HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 4 LT 7
MUNICIPALITY OF ANCHORAGE
10E~ T~ENT OF HEALTH AND HUi~AN SERV $
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-S~TE SE~A~AG~ D~SPOSAL SYSTE~ AND/OR WELL INSPECTION REPORT
DISTANCES
SEPTIC ABSORPTION
TANK FIELD WELL
WELL
LOT LINE \
FOUNDATION "~1'
AS-BUILT DIAGRAM (Show location el well, septic system, property hnos, foundation,
drweway, water bodies,
~¢TYPE OF S¥STE~VI
j:~'FRENCH
BED [] W. DRAIN [] OTHER
Total depth from original grade
Gravel width
Distance. between lines
Fill added above original grade
~.~ FT
WELLS
[~PRIVATE [] OTHER fldentitv)
Classdicatiorl (A,B,C) l~otal Dep[h F~- Cased to
REMARr;(S:
FT
inspections Performed by:
--t,T8-34-EaCeJRi¥~&,~p4~8~- corlily t,~ lh,?s I~./~ction ?s padormcd according t0 all
Health ~epadmeflt Approval:~._ ~ . ~. ¢¢ ,, Date: ~
72-013 (3/85)
MUIglgI'X~.LFTY OF A~'~ICHOF~AG
DE?At:t/gllEl'4 F OF HEAt_'¢ H & ENVIfiONMEt'~TAL PROTECTION
ENVIRONMENTAL EiqGIFJEERI~JG BIVISION
8~5 L Street ~ Anchorage, Alaska 99501 'F~!epholm 284-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL ~NSPECTION REPORT
NAME·. lPNOiqE
Absorption area Dwell ng ; PERMIT NO.
DISTANCE TO: ]
Insk~e ich§th Width uid depth
[iq. in IF HOMEMADE:
DISTANCE fO: Well ~ PERMITNO.
I][q~id capacity in qallons
I Well ¢ Foundatior ¢ .~, Nearest tot lin~, ,,~"'
DIS lANCE TO: ~ .~ 4Z~
No. oF lines . I v,-,gth of~¢~ line TotaJ k~h[jti4of lines 'French vvidJ:~ ~
Top of tile to finish grade ~ Mal:erkd bem~ath tile .~
PERMIT NO.
fotdl effective ai)s~.ion area
Pr-:RMIT
~ Well lkdldin( foundation Nearest lot line
! I~ISTANCE ¢O: I ' L
~. [ ........ IE d g o~ (at ~ /S~vver ne lbep' c~anl< IAbsorpt~onareas
OTHER
PiPE MATERIALS
SOIL I'EST IqA¢iNG
INSTALLER
R E MAR KS
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
LEGAL DESCRIPTION
LOCATION
DISTANCE TO:
Manufacturer
Well
[_iq,
IF HOMEMADE:
D,S-rANCE TO: Wa,,
DISTANCE TO:
No. o~ lines ~ Length of each linc
J
Top of tile to finish grade
Length
'lype of crib Crib diameter
Well
DISTANCE TO:
Class
DISTANCE TO:
Depth
Building foundation
iAbsorption area
PHONE
~NEW
~_.¢~ ~lt-.. [] UPGRADE
NO. OF BEDROOMS
Dwelling ;
Material No, of compartments
Inside length /Width kiquid depth
D~ellin~ ~EBMIT ~0,
Moteriol kiquid co~aciW in ~allons
Foundatio~¢ t Nearest lot linC PERMJ.T ~O.
/Trench wid~ . Distance
Total ,en~.~lj nes bet~ni~~
MateriW beneath tile ~,' Total effective abs~ion~"
inches ~1C}~ ~'
PERMIT NO,
Depth
Crib depth
Building foundation
Driller
Total effective absorption area
Nearest lot line
Sewer line
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
Distance to lot line
ISept c tank
PERMIT NO.
lAbsorpt on area(s)
APPROVED
DATE /LEGAL
'"il
825 I... STREE*I*, ANCHORAGE~ AK 9950
2/:.:~4-*.,!. 7 2()
EAEil...i:ii: R I VER, Al< ::Y".;'577
6':~'4-'2979
S!.IBD :t: V I ,'.iii I Ol'q: MCK I NLEY H"I"S.
SECT '[ ON ~ 16 t"OWNSH :[ F::':
3 :l.~';Y~x~-~ (SQ. F;"t' ,, Cfi:;: ACRES )
LCFI"~ '7 BL..OCI<~" 4
15t\t RAI",tGE ~ 1W
I,i.)l.:ilAVlil}].. DEI:::"I H (!:;:'T
TO'i'AI... :Ot!!:PTH (F:T.)
GF;~AViii:L W
GI;:;:AViiiJ..t..liil]'qG'IH (i:::'T.)
t:-)RAVIiliJ..VOt..UMh:: (CU~ YDS. )
l"~,:flql< S I Z l::i: (GAI...S)
SOIl_ I::;,'A T i N!..~
:i: c,::'~,r' *('. :i. i' y t. h at.:
I am i'amit:i, ar' w;i.'l.'.h the r~ec!u:i.l"en'ierd:.s ¢,:;)r' c)n.*'.s:i.t(.;c.) se~,¢el"S anc:l wells as s~?t.
{'ovth by 'Lhe Munic::i.t:;~a!it.y c,t' Anc!"ic)r. agi¢.~ (MOA) ant! the State J::if' Alaska,,
;:;:~,, :I: i,,~:i.].l :i. nst. a!l t.l"l(,~ syst. em :i.n acc;circlar'ic:e ~,,~i'l:.h al! MOA c:(:)cles arid pegulat, iclns,.,
and in compI:i, ar'tce with 'Lhe Cli,i:,~B;i,(~ll"l
:];,, I i..~:i, lt adl'ie)pc.) t.o all t'dOA and StaLe) tit' Alaska l'~eclL.iir~i.~iiil.:.:.~r'it.!B t'i::il'~ t.l"le set. back
cti~.t, au':ice:,~.:i Ir.!:)lii ai"ty !;:.:,x;i. st. irig well,
si-:::,l...!el'agr..;.~ syst. i0m ,:;:il'i t.l'i:i.s cir'. any
IF ~'...~ !...lt:::'l' iii:t"A'l"):CiN .I. I,,t At....t...,::....~ IN AN Hr".l::.,..i COVli~];:i~liil](} B'f MCiA B.JII_C~,ItqG CODES,
't}'lliii:l'.l ( :1 '~ AN Ei....ECTI::I 1 CAI_ I'::'EF;,'M I T' AND I I",ISPtZCT I Ol'q MUST BtE OBTA :!: NED ~ (;.'ii'.) l/~::v-t':.,U 11_ I ,::~
W ]: L.I_ Nil'! t::il::: . ~ .. Vc.~.~ l,\l ! "I'H(' I AN : .............. 1 t -, .I. CAt... I IqSF:'liii:C t" :1: ON Rlii~]::'OI::;,'T'~ ~.~ x i) (3) 'I"I"'IIFJ:
Et...Ii~C)]'R t: CiAL '4. I".I.. ML.tS"I' BIE :OC FIE: BY A L i CIEtXlSEO EI._ECTR ]:C I Alq,
\
N.
'N
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10-
11
12
13
14
15
16
17
18
19
20
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
COMMENTS
PERFORMED BY~
72-008 (6/79)
Gross Net Depth to Net
Reading Date Time Time Water Drop
! I~'~
PERCOLATION RATE ¢ / /'~ (minutes/inch)
TESTRUN.ET "EN . FT
P.O. L ' 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264¢~'x 4 7 4 4
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 9, 1987
Jerry Jez
PO Box 774376
Eagle River, Alaska
99577
Subject: Lot 7 BLock 4 Mc Kinley Heights Subdivision
On-site Sewer Permit ~860203 Upgrade
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1986.
Permits are issued on a calendar year basis by authority
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 fo
close the permit.
If a private engineer inspected the installation of the on-site
sewer system the original as-built inspection report (three part
form) must be sent to this office for review and approval, and
for documentation.
If there are any further questions, please call this office
at 264-4744.
Sincerely,
'R.W. Robinson
Program Manager
On-site Services
RWR/ljw
enc: copy of permit
ROBERTA. SHAFER
June 27, 1986
CIVIL ENGINEER
694-29Z9
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
~IAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99501
ATTENTION: Steve Morris
REFERENCE: Lot 7; Block 4; McKinley Heights #I
The attached application for permit to upgrade the on-site wastewater
disposal system is a result of the drainfield installed on July 12,
1985 by the owner being installed to ~lose to a well located on the
adjacent property. It will be necessary to relocate approximately 20
feet of the drainfield as shown on the attached sketch. If you require
additional information, please contact us.
~n¢~rel
~T A. SHAFER, P.E.
RAS/ss
Jt~4UN1CIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVII.~ONMEN FAL PROTECTION
1986
SRB 196X EAGLE RIVER, ALASKA 99577