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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