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Home My WebLink AboutT15N R1W SEC 19 LT 25 '/"~ 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 P ONE [~NEW LEGAL D~SC~IPTIO~ ~ ~ Liq. capacity in gallons Inside length Width Liquid depth IF HOME.DE: O Z ~ Manufacturer ~ ~/~ I Material Liquid capacity in gallons ~ Well Foundation .o. of lines / ~/~ inches Total effective ~rpti~ area Length of each~:~ Total length of ines Trench wJd~¢ Distance betwe~l~nes -Length Width Depth PERMIT NO, ~ ~ Type of crib .~j ~rib diameter Crib depth Total effective absorption area m Well Building foundation Nearest Jot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS ~& INSTALLER REMARKS ~ i/ ~ 3/78) F'ERMI T NO. 825 "L'" STREET~ RNCHORAGE., AK. -~D50t 264-4?20 O#'-.I--S IT'E SE~-~EP-. PER"1 I T ) APPLICANT LOCATION LEGAL LEVETT MILLER T±~NRiN S ±9 L25 RB ±~,,, E.R. LOT SIZE SQUARE FEET TYPE OF SOIL AE:SORPTION _,~_TEM IS: DRAINFIELD MR.XIMUM NUMBER OF BEDRuOMS = ", ~IL RATING (~L.., FT,.'BR)= tOO THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEF'TH= 5 LE~-~GTH=--'- '--~- 5 L~ RF! %-'E L [-', E P T H = THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). -rHE TF:EP-~Z:H WIDTH I ~5 5_ 8E~} FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE 80TTOM OF THE EXCAVATION (IN FEET). REGC!Li I ~."E[) SEPT I C: TR[-~KC S I ZE= ~LE~8~-] GALL,IFPS F'ERMIT APPLICANT HAS THE RE_,PON_,IE, ILIT~ TO INFORM THIS DEPARTMENT DJRING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NLMBED OF RE_,I[:ENCE_, THAT THE WELL WILL SERYE. 6MCK. FILLINo OF ANY _-,r_TEM WITHOUT FINAL INSPECTION AND APPROVAL 8Y THIS DEPARTMENT WILL BE _-,UB..EL.T TO PROSECUTION, MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR ~ PRIVATE WELL OR ±50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS ~5 FEET AND TO ~ COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY BPPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. PEF:~I I T E:~(P I RES C..EL-:EMBER _--<JL.. ~LL-~82 I CERTIFY THAT '1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. _?,: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESI[:,ENCE IS REMODELE[:' TO. INCC..IJDE i'"JORE THRN _'2:.: BEI}ROCIMS. RF'pi'-'~ C~NT LE',"E ¢ M I~CER.[ ....... %. .................. ..... __ ......... > V4. 0 I=._ JE[' SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Ancherage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST 1 2 3- 4- 6- 7 8 9, 10 12 14- 17 18 19 20- SLOPE SITE I IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop /t ///,2 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT 72-008 (6/79) F:tPPI...ZC:FiN:T LE:VERETT t'.'!IL.L. IER :~.~;:%~O 14EE:T [)~:t,iOi'..i[) E;P ::I.2::13: i'"i]:N;(l'iUhl D]::E;]"F:Ii'.4CE; E:E]".~qEE:N FI HELL f:fi',~D FI.,?'¢ ON-'_.-T,Z'T'E: :~EI-,.II::IEiE !rE:ET FOR FI F'RIVF:FI'E 1.4Et.L E:ll:-;: ;E'.C~Ei FEET FOR R PI..IBL_ZC 1.4EL. L.. NEiJ_ L.OGtE; i:iRE REIL::!Ui'RED I:~N[) t',IUST BE: RETURNEE:, -['O THE DEF'F:IRTf,'IENT t4I'f'HZN THE: [,.IF{L.L C:Oh'iF'L. ETZOIq. :E;f:'E:£:::ZF:):E:FiTiOI'.~'E; FiND CCd'.,ILE;]'RLIC"I"ZON D:[FiC-~F,~:EaP'i:B FIRE R',,,'IaZL.FIBLE TO tN)~;U'r~?.E PROF'[ER i'.4::!;'i"Fii ..LR'F Z ON. :( CE'R]'Lf:F¥ THF:ff' i: :[ FIH F:I:aI',i:[I.]ZRR P.U:'1'H TI--ItE REg!UiREF'IEt'.,I]'~; FOF.: (:)Bi-:~TE :E;Ei.,.!ER:E; RNE:, !.,.IE:I_.I...S FtL-:, SET FOF,:TH E~Y -FHtE i',tU.,%IIC::EPFII.:[TY OF: I:~NCHORIr:IGE. 2: Z I,.IJ:L.I_ ]:N:E;TFiLL. THrE :.'.-7¢:E;TEP1 ZN t::iCE:E'iR[:,FiNCE b.E[TH ]"HE C:Of::,E:5. FIPF'L :[ CFIFE!' LF:VERET]' h'l I [_LER APPLIC: JT FILLS OUT UPPER HAL 'ONLY Pro, perty Owner~ T everette ~.. }~elen ~,.~±].1~1' Phone .. :,' S~ 1 Box 2201 ~irchv,~ood 688-3134 Mailing Addre~ ~11~W. ~W 99567 Zip Code Buyer ~ic~.~d T,. ~Fickso~ ~ox 69 Mlenora St 6~8=2161 Address ~]e ~V~'~; A~ ~Q~77 ZipCode Lending lnstitution Alaska. ~.~ Of ~o~ce Phone M~gle Oiver ~r~nch 694-20211 Address ~]~ ~v~; A~ ZipCode Realty Co. & A~nt ~,~aHcy ~TO ~t~hly Phone MRA Minis Realty Address ~-~ ~W ~ ~hu~ak Ak ~67 ZipCode LegalDescript~n T,Ot ~ ~eC 19t ~15~ ~1[~,r ~ Street Locati~ '[1oRd~_k9 ~ ~iFchv~ood T,OO~ Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~V~O ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date. give well depth (attach log if available). ~ Public Utility Sewer Disposal ~lndividual Year Individual Installed: 977 ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATEO. Time Time Time Time Date Date Date Date ~- ~'r~'LJ-J)J3 Inspector Inspector Inspector Inspector Well to Tank Septic T~k Size /~ ~ N 35°~,3 ?.4E, · ~' ~ / -42.1-028- I 283.81' ,'529.54' - N~ EXCAVATION ROBERT A. SHAFER WORK October 18, 1982 CIVIL ENGINEER 694-2979 Finis Realty ATTENTION: Nancy Mile 20 Old Glenn Highway Ch%~iak, Alaska 99567 Dear Nancy, Reference: Lot 25: Section 19: Ti5N~ R1W. MUNICIPALITY OF ANCHORAG~ NVIR~,, ~,, , ~ ........... N u u 2, 6 1982 A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity in excess of 1000 gallons. The absorption trench, however, was completely full of water and when attempting to add water to the system approximately 150 gallons was accepted by the trench before water began to back into the septic tank. Repeated tests provided the same results. It can be concluded from this test that the septic tank is adequate for three bedrooms, however, the absorption trench 'appears to be only adequate for one bedroom. It will be necessary to have this system upgraded before it can be considered adequate for the two bedroom residence located on this property. If we may be of further service, please do not he~it.~te to call. Sincerely, ' / / /R(OB] RT: 'o, sH/AFER, P.E. ~RAS/ss CC: Alaska Bank of Commerce Muni:dipality of Anchorage Department of Health and Environmental-lrotection SRB 196X EAGLE RIVER, ALASKA This well is producing gallons of water per hour. MOON DRILLING SR BOX 668, BOGARD RD. PALMER, ALASKA 99645 TELEPHONE 745.~IO71 Set Dump @: _ L feet. INVOICE Lot~ BIk. ,Sub, WELL LOG _-4~ PLEASE PAY FflOM THIS