HomeMy WebLinkAboutFIRE LAKE BLK 3 LT 7AFire Lake
Block 3
Lot 7A & 9A
#015-361-20
015-361-27
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 PHONE [] NEW
R~_.~.~./' ~[~'-~"---~ ~'~'--~'~;~'~/ I~'UPGRADE
LOCATION NO, OF BEDROOMS
Well l. Absorption area Dwelling PERMIT NO, '"
~ ~, DISTANCE TO: ] /~O ~ '/] /~ / ~ / /
~ Z Manufacturer Material No, of compartments
~ [Liq. capacity in gationsV ' ~ I Insid~length ]~¢th Liquid depth
~ ~ ] D STAN-E T~ Well ' [Dwelling %} PERMIT NO.
~z ' ~ ~: I
~ ~ ~ Manufacturer ] Material Liquid capacitv in gallons
Q I Well ~ /' Foundation ¢ I Nearest lot line ~ PERMIT NO,~ .~,~
~ ~ [ DISTANCE TO: I /~ / ~0 ] /~ ~
~ ~ Z I No, of lines Lenoth of each kine Total length of ines ¢~rench width Distance between i~es
~ ~ ~e to finish grade Material beneath tile .. Total effective absorption area
~ I ~gth Width Depth PERMIT NO.
~ I Ty~ ¢ crib Crib diameter Crib depth I Total effective absorption area
~ ] Well Buildingfoundation t Nearestlotline
I TO: I
~ ]Class u ~ ~' Depth ~ Driller ~ d Di~t~.ee to lot line PERMIT NO.
~ J ~NCE TO Building foundation Se~er line / Septic t~nk Absorption ~re~(s)
/
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3
MUNICIPALI
DATE
LEG~[
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~UNICIPALITY OF ANCHORAGE
Department Health and Environmental rotection
825 L Street, Anchorage, AK. ~J501
264-4720
?O ?) ~: HANDWRITTEN PERMIT * * *
Z~~ ~-SITE SEWER PERMIT
Permit
Applicant: .~','~ L~"]'-J~---~ Mailing Address:._. ~)~_~7 .~2~"~.,.
Location: Phone Number:
Legal Description: ~' ~ ~ ' ~t Size:
Type of Soil Absorption System Is:
Trench: /Drainfield: _ S_~_eepage Bed~ Holding Tank:
Maximum Number of Bedrooms: ..~~ Soil Rating(sq.ft/br)
The Required Size of t~e Soil Absorption System Is:
DEPTH ~?'' '~ ~
LENGTH . GRAVEL DEPTH ~' WIDTH
The length dimension is 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). ~X~5~
· * REQUIRED SEPTIC(HOLDING) TANK SIZE TM /~--'~f]) GALLONS * *
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.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this departme~
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fe~
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 is 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 $ 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
(2)
(3)
S igne~:
set forth by the Municipality of Anchorage.
I will install the system in accordance with codes.
sewer system may require enlargement if
I understand that the on-site include more th~ bedrooms.
the mesideEce,i~ remodeled to
Applicant
/
SWP/024(1/81)
FFLI_.HN F SHAi'"IFIN CONST INC
i'"iLII'-.I :[ C: ]: F"RL_ I T"'r' '_-iF= RI'-.IC:HEqF.:Rm3E
[:,EF'RF.:TMENT i.- HERLTH RNE:, ENVIRONf'IENTRL .)TECTION
825 "' L STREET., RNC:HORIRGE., Ri,::. 995~-.:..'H
264-4720
SElL. lEE: F"EF-: I".1 I T
SR'I BOX 3465 KLONDIKE ST 9_'9.567 688--2658
L 0 iS: FI T I 0 N
LEGRL L9R E:~:-'~IGY'i~F: FIRE LRKE
TYF'E IZIF qlalL HE,_-,U~.FTION -,T_,TEM IS: [:"RRINFIELD
LOT SIZE 9999'~9 SO!UFIRE FEET
I1H,.,IIIJtl NUMBER i3F BE[:,ROOf'IS = .$
SOIL RRTING ,::S6! FT,,"BR)= '14Ct
THE RE.::qJIRE[:, SIZE OF THE SOIL HE,=,_F. FTIUN S"r'STEM IS:
E::" E F" 'lr' FI = .'~1: L E I%i mZi-F H= 82 G E:R'..." E L E:,EPTH=
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR [:'RRINFIELD.
THE DEPTH OF' R TRENCH OR PIT IS THE [:,ISTRNCE BETWEEN THE SURFRI_-:E OF THE
GROUND RN[:, THE BOTTOM OF THE EXCRVRTION (IN FEET).
T H E T F-: E ~-,! mS: H L.J I [:, T H I S 5. L__.'~ E'~ ~3 F E E 'IF ..
'THE GRFtVEL DEPTH 'IS THE MINIMUM DEPTH OF ORFt',,,'EL BETWEEN THE OUTFFtLL F'IPE
FIN[:, THE BOTTOM OF' THE EXCFfv'RTION ,:.'IN FEET.'.',.
Y.:"~;k--:'!mJ I I-~:FE) 2';EF'T I ~:: T FtI'-.Ik--'. $ I ZE= :.IL 5 v:~ ¢.::~
PEF.:MIT RF'PLICRNT HRS THE RE_,FUN:,IE, ILIT¢ TO INFORt'I THIS E:,EF'RF.:ThlENT [,_RINI3 THE
IN=,THLLMTIUN IN-',FEE. TIUN=, OF RNY WELLS R[:,..TRCENT TO THIS ' '¢ ' '
FRJPEF..T~ FINE:, THE
NIJMBER OF RE=,I[.EHL. E=, THFIT THE WELL WILL SERYE.
........ T I-.-I I_-). ':: '; ::, F;
Z I I'-.ISF"EC:T I m_-m[-,IS F-:E F-:Em_--!LI I F~-"EE:, ........
BRIZ:KFILLINI3 OF RNY SY'-'iTEM WITHOLIT FINRL IN_-,FEUTIF~N AND RFFF._ ~L BY THIS
[:,EF'FtRTMENT WILL E:E SUBJECT TO PR. OSEZ_TI_'N.
PIlNII'"IUM DISTRNCE BETWEEN R WELL RND ANY ON-SITE SEWRGE DISF'OSRL SYSTEH IS
· '100 FEET FOR R F'RIVRTE WELL OR 150 TO 2E~0 FEET FROM R PUBLIC WELL [:,EPENDING
UPON THE TYPE OF PUBLIC WELL
HINIMUH DISTRNCE FROM R PRIVRTE WELL TO R PRIYRTE SEWER LINE IS 25 FEET' FIN[:,
TO R COHr,IUNITY SEWER LINE IS 75 FEET.
OTHER REC..!UIREMENTS WRY RPPLY. SPECIFICRTIONS RN[.', CONSTRUCTION [:,IRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F"EF~:I',I I T' E:-::P T F~E$ E:,,Em-:EI"IBEF;~: ---=:::L..
I CERTIFY THRT
±: I FII"I FRMILIRR WITH THE REO!UIREMENTS FOR ON-SITE SEWEF.:S RN[:', WELLS RS SET
FORTH BY 'THE I"IUNIC:IF'RLITY OF RNCHORRGE.
2: I HILL INS'TFILL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
2:: I UNDERSTRN[:, THRT THE ON-SITE SEWER SYSTEM MFIY REQUIRE ENLFIRGEMENT IF' 'THE
RESIDENCE IS REPIO[:,ELE[:, TO INCLUDE MORE THRN 5 BEDROOMS.
· '"~kISSUE[:' BY ~/ ._[:,RTE_ M b,~e-T ~.) 1 L) ?-/~ 'v'4.
7125 0Id Seward I-~.. Anchorage, Alaska 99502
· · 349-B561
;.
SOILS LOG -- PERCOLATION .TEST
~/ SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: '~'~, {~ ~'~
LEGAL DESCRIPTION:
O-0,5
!
2
4
5
6
.7
9
SLOPE
SITE PLAN
1
10
11
12
13
14
15
16
17
18
19
6~/~V~-'"/... /~U/7'h/ ..~/~-'T Z4~..~UNTERED?
IF YES, AT WHAT
OF
1834,.E
Reading Date Time Time
Depth to
Water
Net
Drop
20
COMMENTS
PERCOLATION RATE
TEST RUN BETWEEN
FT AND -- FT
PERFORMEDBY:~jI ~, ~,l'~Jl~ ,"~ CERTIFIEDS¥: DATE:
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
.EREORMED EOR: V
LEGAL DESCRIPTION: [.0~ qA j IC~LOC,(~. ~, L)PPiZ/~ I=I/2E L,q,~.E %dtT.
1
2
3
4
6
7
'-----8
9
10
11
12
13
14
15
16
17
18
19
20
5 I L:-F ToP
SLOPE
WAS GROUND WATER S
~-;IOTY C~ Pr~4b ENCOUNTERED? /Jo L
O
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
A/ o
)
COMMENTS '~L~?E ,~7' ,Pi?- ~ ~%
(minutes/inch)
FT AND __ FT
PERFORMED BY:
72-008 (6/79)
DATE:
G~CATER ANCHORAGE AREA BOROI'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
614
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
ADDREssMAILING .~.3/./~_~/.../../..~_~.~.....;.~_. ~..~,~_.. PHONE~..~_~_..~,~
LEGAL DESCRIPTION /~-~'-~-~-' .~'~_~-; ,.,"~,~- ~..~..-J~/,~=
GALLONS.
NUMBER OF
MATERIAL ~ ~')~7 '-~-c~"~/-~ '~ c'~-;-~' COMPARTMENTS
INSIDE LENGTH //&J INSIDE WIDTH ~ /'
LIQUID
DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS / _OUTSIDE DIAMETER ~ OR WIDTH
L,N,NG MATER,A, ;1 .O,S ANCE FROM
NEAREST LOT LINE (~ ~ /
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH/~/: , DEPTH ~
BUILDING FOUNDATION
SQ. FT.
TILE DRAIN FIELD'. /'~_//'/,/~'
DISTANCE FROM WELL ~ , F~I~O DATION , NEAREST LOT LINE
- \
TOTAL LENGTH
OF LINES
IN~F ECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
W E L L:
TYPE ~,~/~-~-Z' , DEPTH ~ i
LOT LINE /~ /~ NEAREST SEPTIC
SEWER LINE~ ~
. , . TANK
DISTANCE FROM
, BUILDING FOUNDATION./'~') /7/~ WATER
SAMPLE //~'~ , NEAREST
~'/ / SEEPAGE / ---'(-~/~/~/~. OTHER.~dZ/~..~'.
, SYSTEM /z/)~/~ , CESSPOOL ~/ , SOURCES~J~
DISTANCES:
DIAGRAM OF SYSTEM
DATE APPROVED~"~-------~'~'"~'~'~ ~' HEALTH AUTHORIIY '
GREATEI ANCHORAGE AREA ' DROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case No.
,~ o
NAME OF APPLICANT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
~ /~ ~¢~r~'~- MA,,,NG AOORESS ?~,~~ . PHONE NO
u~", SEEPAGE PIT ~, DRAIN FIELD , OTHER
TO SERVE THE FO~LOW,NG FAC, L?[ ~_T ~Z£~ ~
FINANCEO THROUGH ~-~,/t~ TO BE INSTALLED BY
PERCOLATION TEST RESULTS ['~ C'~/~''~ ANTICIPATEB DATE OF COMPLETION' --c"~ ,~,..~2.~..¢.2~./~.~d.
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ¢;~'~7-'2, /(~:"~/~--~ , PERMIT TO INSTALL A
AsDEscRIRED B Lo~b-~W. SIZE OF UNIT TO BE/SERVED
· SEPT,C TAN. S,ZE /'~7~'> TYPE ~'~,~'.~SSEEPAGE AR~A
DIAGRAM OF SYSTEM
DISTANCES:
~/~./
Health Authority
]~certi£y that I am £amilia~ with the requ~¢ments of G~eater Anchorage A~ea Borough O~dJ~ance No. 28-68 and that the
above described system is in accordance with said code.
DATE
APPLICANTS SIGNATURE
/- ~,~ Y- ........................
/ ..: / : ~ lit .......
I Al %'< ¢.~.-. ...... q, ,
I / A~¢ ~;-, ~L%~ ?;
~ /, / '.' ~/ 'h~','
3'/ ~.~,' ,' ~ ~ ~ ,~: ,' ,
i ~ ~ / 2_~~-. - ' "< ~ -"~
-t ~ - Wthq Sed~ ~ Townsh,p 5 N~th Range~2 West
DTI000333
106-12
I
] _ ~-~?,- ~"~ .... ~ i L
S¢cton 36 T0w~hn 5Xorth Range 2 Wes Seward Mend~
Area: 35 69 Acres (l~,ng Tract A ) ~re Lake, Alaska
D'Tt000335
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