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Home My WebLink AboutT12N R3W SEC 22 Russian Jack Green House ~: ~ 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 L · v PHONE NEW D STANCE TO'1 We Ab~rption area I ~ ~ PE ~IT N , ~ Manufacturer ~ I ~ ~ ~ Materi~,l Nc. of , }~~Z?s IF HOME'DE: Inside length - Width Liquid depth ~ Y DISTANCE TO: Dwelling ~Z PERMITNO. O ~ ~ Manufacturer ~ -- ~ Material Liquid capacity in gallons ~ -- ~ O O ~ DISTANCE TO: Wel]~+~] Foundation ~d~ Nearest lot lin~ [d~ P ~ ~ TOp of tile to finish grade ~' Material beneath tiJe qS Total efMctive abs r ~ist a ~e'be~we e,~ .,[~ eStlo~ea inches m Length Width Depth PERMIT NO. ~--~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ DISTANCE TO; Well Building foundation Nearest lot Jlne ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOlE TEST RATING INSTAEL~R ExrAvA Y x,. ~uJ'0~ ~c~ ~e '/' ' ' -- APPROVED DATE . LEGAL MUNICIPALITY OF ANCHORAGE~ Department.~ Health and Environmental lrotection ,, ~. 825 ~ Street, Anchorage, AK. ~9501 ~ 264-4720 * * * HANDWRITTEN PERMIT * * * Permit # ~ ON-SITE SEWER PERMIT Applicant: ~ .O' A. ~&,~[~y ~l~ing Address: ~-- ~- ~S--O Location: ~U~,'~ %)~.~ ~~Phone Nu~er: ~ ~-- ~/ F~ ~gt Size: ~ Type of Soil ~sorption System Is: Trench: Drainfield: / Seepage Be~: __ Holding Tank: Maxim~ N~ber of Bedrooms: ~[~ Soil Rating(sq.ft/br) S% 7 The Required Size of the Soil ~sorption System Is: · DEPTH /0 _ LENGTH 5--0 . 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 9round and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ,/~A--O' GALLONS * Permit applicant has the responsibility to inform this department during the installation inspections of ~ny wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * B~ckfilIing of any system without flnal inspection and approval by this will be subject to prosecution. department 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 2.5 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. Dther requirements may apply. Specifications and construction diagrams are Available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 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 understand that the on-site sewer system may require enlargement if the residence is remojeled to include more that~ 3 bedrooms. SigneR: Applicant SWP/024(1/81) /J~JUNICIPALITY OF ANCHORAGE DEPARTME[ ' ~ DF HEALTH AND ENV RONNIENTAL PRO 3TION 525 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST 1 2 5 6 7- 9 10 11 12 13 14 15- 16- 17- 18- 19.- 2O C. Reid, Jr. 2251-E SLOPE ,' SITE PLAN I + WAS GROUND WATER ENCOUNTERED? O P IF YES, AT WHAT E DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop I Z;~3 I0 .~,2~ TEST RUN BETWEEI~I ~- /'-~ FT AND 'u (minutes/inch) 1,5 PERFORMED BY: 72-008 (6/79) CERTIFIED BY: DATE: ALASKA ENVIRONMENTAL CONTROL SERVICE.~--INC 1200 West 33rd Avenud ' bite t3 , ANOHORAGE, ALASKA 99503 Phone 276-1361 CHECKED BY DATE SCALE / ALASKA ENVIRONMENTAL CONTROL SERVICE,~.INC. 1200 West 33rd Avenue~ )uite B , ANCHORAGE, ALASKA 99503 Phone 276,1361 CHECKED ~y. DATE_ SCALE ?,., 2 :-: k£ · GREA ER ANCHORAGE AREA BoR,,.gGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~: MAILING ADDRESS PHONE LOCATION ,~b~?-~ 0 ,~'~¢~ ?~,/2.,~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELl MANUFACTURER MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH INSIDE LENGTH LIQUID C A PAC I T'F~-~)G A L LO N S. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE _FOUNDATION DISTANCE BETWEEN LINES NEAREST LOT LINE TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE TANK REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIA£ · LOT SLOPE: REMARKS: DATE,S/?7 GREAiER ANCHORAGE AREA BOR,.JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ J~/(C ~,/~J~ //'~/L~ ~'/~/ MAILING ADDRESS PHONE LOCATION~(:2/'~'5//~/'~--,"~-/'' ~.,~- LEGAL DESCRIPTION '7~,~J~',.-~ ~'~.~-~- 'SE-P,,_ TANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH INSIDE LENGTH LIQUID CAPACI~0~-)~) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION NEAREST LOT LINE DISTANCE BETWEEN LINES TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL. LOT SLOPE: REMARKS: Form LQ-032 DATE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT ADDRESS PERMIT NO. PHONE FINANCED THROUGH TO BE INSTALLED BY ~/ (/~' ~' ~ t ~t % SOIL TEST RESULTS NOTE~ THIS PERMIT IS NOT ~ALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PiT ~ SEPTIC TANK TO SEEPAGE PiT WALL SEPTIC TANK SEEPAGE PIT . TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK _ . DRAIN FIELD . DRAIN FIELD · SEEPAGE p~T ALSO CONSIDER AREA WELLS. SEEPAGE PIT . TYPE DIAGRAM OF BYSTEM SEPTIC TANK, SEEPAGE PIT . TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT ~EMOVAEILE CAPS- GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITS SAID CODE. ? ! Pastor Hal N. Banks Immanuel Presbyterian Church P.O. Box ~-3798 Anchorage, Alaska .99501 Dear Pastor Banks: It has been brought to our attention that public sewer is available to T13N, R3W, Section 25, Parcel aB (Immanuel presbyterian Church), According to Greater Anchorage Area Borough Ordinance, Chapter 16, Article 16.45. Section 16.45.050: "Septic tank-seepage system sewage disposal facilitie~ shall not be installed or use__~d on any premises where sanitar~r sewers are available within seventy (?0) feet of the nearest lot line of said premises ...' The Greater Anchorage Area Borough Public Works Department has checked their records and they indicate that your structure (s) is Would you please cheek your not connected to the sanitary sewer. records to verify that the structure(s) ~s o is not connected and notify us immediately if your records indicate that a connection has been made, If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore, request you connect any and all structures located on the subject property to public sewer by August 20, 1975, ...... connection permit festa the permit officer for the You must apply for a Greater Anchorage Area Borough, 3500 East Tudor Road. If you have m~y questions regarding the above, please do not hesitate to contact the permit officer at 9.79-8686, extension 9.$9, or the Department of Environmental Quality at 274-4561, extension 141. Sincerely, Les Buchholz, R.S. sanitarian t LB/Iw ce: Mike Brunet, Borough Health Department