The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 19 LT 51 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 N SIT SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING LEGAL DESCRIPTION Absorption a[e_a Manufacturer DISTANCE TO: DISTANCE TO: No. of lines Top of tile to finish Length Type of crib DISTANCE TO: CJass DISTANCE TO: HOMEMADE:Dwelling Inside length Well Crib diamete~ Crib depth Well foundation Driller foundation Sewer llne / W dth Material Neare~tJot lipae ~ Trench wldth¢t ~ inches NO. OF BEDROOMS'~.. No, of co~partments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Total effective absorption area Nearest lot line Septic tank Distance to lot line PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS SOILTEST RATING ~ ~ INSTALLER (zr '--: REMARKS APPRCVE[ 72i0~1 er. 3/78) DATE LEGAL PERMIT NO~ ( r41_iN I C I F"FIL I T~' OF Flr4CHI~RFlmSE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 ~Lt STREET, ANCHORAGE, AK. 9950i 264-4?20 ON--SITE SE~4ER PERbl IT 800027 ) APPLICANT LOCATION LEGAL GARY & RUTH STATFORD LSi NE 174 SigTiSNRiW PO BOX 54? CHUGIAK LOT SIZE SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING <SQ FT?BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C. EPTH= 5 LENGTH= 63 GFJR'./EL DEPTH= --?- 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). 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 E~CAV~TION (IN FEET). SEPT I C: TI:t~..IK S I ZE= :1000 GFILLCm~4S 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. T~40 (2_) I ~SPE[:TIO~4S 8RE REQmd IRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. F"ER~4 I T E×P I RES DECEMBER --'~-l.- l--q-80 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS AS 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 RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. ~IuNED: ....................... APPLICANT GARY & RUTH STATFORD ISSUED BY ...... V4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222'f SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PEREO.ME. EOR= ~ n,~ ,4~, " .~. ~,. ~5' ~ XC'm'CD^TEPE,PO.ME.~ LEGAL DESOR'PT'ON= P~ ~ ~ ~ / ~ r~ /~ ~/~ ~ / / / SLOPE / ~TE PLAN 6- 7- 8- 9. t30 7Z'O/~ O /¢ 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / PERCOLATION RATE o,., 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORG£~SULLIVAN, MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 31, 1980 Ruth Stafford Post Office Box 547 Chugiak, Alaska 99567 Permit ~ 800335 Subject: T15N R1W Section 19 Lot 51 A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on,site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, / / /~ Senior Environmental ~p~cialist LNB/ljw enc: Copy of Permit SWP/057 PERMIT DEPRRTMENT · HEFILTH RND ENVIR. ONMENTRL.' ~OTECTION 825 "~ STREET., RNCHORBGE., BK. 9D.:,~A ~.~ELL F"ER~I I T 800]:2:5 ) RPPLICRNT RUTH STRFFORD LOCRTION MI ±9.5 NEN GLENN. HNY LEGRL LOT 5& SEC ~9 T~SN R~N ! PO BOX 547 LOT SIZE 688~i67 762~0 SQURRE FEET MINIMUM DISTRNCE BETWEEN R NELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS ~00 FEET FOR R PRIVRTE WELL OR ~50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY BPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ERI"[ I T E:,-,"-P I RES C,E£:E~IBER I CERTIFY THRT l: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND NELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. --, I bNE[.'. _ _ ~ ................ RPPL I CRNT RUTf4 ' E;TRFFORD I _,_,IJE[, RTE V4. 0 APPUC FALLS OUT UPPER .A[-:ONLY ~,o~ ~'~"~' Gary and ~Ruth S~afford Mailin~Addr~ P.-0. BoX 547 Chugiak, Ak 99567 ZipCode 688-3167 Buyer Joe and Maria Gertzen Add,e~ 328 Bonifa-ce ~2649 Anchorage. Ak Z,pCode 99504 Lendinglnstitution First Alaskan Mortgage Phone A~r~ Eagle River, Ak z,pcoae 99577 694-4533 R.~ltyCo.&A~.t Todays Real Estate Nancy STablY Pho.e A~,.s~ P.0. BOX 279. Chugiak, Ak zipco~e 99567 ;88-3999 L.g~Oes~riptio. TtSNR1W Sec t9 Lot 51 Str..tLoc.ti~ Mile 19.5 01d Glenn Hiehaav Type of Resi~nce ~xSingle Family ~ Multiple Family No. of Bedrooms 3 ~ Other Water Supply ~Xlndividual A~ACH WELL LOG. A wall log is required for aH wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~X~nai~du~ Y~ar mdi~ua~ ~n~t~,e~: !989 ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. ~:~/ ~ Date ~,~'/~'~' Date Date Insp~tor Insp~tor Insp~tor [nsp~tor Field Notes: ~[ ~0 ~ JUL 1 1983 "E~unicipallty of Anchorage" "Dept. of He~lh & E,¥;[u,~,~ml ~ro~ection" ~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAP~OVED ( ) CONDI~IONAL~PROVAL* Soils Rating Date ~wer Installed Well To ~sorpt[on Area Well Log Received ~; ~ Well to Tank Septic T~k Size 72.023 (3/82) ~ . DA RECEIV - ' ° INSPECTION APPOINTMENTS rimE TIME TIME INSPECT( INSPECTOR INSPECTOR g ~ MUNIClPA~T~OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF~HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H~ALTH & 82~5'[ Street - Anchorage, Alaska 99501 ENVIRONMENTAL P~,OTECTION ) ENVIRONMENTAL SANITATION DIVISION AUC 1 2 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER [/(~[~[ D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PRONE PROPERTY RESIDENT (If different from above) ~ PHONE 2. BUYER PHONE MAILING ADDRESS MAILING ADDRESS 4. REALTOR/AGENT [ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION TREETLOCATION 6. TYPE OF RESIDENCE NUMBER OP~BEDROOMS / [] One [] Four SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER S PPLY ~ INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ~)¢'~ I ~ 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** 10( ~'~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY (,~ ~ ~ ~'~'~ I h ~:CFC ~T'~-J~ ~t/ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELLTO: Septic/Holding Ta~k Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [~'~APPROVED FOR '---~ BEDROOMS ~] CONDITIONAL APPROVAL (letter must acco/m~y certificate) [] DISAPPBOVED / 72 010 (Rev, 6/79)