HomeMy WebLinkAboutT15N R1W SEC 5 LT 118B ~¢ MUNICIPALITY OF ANCHORAGE
( O//m'~ ~'~ DEPARTMENT OF HEALTH & ENVIRONIVIENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE ~EW
MAILING ADDRESS
I
'
Liq. pacitv in ~allons Insid~ Wid~" Liquid dept~
~-~ IF HOME~DE: .
~ ~ DISTANCE TO: Well ~/~. Dwelling PERMIT NO.
O z ~ Manufacturer Material Liquid capacity in 9alJons
m ~ DIST~C~ TO: ~ ~ Foundation ~oarost lot I' A ~EBMIT ~0.
~'~, ~ ~h I inchesinches T°tal effecti~aTr~n~a
Topoftiletofinish grade ,( Material beneat tie
~ Length Width ~pth PERMIT NO.
~ ~ Type of crib Crib diameter '~ lb depth Total effective absorption area
~ Well ¢~uilding foundation Nearest lot line
m D.!STANCE TO:
~ 3]as~ '~ J ~ ~?th ~ /~ ~ Driller Distance to lot llne PERMITNO.
m ~ ~ ~ / ~ ~uCding~u~da~on ~ Sewer ~ine Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER 5~]. ~ ~
PIPEMATE~L~ ~_.
REMARKS
72-0' :Rev. 3/78)
.' '~ DEF'FIRTPIENT O(-']4ERLTH ,qN[., EF<VIRONI,1ENT~L i-- J~TECT ION
. 82.5 ' L' STREET., RNCHC'F.:F~GE.,
E.L~- ..... ±,-.4 FINL. HL. RHGE, FIK 9950
RPPLiCRNT PRLIL BROOKS ( ~ :..~(~ , . . .
LOCRTiON E:LM LoT I!8B X % ~ r-) x
' LOT"~I'zE"" 4547 Sg, LR~'E FEET
LEGRL SE/4 SEC 5-TI5N-RiW%'~, ~ ~.~, ~ ,% ~ ->
I'IRXI~IUH NLI'I~ER OF BEDROOMS 6 SOIL RRTING (S~ FT/BR)= ~25~
DEPTH= ~ LEF~BTH=
THE LENGTH DII,IENSION I9 THE L~t4GTH~ C IN FEET> OF THC'Tf~:~%CH OR
THE DEPTH OF R T~.=I~uH uR PiT IS THE [;,iSTF;~C~ BETI;]EEh~ THE SURFRCE OF THE
GROUND FIND THE BOTTOM OF THE EXCRVRTIOH (tN~7>.
THE 6RR~,EL DEPTH ZS THE I,llN~MUH B, EPTt40F~R~¢EL BETHEEN THE OUTFRLL PIPE
RND THE E:OTTOt',I OF THE EXCR',/RTIoN <IN FE~).% ~-- ~¢~Z¢. ~ o/.¢//¢ /-u
~ERMIT RPPLIC:R~4T~HR~ ~HE RESF'ONStBILIT'¢ TO INFOR,I THIS DEr'RRTf'IEN'F ':[:,URING THE
,~TRLLHT_uN INSPECTIONS OF RNY HELLS,, RDJFtCENT TO THIS PR',F'ER~: RND THE
&IHE:ER OF RESIDENCES THRT...THE HELL W!LC: SERVE. <'
~RC:KFZLLZN6 OF RNY ~_TEII ~ZTHOLIT FZNRL ZNSPECTZON RND RF'PROVR~~,~ .... IHZ_,
,EPRRTHENT 1.4ILL BE SUBJECT TO PRO=,EuUTI_N.' -' n
ilNIMIJM DISTRNC:E BET~4EEN R WELL RND Rt'.I'¢ ON-.SZTE ~EWRGE bISPFqFiL. __ _~_TEfI'~ '~ , I:,
98 FEET FOR R PRIVRTE HELL OR t50 TO 2:80 FEET FROM R PUBLIC HELL DEPENDIN3
IF'ON THE TYPE OF PLIE:LIC HELL
;INIM IM DISTRNCE FROM R PRIVRTE HELL TO R PRIVI~TE =,~:WER LINE IS o= FEET RND
0 6 COHP1UNiTY SEHER LINE IS 75 FEET.
ELL LnG'~ PRE ~.Ei=.t.I~p;EE., RNB fqLtST BE RETURNED TO THE ~EF'RRTP1ENT I, IITU~'] ?':~
F THE HELL C:Oh'FJLETZE~N.
THER F:Eg!UIREMENTS i'IRY ~F'PLM. :,MEL. Z~[UM~ZJN~ RND CCNSTR-CTIZN [ [hll=m~h=, FIRE
~¢HZLHE, LE" '~0 ,INSURE F'Rdr'EP~F~" INSTRLLRTZAN_. .....
: I RM FRPIlLIRR HIgH THE RE~.UIE. J1ENT_ FOR ON-SITE ~EIJEE.-.~N_. [~ELL_, ~4S :SET
9RTH BM THE MUNICIFRLITM OF RNCHORRGE. ,~], )
I WILL INSTRLL THE q' ¢ ~', ..... ''"
uEIDE=,.
_ ~:,T~II IN RL.E. uREFHNuE [4~TH .THE ....
~ UN[)ERSTF]ND THRT THE ON-SITE _,E~4EE. SS'STEI"I' PI~' REgUI~.E ENLRRGEMENT IF THE
{SIDENCE iS REMODELED TO INCLUDE MLR~-~ '- THRN 6 BEDRO01,1S.//¢ ~*~ c~;.~.'
--~ i /-~' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
· 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
LEGAL DESCRIPTION t
DISTANCE TO: IWel' i ~, [Abs°r~ti°nar3 ~ Dwelling
Mate i No, of compartment~
~ ~ DISTANCE TO: Well , D elling PERMITNO.
O Z ~ Manufacturer Material Liquid capacity in gallons
~ Well Foundati Nearest lot line PERMIT NO,
~ DISTANCE TO: ~h
~ ~ ~o. of lines k~nflth o~ oach lino o~ lin0s lrench ~idth Distance between lines
Total effective abso i -
~'-~ DISTANCE TO: Wel? & ~ 1~ Buildingfouny?0 Nearestlotline
~ Cla~.~ '~ ) ~'~tDepth K // Driller Distance to lot llne PERMIT NO.
~ DISTANCE TO:
OTHER ~6,~,tC
P'PE MATER~c
INSTALLER
Rev. 3/78)
DEFIRRTMENT OF HEALTH AND EN',,,'IRONi"IENTBL PROTECTION
:--~25 '"L" STREET.. ANCHORAGE., AK. 9958:1.
264-47;28
P 0 E,U,.' - ',.' .... '='--'.1.,_.4':" ANCHORAGE., FIK _9¢.~5E1_
APPLICRNT PAUL BROOKS
LOCATION ELM LOT ~lSB
LEGAL SE,."4 SEC 5-Ti5N-R±W
T'T'PE OF SOIL ABSORPTION S'¢STEM IS: DRRINFIELD
[,'IA).~IMUM NUMBER OF BEDROOMS = 6 SOIL R~TING
~,,~ . ,~. '~,~
THE REQUIRE[:, SIZE OF THE SOIL RBSORPTI~]N _.~_,TEM I-.
TNE LENGTH DIMENSION IS THE LENGTFI (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXE:RVRTION (IN FEET).
T~-~E ]-I;:E~-~E:H t.4 Z [:,TH Z 5 5. ~]~(~(~ FEET-
THE GRAVEL DEPTH IB THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
LOT _,I,-E ¢1-54-7 -'=;C.,I_IRRE FEET
PERMIT HPFLI_.HNT HAS THE RECFuN_,IE, ILI]T TO INFORM THIS [:,EPRRTMENT DLRINu THE
INSTALLATION INSPECTIONS OF RN'¢ WELLS BDJRCENT TO THIS FRLFERT~ AND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SER',,,'E.
BACKFILLING OF RN'¢ =,T_,TEbl WITH~]UT FINAL INc, FEL. TI_N RN[:, RPPR. O'¢RL B'¢ THIS
E:,EF'RRTMENT WILL BE SUBJECT TO PRZSECUTZZN.
MINIMUM DISTANCE BETWEEN R P~EL..L AND RN'¢ EN-:,ZTE SEWAGE E.Z=,Fu~HL 5'¢STEM ZS
ZE~8 FEET FLF R PRIVATE WELL OR ZS~ TO 2f;il.i FEET FRBM R PUBLZ-. WELL E:,EPENE:,ZNG
tlPON THE T'¢F'E OF FIJE, LZ_. WELL
HZNZMUM DISTANCE FROM R PRZk,'RTE WELL TO R PRZ'¢RTE SEWER LINE ZS 25 FEET AND
TO R COMMUNZT'¢ SEWER LINE ZS 75 FEET.
EHT:,
.... - ' '= '' RET-., : THE ' '-" ',' .T ~:8 ~-'"-'
WELL LUb=, FIRE R. EC!UZRED AND fIU_,T E,E IFMEE, TO DEPHRFItEN WITHIN
OF THE WELL COMPLETION.
OTHER RE6~JZREMENT~ f"lR~' RPPL'¢. SF'EE:ZFZCRTZON~ RNE:, _BN:,TRIJL. TZLt4 E:,ZRGRRMS ARE
RVRZLFIBLE TO INSURE F~Lhb~. ZNSTRLLRTZON.
L. ER] IFT TI'IRT _ _ ,- , ,,~'
H=. SET
I AN FFIMILIAR WITH THE REQUIREF/ENTS F]R UN-z, ITE .=,EWER_, AND WEL[-L
t
[L:
FORTH B'¢ THE MUNICIPRLIT? OF ANCHORAGE.
2:: I WILL INS'I'FILL THE --, _TEll IN ACCORDANCE WITH THE CODES.
'-'"=' ', REQ IRE ENLARGEMENT IF THE
Z.':: i UNDERSTFtND THAT THE ON-SITE SEWER =,'r_.TEII MR"r' . -
F.:ESiE:,ENCE I_, REMOE:,ELED Ti_-I tNCLLIDE MOF.:E THAN e,
ib dE[.: ...................
RPPLIE~7 PAUL E:RB,~ .
S25"1."S1 REET
,',;'CiIQRAGE, AIASKA 99501
~07) 264 4111
December 31, 1979
Bill Wells
3126 East 72 Avenue
Anchorage, Alaska 99502
Permit ~ 790411
Subject: T15N R1W Section 5 SW¼
A pe~nit issued by this department for well and/or sewer
system has expired.
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 should be sent
to this department to document the installation date.
If an engineer has inspected
on-site sewer system, please
for our files.
the installation of the
have them send us the as-builts
If there are any further questions, please contact this
office at 264-4720.
Les N. Buchholz, R.S. ~
Senior Environmental specik~lst
LNB/!jw
enc: Copy of Permit
PERMIT NO.
FIF'PL I CAN T
LOCFIT I OW
LEQRL
BILL HELLS
E. I RUt IWOuD R I RPORT
T±SN R'.tl4 '-ss'; SM 5~/~
]<t26 E. 72ND
LOT _,
3:4.4 291t
24000 SQURRE FEET
TYPE OF SOIL RBSORBTION ~T.-.,TEM IS: PIT
MAXIMUM NUMBER OF BEDROOMS = 3:
:,uIL. RRTING (SQ FT,.-BR)- ~2:~
THE REQLIIRED :,I4. E OF TttE SCIIL RE,_,uRFTION _,b_,rEfl I_,.
[:, F-'-'Z F" T l-~ = '3 L. E l'-t,]i T FI = :L ~:; ,.3 F~] R'...' E l._ D'EPT'H=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF ERCH SIDE FOR A SEEPRGE PIT.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN 'FHE SURFRCE OF' THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
, c ,~ ,, FHI_. DEF'RRTMENT DIIRIHQ THE
PERMIT FIPPLICRNT NFIS THE RE..,POi',tz, IBILIT'r TO INFORM ' '=' ....
INSTRLL;::iTIOH II,LFEL. TION~, OF Ri'.,l~' HELL.=, F:I[:,JRCENT TO TI-II_, FF._FEF-.T"r RH[:, THE
NUMEER FiF R.E_,IDENCE.., THRT THE WELL WILL '~ERVE.
-r'[..~() r... 2 ) ~ i'-,~ '...--:_] F" E ,]: -I" I L,~-,~::. RF-:E RE6:!I~J :[ RE[:
DRC;KFILLING OF RN'¢ _,-r.:,TEi'l WITHOLIT FINRL INSPECTION RND RPPROVBL E,~r THIS
DEPRRTMENT WILL BE SUB..'fECT TO PRO.:,EuLI]
MINIMUM DISTANCE BETP.IEEN R WELL RND RNY ON-SITE SENRGE DISPCISFIL S'¢STEM IS
t00 FEET FOR Ft PRIVRTE WELL; OR
t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T'¢PE OF PLIBLIC WELL.
OTHER REQUIREMENTS MRb' RPPL'¢. SPECIFICRTIONS BND CONSTRUCTION DIRGRRMS FIR. E
R',,,'RILRBLE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
±: I 8M FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTFI B'¢ THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: I WILL. INSTFILL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER S'¢~TEM MR'¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS RBMODELED ~ INCLUDE MORE THRN ~ BEDROOMS.
S I GNE[:': ..... ='- ....... - '-' BILL WELLS
'SSt_lED ~T ....
,~~ ~] SOILS LOG
MUNICIPALITY OF ANCHORAGE
[] PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
TEST
Pouch 6-650, Anchorage, Alaska 99502 276-222'~
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: Bill Wells
Located within SW~ Sec.
LEGAL DESCRIPT~ON: Recorded as Alaska R.R.
DATE PERFORMED: 7/24/79
5 T15N RiW by metes & bounds
Lease No. 69-25-0003-5031 (10.04 Ac.)
1
2
3 Poorly graded
4 Sandy Gravel
to 14 Feet
5
6 USCS "GP"
7
8 ~
SLOPE
SITE PLAN
10
11-
12-
13-
.... 14 -
15-
16-
17-
18-
19-
20-
WASGROUND WATER
ENCOUNTERED7
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
TEST RUN BETWEEN FT AND -- FT
R~naom~d ~q~v~l~'n± ~ fn~ 1 ~ Ft.,/ R~r]rnnm
PERFORMED BY:
?~. Schachle
CERTIFIED BY'N, ATE: 7/24/79
David ~Harman, P.E.
72-008 (7/76}