HomeMy WebLinkAboutFIRE LAKE LT 2 TR G
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONIVIENTAL ENGINEERING DIVISION
825 LStreet - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF ~EDROOMS
~ ~Well ~ Absorption area ~ Dwelling /~ t PERMITNO
DISTANCE TO: / '
~ I Manufacturer ~ I Material ~ _ Ne. of compartments
e ~Liq capacty ngalons nsde ength Wdth Lquddepth
· /,~ ~ ~ OM~MAO~' _. I ~
~ , I DiSTANCETO: IWell IDwelling PERMITNO.
~ ~ I Well I Foundation / /Nearest lot line PERMIT NO.
~ · Z ~ N~ of lines ~ Length of each linc ~ Total length of lines Trench width Distance between I nes
~ ~ ~ Top of tile to finish grade I Material beneath the _ Total effective absorption area
~ ~ ~d~ ~C~'b di~t~, ........ ~rib dep,~~ Total effective absorption are~-
~ , Well Building foundation Nearest lot line
- i ~,STA.O~TO:
~ IClass . Depth Driller Distance to lot line PERMIT NO.
~ I ~ TO: Building foundation Sewer Pine Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING/
INSTALLER
REMARKS
_ ~'~
APPROVED
72-013 (Rev. 3/78)
DATE LEGAL
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MUNICIPALITY 0f ANCHORAGE
Department ~ Health and Environmenta. ~rotection
825 _ Street, Anchorage, AK. _9501
264-4720
* * * HANDWRITTEN PERMIT * * *
Pe'rmit ~ W~ AND/OR ON-SITE SEWER PERMIT
Applicant ~S~-(~m- C : ~ ~ C
Location: C-C ~ c t t A~ /~ ~<' Phone Numar: ~ ~- ,~ ~ c~
Ty.pe of Soil ~sorption System Is:
Trench: Drainfield: ~_ Seepage Bed: __ Holding Tank:
Saximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) /~
The Required Size of the Soil Absorption System Is:
DEPTH ~ .LENGTH 7~ . 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).
* * REQUIRED SEPTIC(HOLdiNG) TANK SIZE = /~C'~ GALLONS * *
2ermit 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 * * *
B'ackfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Min'imum 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 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 8 9_ * * *
I certify that:
(1)I ara 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 codes.
I understand that the on-site sewer system may require enlargement if
(3)
include more that ~bedrooms.
the~resi~en~e/is/~C~ remodeled to
Applicant 7/~_~Q7
Date: ~ ~ ~ .
SWP/024 (1/81)
O & E EN(_.NEERING & DEVELO, ,vlENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
Name:
Mailing Add ress.~;
SOIL LOG
Earl Ellis
688-2280
Depth (feet)
Soil Characteristics
d
10__
11__
12__
13__
14
16__
No f If yes, what depth
Drain Field
Ground Water Encountered: Yes
Proposed Installation: ,,Seepage Pit
Comments:'y~ ~
I
/
RusseJl L. Oyster
1'4o. 4286. E
I?i(:k Mystrom,
Mayor
Mtmicipality of Anchorage
Department of Health and Human Services
825 %" Street
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
September 26, 1995
Lavenia Doyle
PO Box 670249
Chugiak, Alaska 99567
Subject: Lot 2 Tract G Fire Lake Subdivision
Permit $SW940365, PID $051-333-27
The subject permit, issued September 26, 1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of September 26, 1995.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sin~rely,
Program Manager
On-site Services
enc: Copy of Permit
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW940365
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:DOYLE LAVENIA
OWNER ADDRESS:P.O. BOX 670249
CHUGIAK, AK 99567
DATE ISSUED: 9/26/94
EXPIRATION DATE: 9/26/95
PARCEL ID:05133327
LEGAL DESCRIPTION: FIRE LAKE LT 2 TR G
LOT SIZE: 102660 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY~ ~/~_~_.~
ISSUED BY:
DATE: ~/~ .~/~/