HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES #1 BLK 3 LT 18
MUNICIPALITY OF ANCNORAGE
DEPARTMENT OF HEALTH & ENVIRONMEN'rAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
LPHONE ~W
LEGAL DESCRIPTI~
~- ~ Manufacturer
'~ ~-e¢~ Ma~.c No.o, compartments ~
Liq.~cit~ons h~side length Width .Liquid depth
/
...~ ' ~,STANCETO: Well~/~/A Dwelling PERMITNO.
0 ~ < ~an,facturer
~ -- ~ Material Liquid capacity in gallons
::,~.,~ DISTANCETO: Well~.~¢ ,.,'-- Foundation ~ Nearest/otlin¢''~ PERMITNO.
No. of line7 Length ~eg7 liar Total ,e,lnli~ Trench w~ Distance between
j~ T°p~tim'° f~h grade- - .- '~ Materiel beneath tile
( { ~ ~ ~, .~ inches Totaleffect[~bsorpti~rea~¢)~ ~ ~-
Length ~ Width ~/// Depth PERMITNO~~
~" ~ Type of crib Crib di .... te~ W/~__~ Crib depth Total effective
~ DISTANCE TO: Well // - Building foundation Nearest lot line
~ Class
~ ~ ~ ~ ~'~~Depth , / Drifter Distance to lot lin~ PERMITNO.
~ DISTANCE TO: tion Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
/ -
AP~,V~ //.y /' DATE LEGAL ~ & ~ k','.JGii~i~;~;;iNG --
Permit
MUNICIPALITY OF ANCHORAGE
Department ~ Health and Environmenta ?rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
Location: ~,% %~j. Phone Number: c~-0~- ~ (//
Legal Descrip~/ion:// ~_t~ °A;~ 3 ~7- U~ ~.~. Lot Size:
Type of Soil Absorption System Is:
Trench: L~.. Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br) / OO
DEPTH
The Required Size of the Soil Absorption System Is:
LENGTH ~ ' '~ ~
GRAVEL DEPTH ~ 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 = /~-~) 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 fee~
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 1 9 8 3 * * *
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
the residence/~ remodeled to include more that 3 b~roofns.
Signe~: ~__~,~~ Issued bY: '~A~-~/t~¢~L-'~ ) A]
Date:
SWP/024 (1/81)
December 29, 1978
~780429
Walter A. Ross
Post Office Box 8-9048
Anchorage, Alaska 99508
Subject: Lot 18 Block 3 Mountain Valley Estates Subdivision
A permit issued by this department for well and/or
sewer system has expired.
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 ~ell log should b~
sent to this department to document the installation
date.
:£f there are any further questions, please contact
this office at 26~-4720.
Sincerely~
Les N. Buohholz, R.S.
Senior Environmental ~ ' '
~peclal3. st
I~]B/ljw
eric: ~opy of permit
PERMIT NO.
DEPRRTMENT L,, HERLTH AND ENVIRONMENTRL f,<OTEC:TION
825 "L.." STREET, RNCHORRGE, RI<.
264-4728
FIF'PLICRNT
LOCRTION
L. EGRL
HALTER FI ROSS
JOHNNY DRIVE
i_.i8 B ~ MT VALLEY ESTRTES
PO BO%
LOT SIZE:
TYPE 0F SOIL ~BSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
125400 SQURRE FEET
SOIL RATING (SQ FT/BR)= i00
TEIE RE~..].UIRED SIZE OF THE SOIl... ABSORPTION SYSTEM IS:
[:, E F" l' H =., 5 L_ E I'-,t ~rZl ]- I-4 = F~? 13 Iq R",,-' E t._ [:, [-~_] F' 'T' t-I == ZEt
THE LENGTH DIMENSION IS ]'HE L.ENGTH (IN FEEl') OF THE: TRENCH OR DRFIINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE Ek.;CR',,,'RTION (IN FEET),
THERE IS NO SET WIDTH FOR TRENCHES.
THE 6RRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE
FIND THE BOTTOM OF' THF E',:4CRVFITION (IN FEET).
PERMIT RPPLICFINT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLRTION INSPECTIONS OF: ANY I..IEL. L.S AE:,,.TACENT TO THIS PROF'ERTY RND 'file
NUMBER OF RESIDENCES THFIT THE WELL WILL SER. YE.
BACKF'ILLIN6 OF RNY SYSTEM 14ITHOUT FINRL INSPECTION RND RF.'PROVFII~ BY THIS
DEPARTMENT WILL, BE SUBJECT TO PROSECUTION.
MIN,IMUM DISTFINCE BETWEEN FI WELL FIND RNY ON-SITE SEI.,.IRGE I)ISF'OSRL SYSTEM IS
'.1.88 FEET FOR. ft PRIVRTE 1.4ELL~ OR
:l.58 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF' PUBLIC
OTHER REQLIIREMENTS MAY APPL. Y. SPECIFICRTIONS AN[) CONSTRUCTION DIAGRAMS FIRE
FIVf]ILFIBLE TO INSURE PROPER INSTRL. LRTION.
PEF:iq I T E)<P :1: RIE:~; DE:E:Ef'IBE:R 2::[.,, ::L ~'::-~ ?::'~:
I CERTIFY Tt4RT
t: I AM FRMILIRR WITH THE REQUIRE:I4ENTS FOR ON-SITE SEWERS FIND WELLS RS SET
FORTH BY THE MUNICIPBLITY OF FINCHORFIGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE (::ODES.
2~: I UNDERSTRND THRT THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLARGEMENT IF' THE:
RESIDENCE IS REMODELED TO INOLLIDE_MORE TFIRH 4 BEE:,ROOMS.
S I GNED: ...........................
~P[~ICRNT W8LTER A ROSS
O Er E GFO, ECHNICAL Er DEVEL~.'PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils E~ Foundations
Performed for:
Legal Description:
~epth (feet)
Name:
Mailtng Address:
Earl Ellis
,SOIL LOG r~-2.2~0
Land Development
Soil Charactertstic~
2 m
10
1}. ~
12~
13
Ground Water Encountered:
Yes No
Proposed Installation: Seepage Pit Drein Field~
Comments: