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Home My WebLink AboutJUNCTION LT 2 LEGAL DESCRIPTION ~.~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMEN;I AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [] UPGRADE NO OF BEDROOMS DISTANCE TO capacity in IF HOMEMADE Well DISTANCE TO DISTANCE TO No of hnes _ength of each hne Type of crib d~ameter . Wetl DISTANCE TO Class oundat~on DISTANCE TO OTHER ALS -- length of beneath tde depth Budding foundation miler line )welhng V~dth terlal hne roches NO No of compartme.~ uld depth NO capamtV m galJons effective ~ 'NO effective absorptton area to lot hne Septtc tank IT NO Absorption area(s) ~LLER ,AR KS 72 013 (Rev 3/78) DATE LEGAL 'l -.. D~PARTMENT ~'~ HEALTH AND ENVIRE NMENTAL k~.OTECT I ON k ; 825, "L' =,TREET., ANCHORAGE., AK ,~,.~.~-1 264-4~2~ ' L4ELL i['~[:" Or-~--5 ITE SE~4ER F'ERt'I I T PERMIT NO ( 8~0%85 ) %~ ~45-4445 APPLICANT WALTER J OR .fRO( L RR ROUTE LOCATION MILE 7 8LD SEWARD HIGHWAY ,~ ~:6888 FEET LEGAL L 2 JUNCTION SUBDIVISION LOT _IZE - SQUARE T'¢PE OF SOIL ABSORPTION SVSTEM IS TRENCH FT MR:,4IMLIN NUMBER OF BEDROOMS : 7 _OIL THE RE~LI~ED SIZE OF THE ~6IL - ~ '~ DEPTH= 2~ LEr.~3TH= ~ 6 I3RR'~"EL C, EF'TH: THE LENGTH DZMENS~ON ~S THE LENGTH (ZN FEET) OF THE TRENCH OR DRR~NFZELD THE DEPTH OF R TRENCH OR P~T ~S THE DZ~TRNCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTON OF THE E~4CRVRT~ON (~N FEET.." THERE IS NO SET WIDTH FOR TRENCHES . THE 6RAVEL DEPTH IS THE MINIHUM DEPTH OF URR~EL BETNEE~ THE OUTFRLL PIPE AND THE BOTTOH OF THE EY, CR',/RTION <IN FEET':' 8RLLC RE~J I RED SEF'T I r~ TR[~ ~ ~ PERMIT RPPLICRNT HR~ THE RESPONSIBILITY TO ~NFORM THI~ DEPRRTMENT DURING THE IN~TRLLRTION IN~P~CTION~ OF RN'¢ WELL~ RDJRC~NT TO THI~ pR]PERTV RND THE NUMBER OF RE~IC, ENCE5 THR~ THE WELL W~LL ~ERVE TL.]O < ~ ~ I [.~pE~:T I O[-~ RRE F~E~IJ I RE[:" ........ '~ - flpPROVRL E:Y THI BACKFILLING OF RN~' =,~sTEM WITHOUT FINAL INSPECTION AND DEPARTMENT WILL BE SUBJECT TO PROSECUTION ~, ,- IS ¢ r, ~,=c,o,;~ ~,~ sTEM - , N AND ANY ON-=,ITE SEWAGE ~-,- ...... MINIMUM DISTRNL. E BETWEE R WELL %88 FEET FOR R PRIVATE WELL OR ~58 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL =,EWER LINE IS 25 FEET AND MINIMUM DISTflNCE FROM fl PRIVRTE WELL TO fl PR I '...'RTE TO R COMMUNITV SEWER LINE IS 75 FEET WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~E DR,'S OF THE WELL COMPLETION OTHER REQUIREMENTS MRS' 8PPLV SPECIFICRTIONS 8ND CONSTRUCTION DIRGRSMS 8RE 8VRILSBLE TO INSURE PREPER INSTRLLRTION PERf4 I T EXP I RES C. ECEMBER I CERTIFY' THRT i I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RN[:. WELLS 8S SET FORTH BV THE MUNICIPRLITV OF RNCHORRGE 2 I WILL INSTSLL THE S'¢STEM IN 8CCORDRNCE WITH THE CODES ~ '~ M ~ I UNDERSTRND THRT THE ON-SITE SEWER _~TE MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 7 BEDROOMS SIGNED I SSLIE[:' B"r'- APPLICANT WALTER J OR ..TACK L WARD ~ ~ of-the ~v~(~ f~t). ~e ~s ~ set wt~th for a~ ~11, ~~ d~t~ce f=~ a ~at~v~l to a p=ivate ~r */024{1/81) Dep'artment~ Health'and Envlronmenta rotectzon 825 L Street, Anchorage, AK. 99501 26-4--4720 ~ * ~ HANDWRITTEN PERMIT * * * WELL AND/OR ON-SITE SEWER PERMIT Location: LO?--d~ ~iCO__ \70/d~e~°n~e~mber: .egal Description: £ A TyDe of Soil Absorutzon System Is: Trench: .S..-~-D~r. azn fLstd: --.~, Seepag. e' B,ed :~ Hold,zng Tank: Maxzmum Number of BedkoDms: q Soll Ratzng(sq.ft/br) //~ The Requzred S~ze of the Soil Absorption S~stem Is: ~EPTH /l LENGTH 8'0 ,,.GRAVEL DEPTH ? WIDTH The length dimen,s'~n zs,~the len%th(zn feet) of the trench or dra~nf~eld. depth a~ a ~nah or g~t ~s tbe,~ dlstance between tke surface of the ground and ~he bottom of the ex~tzon~(~n feet). There is no se~t wzdth for t~ches.,, The gravel depth is th:e .~n'~m~ depth of gruel between the autfall p~p~e~ a~ the bottom of th~ exc'~vatzo~(zn feet,). * * REQUIRED S,EP:TIC(~ TANK SIZE = ~~ GALLONS Permit applzca~t ~.s the res~o~s:z~z~ to l~fo~ thzs department during the zn~tallat~on lnspeatzons af any wells, ad].ag, ent to thzs prop'erty and the n~er of residences that the we~l wzlL serve. ~ ~ ~ ~g(2} INSPECTIONS ARE REQUIR~ Baqkflll~g of a~y s~stem w~tho.ut~ fznal inspection and approval b~ thzs degartme] wz~l be subject ta prose,out.on. M~n~m~ dzsta~c:e b'etwee~ a well and any on-s~te sewaqe dzsgosal system is 100 fe~ fo~ a private well or 150 to 200 feet from a publ,~c well dependiEg upon the type of publzc well. Min~ d~s~t~n~e-from a pr,zvate well to a przvate s~wer' l~ne ~s 25 feet and tg a co~unzt~ sewer LY~,e zs 75 feet. Well logs are req~ed an~ must be return~ t'o th~s depar, tment ~thzn 30 days of the wel~ completion. Ot~er requzr~ements may apply. Sp,ecz~catl,ans~ and c:onstructzon dzagrams are avazlahle to zns~'re proper zn.staltatzon. PER JT EXP ES DECE ,ER 31, 1 9 8 I I certzfy that: (1) I ~ f~zl~ar wzth th~ requz~e~ts for on-s~te sewers and wells as set forth by the Mun~c~paI~ty of ~charage. (2] I w~ll ~ns~at.1 the sy~ zn a~cordance w~th codes. (3) I u~derstand that the on-s~te sewer system may r~qu~re enlargement ~f the residence zs remodeled t.o include mDre _that/3; bedrooms. zgned~ Issued by: ~ ~~~?1 . ~ ~P ~iC'a~t Date: ~WP/02.4 (1/81) MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR ~J~~ LEGAL DESCRIPTION ~ SITE PLAN 2 3 4 6 7 8 WAS GROUND WATER ~ " ~ ~ ~ 11 ENCOUNTERED~ -- "--' "--' ~ ~ P ~ DEPTH? ~ ~ ~ ~ ~ 1 3 Gross Net Depth to Net Reading Date T~me T~me Water Drop 14 15 16 17 18 ~ O 19 Ne, ~ {m~nutes/Inch) 20 PERCOLATION RATE_ TEST RUN BETWEEN _ FT AND -- . FT cOMMENTS_ _cERTIFIED~ 72 008 (6/79) ' ~ ' II 55 ...................... -L9 ft. Clay a ~l~a~,~ (~9~ ................... o2 ft. ,kay 82 ..................... 111 ft. :~andy Clay 111J~ .................... lilt ft. '?~t sit~ & 1 t 4~ .................... 1 t ,5 ft. 3and,,%. watez~ · ,Ik CHEMICAL, & 'Gk..,LOGICAL~ , TELEPHONE (907)279,4014 ~~"~ Dnnklng Water Analys s LABORATORIES ~ ALASKA, INC. />~~~, ANCHORAGE INOusTRIALCENTER 5633 B Street ~ Report for Total Coli'fOrm Bacteria SAMPLE DATE SAMPLE TYPE TO BE COMPLETED BY WATER SUPPLIER~; SAMPLE NO WATER SYSTEM ~.~<.~ (~,~ ~ Pho~ No Water System Name / ~ ~'~) Mad,ng ~dress /",~/~ S~te Mo Day Yeti D Routine D Check Sample (for murine ~ple~ with lab mf no D Spec~l Purpose LOCATION TO-' BE COMPLETED BY LABORATORY Analys~s shows th~s Water SAMPLE to be L,iSat~sfactory I I,,[J n sat~ sfactory [] Sample too long ~n transit sample should not be over 48 hours old at examination ~'tb ~ndmate rehable results Please send new sample Code Date Received /,./,! ~ ~-~'--~ ~ ~ /,,, ':~ T, me Received / ::' Ana!yt~cal Method ~ Fermentation Tube Filter ~'~' ~i~e;' Lab Ref N07 Result' Analyst ~ BACTERIOLOGICAL WATE~ ~NALYSIS ~ECOAD 06-1220 Rev 1978 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Data Collecte~ Soorca am Presumptive /Omi 1Omi ]. Orpl, ].Omi 1Omi 1.0mi 0/mi ~4 Houri 48 Hpuri Confirmatory 24 HOURS 48 Hoprs EMB Broth 24 hours Multiple Tube Report Membrane Filter Direct count Varlflcatlon LTB Final Membrane Filter Results /, ~e"~ Broth 48 houri /0mi Tubes positive/Total ].Omi Portions Collform/100ml BGB__ Collform/lOOml am TELEPHONE (907) 279.4014 ANCHORAGE INDUSTRIAL~CENTER , ~,i 274-3364 5633 B Street ~< Drlnklr .g Water Analys,s Report for Total Col[ brm Bacterla TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM Water System Name SAMPLE DATE Mo Stab Day : Year ~Z~p Code SAMPLE TYPE [] Routine [] Check Sample (for routine s~ai~pl@ [] Treated Water with lab ref no ) [] Untreated Water [] Special Purpose NO LOCATION ~.~ Rev ? READ INSTRUCTIONS, ~ BEFORE COLLECTING SAMPLE TO,BE COMPLETED BY LABORATORY ~na ysm shows thru Water SAMPLE to be '~ ~Sat~sfactory [] ~)n§at~sfactory [] Sample too long m transit sample should not be over 48 hours old at examination ~O mdmate rehable results Please send new sample Date Received ~:!me Received , ~ , A~alytlcal Method ~ Fermentation Tube ~%-~Membrane Filter La~ Ref N0 Result* Analyst I ,I BA~TERiOI. oGICAL. WATER A ALY$1 ~:~RD Source Data ColleCted a m Time ReCeived , p m t-ab NO Data R~;~:V=~ 0 1mi prer~mbt lYe 24 Hours 48 Confirmatory 24 Hours 48 Hours EMB Broth 24 hours Multiple Tube Report Membrane Filter DireCt Count Verification LTB Final Membrane Filter Results ~) Broth 48 hours lOml Tubas Positive/Total 1Omi po~tloos Collform/[00ml BGB Date Tlma Collform/lOOml am DATE RECEIVED ~' ~'~ INSPECTION APPOINTMENTS TItlE TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR .~ DEFT OF MUNICIPALITY OF ANCHORAGE ENVIRONMENTA. ~ , ECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street Anchorage, Alaska 99501 ~ ~ ~ ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS Complete aH parts on page 1 Incomplete reques~ will not be processed Please allow ten (10) days for processing I PHONE MAILING ADDRESS PROPERTY (If different from above) PHONE PRONE ~AILING ADDRESS 3 LENDING INSTITUTION ~ PHONE I 4 REALTOR/AGENT . ~ PHONE LEGAL DESCRIPTION .4o7-- NUMBER OF~BEDROOMS [] One [] Eeur [] [] Two [] Three [] S~x STR E ET LOCATION s TY.E o. RESIOE E [] SI. NGLE FAMILY [~'~U LTIPLE FAMILY Other WATE.R,S,UP~¥ ~ ~NDIV~ DUAL* [~;]----b~M U N I TY [] PUBLIC UTI LITY *ATTACH WELL LOG A well log ~s required for all wells drilled smce June 1975 For wells drdled prior to that date, gwe well depth (attach log ~f avadable ) 8 SEWAGE DISPOSAL SYSTEM ~DIVIDUAL/ON-SITE** [] PUBLIC UTILITY /¢ ~' / YEAR ON SITE SYSTEM WAS INSTALLED INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. NOTE THE 8//// t THIS SIDE FOR OFFICIAL USE ONLY 1 TYPE OF RI SIDENCE NUMBER OF BEDROOMS ~1 SINGLE FAMILY FJ ONE [~ THREE ~J FIVE [_' OTHER ~] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2 WATER SUPPLY PERMIT NUMBER FI INDIVIDUAL DEPTH OF WELL F~ COMMUNITY DATE DRILLED F~I PUBLIC UTILI1 Y Connechon Ve~ ~fled LOG RECEIVED 3 SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I~INDIVIDUA[/ON SITE DATE INSTALLED L] PUBI_IC UTII_I1 Y Connection Vel ifled iNSTALLER ~Septlc Tm~k o~ L]Holchng Tank Size ~ ~)~-'~ If Tank is homemade SOIL~ RATING give dimensions TYPE O~ TANK ~ANUFACTUREN TOTAL ABSORPII~N AREA MATERIAL - 4 DISIANCESwELL l O SeptN/Hold,ng Tank A~sorpt,on Area JSew~r L,ne J N,,arest L='L ,.~ 5 COMMENTS ,. ~- ~ COND~TIONAL APPROVAL (letter must)~/o~a~erhflcate) 72 O10 (R(v 6179)