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HomeMy WebLinkAboutKRUSE INDUSTRIAL BLK 3 LT 1 M~INICIPALITY ©F ANCHOI~AG~ ENvIRCJNIVIE!q t I',L LI'JGiNI ~ [-~!NC; DIVtSIOF] ON-SI fE SEWAGE DISPOSAL SYSI EM AN[~'O~{ WII. I. INSI:'LCI ION tlEI-'Ot] I ....... _.-~_ _i_~_~_~_. ....... ~_ t_2 .%t_~..3~%.< ................. l__~-__ ~;.z (~ ~ ................. MAILING ADDRESS LEGAL DFSC'RIPTION DISTANCE TO IF I IOMf:'MAI)E: Well DtS'rANCF '10: Mrmufacttlrer DISTANCE TO: O No. of lines I Length of eachlit~ Trip of tile Io hnish §rede I Length )w~l mq PERMIT NE). L~quld cepecd¥ in gMIons Material beneath tile ¢~ /, Total effective absorptlo ~ ~ i,,ches Depth PERMIT NO, I,OCA f ION DISTANCE TO: > / IllS'lANCE rD: j -4" ' / / ~ 0 i ' :':~/') % / ~/~ ' .I OTHER PIPE MATERIALS : ....... REMARKS ..... -- ............................ APPROVED DATF LEGAl.. 72-013 (Rev. 3/78) DEF'RRTMENT Or '4ERL]'H ~ND ENYiROhlMENTFtL P' "'fEC. TiON ?64-4720 < '780~.4± ) REQUIRED SIZE OF THE SOIL FIBSORP'IION S'¢STEM IS: 'IHE LENBiH I) IMb:NSION iS THE LENtJi'H ,::IN FEET) OF' THE 'TRENCH UR DRRiNF'ZEL['.'. THE DEPTt4 OF R 'fRENCH OR Pl'l' IS THE DZS'IFtNCE BETWEEN 'THE SURFRCE OF THE ~3ROUNE;, FINE;, THE BOTTOM OF "I"t4E EY.:CRVRTiON <IN FEET). "tHERE I~, NO SET WIDTH FOR TRENCHES. 'IH~ t3Rt%'EL DEPTH IS THE MINIMUM DEPTH OF GRFP,,'EL BETWEEN THE OUTFFtLL P1PE I:~NE;, THE BOTTOM OF ]'HE EXCRg'RTION (ZN FEEl'). PERMIT RPPLICRNT FiRS THE RE!=;PONSIE:ILi'I°Y 1"O INFORM 'I't4iS DEPRRTMENT' [:,I..IRiNG ]'HE INS]FILl~RI'ION I NSPE:C'I'IONS OF RN'¢ WELLS R[x'fFICENT 'TO THIS PROF;'ER"Iff' FIN[)'THE NLIMb'Ei*'. OF RESIDENCES 'I'HRt THE WELL t4IL. L SERVE. BFICI.(FILLiN~3 OF 14N'~' S'¢S']EM WI'IHOUT FINRt_ INSPECTION RND F]PF'RO',/f~L 89 THiS DEPRR'f'MENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTFINCE EfE'¥14EEN R WELL RN[.', RN'¢ ON-SITE SEI.,.IFIGE DiSPOSFIL S"r'S'I'EM IS ::Ltd(~ I;"EEf FOR R PRI'¢FfTE WELL; OR &b;IZI "fO 200 FEET F'ROM R PUBLIC WELL DEPENDINI3 UPON THE ]"¢PE OF PUBLIC WELL. O'IHER REQUII4'.EMENTS Mfl'¢ RPPL'Y. SPECIFICRrIONS RND CONSTRUC]"iON DI~GRRMS i CER'I IF'¢ 'I'HNT ~L: I ~4M FFtMILIF4R WITH THE REQUIREMENTS FOR ON-SITE SEI.,.IERS f~ND HELLS FtS SE'T' ~OR'f'H 8~ 'THE MUNICIP~LiT~¢ OF RNCHORRGE. ~: I 1.4iLL. iNb'I't~LL 'I"RE S'¢STEM IN RC::CORD~;~NCE 1.411H THE CODES. ~:: i UNDERS'I'~IND 'i'H~'I" THE Of..I-SI'~EI,IER S9'STEM MR~' RED,lIRE ENL. RRGEMENT IF TFIE ~,'b%iL:,EN'E I'~; REblODELE[') TO ¢t:¢~(~MORE 'I'H~N ]: BE[:,ROOMS .......... ~ ~ ~u- R, PPL~~I CRNT J I M SI'EiN[~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST SOl LS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: ,~{ g~J Con'trac t:].n~ L1 Blk 3 ](ruise Industrial Sub DATE PERFORMED: (FEET) 1 2 3 4 __ 5 6 7 8 9 10 11 12 13 14 15 16- 17 20= COMMENTS Lip:ht Brown Sandy Gravel USCS ,, o ,, SanOy Gravel W/ Some Cobbles USCS "GW" SLOPE WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT DEPTH? SITE PLAN i -~~ -~ / / ,~1~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN Lot has good natural drainage. FT AND -- FT PERFORMED BY: 72 008 (7/76) Scott R. GurMy 8~29-78 April 5, 1978 Jim Stone Kings Rd. Anchorage, Alaska O' to 2' 2' to 8' 8' to 31' to 53' 53' to 54' 54' 'to 57' 57' to 76 76 to 78 78 to 79 79 to 92 92 to 10].' 101' to 103' WATER WELL L__O_~G_ Fill (frost) Peat with ~and and gravel Sand wLLh t, rac¢:;s of [~ravel mixed Compact gravel and gray silt (tight) Cobb]e s clay with gravel Very dirt fine sand with ~ravel (water B.) Fine sand with fine gravel (water bearing) heaves 15 ft. will not clean up Vo['y dirty l'i.ne sane (h(m. vcs) grave], and gray silt Water bearing sand and gravel Test bailed at 10 gpm drawdown to 60 ft. Working' static 50 clean material water ciearing total casing 104-] 1 S~L pump at 9'3 l't.. ..- over ui.R'ht static groul~d MUNICIPALITY OF ANCNORAGE MUNICIPALITY OF ANCFIORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECI'ION Dlwr. OF 1.2ALTlt ,& 825 L Straet - Anchorage, Alaska 99501 ENVIRONMENT,'-,. i ,'.' i'bCTION ENVI RONN1ENTAL ENGINEERING DIVISIONFEB ~ Telephone 264-4720 ~rrrI~lr REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~~I~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not fie processed. Please allow ten (10) days for processing, 1. PROPERTY OWNE~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHON~ MAI LI~ ADDRESS S, L~NDINGINSTITUTION ~ PHONE MAILING ADDRESS ~. REA'LT~R/AGENT ~" PHONE MAI LING ADDRESS 5. LEGAL' DESCRIPTION STREET LOCATION ~ TYPE OF RESIDENCE ~//0~ ~O/c~[~g NUMBER OF BEDROOMS ' ~ One ~ Four ~ Other~_ ~ SINGLE FAMILY ~ Two ~] Five ~ MULTIPLE FAMILY ~ Three ~ Six 7, WATER SUPPLY INDIVIDUAL" COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG A well log is reouired for all wells drilled since June 1975. For wells drilled prior to that c~ate, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~. iNDiViDUAL/ON.SiTE.~ **If individual/on-site, give installation date A,/~ V -, if system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78] ~.~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR l NSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL ~ DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot L'in~ WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~n~APPRovED FOR .? BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) { ~ LEGAL DESCRIPTION 72-010 (Rev, 3/78)