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Home My WebLink AboutBREWINGTON TR B Municipality of Anchorafle Page DEPARTMENT OF HEALqH AND HUMAN SERV I(,b DiVI $1ON ENVIRONMENTAL ~;EHV" ~' P.O. Box 196650 · Anchorage, Alaska 93519--6650 e /'elepllone: 343~4744 On-Site Wastewater Disposal System and/or Well Inspectio~ Report Permit Number: _~~ [ ~O ~ . I'ID Nt,rnber: Name: ./ ~j'~Wastewat~r System" [~ew I ] tJpqrade. Ad: ress'. O t ~ ABSORPTION FIELD Ph(ne NO of .dro)ms: ~ , Lot: Bock: I oHbdivision: ~Del)th to pipe battom imm original grad~: ~ (;ravel depth beneath [ ipe WELL .... /a,,v,~ ~: ~t~ f N,m~ber ~ lines: Distance between lines: l-eta[ ahm)rl~tion mpa: cation (Private, A,B,C): Total I)opth: sr;d '1 o: Ft. Ft. Driller: Date Drilled: Level: Yield: Pump Set at: Casing Height Above Ground: GPM Ft. SEPARATION DISTANCES To Absm ption I ill I h)ldm!] Field Slation Taf]k TANK From Well Water l.ot Fo!lndatiol~ Curtain Drain Remarks: [ Illfl timt [ Io.l.l.I . ¢;al)acity ill flalloll,'~ ~_..~ Matcl iah bllllill)or ill qllll()ll',i: ] MHIIIIIiICIIIIIH': : ' I i,um~) Ma~e & k~ ] I~l,,,;t, ical I,,slcections i)erfonned by: BENCH MARK Department of Heal~U~land I~/~an ~er~.i.ces approval 013 (1/91) MOA 25 Permit ."~io. ~'*.-~:~ [{~) ~~t' Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: I I :, ~ _~-PID No.: 72-013 A (2/91) MOA 25 PAGE I OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910307 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:DARBY, TERRY AND REBECCA/ OWNER ADDRESS:P. O. BOX 1084 PALMER, ALASKA 99645 PARCEL ID:05711101 LEGAL DESCRIPTION: T15N R2E SEC 6 W2 SE4 DATE ISSIED: 9/30/91 EXPIRATION DATE: 9/30/92 LOT SIZE: ~:~il, 0 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALI, CONSTRUCTION MUST BE IN ACCORDANCE WITH: I. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. WELL LOCATION WILL BE MOVED NORTH TO PROVIDE MINIMUM 75 FOOT SEPARATION FROM EXISTING HORSE PADDOCK. 2. EXISTING CISTERN WILL BE PROPERLY ABANDONED AS A CONDITION OF THIS PERMIT~3 3. PROPERLY ABAND~N~EX~T~fR IV~. 4. SYSTEM W I m m~:~/~I~~/~/~NER. RECEIVED BY: ISSUED BY: '~-~'~+~ .... " DATE: DATE: HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & Fi. OW TEST SITE Pi ANS ROAD DESIGN SOl L TEST PERCOLATION lEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER, P.E. ............................. ~IVIL ENGINEERS (907) 694-2979 September 27, 1991 FAX694-1211 REFERENCE: W~; SE~; Sec. 6, FI5N, R2E, S.M. Proposed Tract B Dear S~san, This letter is subsequent to our .telephone conversation of September 26, 1991 on ~he referenced property. Fhe hose and cistern barrel which was used on the property to draw wate~ from a tiny "creek" has been dismav~led. Fhe tiny creek ~ virtually dry at .this time and when .the cree~ does flow wa.~er it appears to be intercepted by ,the road ditch and directed to the west, away from the property. Th& proposed well location on the proper~y is to be in excess of 75 ft. from the horse corral on the property. I also wish to inform you ~he property owners i~tend to install .the septic system themseg, ves and will co,act you for .the necessary approval. If you have any questions or require additional information for your well and septic permit review, please contact us. Sincerely, ROGER 3. SHAFER, P.E. RJS/gm 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Susan Oswa~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 September 12, 1991 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694~2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOl L TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Proposed Tract B of W~, SEX, Sec. 6, T15N, R2E, S.M. Requst you issue a permit to drill a well and install a septic system on the referenced property in accordance with our a~ached site plan. This property is in the process of being subdivided under case #S-9095. The installation of the proposed systems is in accordance with Planning Staff Comments for the subdivision. As can be seen from the site plan this is a very large lot with room for sever~ future upgrades. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed well and septic system. If you have any questions or require additional information for your revi~, please contact us. Sincerely, ROGER J. SHAF~R, P.E. RJS/gm 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE DEPARTMENT OF H;EALTFJ & HUMAN 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG .... PERCOLATION 7 9 10 l 3 15 18 20 WAS GROUND WATER ENCOUNTER ED? ____ ~__~__; .... IF YES, AT WHA% - Reading Oato -~ (;ro:;s Net [ De-th to " ...... ~ ........ ~ '"" j water Drop ..... ....... · ~z .... ¢~,mEu ~'f; ....... Z r .,~ao 1~o 204 /J / 7~ ~ .... ' ' - ............ ,' ,M/~I Il'tiS ' :: ACCORDANCE W TH ALL STATE ANn,,,,~,,¢ ...... · . //// .// / TECrWASPLRFORMEOiN ...................... U~D~*L~(~"'~CT ON T~:~ ~A-rr' DAT" //~/~