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HomeMy WebLinkAboutRAYMOND TEDROW BLK 4 LT 17/7 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 MAILING ADDRESS LEGAL DESCRIPTION / J~ ~ Z DISTANCE TO: We / ~ ~e lng ~ Manufacturer Dwelliny~. Width Material PERMIT NO. No, of compartments ~_"~ Liquid depth ~ ~ ' PERMIT NO. Liquid capacity in gallons ,j u. Z No. of lines --ZLU Length Type of crib DISTANCE TO: /Class /k/ __~_J DISTANCE TO: / DISTANCE TO: Well j Length of each?~e/~ Top of tile to finish grade Width Crib~eteF'/ (~ ~ /\ to/ Well 8u it~din~ ~oundation Foundation Nearest lot line Trench width PERMIT NO. Distance between lines Total effective absorption area Depth PERMIT NO, ;;r~'r~ c~f~th/,' Total effective absorption area //- Building foundation Nearest lot line Driller Sewer line Distance to lot line PERMIT NO. LAbsorpt on area(s) Septic tank OTHER PIPE MATERIALS SOIL TEST RATI // REMARKS ~ev. 3~78) DATE LEGAL MUNICIPALITY OF ANCHORAGE ' Health and Environmenta3 rotection Department 825 ~ Street, .Anchorage, AK. ~501 264-4720 ~ * * HANDWRITTEN PERMIT * * * Permit ~ WELL AND/O~ON-SITE SEWER PERMIT Location: ~--~-~ Phone Number: : ~' /~ ~ ~ ~¢~, Lot Size: Legal Description Type of Soil ~sorption System Is: ~ Drainfield: ~/~ Seepage Bed: ~/~ Holding Tank: Trench: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH 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(~ TANK SIZE = ~d;~ 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 feet 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 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 t~esidence is remodeled to include more tha~'~ bedrooms. ig n e~/L~/~./~ ~/~ Issued b ~plic ant Date: SWP/024 (1/81) IvlUIXl].~,LKP~L.~ I T Ui' ~l'~,,I-IUi~l~ Department ". Health and Environmenta' ~rotection 825 ~ Street, Anchorage, AK. ~9501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~ ,WELL AND/OR ON-SITE SEWER PERMIT , ., _ , ~ ~ ~ Location: Phone Nu~er: ~ Legal Des cription: :~ / '7 ~ ~ .~/~/:~/,12~0~ ~": Type of Soil ~sorption System Trench: g,~ Drainfie:Ld: ~_ Seepage Bed: :~ Holding Tank: ~ax:Lmum Number of Bedrooms: _~ Soil Rating(sq.ft/br) DEPTH The Required Size of the Soil Absorption System Is: LENGTH ~-->_. GRAVEL DEPTH c_.L~ 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(MiI'I~'~) 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 feet 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 31~ 1 9 S 3 * * * I certify that: (1) I ~m 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 r~quire enlargement if the residence is remodeled[ to include more that/3)bedrooms. Signe~: .... Issued by:~-/~~: ~-~¢-~----,-~--~ ~-- Date: APPLIC NT FILLS OUT UPPER HAl ONLY Maili0g Address Buyer Address Phone Zip Code Address ~C/'t¢-/lt~' /~1U~S [2 Realty Co. & Agenl Address Zip Code Zip Code Phone Phone Legal Description ~..(::.!'~, j'7 .... Z.J ' , Type of Residence  Single Family Multiple Family No. of Bedroom-.s [] Other ~ Water Supply [] Individual ~ Community Et Public Utility Sewer Disposal .. ~1~ Individual [] Public Ulility [] Holding Tank A'FrACH WELL LOG. A v/ell Icg is required for all wells drilled sit, ce June 1975. For wells ~Jrilled prior to that date, give well depth (attach Icg if available). Year Individual Installed: ____ When Connected to Public Utilily: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, Time Time Time [)ate Date Date Inspector Inspector Inspector nspector AUG 3 ~983 "~nicipo, lily of ~:) APPROVED BEDROOMS / ( C'): DISAPPROVED ) CONDITIONAL APPROVAL* DATE J "CONDITIONS OF APPROVAL Soils Rating Date Sewer Inslalled Well To Absorption Area Well to Tank Well Log Received Septic Tank Size S & S Engineering SRB 196X Eagle River, Alaska October' 3, 1983 99577 John Gt?aybi 11 ~93 Echo Street Eagle River, Alaska Dear Mr. Graybill, Reference MUNICIPALiTy OF AN E"-",.-~DEPT' OF H<; ~ ~ CHORAQf5 d""~ ~'~L PRO [~:C i loN 99 57 7 ~ ~'r Lot ].'7~ Block. 4~ Ravmond~ Tedrow S_bdi_i,.ion~ ~ ,~ ' ~. A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank cou]:d not be pumped due to an obstruction in the clean-out. It was necessary to have the septic· tank excavated and at that point in time it was noted that the top of the tan]{ was covered with a sheet of plywood and that the ·tank was vertical steel tank with ap]proxima~teiy 500 gallons capacity. It will be necessary to have the septic tank replaced with a tank wi~h a minimum capacity of !000 gallons with two compartments. The seepage pit was charged with 900 gal].ons of fresh water and after a period of 24 hours all the water which had ]peen added to the crib had percolated out° It can be concluded from>this test that once the septJ_c tank is replaced. ~..;i'th a new tank of 1000 ga].lons capacity the seepage and septic tank combination v~il], be adequate for the three bedroom residence located on this property. If we/q~ay be of further service, please do not hesitate to call. Department off Health and Enviuonmen[al Puotec~ion A',agi,'z ;t.L vo};.' ~ Cosy ¢;;'i 6 ,~, / ?: 2/s