HomeMy WebLinkAboutSLEEPY HOLLOW #2 BLK 2 LT 21P.C. L,,JX 6650
ANCHORAGE ,a, LASi<A 99502-0850
(907) 264-4tlI
DEPARTMENT OF HEALTH & HUMAN SEflVICI':$
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850624
Lot 21 Block'"2 Sleepy Hollow Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
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 to 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 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/lJw
enc: Copy of Permit
DATE
DI!!:F:'ARTM[ii:IqT bt" I"EAL,'I"I"] AND [ii:NVIRONMIEIqTAI_ i'I?O'I"ECTI(]N ~ ~.
8:?5 I.. ~'1~:~1~-:" A~ '1[ RAGE~ AK 995:: 1. ~.~
C:::B II'",,B ...- ~; ][: "~"' IE~: S~ lEE IL..~ lEE] ~::;~ F" ~;E~: II:~:: I'~, :E ",~ /' ' "~
] 9 / 25 / 85
~ FLIL, AIII.
A D D RIE S S ~
EX]N'I'ACT F:'HC)NE ,~
% ~I&S ENGINElilERING
EADL, E RIVE, R, AK 995T7
I..l::.bAL i. L~.~C,F', .L I .
L[.)T S1 ZIE:,~
MAX BI.:i])RODI'IS ~
I,,.is'l',ed b(=~].l:)~ al'e thru c)p'L:Lc:)rH~i ~ilva :ir l al::) ], (_~) '~',,c) yc3l..t ir') d~;:i, grlir'~g
~sy~M'.em,, cr'loose the optic)ri that best fi'Lg~ yc)ui' site.
:[)EI::'I'H fi'C) F:' t F-"E ;ClO"l'l-[liq (FI' ,, ) '7 ,, 0 6 ,, L5 7.0
GRAVL:::L DEPTH (F'"[',,) ~?,, C) (). 5 1 ,, C)
T[:)'I'AL,, DEEPTH (F::'T.) 9,, 0 7,, 0 8.0
['~Fd. WI~].,.. W I D'TH (F:'I' ,, ) '2 ,, 5 :L7.0 ',5,, 0
GRAVEl.,, Ir, 12NED"H (1:::']'.) 94 ,. 0 '~"~' 34 ,, 0 66.0
GRAVEl,.. VOL,.IJME (CU,, YDS. ) 21.8 21 ,, [3 113,, 4
TANI< ~31ZE (GAl_S) J., 000'. O '~"~ 1, ()OO,, O '~i'~' '1 ~, 00(). O
SOIL RATII',IG (SQ. F;"I". /BR) :L::~'.~J ].L~5 J. 25
.~.+!. bld:~VEL LENGTH > '?L;i F:"I". RI:,(~.U.t:I~E.~ 'MUI.TIPI.,.E RLIIxlS (NOT I::XI.,[:I:d)._NE~ '7~; F'T',, [::.A(,,I.I)
.l:-.l~. TAIqI< MLIST HAVIE A'I" L,L::A[3T -[WO LOIIFAR I I1[:1,!
:1: cl~p'Li fy ti]at:
1,, I am {'am:i. liap
fcm't,h by 't. he ML~rJ:i. cipality of' ArH:l'n:)page (MDA) and the State DJ' Alaska.
]: ~ll :i. nst',all 'Lhe syst.[~m :tn accopdance ~th all I¢II]A codes and pc~gulaL:i, ons~,
arid :i. rl cc)mpl:Lar'lc(.'~ with 'J:.h(:~ des:i, grJ cl, i'L~]p:ta of 'Lhis pepmit,,
I will adlnep~;? to all IqOA and State c)t' A:lasl.::a r'equipem~.~nts Fop the set bacl::
distances Fl'ubm any ex:i. st:i. ng ~¢~1]., wastewater, disposal system ¢::~r' publ:i.c
Z undepstand that th:i.s pepmi'L ~s valid fop a maximum c]F 3 bedpc)oms and
(wly ¢:}r'lJ, apgemelrL will Peql..(il',(~:) an addi'LLonal per, mSt,,
IF:' A L.,IF'I" S'I"A'I"IEJN IS INS'I"AI...L[FD IN AN AREA CDVERE::D BY MOA BIJ]:LDINI3 [',[]DES~
THEIq ( ], ) AN I~{I_IECTR I C, aL F:'ERM I"l" AND I I~I~I:::'EI]T I DN MUST BE OB]~A :[ NED; (R) A~3-BU I L'I"E~
WILl_, NOT BE AI::'I::'RC)VED WITHOUT AN IELECFIRICAL :I:NSI::'I~:CTIOIq REF'ORT; AND (3) 'THFZ
EEI...EE;TI:~Z[:hI_. WE)RK MIJST BE DCJNE BY A LICENSED EI..,ECI'I::~I[;IAIq.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVI,
825 "L" Street, Anchorage, Alaska 99502-065
SOILS LOG -- PERCOLATION TES'I
1
2
3-
4-
5-
8-
9-
10-
11
13=
14-
15-
16-
17
18
19-
20-
'/
Township, Range.
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water Aller
M0flitorillg? Pate:
Heading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE -~ (m,~lutes/inchl PERC HOLE DIAMETER
TEST RUN SETWEEN ~/F~/A> _ FT