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Home My WebLink AboutROBERT JOHNS LT 5B-1OgO-I /~" 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 IP"ONE MAI LING ADDRESS LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS I~u Absorotion area D~ollinu ~[BMIT ~0. ~ ~ Manufacturer ~ --, ' '~ ' Mate~:~ ~'~ .o. of compartments ~ Lq c~pacty nga ons [) InsideJength Width Liquid depth ~ ~ DISTANCE TO: Well Dwellin9 PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons G ~1] Founda~ Nearest lot line PERMIT~O. ~ ~ ~ No. of linesz Length of~ac~'iine Total length of lines Trench width Distance between lines ~/ ~ 3t ,~-~~ inches ~ ~ ~ Top of tile to finish grade .~ I Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ C~[ / De~/ .~ Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: ~ ~B tion Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS s'ol L TEST RATI N G ) ~ ~ "~ / APPROVED DATE LEGAL F'ERM I T NO. FIPF'L I CRNT LOCFtT I ON LEOFtL BRRD MILLS LSBt ROBERT JOHNS 825 "L" STREET., RNCHORRGE., RK. 9950t ~:~¢7 ~L 264-4728 ~,"~,~¢~ o) , ~ O , - ,2 ~ ,~,~ ~,-,,~ ~"~. 0 E,U,:., ~7,' E.R....-~, , ~,:,,:,-~t~, THE DEPTH OF R TRENCH OR PIT IS~THE,, DISTRNRE BETWEEN~'' THE SLIRFRC:E--'J""OF THE GROUND RND THE BOTTOM OF THE E,~--,L:R',,,'RTI~-IN (IN FEET.'.',. THE GRRVEL DEPTH IS THE MINIblUM DEPTH OF ARRVEL BETWEEN THE OLITFRLL FIFE/ RND THE BOTTOM OF THE E;.(CRVRTION (IN FEET). F-:E~]~.IJ "Ir REF:, SEF'T T 6: TRN~-,~ S T ZE ', ::L25¢:'-~ ,3RLLCii"-.tS PERMIT HPFLZ_.HNT HRS THE RESPONSIBILITY' TO INFORM THIS DEPRRTMENT DURING THE' INSTRLLRTION INSPECTIr~NS OF FtN'¢ WELLS RDJRCENT TO THIS rr,;_r=~:~ RND THE NLIMBER ElF RESIDENCES THRT THE WELL WILL SERVE. TI---IC~ ,.:.' 2 ::, I I'-.ISPEE:T I OI'-,IS I:~F4E F-'Ei]~.L! I I~:ED , I~.-' ~ ~ I~ E,R_.KFILLIN~ OF AN~' _&_,TEM WITHOUT FINAL INSF'ECTII]N RND RF'PF.:CI',/RL B'-r' THIS DEPRRTMENT WILL BE SUBJEC:T TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RN9 ON-SITE SEWRGE DISPOSRL SSSTEM IS · 00 FEET FOR 8 PRIVRTE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEQEN'[:,ING UPON THE TMPE OF PUBLIC WELL. . MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRM RPPL9. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE 8VRILRBLE TO INSURE PROPER INSTRLLRTION. F'EF:t--11 T E;:-::F" I RES DECEI'IE:EF-: 2~:1.. 1L:~- 82 I CERTIF~ THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS fiND WELLS RS SET FORTH BY THE MUNICIPRLIT9 OF RNCHORRGE. 2: I WILL INSTRLL THE SSSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SSSTEM WRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMO[:,ELED T.~]..INCLUDE MORE THRN 4 BEDROOMS. RPPL I CRNT BF..MD MILL:, "'[?'= :-:: e7 PERMIT NO. DEPBRTMENT .~. HERLTH RND ENVIRONMENTRL ~,<OTECTION 825 "L" STREET., BNCHORBGE., BK. 9950t 264-4728 LOT =,I.'E E El. RUUM_, = 4- MR::'::IMUM NUMBER OF ' '-- ': e;8:3-3:2t 8 ~:9.0E0 SC'JRRE FEET SOIL RRTING ,'S]~ FT,."'BR)= t40 THE REQUIRED =,I~.E OF THE :4. IL BBSORF'TION S'¢STEM lb]: [:,EF' T~4= ";:: LE~4,aTH:= 7~} ,_3 F.: R"...' E L E... E F" T'H:= '~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF THE GROUND RND THE BOTTOM OF THE EY, CR',,,'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFBLL PIPE RND THE BOTTOM OF ]'HE EXCRVRTION (IN FEET). F-:E:;,.[J I REZ[-', "_=.EF"T [ C: TR~:-'. '_-] ~ ZE= 125~-Z", .... l--" ' '-- FER['.tT FtF'PLICBNT HBS THE REz, FLNzI_,ILITT TO INFCIRM THIS DEF'BRTMENT DIJF..:ING THE INSTBLLBTION INSPECTIONS OF BN'T' WELLS B[:,JRCENT TO THIS PF.']PERT¥ BND THE NUMBER OF RESIDENCES THBT ]'HE WELL WILL SER'v'E. T I--.l C, ,:'..;..F.:..".":, ][ ~'-.~ $ F" E E: T z ,-, ~'-.~ g_ _. R F:." E F: E ~]:! b~ ][ F.: E [:, BH_.kFILLING 6!F RN'¢ --,~=,TEM WITHOUT FINRL INSF'ECTION RND RPF'ROVRL B'¢ THIS [:,EPRRTMENT WILL E:E SUBJECT TO PF.'.OSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNM ON-SITE SEWRGE DISPOSRL SMSTEM IS 100 FEET FOR B PRIVRTE WELL OR t50 TO 200 FEET FROM B PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVBTE WELL TO R PRIVBTE SEHER LINE IS 25 FEET RND 'TO R COMMUNITM SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY BPPL9. SPECIFICRTIONS BND CONSTRUCTION DIRGRRMS RRE BVBILRBLE TO INSURE PROPER INSTBLLBTION. F"E]F..:~"I .T.T T F:~--.F I RES DEE:E]~"IE:EF: I CERTIFb' THRT :~: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH 8'¢ THE MUNICIPRLIT'T' OF BNCHORRGE. 2: I WILL INSTRLL THE S'¢STEM IN BCCORDBNCE WITH THE CODES. 2.:: t UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR'T' REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. APPLICRNT BRRD f'~TS ISSUED B'¢___~_~~~ ......... DRTE_.~__~-~. 'O & E ENL.,NEERING & DEVELOrMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 ~lussell Oyster 694°2774 Performed for: SOIL LOG Mailing Address: Legal Description: Earl Ellis 688-2280 Tel. No, 321Z ~eplh (feet) 0 2__ 3__ 4__ 5__ ~/~ 7__ 10__ Soil Characteristics PLOT PLAN 12__ 15__ 16__ Ground Water Encountered: Yes__ Proposed Installation: Seepage Pit__ Comments: ~;~)'~/~;/~(/¢~ Z..~'~ Performed by: No P// If yes, what depth Drain Field / PERC. TEST Date: /~/;7.. ~/~ ~--- Russell Oyster 694-2774 Performed for: Legal Description: Depth (feet) 1 2 5 6 7 9 ~0 0 & E ENL',NEERING & DEVELOr~MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis SOIL LOG 688-2280 Name: /~'///~, ~'~/"~ A¢I~U -~ Tel. No./~ ~'~' ~ ~/~' MailingAddress:~'~ ~7~ ~'~-~ ~ UE~ ~/~-, Soil Characteristics, PLOT PLAN 12__ 13 14 15 PERC. TEST 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No If yes, what depth Drain Field 82b "L" STREET AI~.]C~'IORAQIJ, Al ASI(A 99501 (90!) 264xi111 (~f:OI{GE /'/I ,%'ULL IVAIV, ND~ Y 0 f~ January 4, 1982 Brad Mills P.O. Box 377 Eagle River, AK 99577 Subject: ~ ROBERT JOHNS S/D A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. 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 well log should be s~nt to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, pL~oSg~2mB~aChnha~leZr:' Sewer and Water Program Enclosure: Copy of Permit APPLK ,NT FILLS OUT UPPER HA: ' .ONLY Property Owner ~2~ ~ ./ lh,~ ' l/ i Phone Buyer Address :/.~ .;..>. Zip Code LeRdin~ InstHuUon Phone Address .: / Phone Really Co. & Address ~ 0/: ~::' Zip Code Type of Resi~nce / ~ngle Family ~ Multiple Family No. of Bedroo~ ~ Other ~% ~ A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~mmunity /--/ For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer D~sposal ~ividual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Date~ _(~_g~--Z)~_ L~ Inspector Inspector Inspector Inspector MUi~ 2i~ALiTf ur ANCHO~A~= Field Notes: DEPT. OF H~ALTFI & ENVIRONMENTAL PROTECTION BECEIVED ( ~) APPROVED BEDROOM8 *OONDITION8 OF APPROVAL ( ) DISAPPflOVED ( ) OONDITIONAL APPROVAL' DATE '3- ~ ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received If_ ~ ~ ~t -~>" Well to Tank Septic T~k Size / ~1 ~'1' ~