HomeMy WebLinkAboutT12N R3W SEC 33 LT 139
POL t (i
(907/ 264 ,11 II
Permit #: 840209
January 31, 1985
TO: Permit Applicant
SU]IJEC?: T12N R3W SEction 33 Lot 139
A permit issued by this Department for an individual well
and/er on-slte sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by authority
ef Municipal Ordinance. A new permit must be obtained frem
this Department fer ally well and/or en-~site sewer system net
installed by the expiration date.
If you have drilled the well, a well 10g needs to be sent
to this Department for documentation of the instdllation
and to close tile permit.
If a private engineer inspected the instal!ation of the
on-site sewer system, the original as-built inspection report
and the ye].low copy must be sent ~o this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
· - : . , oupeYvisor
Envirenmental Engineering Pregram
KEB/ljw
enc: Copy of Permit
SWP/057
E,I ....I ....NFl
Permit
Applicant:
Location:
Legal Description:
Department ~ Health and Environmental ~rotection
825 Street, Anchorage, AK. 501
264-4720
* * * HANDWRITTEN PERMIT *'* *
WELL AND/OR ON-SITE SEWER PERMIT
/~/z~/V ~ ~;~Z b/J~-,~ Mailing Address: 7-f/~/~z~v ~/~
Phone Number:
~-/~f ~J~/ ~3Z~/ ~ ~. Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield:
Maximum Number of Bedrooms: ~
The Required Size of
DEPTH ~. LENGTH ~-~-./7~'
/
Seepage Bed: /,~ Holding Tank:
Soil Rating(sq.ft/br) ~
the Soil Absorption System Is:
GRAVEL DEPTFI ~--~ 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 f~r trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~--~$~ 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 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 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 31~ 1 9 * *
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
t~id~c~ ~e m~~
Applibant ~
include more ~bedro0ms.
Issued by:
Date: ~'~/j-'~,~/,J~'/7
//
SWP/024(1/81)
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II1, L]_. 141 :
Department
Permit
Applicant: ~~ ;9'
Location:
Legal Description: ~3 ~ ,~ .~3
Type of Soil Absorption System Is:
Trench: Drainfield:
Maximum Number of Bedrooms: ~-'~.
f Health and Environmenta3 Orotection
825 ~ Street, Anchorage, AK. 3501
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/.~3~ ON-SITE SEWER PERMIT
~OL~2/~O~Lf~Mailing Address: ~-~
Phone Number:
Lot Size
Seepage Bed: ~ Holding Tank:
Soil Rating(sq.ft/br) ~
DEPTH
The
Required Size of the Soil Absorption System Is:
LENGTH ¢-~?-? . GRAVEL DEPTH
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(H(~C-DTNG) TANK SIZE = /~3~ 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 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 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 fee~. 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 ~1~ 1 9 ~ 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
~i~e ~~eled_ to include more that~bedrooms.
- -.K
Signe~:~_/~:OL~.,~Q~../~g~f.~[//~._ __ ~ Issued by: '~-~-~) ~-~.--~. -
Applicant
Date:
"In the event that a lift station is installed an
electrical pem~,it and inspection must be
SWP/024 (1/81) obtained. ,,',s-b,.;l':s cannot bo approved un-
til the electrical h',sp.'.~c~ion ir_' i'ecoivnd in this
office, The etectricai work must ba per-
formed by a licensed electrician."
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Stroet, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
LEGAL DESCRIPTION: T I~., N ~ ~'¢~'~ J Se C.~
SLOPE
10
11
12
13
14
15
19-
20-
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
[minutes/inch)
TEST RUN BETWEEN
FT: AND FT
72-008 (6/79)