HomeMy WebLinkAboutSOUTH HILLS BLK 2 LT 5
MUNICIPALITY OF ANCHORAGE
~ :, Department = Health and Environmenta7 Irotection
. .... 825 '~/ Street, Anchorage, AK. ~9501
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~Cb~ WELL AND/OR ON-SITE SEWER PERMIT
Applicant: ~L~L/~, /~ SC~-~j(' Mailing Address:
Location: Phone Number:
Description:
T~p:e~ of Soil ~sorption System Is:
Trench: Drainfield: ~~epage
B~ ~__ ~oldin~
Tank:
Maxim~ N~ber of Bedrooms: ~ Soil Rating(sq.ft/br)
DEPTH
The Required Size of the Soil Absorption Syst,e~ Is{ '
' .LENGTH C/~%~/~ GRAVEL DEPTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance betwBen 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(HgLD:PNG) TANK SIZE = /~ ~ 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
or, public well. Minimum distance from a private well to a private sewer line
is 25 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
a~ailable to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 2 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
s~cA~orth by the Municipality of Anchorage.
(2)/~ w~l install the system in accordance with codes, i
(~ I understand ~2~at the on-site sewer system may require enlargement if
~-~he res~denQ~ is remodeled to include more that~bedrooms. ,
S~gne~: Issued by. ~X~
ate, .
SWP/024 (1181)
SOILS LOG
MUNICIPALITY OF ANCHORAGE ¢/
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: J[~'~ \}~'~t/','~t""d~' DATE PERFORMED: .,~_2~?. 4~1; ]~__~
SLOPE SITE PLAN
1
2
4
5
6
7
8
9
sL
ENCOUNTER ED? N~) O
11 WAS GROUND WATER
P
12 E'
IF YES, AT WHAT
'* DEPTH?
13 6_~ ~1 '~ ?~ ~/Z""
Gross Net Depth to Net
Reading Date
Time Time Water Drop
tR~ 1 '.5q2 ~o o 1.695'
15
16
17
18
19
20
PERCOLATION RATE (minutes/inch)
/~ TES~ RUN BETWEEN ~' FT AND ~[- ¢~', FT
72-008 ~6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
//~01LS LOG
_OLATION
1
2
3
4
5
6
7
8
9
SLOPE
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
~ ~k,,kIz5 ~:
Z'.oo I~ .' ~'/'
PERCOLATION RATE
TEST RUN BETWEEN
~' ~ (minutes/inch)
.B ~T A*D ,B~2-- FT
COMMENTS
PERFORMED BY: . )lC"-~Jml[ '~k/c~
72-008 (6/79)
DATE: ~ '"-'l~'~'""~'""~
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17,
18-
19-
20-
COMMENTS
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
DATE PERFORMED:
SITE PLAN
WAS GROUND WATER I~
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time ¢¢,,; ~ Water Drop
PERCOLATION RATE 7 ~' ~-~ (minutes/inch)
2 TEST RUN BETWEEN 2.,~ FT AND t3 FT
PERFORMED BY:
72-008
CERTIFIED BY:
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
PERFORMED FOR:
DATE PERFORMED:
LEGAL DESCRIPTION: LoJ~ 5 {~ ~,, ~..~oo-i4~ Hil{j
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS T
PERFORMED SY:
72-008 (6/79)
WAS GROUND WATER
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH7
t
Gross Net Depth to Net
Reading Date Time Time Water Drop
2. z:o8 :'.~ O tO ,Bff>'
4. Bz.O ,, z;oql 30 ,-- .q5' .--
· 5 2;~q:.~o ,o .g:t- ,o$
(~ 'Z'-~lL~o ~0 .~ .o6
PERCOLATION RATE
TEST RUN BETWEEN
'ke~"{' oA- 9. - 7- 9z
(minutes/inch)
FT AND--~ ~ FT
·
CERTIFIED BY: () DATE:
POUCH 6 650
Ai,!CItORAGE. ALASKA 99502 0650
(907/ 264-4! '11
!: / '.RTMi:i'~'I OF HE i : !;; ENVIRONMENTAl I'ROI'ECIION
~Permit ~: 820852
· January 31, 1983
TO: Permit Applicant
Subject: Lot 5 Block 2 SOuth Hills Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
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 needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
L CI C Fi T Z CI N
L..EGFfL.
ED!.,.IFff;;:C, ,,,,,'_r. EgT_:FiF;:E:, ]:
L!5 B;2 '_--;13UTI.4, FIILLE;
h'~Th~Tr~ t'~ E,'Z,.=;'T'i::!N.E:E: E:E:"t".t,.tEE:i'.,! Fl IF' ~ Fff',E> ....
-' .... ,-,.:
"IPHF~ FEET F:'"i~' p. F'N'J.',,,'FFTE: ~tc'i 0~: :'LFdEI 'l"O 2:~OE1 F'[CE"F F.P::i'iPt Fl F' R[ ti-: L!E'.._ .r..,[ ........ r..._...~.~,!.~
UF'O?,I THE T'?'F'E OF rLbLZF.
!"!iN.T.P'!U.kl r:,'r'~,TFh~.Jr'E F;F~tOH R .... I~,, E..HELL 'r'z H F'F~i;[',,,'F~TE; :.:::E!.,JEP LINE Z:::T.. ;2:E; FEET S,'NE:,
'~, L,-' Fi CCll'!HUN]:T'¢ ........ ':;FHF~;',.. LINE .... '['::; "'=.. FEET.
HELL ......... r','?:::;
I'"F' TI..¢..:' l'""J ' C:L-$'!F't..ET.T. -~"l
'"-' ' -'-'-'" L.,..il',!::, F.~.U._. ~ .... d",. L":'ZR,'.'3F~:FII'iE; FiF?.E
CiT.,LIEF;:: REQL!!F-'.~EHENT'_:; t!h,~ l-Il'fL..':'.
W,/FI t~ L F~F I. E 'T'C~
.............. THFIT
~.-.:L:- :, Z._ Eib'l_ ,F':~RR .H:['I'H FHE' REQL~]:F..':E?"iEH~! ;:,' ' " .... F,JR'- - uN-E;I'TE- SEi,.iEP:::E; FIND [,.."EL.LE; F~:E E;ET
' !! Yb?{.Z
2: .[ H]:b~.--4f..~.~;"FRLL THE E;~.E;TEi"! Zf-,t FICCCiF~h.r.:,F!iqC:E HI'TH THE CFIF:,Eq
............... C Fi'T'E .....................................
POUCH 6-650
ANCHORAGE. A[ ASt<A 99502 0950
(907) 264-4! 11
DEPAR-FM~ENr Cf ~! ! [', [.: ) ENVIRONMENTAl PqO,rECTION
<Permit #: 820589
· January 31, 1983
TO: Permit Applicant
Subject: Lot 5 Block 2 South Hills Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
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 needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057