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LAKE RIDGE TERRACE BLK 9 LT 7
P.O. :~OX 6650 ANCHORAGE, ALASKA g9502-0650 (90T) 26a-,¢1 ! 1 T©NY KNOWLES. ,'. lA DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850396 Lot 7 Block 9 Lake Ridge Terrace Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. 0swalt Program Manager On-site Services SEO/ljw enc: Copy of Permit DIEF'ARTMENT []F: HE:ALTH AND EI',IVIRONMENTAL PROTECTION ,~,~ ...... L STREET, ANCHORAGE, AK 99501 264-472() PERMI'f' NO DAI'E I SSLIED APPL I [;ANT ADDRESS: COHTACT F:'HONE: LEGAL DESCRIP: LOT s I Z E: MAX BI::DROOMS: 85 ") ~ 96 }7/()8/85 % S&S ENGINEERIIqG ROY SCHRECKHIST SRB .[ ?c X E~GL.E RIVER, AK 99577 694-2979 SOBDIVISION~ LAKE RIDGE TERRACE. SECTION: ~6 TOWNSHIP: 15N ~5750 (SQ. F'T. OR ACRES) 4 LOT: 7 RANGE: 2W BLOCI< '. 9 L.:i. sted be:l. ot,,,~ are the opt. ions available to you in designir'~g your sept. ic s i C e. ..:/.::t:::m, Chc~ose 'Lhe op'Lior thaC best Fi{s your DEPTH TO P:t:PE BOTTOM (FT.) 4.0 4.0 4.0 GRAVEl.. DEF'TH (FT.) 8 ,, 0 0.5 :::'.;, 5 12~ 0 4, 5 7, 5 TOTAl.... DEF'TH (F'T.) 26. () 5.0 GRAVEL. WID'f'H (F'T.) 2.5 GRAVEL I....ENGTH (FT,) 61.0 52.0 105.0 '~ GRAVEL VOLUtdE (CU.YDS,,) 48. 1 50. 1 77.8 "I"ANK SIZE (GALS) 1,250.0 ~ 1,250.0 '~ 1,250.C) ~ SI]IL RATING (SQ.FT. /BR) 243 224 243 ¢,-.:. GRPVEL LENGTH > 75 F:']", REQLIIF(ES MUL. TI'F't...E RUNS (NOT EXCEEDING 75 FT. lEACH) :..:- TANK MUS]' HAVE Al' LEAS]" Tt40 COMPARTMENTS ): cert. iFy 'LhaC: 1. I am CamiliaP t,,~i'{:h Ch6! pequip~-~l~enCs Fop on-site s4ewers and ~el].s as set ~'orCh by the Mun',i. cipality o.F Anchorage (MOA) and'Che otate of' Alaska. 2, I wil:l, install 4:.he system in accondance with all MOA codes and regulaCions, and in compliance with Che des::gn cniteria of Chis permit,, 3. :t: t~Ji].l ad~ere to all MOA and Stat. e o¢ Alaska requirements for the set bac:k distarices Crem any e.:isting well, wastewaCen d:i. sposal sysCem or public 1 ot. ~(:ewerage .~y_,tc.m on Chis op any ad~acenC on nearby 4-,, :[ underst, and that Chis permiC is valid for a maximum o~' 4. bedrooms and ar]y Eel]].i~l',(~:(.~)l~er]C ~ii].l 'PeqLtJ, l'[~) ~af] additional pePmiC, Il:::' A LIFT STATZON IS INSTALL. ED IN AN AREA COVERED BY MOA BUILDING CODES, I'HEN (J.) AN EI....EC"I"RICAI-. F'ERMIT AND INSPECTION MLIST BE OB]"AINED; (2) AS-BUILTS WiI..L NOT BE AI::'F'ROVED WITHOUT AN EL.ECTRtCAI- INSPECTION RE::'ORT; AND (3) THE ELECTRICAL WORK MI.IS't" BE DONE BY A LICENSED ELECTRICIAN. ...... ,¥ APF:'L. ICANT: )- S,::,:S IE:f.IE':: '~.::."'.' "' <' ' ~ '::'" :: I., .............................................................................................................. -': .... PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 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 SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19- 20- COMMENTS PERFORMED BY: WAS GROUND WATER ENCOUNTERED? IF YES, ATWRAT DE~T~? Gross Net Depth to Net Reading Date Time Time Water Drop I ~-z~s~ ~',s-o^ ~ - q~'l~~ '- RCO LATION RATE ~*~ (minutes/inch) ~TEST RUN BETWEEN ~ FT AND ('~ FT' CERTI FI~~/