HomeMy WebLinkAboutFERGUSON LT 1'1,'1
MUNICIPALITY OF ANCHORAGE
Department -,If Health and Environmente
825 ~ Street, Anchorage, AK.
264-4720
Protection
~9501
Permit ~ ~<~,.~'~
Applicant: ~ ~U ~~--/%/
Location:~/~ ~/ Z~ / ~/~ ~
Legal Description: ~3/~ ~_~ ;0 7-/~-X]
Type of Soil Absorption System Is:
* * * HANDWRITTEN PERMIT * * *
4N,~B'8'm~e~%ON-SITE SEWER PERMIT
Mailing Address:
...Phone Number:~ ,9"',~ U~X~_/./ _~~
4/~ LOt Size: U~ 6~
Trench: / Drainfield: Seepage Bed: Holding Tank
Maximum Number of Bedrooms~,~ Soil Rating (sq. ft/br)
The Require~'~lSize of the Soil Absorption System Is:
DEPTH ~ LENGTH ~i~i.'~ 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 = ~5~ 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 department
will be subject to prosecution.
Minimum 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 g 8 3 * * *
I certify that:
(1) I am 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.
(3) I unders~nd that the on-site sewer system may_~/_~re3~q~ire enlargement if
the re~/i~ence is remodeled to inslude more tha~/bedrooms.//
Signe~: A~~~'¢'~'~/~)Date:ISsued by:~/~,~~4~~~ ~ -
SWP/024 (1/81)
OErE
Russell Oyster
694-2774
Soils ~ Foundations
Performed for: Name:
GEO..:CHNICAL 8- DEVEL,.,PMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Hatltng Address:
Legal Description:
Depth (feet)
SOIL LOG
Tel. No.
Soil Gh~rqcterlstlc)
CO.
Earl Ellis
688-2280
Land Development
1]~
12 ....
14
Ground Water Encountered: Yes__
Proposed Installation: Seepage Pit~
No__ If yes, what depth
Drain Fte~d
Comments'.
Performed by: Date:
CONST__RJJ , JJ; AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
Ptans for the construct(on of
by
~j~ ,'~ public water system located
., Alaska, submitted in accordance with 18 AAC 80.100
have been reviewed a nd are
[] approved.
[] conditionally approved (see attached conditions).
If construction has not started within two years of the approval date, this certificate is void and new
plans and spe£ifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Chon ge (contract a raer no.
or descriptive reference)
Approved by Date
The "APPROVAL TO OPERATE" section must be completed before any water is made available to
the public.
APPROVAL TO OPERATE
The construction of the. public
water system was completed on.
-granted interim approval to operate for 90 days following the cpmpletion date,
(date). The system is hereby
BY TITLE DATE
As-built plans submitted during the interim appr~)val period, or an inspection by the Department has
confirmed the system was constructed according to the approved plans. The system is hereby granted
final approval to operate.
eY
TITLE
DATE