HomeMy WebLinkAboutT15N R2W SEC 25 LT 32
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 PHONE ~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
]Well / I Absorption area /. Dwelling PERMIT NO..
~ ~ DISTANCE TO: /~G~] '~ ~ :
~ Z ]Manufacturer /~ ~,~ Material No. of compartments
Liq. ca~acity in galJon~ Inside length Width
I
/~'~) IF HOMEMADE: .~ Liquid depth
~ DiSTANCE TO: Well 1¢2p ¢ ~_ Foundation q~ ~/-_ Nearestl°tline
~-- ~ ~ Top of tile to finish grade ~ ~ Material beneath tile ~.~ r~
~ ~i ~i'~/.
~ DISTANCE TO: Ruilding foundation Sewer line Septic tank Absorption area(s)
PIPE MATERIALS ~l/~
I
~.. ..... .... ~.~ ~. ~'
AP VE . DA~E LEGAL r
PERMIT NO.
I"~LIi'-.! I E: I ~ r]LI T'-r' OF i¢::II'-~tl]H RIDGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET., ANCHORAGE,, AK. 99501
264-4720
tT_m~-~--S I TE ~..EbJER PEAr4 I T
( 820821 )
RPPLICRNT
LOCATION
LEGAL
DICK KERBOW
Ti5NR2W S 25
PO BOX 452 995??
LOT SIZE
688-24~7
SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING (SO FT?BR)= 90
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= -12 LEh~GTH= F_¢4 i_]RR~'EL [:-'EPTH= 8
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).
F-:E~]. L~ I F-:EC, SEF'T I C TR f-~--{. S I ZE= -175~-} GRLLO~S
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) I[4SPEC:TIO~4S RRE REm2LIIRE[)
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
i00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS RRE
AVAILABLE TO INSURE PROPER INSTALLATION,
PERM I T E >.',,F' I RES DECEr4E:ER ~-1... ±982
I
±:
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
}: I UNDERSTRND THAT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 6 BEDROOMS.
ISSUED BY ................. DATE .... V4.0
CERTIFY THRT
I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
MUNICIPALITY OF ANCHORAGE
DEPARTIViENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
/~ SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
1
2
3
~-~4
5
6
7
8
9
10
11
-~-~-~- 12
13
14-
15-
16,
17-
18-
19-
20~
LEGAL DESCRIPTION:
COMMENTS
DATE PERFORMED:
SLOPE SITE PLAN
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER SL
E
ENCOUNTERED?
IF YES, AT WHAT
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~L (minutes/inch)
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PUBLIC WATER SYSTEM
APPROVALTOCONSTRUCT
Plans for the construction of ·
pub ic water system located
, Alaska, submitted in accordance with 18 AAC 80.100
have been reviewed and are
[] approved.
[] conditionally approved (see attached conditions).
BY TITLE DATE
f construction has not started within two years of the approval date, this certificate is void and new
plans and specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no, Approved by Date
or descriptive ret'erence)
The "APPROVAL TO OPERATE" section must be completed before any water is made available to
the public.
APPROVAL TO OPERATE
The construction of the public
water system was completed on (date). The system is hereby
granted interim approval to cperate for 90 days following the cpmpletion date.
As-built plans submitted during the interim approval period, or an inspection by the Department has
confirmed the system was constructed according to the approved plans. The system is hereby granted
final approval to operate.
BY TITLE DATE
" APPLr ~.NT FILLS OUT UPPER HA ,: ONLY
Propert~ Owner jh/e~~' ~-~,~?&:2//~ Phorle
Address Zip Gode
Phone
Address Zip Code
Street Locat,~ ~Dlllm,5 ~-/
~ Single Family ~
Other
~ Individual Year Individual Installed:_ / ]~ ~
Time Time Time Time
Date Date Date
~ )-/.3
Inspector Inspector Insp~tor Insp~tor
(~) APPROVED BEDROOMS *CONDITIONS OF
APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
~'" ~ 0 -~ ~ '/ Well to Tank Septic T~k Size
72-023 (3182)
January 14~ 1983
Dick Kerbow
Box 452
E,~jle River, AK
Subject~ Lot 32
99577
Sec. 25 R2¥~ T15N
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
o Tile %;ater analysis report needs to be submitted to this
office from the Chem Lab~ 5633 B Street~ for our revie%~.
o We need the as built paperwork for this property. Our
records indicate taht the work was not inspected by our
people.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
sincerely,
JR29/p/E~{
Jim Roberts
Associate Environmental
Specialist
January 14, 1983
Alaska Housing
1st National .Bank
Eagle River.~ AK 99577
Subject; Lot 32 Sec. 2~ R2W TiSN
Approval for the
be granted until
individual sewer and water facilities cannot
the following items have been completed:
'i'he %~ater analysis report needs to be submitted to this
office frol~ the Chem Lab, 5633 B Street~ for our review.
We need the as built paperwork for this property. Our
records indicate taht the work was not inspected by our
people.
Please notify this Department for a reinspection when the
noted discrepancies }lave been corrected. If there are any
furti]er questions, please call this office at 264-4720.
Sincerely,
JR30/p/Et{
Jim Roberts
Associate Environmental Specialist
L EGA. L DESCRIPTION:
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND EN,.V. IRONMENTAL PROTECTIOI~ [] ~.~SRTCOLAT'ON
2
3-
4-
5
6
7
8
9
t
13-
14
17
18-
19-
20-
COMMENTS~J'~T'--
PERF~)RMED
72-00~ (6/79)
SLOPE SiTE PLAN
'~"~ '~_~.~ '~'~-~;~..~"~ WAS GROUND WA- ~ (E'J SL
' ENCOUNTERED?
O
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch)
FT AND FT