HomeMy WebLinkAboutT12N R3W SEC 33 LT 114 SE4 LESS E15'
MUNICIPALITY OF ANCHORAGEI
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Nar,,e b~/O ~'CX /t'C'~/e-?. -.. DISTANCES
~r~ ~ TANK FIELD WELL
LEGALDESCR[PTION LOT LINE ~ / ~ J 0 /
Township, Range, Section
~/~ ~ ~ ~/~ ~ __~y AS-BU[LTmAGRAM(Showlocat,onolwelLsept,csystem p~o.edyhnes, lound.,
SEPTIC HO mNG
/
TYPE OF SYSTEM
~TRENCH ~ BED ~ W. DRAIN ~ OTHER
orlgmalDeplh to p,pe ba,~ ,Omgrade ~ ~T ~°[a' depth "°m °rlgmal grad~
Gravel lenglhFdl added above original grade ~~__ Gravel depih b~ FT
WELLS
~ PRIVATE ~ OTHER fldentifvl
REMARKS:
Scale: ~ "- ~/~ ENGINEER'S SEAL
MunicipM and State Guidelines in eflecl on this dale:
72-013 (3185)
ALASKA
(907)
enuiRonmeFFrAL CONTROL seRulces,
~n,~incmnq 5 ~nuironmeml Sludlcs
P. O. Box 240668
Anchorage, AK 99524-0668
279--5553 *** FAX (907) 276-8706
inc.
May 30, 1990
Departmenl of ltealth and iluman
~Innicipality of Anchoragn
825 L S~ree~, Fifth Floor
Anchorage, AK 99501
Services
RE:
Portion of Governnlent Lot 114,
T12N, R3;~, Sec 33, S.
Today I inspected tile existing sewer system which was
in,'-;~alled aroaad 1970-~1973. The tarlk appeared to be a 500
gallon heavy steel tank which was stood on end. it needs to
be replaced with a new tank as it is not a Lrae septic tank.
Tile crib has a Transite standpipe. Tile crib was dry even
hhough 2 people occnpy Chis 2 bedPooll/ hollse. The depth of
the crib pelative to the ground suPfaee at the test hole
9 feet. below ground level. The soils are well drained 4 8
inch cobh] e and medium sand to 9 feet. See soils log. the
soils show no evidence of septage from the crib,
Attached is an application for' a new septic tank. You have
already received [Ilo application for thn new well .
if' you have airy qaestions, plea'se ca] 1.
Plg~f, PF., I) EE
LCR/s~'
PERFORMED FOR:
LEGAL DESCRIPTION:
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,¢¢' ~,,Jt-
Municipality Of Anchorage ;'~"'~ I;iE~'~*~J~"*'*~*~° V
825 "L" Street Anchorage, Alaska 99502-065~-~ ~7~' ~"tZ~
SOILS LOG -- PERCOLATION TEST ~ ~ ;,,,.~,,,~,;~
DATE PERFORMED: ~/~
Township, Range, Section: ~-,/,~-"%) /~?/.-0 ~J~..2 ~'.,,'.7'
SLOPE SITE PLAN
i
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT O
DEPTH? . p
I
N
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
~mmutesEmchj PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND __ FT
COMMENTS
PERFORMED BY /z~ , /~ ,0/ I CERT,FY THAT 1HIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE ~"~'~ ~' ~ '
72-008 (Rev 4 85;
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744
HAND WRITTEN PERMIT
Permit Number: SW90~b/~k~
Date Issued :.~- 30-~O
Design Engineer:~, ~-0~' ~
Owner Name:/~O0~fY, ~£~/~f~
Owner Address:~ F~NE~I~ ~R~/~
Parcel ID: ~/B-2Y~-2~
Lot Legal: Subdivision:f~ ~4~[f~ ~j'' Lot: //~ Block:
To n > 2
Lot Size:~%~p~ ~. or ac~es)
Max Bedrooms: This Permit: ~ Total Capacity:~
Permi% Type:~V~Z ~ $~
Expiration Date:/2-F/~O
Day Phone
SEPTIC TANK: Minimum septic tank capacity: --- gallons. Each
septic tank must have at least 2 compartments, insulation is
required if depth to top of septic tank(s) is less than 4.0'
Lift stations require an appropriate electrical inspection.
WELL LOG: A copy of the well log must be sent to DHHS within 30
days of the well's completion.
i CERTIFY THAT:
1. I will install the on-site sewer system and/or well in
accordance with all codes and regulations of the
Municipality of Anchorage (MOA) and State of Alaska , and
in compliance with the design criteria of this permit.
2. I will adhere to all MOA and State of Alaska requirements
for separation distances from any existing well, septic
system, or surface water on this or any adjacent or
nearby lot.
3. I understand that this permit is valid for a single
family dwelling with a maximum of ~ bedrooms. I also
understand that any enlargement will require an
additional permit.
4. I understand this permit is issued for the calendar year
and expires on December 31 of the year issued.
5. I will notify DHHS prior to all inspections by the
engineer or well driller.
S I GNED:
DATE:
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ALASKA ENVIRONMENI'AI.
CONfROL SERVICES, INC.
1200 West 33rd Avenue, Suite
ANCHORAGE, ALASKA 99503
(907) 561-5040
StlEET NO. OF
CALCULATEO BY DATE
CHECKED BY DATE
SCALF
///A
S~9O59'30''
164.83
bJ
//0,4
329.67 EGF ~0
...~' .....~- :' ~ ..
~5
S 89° 57'47"W
11017
~ore p~r~icul~rly described a~ follow~: ' ' ~ /
-9
/ / /
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEETNO. OF
CALCULATED BY ~ DATE
CHECKED BY DATE
SCALF
~lip
164 84
!
IIOA
110/7
13o
WATER WELL RECORD
STATE OF ALASKA
OEPARTM[NT OF NATURAL RESOUR{[$
Division of Geological & Geophysical Surveys
AND DIRECTION FROM IIOAD INTERBE~¥1ON~
/3/
MUNICIPALITY OF A qCHOP, A(gE
DEPT. OF HEA TH &
Ei'q~TEOI'~I~EIqTAt' ?1
10. sTATIC wATEr LevEL:.~ ~ .ft.
fl,