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HomeMy WebLinkAboutSTODILL LT 1Onsite File Stodill Lot 1 #051-302-39 There are two wells on this lot – both in service as of 2021. Only the septic tank is sized for 4- bedrooms; field is sized for 3 bedrooms. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.orgfonsite On -Site Wastewater Disposal System Permit Permit Number: OSP221072 Work Type: SepticTank Upgrade Tax Code Number: 05134239000 Site Legal Address: STODILL LT 1 G:0654 Site Mailing Address: 15314 DARBY RD, Eagle River Owner: RAY BRADLEY & DENISE Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: �nzcnt S 1a _Pwn II 1)ehartmc�tt 4/8/2022 4/8/2023 49564 ❑ Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b- Covered, sealed, and heated to prevent freezing Special Provisions: Contractor shall confirm existing foundation cleanout or provide a double cleanout upstream the septic tank. Received By: Issued By: Date: /,.a. Date: LFa d '� 4 MUNICIPALITY OF ANCHORAGE Development Services Department,` Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-302-39 Property owner(s) RAY BRADLEY Day phone 310-9075 Mailing address 15314 Darby Rd Site address same Legal description (Sub'd., Block & Lot) STODILL LT 1 Legal description (Township, Range & Section) Lot Size 49,564 Sq. Ft. Number of Bedrooms.z APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank 0 Upgrade ❑ X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: -Z — Date of Payment: -1116 Id 19 a Receipt Number: 0857 LIQ Permit No. OS 22 1072 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc +1 � 2TP IM ENGINEERING Date: 4/4/22 To: MOA On -Site Services Subject: Stodill Lot 1 Septic Tank Failure SteveEng.com Steve Eng, PE, PH 907-694-7028 SteveEngPE@gmail.com Number of Pages: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221072, Rebecca Carroll, 04108122 The subject septic tank has failed- a new tank will replace the old one. The existing seepage trench appears to be working OK. Please issue a permit so the tank can be replaced. Please review as soon as possible. This is a large lot with no nearby neighbor conflicts. Elevations in vicinity flat. If there is need for additional information or clarification please give me a call. C� Thanks -Ste TH IM FE,ZINEERING SteveEng.com SPECIFICATIONS & DESIGN GUIDELINES Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221072, Rebecca Carroll, 04108122 Stodill L 1 Wastewater System Sizing: The current septic tank has failed- the seepage trench still functions. This lot is fairly large and on private water well. No adverse impacts are expected from tank replacement. No easements are present on the lot. The slope is indicated in the area of the septic system. No conflicts to neighbor properties. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • New 2- compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and trench. 5' to property lines & 10' to house. • 4' of cover or insulation is required for tank; an equivalent of 1 " insulation for F foot soil cover. Tank & solid pipe must be set on well compacted, stable soil. • No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per MOA- sand or pea gravel. • 4" diameter cleanouts with airtight caps are required 1 ' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in 2nd tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. Manhole Riser required in 1 st tank compartment. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) OF 44 44 MCI) JH -7 i�♦ � � Steve Eng � �, CE -6256 ��� Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221072, Rebecca Carroll, 04/08/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221072, Rebecca Carroll, 04/08/22 1i r • �. '` ® DOC CO dba SILL Be COLE ULLIVAN WATER WELLS WAW P.O. Box 670269, Chugiak, AK 99567 688-2755 OWNER OF LAND: Bradley Ray ADDRESS: 15314 Darby Rd Eagle River, AK 99577 Bore Hole Data Depth From To LEGAL DESCRIPTION Stodill Lot 1 DATE: 3-26-21 0 2 PERMIT NUMBER: OSP211035 DATE OF ISSUE: 2-18-21 TAX IDENTIFICATION NUMBER 05130239000 Is well located at approved permit location: ®Yes 0No Method of Drilling: ®air rotary cable tool Depth of Well: 520' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 44 feet Liner type Static Water Level: 30 feet Recovery Rate 75 ® gpm gph Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 250 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes Ono Method of Disinfection: Chlorine 50 PPM Comments: Shallow Bedrock Surface Seal per MOA Code. 2 4 4 10 10 253 253 271 271 362 362 378 378 490 490 509 509 520 Casing Stickup Overburden Silty Sand & Gravel Bedrock Gray Hard Bedrock Gray w/ Quartz Bedrock Gray Hard Bedrock Gray w/ Quartz Bedrock Green Hard Bedrock Gray w/ Fractures Bedrock Green Hard Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP211035 Date of Issue 2-18-21 Parcel Identification Number: 05130239000 Legal Description Property Owner Name & Address Stodill Lot 1 Bradley Ray 15314 Darby Rd. Eagle River, AK 99577 Pump Installation Date: 6-8-21 Pump Intake Depth Below Top of Well Casing: 510 feet Pump manufacturer’s Name: F&W Pump Model: 4F05S10301 Pump Size: 1 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Northern Excavating Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref.# 1213390001 Client Name Sullivan Water Wells Project Name/# 15314 Darby Dr Client Sample ID 15314 Darby Dr. Hose Bib Matrix Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 06/25/2021 16:12 06/16/2021 14:50 06/17/2021 12:21 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 5.77 5.00 ug/L EP200.8 B (<10) 06/21/21 06/24/21 DMM Waters Department (Provisional Cert for Nitrate—N) "Total Nitrate/Nitrite-N ND 0.200 mg/L SM21 4500NO3-F C (<10) 06/23/21 EBI -I Microbiology Laboratory E. Coli Negative ] 100mL SM21 9223B A 06/17/21 A.A Total Coliform Negative t I00mL SM21 9223B A 06/17/21 A.A 2of5 02/18/21 f f ij r_ Y • Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-302-39 Property owner(s) Bradley and Denise Ray Mailing address PO Box 771346 Eagle River, Alaska 99577 Site address 15314 Darby Road Eagle River, Alaska 99577 Legal description (Sub'd., Block & Lot) Stod i I I Lot 1 Legal description (Township, Range & Section) Lot Size Day phone 907 310-9075 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial x❑ Single Family (SF) x❑ Septic Tank 1:1Upgrade El(w/wo ADU) Holding Tank ElRenewal 1-1Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well x❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of I:Vroperty r or authorized agent) Permit/Rush Fees: $225 Waiver Fees: Date of Payment: Alli 7_/902/ Date of Payment: Receipt Number: 6 �yj 3 b Receipt Number: Permit No. OSP21 1035 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc AR BY ROAD - 0 (NOO' 07' 00"W 165.14') (NOO' 07707WT65. 5') LEGEND I NORTH (XX XX XX) RECORD DATA PER PLAT 80-102 ---- SURVEYED LINES —OHE— OVERHEAD ELECTRIC UNSURVEYED LINES G WELL 0 25 50 75 100 SURVEY TIE 0 SEPTIC VENT FOUND 5/8" REBARELECTRIC METER SCALE FOUND ALUMINUM CAP GAS METER TELECOMMUNICATION PEDESTAL Aa== UTILITY POLE I hereby certify that I have, or someone under my supervision has, surveyed the property described as: LOT 1 STODILL SUBDIVISION OF (PLAT NO. 80-102) Anchorage Recording District AF &) a . . . . � 0 Monuments have been found and/or set as indicated. This L 0 ........ 0 document does not purport to show whether any improvements 0 encroach onto, or off of, adjacent properties. TRAVIS J BARIL The property dimensions shown in parenthesis are from the record plot and are not 0 LS 141/234 necessarily as we may have measured. Additional data shown hereon should not be AV construed to "rep lot' or "resubdivide" any property and is shown for information 41- only. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to determine unshown dimensions. Only easements m the recorded subdivision plot noted above are shown hereon and it is the 1responsibility111of the owner to determine if any other easements, covenants, or trictions exist. 0 McClintock Land Associates, Inc. (MLA) 2021 This document is copyrighted and is authorized to be used for one real property MMCC UNTOCK LAND ASSOCZA 7ES; JTNC. transaction or project only. Any copy is to be considered unauthorized unless it 16942 NORTH EAGLE RIVER LOOP ROAD bears an original surveyor's signature (usuallyin blue ink) or a stamp showing recorder's office data. Copyright restrictions but not re—use restrictions) are EAGLE RIVER, ALASKA 99577-7801 waived if this document has been officially recorded. Lending institutions may also (907) 694-4499 make additional copies for their own records. Liability to MLA is limited to fees LICENSE No. AECC596 received for this project, FIELD WORK DATE: 1-18-21 PARTY CHIEF: CS FIELD BOOK: PLOT SCALE: 1*=50' DRAWN DATE: 1-29-21 DRAWN BY: TB GRID: NW0654 DWG NAME: AB21-104 JOB No: 21-104 NO W 11 IFT IV IV 50' BLM RESERVATION LINE d Note: Winter 27-3 ' 71.9 conditions at time V. of survey may TO ca have hidden some NEI features. Drive HOUSE and road shown CABIN are traveled way c.vr tea. J?7 and may differ (PLAT 80-102) LOT 1, from actual. (PLAT 80-102) DETAIL 7 S, 41 co, CO VERED 6'2 PORCH Irn )o 00 1b, 4. .4'4 '(0 10 0 WELL 0 0 0 0 lb A, C) 0 0 SEE 72.8' I-) n DETAIL 1-1 7 0 Lb ?—a 0 MUL T1 5 TOR K I'D 0) WOOD FRAME 0) I `t — — — — — J 00 Z CO Z HOUSE 4Z — — ti 00 00 0, SEPTIC RISERS Q (TYP) (3) 0 SCALE: 1 = 20' 0 WELL LEGEND I NORTH (XX XX XX) RECORD DATA PER PLAT 80-102 ---- SURVEYED LINES —OHE— OVERHEAD ELECTRIC UNSURVEYED LINES G WELL 0 25 50 75 100 SURVEY TIE 0 SEPTIC VENT FOUND 5/8" REBARELECTRIC METER SCALE FOUND ALUMINUM CAP GAS METER TELECOMMUNICATION PEDESTAL Aa== UTILITY POLE I hereby certify that I have, or someone under my supervision has, surveyed the property described as: LOT 1 STODILL SUBDIVISION OF (PLAT NO. 80-102) Anchorage Recording District AF &) a . . . . � 0 Monuments have been found and/or set as indicated. This L 0 ........ 0 document does not purport to show whether any improvements 0 encroach onto, or off of, adjacent properties. TRAVIS J BARIL The property dimensions shown in parenthesis are from the record plot and are not 0 LS 141/234 necessarily as we may have measured. Additional data shown hereon should not be AV construed to "rep lot' or "resubdivide" any property and is shown for information 41- only. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to determine unshown dimensions. Only easements m the recorded subdivision plot noted above are shown hereon and it is the 1responsibility111of the owner to determine if any other easements, covenants, or trictions exist. 0 McClintock Land Associates, Inc. (MLA) 2021 This document is copyrighted and is authorized to be used for one real property MMCC UNTOCK LAND ASSOCZA 7ES; JTNC. transaction or project only. Any copy is to be considered unauthorized unless it 16942 NORTH EAGLE RIVER LOOP ROAD bears an original surveyor's signature (usuallyin blue ink) or a stamp showing recorder's office data. Copyright restrictions but not re—use restrictions) are EAGLE RIVER, ALASKA 99577-7801 waived if this document has been officially recorded. Lending institutions may also (907) 694-4499 make additional copies for their own records. Liability to MLA is limited to fees LICENSE No. AECC596 received for this project, FIELD WORK DATE: 1-18-21 PARTY CHIEF: CS FIELD BOOK: PLOT SCALE: 1*=50' DRAWN DATE: 1-29-21 DRAWN BY: TB GRID: NW0654 DWG NAME: AB21-104 JOB No: 21-104 \ — DARBY ROAD (N00' 07' 00"W 165.14') (N00' 07 00"W765.15) SO' 03' WE 165.16': NO' 03' 11"W 165.16' b 50' BLM RESERVATION LINE ONF FSH, N i I DETAIL �3s 00CO VERED 6 2 PORCH a a 'b• 4.4 4'41 � a v d MULTI STORY WOOD FRAME ^� a �>> HOUSE Q O ` . • g .01 DECK SCALE: 1 " = 20' ® WELL 0 20 LEGEND (XX XX XX) RECORD DATA PER PLAT 80-102 SURVEYED LINES –OHE- Note: Winter UNSURVEYED LINES 21.3 conditions at time SURVEY TIE '. d of survey may TO ® N have hidden some NEIGHBOR T o D4 features. Drive HOUSE and road shown T `v' CABIN are traveled way c.vi ?o Li and may differ (PLAT 80-102): from actual. DETAIL �3s 00CO VERED 6 2 PORCH a a 'b• 4.4 4'41 � a v d MULTI STORY WOOD FRAME ^� a �>> HOUSE Q O ` . • g .01 DECK SCALE: 1 " = 20' ® WELL 0 20 LEGEND (XX XX XX) RECORD DATA PER PLAT 80-102 ••••OFA, � /♦ * : 4 * �i / ;_oTRAVIS J BARIL 111-15 0 � •• LS 1 23 4AVVA McWNTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 FIELD WORK DATE: 1-18-21 PARTY CHIEF: CB DRAWN DATE: 1-29-21 DRAWN BY: TB OVERHEAD ELECTRIC -- 71.9' -- LOT 1 SURVEYED LINES –OHE- - — — — UNSURVEYED LINES — – – — SURVEY TIE D 4 FOUND 5/8" REBAR c7 ® FOUND ALUMINUM CAP _ H D4 L4, TELECOMMUNICATION PEDESTAL -a UTILITY POLE ••••OFA, � /♦ * : 4 * �i / ;_oTRAVIS J BARIL 111-15 0 � •• LS 1 23 4AVVA McWNTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 FIELD WORK DATE: 1-18-21 PARTY CHIEF: CB DRAWN DATE: 1-29-21 DRAWN BY: TB OVERHEAD ELECTRIC -- 71.9' -- LOT 1 (PLAT 80-102) c7 _ H 00 Do C5") O o o ® WELL W --- 72.8' F, O I � � Z Z — k k GARDEN �Ar 0SEPTIC RISERS k� (TYP) ®(3) O NO' 00' 36"W 165.13' (N00' 07' 00"W 165.00') NORTH WELL 0 25 50 75 100 SEPTIC VENT ELECTRIC METER SCALE GAS METER AS—BUILT I hereby certify that I have, or someone under my supervision has, surveyed the property described as: LOT 1 STODILL SUBDIVISION (PLAT NO. 80-102) Anchorage Recording District Monuments have been found and/or set as indicated. This document does not purport to show whether any improvements encroach onto, or off of, adjacent properties. The property dimensions shown in parenthesis are from the record plot and are not necessarily as we may have measured. Additional data shown hereon should not be construed to "replat" or "resubdivide" any property and is shown for information only. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to determine unshown dimensions. Only easements from therecorded subdivision plot noted above are shown hereon and it is the responsibility of the owner to determine if any other easements, covenants, or restrictions exist. O McClintock Land Associates, Inc. (MLA) 2021 This document is copyrighted and is authorized to be used for one real property transaction or project only. Any copy is to be considered unauthorized unless it bears an original surveyor's signature(usually in blue ink) or a stamp showing recorder's office data. Copyright restrictions (but not re—use restrictions) are waived if this document has been officially recorded. Lending institutions may also make additional copies for their own records. Liability to MLA is limited to fees received for this project. FIELD BOOK: GRID: NW0654 PLOT SCALE: 1"=50' DWG NAME: AB21-104 JOB N0: 21-104 ' ~ ?~'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO'I ~CTION , ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION DISTANCE TO: ] Well / /  Manufacturor ~ Matorial ~/ ~o. o, comoartments ~ ILiq. ca~acitv in ga OhS .~ ... Inside length .~ / ~ ~ IF HO~v~E~v~DE: .~ Width Liquid depth TO: ~ No. oflines [ Lengthofeachllne~/ / Totallengthofline~/I T~enchwld~~/~inches Distance between lines ~ Top of tile to finish grade / Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. I Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATER ALS ~ SOiL TEST RATING INSTAELER REMARKS ~0~ 5~ ,~ ,~ ,~ , PERMIT NO~ ~""'~L[ f-.~ .T. C: :I ~ -~RL :I --F ~-~" C,F DEPFlRTNENT OF HEFILTH FIND ENVIRONMENTFIL PROTECTION 825 "'L"' STR. EET., FINCHOR. FIGE, FIK. 99501 264-4720 83:065± ) RPPLICBNT L. OCBTION LEGBL GBRY W. STONE PO BOX LI STODILLL =,z[. TiSNRiH_,=.UI_t CHUGIBK, 99567 B6~-0i07 LOT SIZE 999999 SQURRE FEET TYPE OF SOIL FIBSORPTION SYSTEM IS: DRFI!NFiELD HFIXIi"tUi"[ NUMBER OF BEDROOHS = 2: SOIL RFITING (SQ FT/BR)= 150 ]'HE REQUIRED SIZE OF THE SOIL RBSORPTIO[.,I SYSTEM IS: [:,EF'TH= .~:_-i L E i'-,,tg} T H = r~_-; _7~--: ,S F-: R %-" E L [:,EPTH= 2 THE LENGTH DIMENSION IS THE LENGTH (tN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF Fl TRENCH OR PIT IS THE DISTFlNCE BETWEEN TNE '_'-;LIRFFICE OF THE GROUND ;aND THE BOTTOM OF THE E;-::CFI'¢FITION (IN FEET:). THE TF-."E~-~E:H t:.-~ Z [':-.'T~-t :E S 5. E~E~E~ FEET. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFFILL PIPE FIN[:, THE BOTTOt'I OF THE E,'-.(CWv'FITION (iN FEET.'.,. PERMIT FIPPLtCFINT HFlS TNE RESPONSIBILIT'¢ TO INFORM THIS DEPFlRTMENT DURING THE iNSTRLLFtTION INSPECTIONS OF FINY WELLS FlDJFlCENT TO THIS PROPERTY FIND THE NUFIBER OF RESIDENCES THFIT THE .WELL WILL SERVE. T~.--~C~ ( 2 ::, Z t"-.1SF'EC:]- ~ C~-~F~ PRE F:EI=-;-., L~ % RE[-'" BFIE:KFILLING OF RN'.r' SYSTEM HITHOUT FINFlL INSPECTION laND FIPPROVFIL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DIS'TFINCE BETWEEN Fl WELL FIND Fl[NY ON-SITE SEI.4FIGE DISPOSFIL SYSTEM IS 100 FEET FOR R PRIVFlTE WELL OR t50 TO 200 FEET FROM Fl PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIHUM DISTFlNE:E FROH Fl PRi'¢FlTE WELL TO FI PRI',,,'FITE :-=,,EWER LINE IS 25 FEET FIND TO Fl COMMLINIT'¢ SEI-4ER LINE IS 75 FEET. OTHER REQUIREMEN]"S f'lFlY FIPPL"r'. SPECIFICFlTIONS FIND CONSTRUCTION DIFIGRFtHS FIRE FtVRILRBLE TO iNSURE PROPER INSTFILLFtTION. I CERTIFY THRT 1: I FIM FFIMIL. IFtR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS FlS SET FORTH B"¢ THE MUNICIPRLITY OF RNCHORFlGE. 2: I .WILL iNS]'FILL THE SYSTEH IN FlCCORDRNCE WITH THE CODES. -]:: I UNDERSTFIND THFlT 'THE ON-SITE SEWER SYSTEM MF;Y REQUIRE ENLRRGENENT IF THE RESIDENCE IS REMODELED TO INCLUDE ["lORE THFI[',I ]': BEDROOMS. SIGNE[:,:_ -' ................... electrical permit and inspection must be FIPPLICI-~-,!T GFIR¢ W. STONE obtained. As-builts cannot be approved til the electrical inspection is received in this ~/),__.,~¢.~ // , ,,}~,,¢'/ / office. The electrical work must be per- iSSUED E:"F__P~_,.__~_~_~,~___~/~_~ _~_~ ....... _.__~C, FlTE__/_/;~_,~_C~_'~_f_°_F_m-ed_-by a licensed electrician'S.'4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82§ L, Street, Anchorage, A~aska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG [] PERCOLATION TEST DATE PERFORMED: ~///~'~ ' LEGAL DESCRIPTION: 6- 7- 8 9-- 10 11 12 13 14 15 16 17 18 19- 20- COMMENTS PERFORMED BY: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) FT AND -- FT DATE: 72-008 (6/79)