HomeMy WebLinkAboutHIGHLAND HILLS #3 BLK 2 LT 13
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchora§e. Alaska 99503 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
LEGAL DESCRIPTION
PHONE
;I~Ew
[] UPGRADE
t-Ilk, fl(. i~.>//')
LOCATION
_ ~,- / /?77-?,
Well / I Absorption area /
(')~: DISTANCETO:I //?~.; '~ I ~'
~ ~ Manufacturer
e Liq. cgpgcit~ingallons~ ...... .._~_ I ~sde engt~
' j /c~oo I "'"'v'~'v"~"?: I
~ / DISTANCE TO: ~ell A// I
o / W~ll i ~oundation. ~ /,
~Z j No. of lines , [ Length of ea~ Ioe/ Total length of lines/ ,
~ ~ [Top of~ile to finisl~rade ' '. / Material beneatl; tile
u~ / Length Width Depth
g J DISTANCE TO = 'B6ildi,~ fBGn~([on Sewer line
Dwelling
Material
JWidth
Material
N~arest lot line , / ~
Trench wid~ -
.2~,
inches
inches
NO. OF BEDROOMS
PERMIT NO. /~J/~
No. of compartments
Liquid depth .....
PERMIT NO.
Liquid capacity in gallons
PERMIT NO' i n/~//~!
Distance between i es /k//,~j~__/_
Total effective absorptiCj~ area
'q Z o ~t' '-~
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
INSTALLER
REMARKS
DATE
LEGAL
MUNICIPALITY OF ANCHORAGE
Department Health and Environmental :otection
825 L Street, Anchorage, AK. 9~501
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~ q~-'~ ~LL ,AND/OR ON-SITE SEWER PERMIT
Applicant: ";~ '\~.,-,,.~L-, M~J. ling Address: ~ ~C
/
Legal Description:
Type of Soil Absorption System Is:
Trench: ~/ Drainfield:
Maximum Number of Bedrooms: ~
Lot Size:
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br)
DEPTH
The Required Size of the Soil Absorption System Is:
LENGTH ~/d~- 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(HOLDING) TANK SIZE = /OdO 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 2!5 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 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 enlargement if
the~esidenc~/s remodeled to
Signe~: ,~ -~,~ k/] '~<~
ApplicaGt /
include more that 3 bed}2~oms.
Date:
SWP/024(1/81)
January 4, 1982
Joe Janke
P.O. Box 567
Eagle River, AK
99577
Permit i~ 811091
Subject: L13 B2 Highland Hills
A permit issued by 'this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permih, by authority of Municipal Ordinance,
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Pregram
Enclosure: Copy of Permit
:.. ,...tt ,h
LENGTH I:::, :I: hlE:l'.,l!i; ~. ON ]: :E: THE: L. Ei:HG-I"H ,:: .1.' BI F'F-'ET ) CII::' TH[ii: 'T'F:Ei:HCH OFf:
E:,E?TH CIF' F:I "I"~:E'~:F,IC:H OF?. F']:'I" Z i!!~ THE: [) :( :'?r'!:::Ii".!C:E E~iEi !'!,!E:E;f-,! 'THE: ::.:i;I...IF;:[:(::!C!~i:
CiiFi:OUNE:, FIND 'T'H[E E~O'I"TCIH OF:' 'I'F'I[.~ E:::'::C:!:::I',,/FtT ]: ON ,:: :[ h,! I:::'E:E:'F
T'H[!~F:Ei: ]: :5 I'.,!O :!i~E:"!" !.,.I :!: E:,TI-! F'OF:
GF',]~F:!',,,'E:L DE:F:'"i'H Z :~; 'THE: !'"1 '.[. ?',t :!: i"'II...IH [)!~F:'TH OF:' GF[:F!',,/E:I.. PEi:'T'F. fl~i~i:!",i THE: C~I...ITF'F:IL.L. t:::'
THE:: [:.:tCFf-T'CIH OF' THE: E:;:'::CFI',,,'FI~t'' ]: I:::!h.I ,:: ]: 1"! I":'[.~:[ET ).
]: C:EJF~:T:[I::'"~" '!"HFIT
::L: ]: FIH F:'FIi'"I:[L.]:FIF~'. I.,.I:[TH 'THE: F;ii[~)~:!I...IZFi:E:HIE:IqTE~ F'):.')F~: m:)N.....:E;:[TE~ ':i;EJI.,.!E:I-:i::~ F'IF,ti:)F.I[_:.::I..!...'.'5
F'OF:'T'H E?'r' TH[i: P'tUh~I:I:C:[F:'FI!..ZT'-r' CIF'
;i;i:: ]: l.,.! ]: I....L. Z NIE;'T'F:iL~L~ THE: :i!i:?F~;TE:H :[ !",! F:ICI:::OF~:[::,F:fi",!CE: I.,.! :!: TH THE:
::?::: ]: I..IF,!I'J."[![F~::iE;"FI::I~.,![::, 'T'I'q::IT 'I'H[C ON'"'!'_'il]:-F'E: :!!i;['.'~!,]E:F?. :F?'r':5"r'EE:H !"!la'./ i~:E:3]:!l..J]:l:~'.[.Z
[~:E:'i:~;.[E:,E:!'.,iCE: ~:iE; !:;i:E:HO[)E:LE:C, 'TO ]:NC!..LI[::,E: I"!O[:i:E: 'f'HFIH ::~i:
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
5
6
7,
8
9
10
~ 12
13
14-
15
16
17
18
19
2O
COMMENTS
PERFORMED BY:
72-008 (6/79)
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE
[] PERCOLATION
TEST
/ /
SITE PLAN
ENCOUNTERED? L
0
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
,;,,'7:/? /o ,, /'77f"
PERCOLATION RATE ~/' (minutes/inch)
TEST RUN BETWEEN FT AND FT
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEQRGE M, SULLIVAN,
MA YOI?
DEPARTMENT OF HEALTH AND ENVIRONIV1EN'I'AL PRC)TECTION
December 31, 1980
Joe Janke
Post Office Box 567
Eagle River, Alaska
99577
Permit ~ 800403
Subject: Lot 13 Block 2 Highland Hills Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document 'the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please call this
office at 264-~720.
Sincerely, // ~
LNB/ijw
enc: Copy of Permit
SWP/057
F:'ERHIT NO.
DEF'FIRTMEN]" r' HERLTFI FIND EN'v'IRONHENTFIL ' 'OTECTION
825 "L. STREET., ~NCHORFIGE., FIK. ~JS~.....;~
264-4~20
F~ F'F:'L I E:FINT
L.OC:FIT I ON
I..EGFIL
JOE ..'rRNKE I:'CI BO~<; 567 E. R.
LI:)T :t~ BLK 2 HII3HLFIND HILL~ L. OT SIZE
6~4-2712
4Z560 SQURRE FEET
HINIMUH [:,ISTFthlCE BETHEEN R WELL RND RN'T' ON-SITE SE!.qRGE B, ISF'OSRL S'¢S'T'EM IS
::L00 FEET FOF..' R PRI',,,'R"i'E WELL OR ';L50 TO 200 FEET FROH R PUBLIO HELL DEPENDING
LIF'ON THE 'f'9.'PE OF PUBLIC HELL.
HINIMUH B, ISTRNCE FROM R PRIVRTE HELL TO R PRIVRTE SEHER LINE IS 25 FEET RND
TO R C'OHHUNIT'¢ SEHER LINE I'.:; 75 FEET.
WEL. L LOGS RRE F.:EQUIF.:ED RND MUST BE RETI..IRNED TO THE [:,EPRRTHENT ktITHIN 2:0 [.',FI'CS
OF THE HELL~ ISOMPLETION,
OTHEr;..' REt.,'F4UIREHENTS MR'¢ FIF'PL"r', SPECIFICRTIONS taN[:, CONSTRUCTION DIRGRFIMS FIRE
8',/FIILF~BLE 1"0 INSURE PROPER INSTFILI..FtTION,
I CER]"IF'¢ ]'FIR"['
2.t: I RH FRr,IlLII~R I.qlTH THE REQUIREI',IENTS FOR ON-SITE SEI.,.IERS Rt.,ID WELLS RS SET
FOF.:TH B'¢ THE HUNIC:IF'RLI'TY OF RNCHORRGE.
2: I !.,.IILL INSTRLL THE S'¢STEH IN RCCORE:,RNCE I.,IITH THE CODES.
S I GNED: ..........................................................
F:IF'PL I CRNT JOE JFINKE
V4. 0
[:,EPARTMENT OF HEALTH AND ENVIRONMENTAL F'ROTEC:TIC~N 825 "[ L=.TF'.EET., ANCHORAGE, AK. 9D~
PERMIT NO. ( )
LOCRTICN ~ -~-
T"r'PE OF SOIL ABSORPTION SYSTEM IS:
MRXIMLIM NI_IME:ER OF BEDRC"]MS = ,.~
SOIL RATING ,,'_c,L.] FT,."BR)=
THE RE~UIREC' SIZE OF THE SOIL .RE:SORPTICIN S"r'STEM IS:
[:'EF']- H =
L E 1'-4,~3 T H =
~3 F.:' R '.,,' E L [:,EF'TH =
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DR. RINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRE:E OF THE
GROUND AND THE BOTTOM OF THE EXCR'qRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMLIM DEPTH OF GRAVEL BETWEEN THE OLITFRLL PIPE
~ND THE BOTTOM OF THE EXC:RVRTION (IN FEET).
RE,]!I_I I RED- _----;.EF"T I C
PERMIT APPLICANT HAS THE RESPONSIBILIT'¢ TO INFORM THIS DFPARTMENT [:,URING THE
INSTALLATION IHSPECTIONS OF AN"r' WELLS ADJACENT TO THIS PROF'ERT"t AND THE
NUMBER OF RESIDEHCES THAT THE WELL WILL SERVE.
TPJC~ ( 2 ) I r-I_'BPEE:T I 131'4--~, F-IRE REL%!LI I F-:E E)
BACKFILLING OF RN'¢ S'.r'STEM WITHOLIT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECLITION.
MINIMUM DISTAHCE BETWEEN Ft WELL AND RN¥ ON-SITE SEWAGE [:,ISPOSRL SYSTEM IS
iCA FEET FOR R F'RIVR'FE HELL OR 158 TO 2C~8 FEET FROM R PLIE:LIC WELL [:,EPENC, ING
UPON THE TVF'E OF PUBLIC WELL.
MINIMUM C, ISTRNCE FROM R F'RIVRTE WELL TO R F'RI'v'RTE SEWER LINE IS 25 FEET AN[:'
TO R COMMLINIT'¢ SEWER LIHE IS 75 FEET.
NELL LOGS ARE RE64LilRED AND MUST BE RETIJRNED TO THE [:,EF'RRTMENT HITHIN Z:~ DR'CS
OF THE WELL COMF'LETION.
OTHER RE~ZLIIREMENTS MAY RPPLV. SF'EC:IFICRTIONS AND CONSTRUCTION DIAGRAMS 8RE
AVAILABLE TO INSURE PROF'ER INSTRLL8TION.
PERI',1 I T E>-::P I F-:ES [:,EE:Er-IE-'ER _?-:-.:1... ±'__-~- 8 ~}
I CERTIF'¢ THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SENERS RNC, WELLS RS SET
FORTH B"r' THE MUNICIPRLIT'¢ OF RNCHORAGE.
2: I WILL INSTALL THE S"r'STEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTRN[:' THAT THE ON-SITE SEP~ER S'¢STEM MR"r' REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMO[:'ELED TO INCLLIDE MORE THAN -~ BEDROOMS.
',.,'4. 0