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HomeMy WebLinkAboutT12N R3W SEC 23 NW4 SE4 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 UPGRADE O ~ ~ Manufacturer Material Liquid capacity in gallons Well ~roffosc~ Foundation Nearest I~i~e P RMI~ NO. DISTANCE TO: Total effective sorption a Top of tile to finish grade / / / / Material beneath tile ~ DISTANCE TO: ~ Class Depth ~ ) ~ Driller Distance to ]or line PERMIT NO. ~ DISTANCE TO: m PE ~TE~L~ APPROV ~ - 'e ...... - ~a~ DATE LEGAL 72-013 {Rev. 3/78) Rermit ~ Applicant: Location: Legal Description: Type of Soil Absorption System Is: Trench: ~/ Drainfield: Maximum Number of Bedrooms: ~_~MUNICIPALITY OF ANCHORAGE~ Department, ,f Health and Environmenta~-h?rotection 825 ~ Street, Anchorage, AK. J3501 264-4720 ~ ~/~ HANDWRITTEN PERMIT * * * ~ ON-SITE SEWER PERMIT Phone Number: ~ Seepage Bed: __Holding Tank: soil Rating(sq.ft/br) /~ The Required Size of the Soil Absorption System Is: DEPTH c~ LENGTH '~/ 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 $EPTIC(HQJ=DING) TANK SIZE = /~C3 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 b.y 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 3L 1 9 $ 3 * * * I certify that: (1) T 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 remodeled to include more that 3 bedrooms. A~pl'~cant Date: ~ / ~ ~ ~ SWP/024 (1/81.) REDMOND K. SCHUNKE, d/b/a/ K.L.K. CONSTRUCTION CO. Policy No.: Charge: $ 344.00 A 201085 D,.e of Policy: Amount of Insurance: $ 52,500.00 l?ebruary 4, 1983 at 10:12 A.M. The estate or interest in the land described or referred to in this schedule covered by this policy is: I?EE SIblPI'.E ESTATE The estate or interest referred to herein is at the Date of Policy vested in: REDNOND K. SGHUNKE, d/b/a/ K.L.K. CONSTRUCTION (30. Thc land referred to in thh policy is described as follows: That portion of the ~orthwest pne.-quarte~ of the Southeast-One-quarter (NW-i~ ,~SE 1/4), Section 23, Township 12 North,-~n~_3:West; Seward Meridian, being within the AnchorageRecording District, Thicd-5~udici~l District, State of Alaska, described as follows: :- · Commencing at the center 1116 section corner of s~id Section 23, thence East 777.7 feet; thence North 286.2 feet; thence East 208.8 feet to the point of beginning; thence East 208.8 feet; thence North 208.8 feet; thence West 208.8 feet; thence South 208.8 feet to the point of beginning. S &'S E~..EERS. INC 7125 Old Seward Hwy. Anchorage, Alasko 99502 :549-65'61 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 14 - Reading Date Time Time Water Drop ~ ~ ~ 1~ i ~,g-~- ...... ~ .__o_ ..... o ,5- ~.~%~ --~ ........... ~. 2~ ,~ ,~,,:~: '~/'~ ~/~" 16- ~ _ ~ 4 :~.~ ~',.t ~/~ ......... ~--. =~ 7 ' 4 ', 5 b~ ~,~. 4 ~ .. ~/~----- PE.COLAT,ON .ATE ~4- 5- 6- 7 8 9- 10- 11 COMMENTS ~-W DRILLING, Inc. P.O. Box 10-379 · 10300 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG K,?,LLY SCHU2~KE Well Owner Use of We]] J)o~,~<}s L J c Location (address of: Township, Range, Section, if known; or distance main road Size of casing 6' Depth of Hole Static water level 8 ft. (aboVe') .,Screen ( ); Perforated ( 240 feet Cased to 80.7 feet (below) land surface. Finish of well (check one) open end ( xx ); ), Describe screen or perforation Well pumping test at 1/3-Lgallons per of drawdown from static level. (minute) for I hours with 100% :f~, Date of completion ~)ctober 12, 1983 WELL LOG Depth in feet from ground surface 0 TO 2 Give details of formations penetrated, size of material, color and hardness 2 .TO 4 .TO 8 _TO. 12 12 .TO. 24 24 .TO. 34 34 .TO. 39 ~O -~': .TO 61 61 _TO. 7 0 7 0 .TO 7 5 75 .TO. 77 77 _z~) 240 __·TO_ .TO. Fill Organics Sandy ~layey gravel Clay mix Grav¢iiy cJ. ay (damp) Coarse sandy gravel, some clay ~ravelly clzg¥, hard Coarse sandy g~avel. Gravelly clay, (damR) i~WA CertL/ied Contractor Certificate No's. 814 & 973 Fractured rock 3--CONTRACTOR