HomeMy WebLinkAboutBERNARD TR C-1
MUNICIPALITY ON ANCItORAGF,
Hea ~ and'Nnvironmcntal Prot:e~ on
Fourth Floor West
825 L Street
Ancherag e, Alaska 9950]
264-4720
SEPTIC TANK:
DIS'I?\NC['
FROM WilLL
It,lL-,l[.)fl t t.{J',,!(i 1'tl.
If',Jti![.if_ WI[)ill
TiLE Df~AIN FIELD:
E)IS~I/\N( l t H()M WI LI
. l: OUF'J[ )/~l'l ON
Alii 51 ( ()1
# of Lines ..... I)I'.,,IANCJi bL. tWLL ,""J L Ir'lli5 __ l',ti.N( t ','/II,FIt . 1N. TL)I ;'\1 tiFi'ECI I',/1:~
LRJ,LL)mNC', FOt~NDA-i,ON. . NfARI'.ST LOt t,NE ....... A,t',r),'iF']K)N ARF,~ (WALI_A,t~:A)........ ~~ 5Q [-'l.
Depth:
Lot Line
Line:
Well
Class:
Well Distance To:
Bldg: Sewer
Pipe Materials:
# of Bedrooms:
Installer:
Remarks:
January 3, 1978
Bernard Stewart
Star Route 9100
Eagle River, Alaska
99577
Subject:
~act A Bernard Subdivision
Permit ~77697
A pe~it 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 departn~ent to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
S~acerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ljh
FtPPt.. '[ C:FIN'T'
I. O C F-t]" :f O N
t....EC~FIL
8ERI'4FIE'I) S"f'EWFIR]"
H I I...FIND RI::."
"r'FE'RCT Ft I:,'EF~'.I'.JFIR[)'E:,I...I8I.')
SR tg:J..E~E.~ EFtGI...F.". RIVER
"I"'¢PF:: OF' 9.~O :[ I F~BtE;ORB"I" ].' ON E;Y:~;TEP1 ]: E;: "I"RE:NCH
I',IFIN]:MI...II"I Nt..IHBER OF' E~E[)ROOI',I'.:.; =
SC]It ....
THE: REt:.:EJ :[ RE[) .'E; ]: 2:IE: OF THE: :E;O :[ L. FIF.',".E;ORPT :[ ON '..-.-.,"r'tE;]"EH :f L=.,:
THE I....ENG'T'H t":, :[ ifF:NE; :1: ON ]: '2; "['HE: I....ENG'T'H ,:: ]: N FF.E"F ::, OF THE TRENCH OR DRF1 ]'. NF 7[ IEt...I)
]"HE] DEPTH [:::IF FI 'I"I~!IENE:H OR P]:I" I~F; ]"FIE DIL-F, TRNC:E BEI"bJEEN 'T'HE:. E:]IJRFRCE OF' "I"HEi:
GROIJND FIN[) THE BOTTOI'"I OF THE E',:.::CPI',,/FI"f'ION (IN FEET::'.
]"HERE I E; NO :,".-:FE"r' b~l[:.',"l"H F[')R TREN[]:HE'.E;,
THE GRRVEI .... DEPTH ]i.'.~ THE: t',I]:N:[f,'II.IH DEF'TH nF GE'.RVE[.. BEI"NEEN 1"HE'. OI.J]"FRI....t.... I:::' ]'. F'Ei:
RND THE: E:OT]"E[M OF THE EF:',CR',,,'RTIC~N ,:: ]:N FEE'T::,.
F" F:I ~'.:"_": k:: F~ t-.Fi IE_:: F" IL.. ~ I"-J -I'- C, F" '-IF' :]E ,::, IP-J .............................
FI PRCKFIGE PI....FINT PlFI'¢ F.'.'~E :[N$]"IRLLE:[.':, FIT "f'HE PERI',I ]; "r"f'EE '" E; OF']"]'ON 'E;UB3EC] .... FO ]"HIE
FOI...I_.OI4.1: NG CONt::, .1: ]" ]: ON'_E';:
:.I... E~]"HEI~'. FI C/..R'E;E; ]' OR ]:]: N:..:.;F FIPF'RO',,,'EE:, PL. FINT P1Ft'¢ BE :[I'.4'E,'T'FI[_L.E[::,.
R CONT]'NI.IOIJ~; HFI'[NTENFINCE FIGREE:HEN"I" ~L--., F.'.EE.!U]:F~'..F.:r::,. ]:F' R HFI:t:NTEI'-JFINCE:
FIGREE:HENT :t'% NOT K.F.:PT CI.tRRENT '¢OI...I PlR'¢ BE: RE:~?I...I~E.'.E[::, ]'O ENI....FtF:tC~E: ']"FIE:
RBSORP]" ]' ON t'.E;'¢fF;TE:H FINE),.."OR '¢OLI HFI"r' E~E SI...IB.:IE:L-.:]" TO
BFICI<F ]: [ .I. ]: NG O1:' RN~r' ?¢~;TEP1 N :[ THOI...I]" F' :[ NFIL :[ NE;PECT ]: ON FIN[::, RPPF..'OVFII .... B'¢ ']"FI
I'..':,EPRRTf,IENT N ]: I....I .... BE E;LIB..:I'EC:T "FO PF.'.Ot~ECI..IT :t:
Pt ].' N :[ I'II...IPl [.'.',]:$TRNCE BETHE:EN A t4EL. I.. RND ANY ON-S.~TE SEHRGE [;:, .T SF'OSF~I .... E;¥S]"EH
:I..~.E~ FEET FOR R PR I',,,'FI]"E: NEI....t... OR 2E.~¢...".~ FEET FOR FI PI...IBI....T.C bJEI....!
OTHER PE[;:!I.J;[REPIE'N]"S P1FI'~' FIPPI..'¢. ?,PE:C]:F.f.C:FIT.I:ONS FINI.".:, C:ONSTRUCT.I:ON E:, ]: FI G F:t FI I','I E; Ftl;.'.E:
FI',/FI]:I..FIE.4LE TO ];NSI..IRE F'ROPER ]:NSTIRI....LRT]:.ON.
]' CERT;[F"¢ THFrT
J..: '[ FIH F'RM]:I..]:RFi'. W]:'f'H THE REE.:!!J]:REHENT'.E; FOF.: ON-SI'I"E: SENEF..'S FIN[::, WELLS RS SE:]"
FOF.:'T'H [.'.4'¢ THE i',lt..IN:[C]:PRL]:T'¢ (.".iF Rt'4C:HC~RRGE:.
;'2.: ]7 14 ;1: L.I .... ]'. N'E;TRLI... THE E',M$"I"EP'I ]: N FIC:CORC, FINCE N [ TH THE COt:::,E:.'.-'.';:
::!i::]' LINDER%TFIN[::, THRT THE C~N-S:[]'Ei: SE:NE¢'./.'..--,'¢S'I"EM f'lFl'¢ REt"..:!UIRE: ENLRI;:tGEHliii:NT :I:F ]"HIE
:,: .............................. -"
GREATER ANCttORAGE AREA BOROUGH
DEP/~RTHENT OF ENVTRONMFr. ITAL QUAI. TTY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case #
Performed ~or l~e~JA~%o '~'t~'='vd;~-;' Dated Performed ~o~, IS~
legal Description: '1~=~c7 A ~ Subdivision ~-rc/J~.~D
This Form Reports' Soils Log_ 'T~ 15_' Percolation Test /V//Jr
- Soil Tes{ Must Be Logged To 4' Below Proposed Seepage System
Depth
Feet Soil Characteristics
I~'- Was Ground Water Encountered? ..AJo ~ ~- ~, ~ ~
'If Yes, At What Depth?~_~ ~ ~~-- ---
Reading Date Gross Time Net Time Depth to
-' '/'
.erco~io. ~.~ ___~]~ · ~i.,~i~'~--' ~
Proposed Instalqa~: Seepage Pit Drain F eld
Depth of Inlet ~ Depth to Bottom O~ Pit Or Trenc~ I!
COMMENIS:_.~_~~e- ~ ~ ~- ~cr ~4~n ~ ~$f~- '~
Test Performed
Date Certified BY:
Date: