i t a IC e--� t — �� "F F "= E-.• W E: F :
PERMIT t•51 ,:r-►_if�.rE :)
APPLICANT FLOYC' N WOODS 8207 SPRING ST 344-032
2
LOCATION 1/4 tIILE PAST SPRUCE LN
LEGAL TF:ACT A CHARL I C:E SI.1E: LOT SIZE 108900 SQUARE FEET
TYPE OF SOIL AE:SORBT I ON SYSTEM I S : TRENCH
MAXIMUM NLIF1E:EF: OF BEDROOMS = 3 SOIL RATING (SO FT/BR>= 240
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
:
1_.-. EE t-.11.:3 T F—{ == £:■ E: F=° ".€_. F 1=
THE LENGTH DIMENSION I' THE LENGTH <IN FEET) OF THE TRENCH OR DRA I NF I E:L.. Cf.
THE DEPTH OF A TRENCH OF: F' I T IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION <1 N FEET).
THERE IS NO SET WIDTH FCOF: TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL EL E:ETWEEN THE OUTFALL F'IF'E
FANO:' THE BOTTOM OF THE EXCAVATION (IN FEET).
F. „ 1r✓ t`y 11. II 1 F: E—_ r--. TFi t-°11==: I :13rC•: A
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING T;1
I NSTALLAT I CIN INSPECTIONS OF ANY WELLS AC:'.?•AGENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL S=ER''f E.
-1-1 ,413 <2:17> I r-.1:E.F'Fa :T I C.ir-.1F=:E=C!1._i! 1 F°F:_1">
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INEF'Fr TION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO P'ROSEC:UT I ON.
MINIMUM DISTANCE E:ETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL AL.. ''''YSTEM TS
100 FEET FOR A PRIVATE WELL.: OF:
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PURL IC WE:L..L .
WELL. LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 70 DAYS
OF THE WELL C:OMPLET 1 CSN.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PRCOPER I NSTAL.LAT I C'N.
F=` L F: Fi I T 1 �- :: F✓' I F~:IE^ £: lEE e_�: F' r� B E. F=` `: _i.
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWER:- AND WELLS AS SE..'..
FORTH E:'T' THE MUNICIPALITY OF ANCHORAGE.
2: I ItILL INSTALL THE E'YrTEh1 IN ACCORDANCE WITH THE CODES.
. I UNDERSTAND THAT THE Ot•t—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED:_
CANT F•Li t to WOODS
ISSUED BY__
.._.__DATE_ __ ._1TE.._.
Lt vk NDi_
December 29, 1978
#780666
Floyd N. Woods
8207 Spring Street
Anchorage, Alaska 99502
Subject: Tract A Charlice 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 there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ljw
enc: copy of permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6,650, AnchGrage, Alaska 99502 276-2221
SOILS LOG - PERCOLATION TEST
SOILS LOG
,NS PERCOLATION
l'ERFC)1-31,.11-0 FOR: 1 L.--- C ,.."'. if ) ( I- ; DATE PERFORMED:
..--
,i---
7
/1 •
v—. C '
---7"-- 1 , , , ,
17EGAL DESCRIPTION: i /1 IT C. i // (TJ(TJ/.. / ( f ) 'i., '... i'''
DEPTH
(FE.,21.)
2 —
3 —
4 —
5 —
6 —
7
8 —
9 —
10 —
11
12
13-
14
15
16
17
13 —
19-
20 —
CON1%.1ENTS
'I'ERFOR',.,D BY:
-,'2 008 (77r. -
• -)
,
WAS GROUND WATER
.. ENCOUNTERED?
IE YES, AT WHAT
DEPTH?
SLOPE
S
L
0
P
E
TES f
SITE PLAN
Reading
Date
Gross
Time
Net
Time
Depth to Net
Water Drop
„....
-
, (
'3
3' /
(-.' 7
, .
-7;
0 ,
, -
, ,
6'
?... =
.„
, • ,
.
3
r.-
_ ...
e,'' i,
0L- !,0
',
/5
• 0-
ea
i
Q
i f
( f
' I
i
PERCOLATION RATE
(n-:Holes/inch)
-FIST RUN BETWEEN FT AND .1 FT
CERTIFIED BY'./..,_
r. L le
/
0r { :LIC EL0I2 _ !ie --li U
2204 (7.7:e e:and ..ncno. ac e, _,..si:a '; :".,C,3
__‘...1.51-___-•_ `'•— ate Perfor,,e l
nescrintion: Lot-- B1oc1: Suuriivis nn c_
-- _ G
orm :enorts Soils Lon — —
Percolation Test
..> _ r• .4-- Pi
-h
Soil Characteristic_s___
_DOA ^
(=roun,i Water Encountered?
Yes, At what Depth?
04
Net Dron'
lati,nn Rate _
Frnr'osed Installation: Seenaoe
De^th of
Inlet
3175:3Q—
erfori.ed By
Pit __
Drain Field
Depth 7o nottcm Of Pit Or Trench-
ere
rench
' — t-` t° . +'H. e_.44/ 5
Data Certified Gy:
71.72
-aeLLead
kS Ac 11/4)43 fIL
0
F
H
J
<r
d7
WE SERVE ALL ALASKA
POST OFFICE BOX 42 - CHUGIAK, ALASKA 99567
0
w
0
0
w w w w
0 0 0
E
O • 0 0 0
w• w _w� w
.` V
iv(T '''`-
1-7'-,
\i
4^4 r�
4ti { 3 \c'
•. Vi
0 0• 0 0 0. 0' 0 0
0
0
0
0 0
w w
•
0 a
0
oc
w
TTttiaa
0
0
a0c
0
z'
DRILLER'S NAME
Time
APPLIC. _.JT FILLS OUT UPPER HAL ONLY
Property L wner y. / :
7 )4f i f / , `, (....:1
Mailing Address `7
ip Code y75 77
PhoneP�
�/ 1�
Buyer...
Address
Zip Code
Lending InstitutionF
Address 7 i7
f�, ,.; ,4 c� 7� �1
. Lr "1 •!r !e �f " ,"f✓ f1
/---7, es(,fc, 0 / f 6.r E cfi /- 7j; ; ,� �j rL
h` 66 /3 4481) Code 7? 5-0.z
Phone
2 X -sioo
Realty Co. & Agent
Address
( l} APPROVED BEDROOMS
(ll
( ) DISAPPROVEDT,,
( ) CONDITIONAL APPROVAL'
DATE
f5aC /
Zip Code
Phone
Legal Description'
Street Location e,
�. `icy r // C --S-c./ `a i iv/ _s / Un- Ty cz C f — /
,:( ,0 .,, c e. Z-CeY1 rc'
Type of Residence
Single Family
❑ Multiple Family
❑ Other
T ����.
No. of Bedrooms 171
Well To Absorption Area
Well to Tank
Well Log Received
Water Supply
Individual
Community
❑ Public Utility
r~'
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).
Sewer Disposal
Individual
Public Utility
❑ Holding Tank
Year Individual Installed:
9��
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
Date
Date
Date
Date 9
Inspector
Inspector
Inspector
Inspector
Field Notes: MUNI!'!p"L''r'' ''F "'.(--"'-.c:•" '.1-;E
ENV::.._. , ,,.,L ,..., .L 1 )N
Mk+1161PALIT'( OF ANCHORAGE
DEPT. OF HEALTH &
NWRQNMENTALECTION
MAY 10 1983 --
( l} APPROVED BEDROOMS
(ll
( ) DISAPPROVEDT,,
( ) CONDITIONAL APPROVAL'
DATE
*CONDITIONS OF APPROVAL M�
/ ►;I+� RECEIVED
() /t/�
APIA
BY:
Soils Rating
Date Sewer Installed
3'(7�
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size /h.S-0
72.023 (3/82)
ADJUDICATOR ATTESTATION:
ADL .0/// /
I, (../0Vot. .L
Tidjudicator, employee of Alaska Department of Forest, Land and Water
Management)
swear that the following is an accurate and true documentation of my conversation
with, Yv.V'C LLZ- at 6 ci `{- y� h
Tlocation or their phone #T
on 7/ /7/ I
(date)
IvvY S
fA-nc,L
S��w. p_cattvp,.1
L
C
aft/` -c) Gt7z <-t.f-c)
S
S '4- b
rs
-e-q)
64-
C`-'12
/1 d7
LJ
Signature:
/cF- 217et 83
/78/;
- OC
k e2-2,2z.d_ ,AL16..t.zz
/4k
4 0 jevi • 0..
_ o
cp
(.4 0 CA_
(344: fh
e
1/14
(€,
Ci
/ •
164,u —
