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HomeMy WebLinkAboutSKYLINE VIEW #1 BLK 5 LT 2Akyliene View #1 Block 5 Lot 2A #051-191-34 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 OWN -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE L�NEW /'g� ���d%`,' l/�=' UPGRADE MAI LING ADDRESS LEGAL DESCRI TION ^- ca_n LOCATION NO. OF BEDROOMS e Absorption area Dwelling PERMIT N �7 VY DISTANCE T0. U �O=�05��i F- 2 Manufacturer �f o• ^ n '�, MatedNo. of comps tmenis LU I. N Liq. ?ap aci� in gallons IF HOMEMADE: Inside length s Width Liquid depth ' O z DISTANCE T0: WellDwelling PERMIT NO. TZ F Manufacturer ater' Liquid capacity i gallons'�'s ❑ Well Foundation Nearest lot me O PERMIT NO w DISTANCE TO: Q !j a Z Zw No. of I//''�r�es vn� Length of each ipe r �`(,� T tal leng of lines Trench width 6 inches Distance betwee lines ~ cc FF- Top of tile to finish grade / Material beneath tile // �, r Total effec ve sorption area �/ W-irteftes Length Width Depth PERMIT NO. w C7 aF- Type of crib i depth � Total effective tion area waw ZCri,,,diameter rn / Building f ndation earest lot line ISTANCETO: J ss Depth Driller Distance to Iqt Ijn% i i PERMIT NO. W 'y Building foundation A, Sewer line Septic tank � Absorption areas) DISTANCE TO: (n !✓ OTHER PIPE MATERIALS <J 3© 3C-( SOIL TEST RATING (l0 t INSTALLER _ e lv REMARKS (Q DATE LEGAL g APPRO D 61 s d4 72-013 (Re)V3/78) / U or, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'E_' STREE'T.. ANCHORAGE, AK. 99501. 264--47220 PERMIT NO. {: 790317> tk 4-[� c (SC ._1 APPLICANT CHRIS YEL VERTON PO BOX 235 608 3 S)3 LOCATION EAGLE RIVER LEGAL L28 B5 SKYLINES VIEW LOT SIZE" 54450 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO F'TIBR) = 110 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I S : :J_ THE LENGTH DIMENSION IS THE LENGTH (IN F=EET) 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 15 NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS 'THE MINIMUM DEPTH OF GRAVEL, BETWE=EN THE: OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). r^f EES. G 10._,A TE F;ll f=" E:';.n ti.:^ FF- F-� `T'" T o "r"' n N r w T. r- 3_ 010 0 0A f7l !a L_ Ce 92-4 :5; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS 01: ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE, __ _,_. , 1 W 0 w _ ;Z2 > X ria • F:�' F_- C '-r I C) rN �E; Fl f Fi, F�C EE. 011-11 r;R! EE C A �. BACKF I LL I Nib 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 ,.00 FEET FOR A PRIMATE WEnL.Li OR 9.50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F:;" E. R M X ..3.' Ery F=' I FR E --_:E5 E> Ems. 0 F5, PI 00 F,: FR _ _L .^ ? I CERTIFY THAT I.: I AM FAMILIAR WITH THE REQUIREMENT'S FOR ON --SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODE ED TO INCLUDE MORE THAN .3 BEDROOMS. APDL I CAN CHR I5 YELVE RTON 6��``1 ��. ISsU"D .�n Y3. 2 Q & E GE1 TECHNICAL Ef DEVE XIMENT CO. Sox 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL, LOG 688-22130 Soils Et Foundations Land Development Performed for: Nam@: �2/c �� nr,/ 7�� /--//'7'0 XE Tal . Mailing Address: _ -5,2• Xey-(--fF1c)G14 j -6 7 Legal Description: Ue rtU feat S0J1 Ciie-QS st m 0 IV Z, ��Lr /oP orc_ v7IS R 6 Nv o -o -,v1 .,,/XEA, A, �f a o 4 Cp.�tra l�avr enr A-'/0/Z""/e� 5 6-- 7 B loF �f-,cis � r y 11- 1.2 1.3 lil 37-r29,,-4>' 69 y ! r 15 PL67- P6 -17A/ ,C(o Sev c e- — Ground dater Encountered: Yes„,,_,_ No. `/ if yes, whst depth Proposed Installation: Seepage Pit„ drain Field e comments' -- per o bY.� �^ z z/ �� Date: /.ss 7q �� f rmed _� 9-11 0_3 0 . .��1' IF p . ..... K IF IC "o IF, �11".41 Ir I| DEPHRTMENT Ol HERLTH HND ENYI�O�MENTHL Pk�/�CTION 825 'L' ST�EET/ RNCHORHGE/ HK99501 264�4720 PERMIT NO ( 790072 ) HPPLICANT 8HRBHRH BRTTEN PO BOX 94 EHGLE RIVER 694 252] LOCHTION CHUGIHK L,EGHL L2R B5 SKYLINE VIEW LOT SIZE 54000 SQUHRE FEET MINIMUM DIBETWEEN H WELL HND ANY UN~SITE SEWHGE DlHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL/ OR 150 TO 200 FE.ET FROM H PUBLIC WELL DEPENDING UP N TI IE TYPE OF PUBLTC WELL WELL LOG� HRE REQUIRED RND MUST BE TO THE DEPHRTMf."NT WITHfN ]0 DRYS OF TH� UELL COI'elPI ETION. OTHER �EQUIREMENTS MAY 0PPLY� SPECIFICATIONS HND CONSTRUCTION DIHGRHMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION. ���������� ��' I CERTIFY THRT 1: I HM FflMILIHR WITH THE ON—SITE SEWERS RND WELLS RS SET F."CIRTH BY THE Mi1�ICIPHLITY OF HNCHC',RI'lGE 2� I QILL INSTHLL THE SYST�� IN -.'T fl WITH THE COD�S � /\ ������� SIGNED� —�..�.._.~~_�~��~�~^—^--`^^~~~ [lPPLIf HNT BRRBHRH,��TTEN ISSUED 8Y—IV�.��__��~ v �/ C1 • • r"+IPALIiY C" ANCHOP.AGE Drilling ia'v°E; N1,�.: TION by DOC Co.doa thAY 15 i rJ SULLIVAN WATER WELLS RECEIVED P.O. BOX 272, CHUG IAK, ALASKA 69567 • TELEPHONE 688-2759 j y G Llj", i ^i DEPTH OF WELL OWNER OF LAND r c _—__— ADDRESS STATIC LEVEL OF WATER FT, LEGAL DESCRIPTIO �� r " f DRAW DOWN FT. DATE - Started 7 ' Ended "' <' GALS. PER HR PERMIT NUMBER % r i ,. . KIND OF CASING —' 0 /62v KIND OF FORMATION: from Ft. to Ft. ,: 4 r"_ <' %,= ' J From Ft. to Ft. From Ft. to Ft. �. ` ? From» Ft. t0 Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. ` � � ' r,ErJ Frmn Pt. to Ft From Ft. to Fl. `-' °"�' Front Ft. to Ft 1 From Ft.lu Ft. •'.:,•c, . i'`r'From rt. to _Ft. From- �_Ft. to - Ft. -,.%' ` 2. From Ft. to—.—rt. From _I_Ft. to Ft. ' t °' i,: From Ft. to Ft. - From Fl. to Ft t ' From Ft. to Ft. From / Ft. to ' ' Ft. �-'" " ' From Ft. to Ft. From Ft. to ' FI. f ' f From Ft. to Ft. From Fl. to Ft. From Ft. to__Ft. From Ft. to " Ft. • From Ft. to ---Ft. From Ft. to Fl. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to --Ft. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME =