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Home My WebLink AboutT12N R3W SEC 22 PARCEL 9 JIUNICIPALITY 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 Well Absorption area PERMIT NO. '<. ~,.~.~ Mate'al..~ 'r~~c No. of q~artments ~* L,q~a~&n gall o ns IF HOME.D,: Inside length Width Liquid depth W II Fou~a~ Nea est lot Ii e PERMIT NO. NO. of lines Length o~ line ~": ~ i % ~ inches Top of tile to~flnlsh~tgrade Mat~ __~°~th ~tile inches Total ~eff°ctiw OTHER PIPE MATERIALS 72-013 (Rev. 3/78) EASEMENTS CE RECORD, O'I'HES THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. I hereby certify that I have surveyed the following described property:- 7ex ~dP ,~-z_T lO NI ~ ~ ~.E: ~:- "V/~''' !dvV~i ~ ?~ ~nchorage Recording Precinct, Alaska, and that the imm-ovements situated thereon arc within the prope,,:ty lines and do not overlap or encroach on the prpperty lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises m question and that there are no roadways, transmission lines or other visible easements on said property except as indicated h~eon. Dated at Anchorage, Alaska this day ok FRED WAI,ATKA & ASSOCIATES Engineers and Surveyors LEGAL DESCRIPTION Co.7gucncing at tlc North ~,'!cst 0no-si>~ocnth (N~'; 1/16) Section 'comb:f of Section 22, To:.mship 12 North~ Range 3 :'.~cst~ Seward ,',fcridian. Thence Soubh 0o02' 30" ~'iest 396 fcct along the West 0ne-sixteenth (W 1/16) Section line to corner Xo. i and tho true point of beginning. Thence South 0°O2' 30" West 132 foot to corner Nee 2, Thence West, .330 foot to corner No. 3. Thence North 0°02' 30" East 132 feet to corner No. ko Thence East 330 feet to corner No. 1 and the true point of beginning. -~ · Co~tain~g an area of One (i) acret .. PERMIT NO. DEPARTMENT OF ZALTH AND ENVIRONMENTAL P~ ~ECTIOW/ v- o~-?~-/ 825 'L" STREET, ANCHORRGE, AK. 9a50~ 264-4720 WELL Rr~D Or4--L~ITE SEWER PE~:[dIT ( ?80380 > APPLICANT LOCATION LEGAL WILBUR DITTBRENDER SRA BOX 476 Y ANCHORAGE LIPSCOrdB ROAD NEi/4~ SWi?4;NWL.-'4 SEC22 Ti2N R LOT SIZE 434~8 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SD FT/BR>= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:,EPTH= 9 LEI'~IGTH= 45 GRR'-/EL DEPTH= 4 THE LENGTH D~MENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. 'rHE 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>. RECqU I RED SEPT Z 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. T&~O (~T~) I NSPEC:TIm]~S I~F~E REQUIRE~ 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 PRIVBTE WELb OR 150 TO ~00 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. PER~ IT E~PIRES D~ECEFIBER ~.~l~ I CERTIPY THAT l~ I 8M FAMILIAR WITH THE R~UIREMENTS 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 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. APPLICANT WILBUR DITTBRENDER ISSUED B .... DATE_ ! W. 2 CONSUL. TING SOILS LOG Location 2 4 6 - 12 16 18 20 Soil Type Water Level ? Remarks Total Depth of Excavation Groundwater ~Not Reached Depth, if Reached Classification Method ~Visual ( ) Sieve Analysis () /4 Haterial at Total Depth. Bedrock ~ot Reached Depth, if Reached Gary F. Player, Consulting Geologist /'% MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~TI91~' 825 L Street - Anchorage, A~aska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete ail parts on page 1. incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP,E ¥ OWNER /IAILING ADDRESS PROPERTY RESIDENT (If different from a~ove) MAI LING ADDR ESS ~) PHONE PHONE PHONE 3. LENDING INSTITUTION PHONE MAI LING ADDR ESS 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAl. DESCRIPTION 8TR E E-iV LOCATi ON ' 6. TYPE O1¢ RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One ~' Four [] Other__ [] Two [] Five [] Three [] Six 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for ali wells drilled [] COMMUNITY since June 1975, For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ NDIVI DUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date Jcv)) e 7~(. If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS'. 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMI'LY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ --"~ ~ Connection Verified INSTALLER [~9~ptic Tank or [] Holding Tank Size: ~,~-~ If Tank Js homemade SOILS RATING give dimensions: TOTAL ABSORPTION AREA MATERIAL /~ 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~PNRc~IEo~ ~ ~ P P R O A~L (leBt :eDt RmOu:Ot Ma(Sco m pan y certificate) [] DISAPPROVED 72-010 (Rev, 3/78)