HomeMy WebLinkAboutSKYLINE VIEW LT 5/q2 0Z
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[ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4?20
ON-SITE SEWAGE DISPOSAL SYSTEM ~ INSPECTION REPORT
NAME PHONE--- 1 .~-'~l EW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Well ) ~ [Zbsorptio~ Dwelling
~ Manufacturer ~ Material~z. No. of compartments
~ Liq. capacity in 9allons Inside length Width Liquid depth
/,~-~O IF HOMEMADE:
-- ' .PERMIT NO.
;~ DISTANCE TO: Well /~S i'l"m4 Foundation Nearestlotline PERMITNO.~
l~~L~ No. of lines]. Le,gt, o,7~eac,~ine Total lengt~f ,,nes~:r Trench~ ____width inches_ Distance between lines
Total effective absorption ar~a
~ Top of tile to finish grade /~ Material beneati~il ·
-- ~iSth ~, PERMIT NO~~.
Length F~ ~
~ m ~ Buildi.n~ation Nearest lot line
~ DISTANCE TO:,/
-- ~ C~a~ .~ ~,~a~,~ ,Depth Driller Distance to lot line PERMIT NO.
~/~
~ ~' Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
pipe MATERIALS
S~'L TEST RATING ¢~i~
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
: '::"q '"t '" ':;TPEE'T F~I'.41E:HOE: GE., FII':::. 99SEnti. O'
FIF:'F'I_ I CFJNT I_ I N[::,R '.BHEF'RRD 78¢EI E:,EE:FIF;'.r4: :1~ r~ '2'9 .::.-:.=. =' ,' '... ':'
L.OC:FIT :[ ON [,.I Z L..E)Pl '2 Z [',- DF UG Z: .c I "T 'g '[ ZE' 43:~;GE~ :5~¢..IFt[;;'.E F:'EEFI"
T'¢F'E OF 5OZL. RE::5ORF'T ]: ON =,~...,IE.M : TRENCH
- ,. :: . ". .... ..: ....... :~;,:,, I.. RRT ....
'f'HE I:~:E;~. '[F'EE, :SZZE OF THE :50IL FIE:E;ORF:'TZON .;,~;:,Fkll :[E; -~
THE LENGTH [:,Zf"IEN2;ZON Z:5 THE L. EN~3TH ,'ZN FEET;:, OF THE TF. EN~.t4
THE E E.k FH 13F' R ]REN .i4 ~E' F'ZT IL~; THE DZSTIRf',I[::E E,E. rl~EE..[I THE ;,URF. H..E OF THE
3ROLIND FIN[) TtYE F:r'~TTOf,1 3F THE E;>:;CFI',,,'FITZON ,::IN FEE:T::,.
THERE :[:5 NO ~;ET 14:t:E:,TH FOR q
THE GRR'v'EL. I.;.EF'TH %S THE P1ZNZPl[..IM DEPTH OF iaRR',,,'EL E:ETI4EEN THE OI.ITFF~LL F Xb....
RN[;, TFIE EOTTOM OF THE EXCFIVRT ;[ ON ,':[f',l FEET::,.
F'ERf,11 T FIF'F'L Z CFINT HFtS THE RELSF'ON2; Z E; Z L ~ T'¢ TO I NFORPl TH I :~ E:,EPRRTI"IEN"f' E:,/.It;'. I F.IG TFIE;
IN~STFII...I_FFf'ION ]hlz, F[:.....[1C$4:5 OF RIq'¢ I.,.IELL5 RE:,.J'RCENT TO THX':: F'ROF'E:RT'¢ RI'.,IE:, THE
NUNBEF4: Eft: ~:E2!; Z I)ENCE:E; "rFIRT TFIE I.,.IELJ... I.,~ ILL =,E.K, E.
,_, ,. ...... 04c,~..p-,,,,¢~/ E"r' THIS
BI~CKFIL. LIN(~i OF FtN'¢ :,*.: I E. fl I.,.IITHOUT FII'4RL IN'~F'ECTIC$,I F~N[:' ,,rr ........
DEF'FIF:TP'IENT P.IIL. L BEZ :5..E~ECT TO PF'i'FE'-.T~O~',
I"IlNZP'IUfq DZ.:,fHN_.E E~ETP.IEEN FI 1.4ELL FIND FIN'¢ ON-%ITE =,EI.,.tHL~E DI=,F..L..,HL.
::[.O~) FEE:T F3F~' FI F'I;:;['v'FITE ~4EI-L OR ~.8~3 TO 2EIO FEET FFtOP1 FI F'LEL IC. NELL E:,EF'ENDIN(Z~i
.IF'ON THE "['~'F'E OF F'UBLZC NELL..
M I N :[ Pl U I"1 E:' J: :E; T FI N E: E F F: O P1 R P R I ',,,'R T E 1.4 E L. L T 0 R F' R Z ',,,' FI"I" E 5 E l,.I E R L
TO Iq :':r'$1N f. IZ"l"'-r' :E;EP]ER I_Zr.,IE :IS "5 FEET.
~'THER REI;!IJIF~iEP1ENTE; f'lFl'¢ FIF'F'L."r'. =,FE...ZFZCRTION:~; I~NE:' ":XN~;TF4:UCTZON E:,IFIGRFIM:~; FIRE
R'v'F4 :[ L. FIBLE TO I N~I..IREE F'ROF'ER X N:E;TFII...LWF ~ ON.
I C:E',F~:TI F'T' THFIT
:1., I Fff'l ,C:FIt'"I~LIFIR [,,tITH THE F...k,,:.U,I,F,.Ei'IEI'~I=, F-R Fd'.4-:',:,;ITE ~.EI,ILL._ FIN,F,~ [,.IEL. I_6) FIL~ C;ET
PLP. FH , '['HE i"II. INICII~f~[~IT'¢
"l ',:~'" .;' - I- f" I"'1 ;' ' - ""
9: I I.,.IILt. li'.,ISTFILI... THE :,r..,IL.i'l IN H..:_:_E.E. HN-.E [,.IITH '['Hg: COE:'EL~;.
'"' ' ..............":, ......... -'r"-TEt'I i"lFl"¢ f;'El'~ T~;'E E'N[ FF.'GE'I"IENT I;;' "I"HE,~(
:::::I UNE:,EF:'.E;ff~I",IE:..' "FH61T THE. Uf',I-;.I./I;:.
F,:'.E'.E;.', I E:,ENCE ):¢/REI"IOE:,EI_ED TO I i'.,ICI_UDE i'qOF.:E THFIN
........
1 2; :.:.; [..I E E:, E:"r'... .
December 31, 1979
Lir~da D. Shepherd
7800 De Bart Road {~529
Anciterage, Alaska 99504
Permit ~ 790001.
Subject: Lot 5 Skyline View Subdivision
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stahed on
the permit, by authority of Huni¢;ipal erdinance.
If you have drilled the well, a well log should be sent
to "; '
,~n.~s department to document the installation date.
tf an engineer has .inspected the insllai]_ahion of the
on-site sewer system, please haze them send us the as-builts
for our f '
If ki~ere are any further questions, :please contact this
office at 264~-4720.
Sincerely,
i, es N. Buchholz, R.S.
Senior Environmental Speci~t~--t
:,NB/ijw
eno: Copy of Permit
PERMII' NO.
F'IPPL. I CFINT
LCrCFFI" I ON
LE6FtL
LINDR D. StfEPHER[)
WILDWOOD .... CHLIGIRK
L5 SK~I..INE VIEW
7800 DEBRRR 'bSRD
LOT SIZE
X:]:]: 6}'"58
T'¢PE OF SOIL FtBSORBTION SYSTEM IS: TRENCH
f"IR,~-:;IMLIM NUMBER OF' BEDROOMS = 5
SO I L RF:II' I NG (S~;! FT,."BR ) ....
THE REC!UIRE[:., SIZE OF' THE SOIl_ FIBSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (Ii'.,I FEET) OF THE TRENI:::H I]R [:,RRIi",IF.'IEL.[).
THE DEF'TH I]F F-t TRENCtt OR PIT IS THE DISTFINC:E E:ETWEI:EN THE SIJF.:I:-'F:ICE OF THE
GROUND RND THE DOI"TOM OF" THE EXCFI'¢RTION ,::II'.,I F'EET).
THERE IS NO SET [4IF;,TH FOR TRENCHES.
l'FiE ORRVEL DEPTt4 IS THE MII",IIMUM DEPTH OF GRRVFZL BE'f'!.4EEN THE oU'rF."FIL. L. PIF'E
F:IND THE BOTTOM BF THE EXc:Fr,,,'RTtON (IN FEE]').
PERMIT RPPLICFINT HFIS "I'I*IE RESPONSIOILIT'.¢ 'FO INFORM TI.lIS DEPRR'TMEI'.,IT [)IJRIf.,IG TH[f.'
INSTlaL,.LFiTION INSF'EC:TIONS OF FIN'¢ 14EI..,L'.'5 RDJFICENT TO THiS PROP[.:.RT'¢ FIN[::, THE
NUMBER OF RESIDENCES THRT THE I,.IEI...L I.,.IILL SERVE.
BFICI.::.'FILLING OF FIN'.r' S"r'STEM 1.4ITHOUT FINRL INSPEI];:I'ION RND RPPROVRL. 8'T' THIS
DEPRRTMENT 14ILL. BF.'.' SUBJECT TO PROSECUTION.
MINIMUM D ISTRNCE BETWEEN la !-4EL. L RND Al",l°¢ ON'"'SITE SIEI.'.IFIGE [)IS':F:'OSFIL ':S"r':.:.'~'f'EM IS
,"L~30 F'EET FOR R PRIVFITE WEL..,L.~ OR
:1.50 'FO 2¢8 FEET FROM FI F'UP.',I...IC I.,.IELL [:'EF'EN[.~IN6 I.IPON THE I"¢F"'E (:IF PUBL. IC I,.IELL.
OTHER REC~.UIREi'qENTS I"lFl"r' FtPPL.'T'. SF'ECI. FICRTIONS FINE:' CONSTF..'UCTIOI",I DI'FIGRFIMS RRE
FIVFIILFIBLE TO INSURE PROPER INSTRLLRTION.
I CERTIF"r' THRT
::L: I F:IM F'RMILIRR WITH THE REC'.!UIREMEN]'S FOR ON-SI'f'E SEI.'.IER':!; FIN[:' WEI,..LS; 85; SET
FORTH B'¢ THE MLINICIPRLIT"r' OF RNCHOF.'.F'IGE.
2: I WILL INSTRI..L THE S'¢STEM IN FICCI:)RE:'FINC:E W:I:TH THE
Z;: I L.INDERS;TRND TI-IRT THE ON-SITE '_:SEEI.,.IER S'¢STEM 1,1R'.,.' F..'r:~6:!UIRE [EI",ILI':If~'.I]i[!~M[.:.'I'.4T Ii'::' TFIE
RESIDENCE IS REMOE:..,ELED TO INCL. U[:,E MORE THRN 5 E:E[)ROOMS.
,iiF'F'L I C.~¢~' L- I N[~F:'HE F..'[~
December 28, 1977
99504
Sub:} ecg: P~3r~.~tit Expiration
A permit_ issued. . by this department, for well and/or on-~it~:.s ~,
sewer ~nsua].l.ation on LOt 5 Skv~o Vt~.t Subdlvia~rm
..... ~- ~ ~-. _--.- .~ ....... has
In th~ event you still plan tO in.qtall the %cell arid/or
~.~w~.~.. svsteiTl~ a new permit is required, 'i~t1~ o~tginal sell
If the ~oll has be,m dr:l. lled, a w~.l! lo!l should be sent to
this departmen% to document %he installat:J.on date.
you have anv~. _cAtesf:ions_ .. regardinU th;~ aoow;.' ~ matter~ please
contaot this ~ , '
uz .... ¢~e .u~Juediately at 264-4720.
Los No Duchhol~;~ R,S~ ,~anJ. tar±an
GRE, ~'R ANCHORAGE AREA BO. JGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIt
j,.-
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BI INSTALLED BY
/
SOIL TEST RESULTS / ~'?'"~-~
COMPLET,ON DATE ANTICIPATED / ~ I~ I']
FINAL INSPECTION: 24 HOI Fi~ NOTICE REQUIRED,
DEPARTMENT OF ENVlRONt,,~ENTAI_ QUALITY AUTHC
/
SEPTIC TANK SIZE f '5--O---¢(~' TYPE
~AIN FIELD~ OTH ER '('-/~. ~"/'¢' C ~/t
OIr A~Y ~YSTE~ WITHOUT FI~Ab IN~P~CTIO~ BY T~
WILL BE 3UBJECT TO PROSECUTION,
AREA SIZE.
MINIMUM DISTANCES, RE{
WELL TO SEPTIC TANK //
IIREMENTB
DRAIN FIELD
/ O~iO
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
DRAIN FIELD __
DIAGRAM OF SYSTEM
; , , ~ ...... '~.4 - _ /~ .(~__ L..
< , ._' ' .d 4-,, .~, :-: ,
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF ......
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS,
GRAVEL BACKFILL,
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
.... :. .ii
I CERTIFY THAT I AM FAMILIAR WiTH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE.
"! x ,- ~'
, . ?_~,-'., ~c_ APPLICANT'S S'GNAT"BE----:t
EQ-0~ 6(3-75)
0 8- E GEC
£CHNICAL Et DEVEL .PMENT
Box 90, Davis St,, Eagle River, Alaska 99677
694-2774 or 688-2280
CO,
./
Russell Oyster Earl Ellis
694-2774 SO~L LOG 688-2280
SoUs Ef Foundations Land Development
Performed for:
Legal Description:
~ 12
i3
15
Ground Water Encountered: Yes No If yes, wh~t depth
?r:;i~o~d Installation: Seepage Plt_~Dr~ln Field
Con',ments :..~-'.~.~<_. x'~,,NA~'L~ ~0~ "5~ ~
~~ _,
?erf,'~Fmed by: Oate:_'7. J~, ~6.;~ 'P/~
1/5
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