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Home My WebLink AboutRIVER VIEW ESTATES BLK 5 LT 14 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 ..... r-- TPRONE ] I J NEW MA LIN~.C. DDRESS - , , ~M Material ~"// No, of compartments p ~ Manufacturer ~ ~, ' ~ Inside length Width Liquid depth Liq. capacit~n ~allons Dwelling PERMIT Well O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well /~. / Foundation /~) / Nearest lot line ~ DISTANCE TO: ~ ~ No. oflines ~ Length of each line~ Totallength~flines~2~ Tre,~chwidth/~ 2~'"i~/ Distance between lines ~ Total effective absorption area ~ ~ Top of tile to finish grade ~/ Material beneath tile ~ ~' inches Length Width ~epth PERMIT NO. ~ Type of crib Crib diameter Crib deptl~ Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ' Class Depth Driller Distance to ~t tine PERMIT NO, ~ Building foundation Sawer line Septic tank Absorption area(s) ~ DISTANCE TO: L - ~- ~ ....... OTHER INSTALLER / · k~l 72-0' ~ (Rev. 3/78) .:'"' .......... ..:,,::? ..' j._. ..' ,'m". ...... "J ........ :"': .... j ............... J~:Jj~'~ '" J 'Jl'"ll::~'l::l "iJ::~. 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I '"~ ~' ' t:I[)..;I'I:::I(;;:[~]"4T "1"O TH :[ :E; I::'I:~:OI='EI:?.T'¢ FII",II:) .. ~ '~ .............. ,....~... ~ ................ , 'r ,'. ", ...... , .... "~" I',I;:::,I' I..;.C:T :[ O1",1 '.I'.F' II ,....,.i I ..... ,,, .I. Eff',i ;1;'.~; ;i:t",ISTFILLI~:[)., I:::it",1 ~ .... : .............. I ..... I..M .["1" ,I,,,.. ]: ..... ' .... '' ...... E',IE OI]',Ti'::I ]; I',IE%'. ,'': ..... .......... , .~-~-r,:':' r';l:::ll'.,ll'.,fOT DIZ I"II'::'I:::'i:;;:E¢,,,'I;;;I) I I]"T'II"tlT. FIN 1;.I.....,...~ ~..Z .ilL. L., ~ ' I_ [ ...~::.1 I. ~.[..~;..~...~.. ~ ~.. .~ .. ;[ I:::lhl. D II E.. Permit % Location: Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: Department 825 ~ ~' 264-4720 'i~''~'' ",' * * * HANDWRITTEN PERMIT ~ ~ * WELL AND/~ON-SITE SEWER PERMIT Health and Environmenta? 'rotection Street, Anchorage, AK. ~501 Mailing Address: Phone Number: Seepage Bed: ,~/ Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil. Absorption System Is: DEPTH '~3- LENGTH~---~/~L/'/'GRAVEL DEPTH _¢"~_~/,~A~, WIDT¢¢¢~/K 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(HOLDING) 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 departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ 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 8 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 enla~rge~ent if the residence is remodeled to include more tha~ 3 ~/ooms. / Date: SWP/024(1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST '~' SOILS LOG [] PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17 18 19- 2O SLOPE SITE PLAN COMMENTS WAS GROUND WATER S ENCOUNTERED? ,/~ L O P ¥) E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /~'¢~ ~ (minutes/inch) TEST RUN BETWEEN FT AND FT /"? 72-008 (6/79) APPLI¢ NT FILLS OUT UPPER HAk ONLY Property Owner Jack l'~yol%s Phone Mailing Address }~osC Office Box 771913 ]?,agle River, Zip Code 99577 Buyer F,(Lmond J./Eleine FI. Hooper SR2 Box 5180 Oberg Road Chugiak, 99567 Address Zip Code Lending institution Frontier FIo.~'[2.,~a~ Co.r~.~ Phone 2702 Gakbell, Suite 109 Anchorage Address Zip Code Realty Co. & Agent Phone Address Zip Code Legal Description ~5ot~]31ock 5 Riverview Estates Subdivision Street Locatio,q \ Ut 'rype of Residence :~ Single Family ~ Multiple Family ~ Other No. of Bedrooms fOL't~" Water Supply :~ Individual [~ Community [?, Public Utility ATTACH WELL LOG. A well Icg is required for all wells drilled since June t975. For wells drilled prior to that date, give well depth (attach Icg if available). Sewer Disposal ~ Individual ~ Public Utility i~ 14olding Tank Year Individual Installed: When Connected to Public Utility: NOTE: 1'HE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. -rime Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: (¢) APPROVED BEDROOMS ) DISAPPROVED ) CONDITIONAL APPROVAL' DATE__ 'CONDITIONS OF APPROVAt_ Soils Rating ?,5 Date Sewer Inslallod Well To Absorption Area Well t0 Tank /~C~7 Well Log Received Septic Tank Size /0~, ,~"O ff,~ · 72.023 I3/821 APPLIC 4T FILLS OUT UPPER HAL ONLY Phone Property Owne~ Jack LFons Mailing Address PO P~OX 77ln]5 Ear,~o ~ver A]¢tsl:a Zip Code q0~77 6?.-qOqZ Buyer ~ktmo'nd J and TM ' Hoopc~' Address'SR2 BOX 5ISa a} m'~, Road Elmira].: Al n~l<~ Zip Code 99567 ' ' Phone Lending Institution Address 2702 (;~tl~])O].]~ ~tt~O ]02 A'RC]IA]'2~(~ &]21F[~ ZipCode CjO~O5 2'77 !40]. "' Phone Realty Co. & Agent Address Zip Code Legal Description Lot 14 Block S RS. verview Estates Sul)d:iv:tM. on as to Plat2 ft79-5 Street Locati~ 'file 3,B HJl. and l[om[ Type of Residence '~ / ~-- ¢~ ~ MuHiplo Family ~o. of Bodrooms -~ ~ Other Water Supply ~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ~- Community For wells drilled prior to thai date, give well depth (altach log if available). ~ Public Utility Sewer Disposal ~¢ Individual 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. Time Time Time Time Date cate Date Date Inspector inspector Inspector Inspector ( ':~ ) APPROVED BEOROOMS 'CONDITIONS OF APPROVAL ( ) DISAP~OVED ( ) CONDITIONAL APPROVAL' ¢/ / ~oil8 R~ling Dale ~wer Installed Well To Absorplion Are~ ] ~ ~ Well Le~ Reoeived ~-- l ~'- ~ ~ WelltoTank ) ~ ~ Septic T~k Size 72.023