HomeMy WebLinkAboutLAKE RIDGE TERRACE TR A1 LT 7
Tom Fink,
Mayor
N unJc pal ty Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
Ruth L. Maroney
350 Fern Street
Anchorage, Alaska
99504
Subject: Lot 7 Block A1 Lake Ridge Terrace S/D
Permit #890067, PID #051-315-59
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) must be sent to this office for review,
approval and documentation.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm: 200
enc:
Copy of Permit
"Kids Are Our Future"
Eiwn(~:.)v Ixlame~ t::;:U'I"H t .... MAIq.'[IIgEY
Own~r' Acldr. essi~ 350 FEI:RN ST.
ANCHORAGE, AK 99504.
:[)ay F:'h on e.'. ~
276-' 1551
l:::'apc:e]. Id: 051-.?.;15-.59
l...,ot. I.,..ega I: Subd.i. v:i.s i on: LAKER I DGE ]"EFiRACE L, ot,
Se)c:t.i(::)l'l: 36 "I~Ei~Ftsh ip: :I. SN Range~ IW
Lcrl:. S:i. ze 39616 (!Bq, .l't, oi"
Max Bedr'oclms: T!"lis F:'er'mit: ~ Total Capac2ty~
!...,dlELI_: l...og must be submit, t. ed to Mun:i.c:ipal:i. ty (::)i: ~l"i(;::t')(;:il*agl~.) Depai"t:.ftler'rl'.. (::~!' Hea:l.'Lh
.~d"id Ht..i~l'i~,.Fi Ser'vices ~i'Lhin 30 day~ of ~,¢e:!.! complet, ion,,
I hISTAI..I... I:::'E:R AI"TACHIED PL. AIx!S ,, TH I .'.'iii I:::'EFi'.M :t: 't" I !il I SSUIED I:::'(]R THE
I::'i...AhliXlEi} 3 BiEI:)ROOM DI.,',IEI_I....II',IS 0!1L.¥ AND EXP:t:RIES Of'.! 12./31/89,
i CIERTiI:::'Y THA'I":
1, i am ',.'amiliav r.~ith t. he r'ec!uir'ement, s for'. on.....s:i, te si.:.;,wevs and wells as set.
f'opt, h by the:, Mun:i. cipalit, y 6:;,¢ Anchor'age (MOA) and the State of' Alaska.
~2.,, I will inst. al]. the !Byst.~;~¢ll iii ac:(:¢)pcl;~rice~ ~.,l:J.t.h all MOA r;:i::l(::l~i
and in c:omp I iarqce? wit. h 'f. hl~ design E;p J.'~..t:¢~p ~.~;. (:)[ th is l;)el"rilit.
;~;,, i will adher'e to aJ.l MOA and St. ate oi' Alaska pequil*emen'l:..~s i'or' the set. back
d:i. st.~;~ri(:es f'porfi any exis'Ling well, w~ast, ewater' disposal sy~Fl:.efT~
sei~.,:~,page syst. em on t.h:i.s op any adjac:ent, of near'by lot..
4,, ~ U.l']dt~er'E4t. arld t. hat. t. his i:)epmit is val. id for a max imual of 0
4~/).!illo Ltrld6;,P~;it.~¢d]cl 'khat. t. he capacit, y o¢ the t. ot.,::~/l sllyst, slfl :i. Ei 3 beclr'c~c~rns anti
(Owner-) RUT, I I ..... MAltOIxlEY /
. ....... ............................................................................ ¢ ...........
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
PHONE
UPGRADE
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
Well ~ ? Absorption area/,
I DISTANCE TO: I /'~
] Manufacturer
Liq qapacitv in gallons I ~ Inside length
'/~]~ F HOMEMADE: /
~ DISTANCE TO: Well wdling
I J Well Foundation
= I S ANC. o:I
~ I No. of ~i.~ I Length of each line ~/ ~otal length of lines
Top of tile to finish grade Material beneath tile
[ Length ~j ~ ( Width
diameter Crib depth
"~ Well ~ / Building foundation
--~ DISTANCE TO: /~
]Class ~ Depth / ~ Driller
~ DISTANCE TO: ~uildmg Tounoation hewer dne
Dwelling
Material
Width
Material
Nearest lot line
Trench width
PERMIT NO.
No. of compartments
Liquid dept .h_____--
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines
inches
Total effective absorption area
inches
PERMIT NO.
Nearest lot line /1~ /
Distance to lot line
Septic tank
PERMIT NO,
Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
PERHIT NO.
DEPARTMENT OF HEALTH AND EF,!YIRONMENTAL hROTECTION
:"::25 '"L'" STREET., ANCHORAGE., AK. ~501
264-472E~
B.-iIELL fi lt'-.~ E:, C,~'-a--.L-~ :E T'E -_~.-; F:";t--~ EF-: F'EIF:~"I Z T
( 8~:0649 )
RF'F'LI P-
_.HI~T
L ]CFIT ;[ ON
LE 3FIL
ii'.41]:/~.~,,~f.~ 3:50 FEF.:N ST., FINE:H. FIK., ~9504. 694-3:,~±-'.':
flLYF:RRS
L7 TRRE:T Fl± LRKERIf':,GE TERRACE LOT _,I~.E .~....~.,±~_, SQUARE FEET
TYPE OF :=.,_-*IL. FIBSOF.:F'TZON ?¢'=-;TEM T,z;: TRENE:H
NRXIMUM i'-IUhlBE~' OF E,E[.F..uui'4_, = Z<
SnIL RATING (SQ FT,-."BF.:)= 44.._
THE REL.]LIIF.:ED SIZE OF THE SOIL RESORF'TTON =,-~=.TEfl IX:
E:, E F' T H = :E~ L E rp.~ ,3 T H '--' -~: 0 ::L ,3 F: IF.-t %.' E L [:. E F" T' H =
THE LENGTH E:,tHENS_ON IX THE LENGTH ,.'.'IF,! FEET::, OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF fl TRENC:H OF.: PIT IX THE DISTFINCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOH OF THE EXCRVR]'ION ,.'.'IN FEET.'.".
THERE IX NO SET I,.IIDTH FOR TRENCHES.
THE GRAYEL DEPTH IS THE HINIi"IUid DEPTH OF GRR',,,'EL BETWEEN THE OUTFALL PIPE
AND THE E',OTTOM OF THE EXCFIVRTZON ,.'.'IN FEET::,.
F'EF.:MIT AF'F'LiCFINT HAS THE F.:ESPONSIBILiTY TO IN. FF~RM TI-IlS DEF'ARTMENT [,UF.'ING THE
INSTFtLLRTION INSF'ECTIOI"~S OF ANY WELLS ADJACENT TO THIS PF.'ZF'ERTY AND THE
NUMBEF.: L]F RESIDENCES THAT THE WELL WILL SER',,,'E.
BACKFILLING FIF ANY z,T_-',TEII WITH31_IT FTNAL INSPECTION AN[:, IdFFF._,HL THIS
DEF'RRTHENT WILL BE SUBJEC:T T-J PF.:C~SECUTTON.
MINIHUH DISTANCE BETWEEN R NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEH IX
±00 FEET FOR FI PR I ',,,'RTE WELL OR '150 TO 200 FEET FROH R PUBLIC: NELL DEPENDING
UF'ON THE TYPE OF PUBLIC WELL.
MtNIHUH DISTANCE FROM R PRIVATE NELL TO R PRIYATE SEWER LINE IX 25 FEET AND
TO R COhlMUhlITY SEWER LINE iS 75 FEE]'.
i4ELL LOGS ARE REC.!U.T. RED FIND HUST BE RETURNED TO THE DEPARTMENT WITHIN --':0 DRYS
OF THE WEL. L COMF'LETION.
OTHER REQUIREMENTS MAY FIF'PLY. SPECIFICATIONS AND CONSTRUCTION DIFIGRRMS ARE
R',,,'AILFIBLE TO INSURE PROPER INSTFILLATION.
t CERTIFY THAT
±: I AM FFIMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS' AS SET
FORTH BY THE MUNICIPALITY OF ANCHORFIGE.
2: I WILL iNSTFILL THE SYSTEM t'N FICCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER =T_-TEH MAY R. EC!UiF.:E ENLFIF.'.GEMENT IF THE
.,
RES I [:,ENE:E t S REMO[:,ELED TO t NCLU[:,E M ] F.'.E THFIhl ]: BEDROOMS. _~.s~x~ll ~ ~c(~-~~0~¢]~ o~ o
, MUNICIPALITY OF ANCHORAGE
Department~f Health and Environmenta~Protection
825 = Street, ~_nchorage, AK. J9501
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit #
WELL AND/OR ON-SITE SEWER PERMIT
APplicant: ~ ~~ Mailing Address:
Location: Phone Number:
Legal Description: ~ ~1~ /~.~~, . Lot Size:
T~pe of Soil kbsorption System Is:
Trench: L-~ Drainfield: Seepage Bed: Holding Tank:
Maximu_m Number of Bedrooms: .~ . Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH
LENGTH ~-~-~ ~GRAVEL DEPTH 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(HOLDING) TANK SIZE = /~ ~ GALLONS * *
P~rmit 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 * * *
5ackfilling 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 con~aunity 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 enlargement if
the residence is remodeled to include more that 3 be~ooms.
App~/~an t F - . -
SWP/024 (1/81)
; /-~'~ ' [] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR: ~- ~ ~-/'~'---%~" /NC~,
DATE PERFORMED: '-7-- 7 ~ -- ~:~
LEGAL DESCRIPTION:
1
2
3
5
6
7
SLOPE
10
11
12
13-
14-
15-
16-
17-
18-
19-
20~
COMMENTS
PERFORMED BY:
WAS GROUND WATER N SL
ENCOUNTERED? 0 O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time :. Water Drop
,. /
PERCOLATION RATE ~u"~-~ (minutes/inch)
TEST RUN BETWEEN "~ FT AND ~/0 ~ FT
-ii ~ F
R
0
SUBJECT
~,' FIEPLY
?
SIGNED
SEND PARTS 1 AND 3 WITH CARBON INTACT