HomeMy WebLinkAboutT15N R1W SEC 19 Lot 2
POU_,L 6 650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4I '11
TONY KNOWI ES
MA YOR
DEPARTI~ENT OF HEALTH AND ENVIRONI'~IENTAL PROTECTION
Permit ~: Handwritten
January 31, 1985
TO: Permit Applicant
SUBJECT: T15N R1W Section 19(Lot 2)
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by autho=ity
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on, site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
rKeith E. Bandt, Supe~fviso
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
, ~-~MUNICIPALITY OF ANCHORAGE--~
Department, f Health and Environmenta~ ~rotection
825 ~ Street, Anchorage, AK. 99501
264-4720
~ * * * HANDWRITTEN PERMIT * * *
Permit ~
~AND/OR ON-SITE SEWER PERMIT
Applicant: ~/~ Cd~T~C~ Mailing Address:~Z ~agG~
ocation: Phone umber:
Le
gal De script
ion:
The Required Size of the Soil Absorption System Is:
DEPTH,~"-~'~ LENGTH ~ GRAVEL DEPTH d2o~ ' 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 SEPTIC(HOLDING) TANK SIZE = ~o~'O 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
is remo~~include more that 3 b~drooms.
Signe~:~ issued by:th~esidence ~~
2
Russell Oyster
694-2774
Performed for:
O & E ENG,NEERING & DEVELO~ ivlENT CO.
Name:
Legal Description: ~'~ ~:~ w"
Depth (feet)
Mai ling Address:
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
5__
6__
7__
8__
9
12
Tel. No
SolF, C~h_aracterlstlds \ [
?,qT. :?//. 7' V~/~
Earl Ellis
688-2280
PLOT PLAN
13__
14
15__
16
Ground Water Encountered: Yes No
Proposed Installation: Seepage Pit
Comments:
[/' If yes, what depth
Drain Field
PERC. TEST
Performed by:
Date: ',
er tfi rtLLm
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND /3 ~ ~ Z7 '~' t,
· ff.~ ~ DEl'TH OF WELL
ADDRESS /?~ /~ ~-,~ OZO C*.I~,,~ ~So?,~ ~O~/ STATICLEVELOFWATERFL
LEGAL DESCRI~ION d ~ C ~ [)RA~ DO~N FT.
DATE-Started ~/~ Ended ~X GALS. PER HR
PERMIT NUMBER 0 ~ / ~ KIND OF CASING
KIND OF FORMATION: '
From (/) FI. to c,? Ft. O.~%~.-~,d~ ~'F'IC.I(~_~') Frop -
From./: Ft. to '7 I Ft.:n~gFa~'z= rro,:',,~
From ~?t Ft. t0 /O~%~Ft. ~'[g,4~ From~
From~ Ft. to__.Ft, x5/t7'O/4~ r,~ From --
From Ft. to Ft, From ~
From Ft. to Ft. From
From Ft. to Ft. From ,,,[~
From Ft. to~.Ft._ From_
From Ft. to Ft. From. Ft. to~ Ft
From ~ Ft. to~.Ft From Ft. to Ft.
From Ft. to~ Ft. From ~Ft. to Ft.
From Ft. to Ft From ~ FL t0
From Ft. to Ft. From _Ft. to~Ft,
DRILLER'S NAME