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