HomeMy WebLinkAboutT15N R1W SEC 9 LT 123B
September 23, 1977
#76775
M.M. Slate
Post Office Box §74A
Chugiak, Alaska 99567
Subjects Permit Expiration
Dear M.M. Slate~
A permit issued by ~xie dopartment for well and/or on-site
sewer installation on LotI23B Section 9 T15N R1W has expired
since the issue date exceeds one (1) year.
In the event you still plan to install the well and/or on-site
sewer system, a new permit is required. The original soil
test may be used to obtain a current permit.
If the we].1 has been drilledt a well log should be sent to
this department to document the installation date.
If you have any questions regarding the above matterw please
do not hesitate to contact this office immediately at 264~4720.
Sinoerely,
~(obert C. Pratt, R.S.
Sanitarian
ReP/lin
F'ERMI T NO.
DEPRRTMENT OF HERLTH RND ENVIRONMENTRL PROTECTION
25'.L6 E. TUDOR RD.., RNCHORRGE., FIK. 99507
276-.222'].
I..JIE:IL..£_ P E_ F~: I'.1 I T
< '7G'775 >
R"-' "- , ' q ....... F' O BU,., 57'4. R IFIl<
FFL I_,HNT M f~ '-,
LOCRT I ON NEWTON RN,,'E
LEEGRL l...12~B SEC 9 TiSN Ril4 ,lie
688-34.64.
5,4.,4-50 .=, .>.UP ~q..E FEET
MINIMUM DISTFINCE BETl4EEN 8 WELL 8NJ:, RN'-r' .=,'r.z, IEII
'100 FEE'I" FOR R PRIVI=ITE 14ELL OR 200 FEET FOR ..L.
WELl_ LOI~'_-q RRE REQUIRED I=IND MU-;T BE RE~,~Jt~EE:' !F.'.TMENT t.,.IITHIN ]!:0 [:,R"r'S;
OF THE WELL COMPL. ETION. ~ \, , ,
SF'ECIFICRTIONS RND CONSTRUCTION DIRGRR~I~ R~E L.E TO IN'."~LIRE FROFEI:~.
INSTFILLFITION. ~ \ \ . ,,
I CERTIF'¢ THFIT ~ .... .,,_,.,~ %] , , ,
:1.: I F~M F~MII_IFtR WITH THE I~EIN1UIF. LE_ME~4T$ FOFIZIN-'.=.;ITE SEb. IERS RND WELL...=.'; FI.5
FORTH BY THE MUNtCIF'RLITN' L-~F RNCHOR~GE.
2'.: I 14ILL INSTRLL THE S"r'-C:TE~l IN RCC'~RDRNCE WITH THE CODE"2,.
DE]PFIRI'.]"IENT OF I,~EI=ILTH FIND ENVIRONI"IENTFIL Pf~'.OTEC]"IOI',~
,'.S:25 "'L"' STREE'-.T, F~N(::HORFIGE., FIK ~lS~SL~l:t
2~S4',-,,~1.?';~:(~I : I=INCHORI=IEiE ~SS*4..-2::LL.-:::~L : EFIGLE RIVER
C, II',,,,~ ..,,,,,-.."~; ]: T' E~ ~S; EE ~...ll IEC ~ IF=" E=-' ~"~.." ~-'ll ~. "T"
I::'ERM :1: T NO.
F:.iF'F'L~ Z CI=INT; HI::ITFINLISI<:FI .]"ELEPI-..IOi'.,IEE PHONE:
I=I[:,[)I:;]~tESS: E:O',:-::
,.-...:.:, _,.
F L,I ILl:.., F:IK I:::u::: OIZIC.'l
I...E=,:IL EE...,...I:..II II..I,I ..... _,L.IE, I..,I,t...,1UN: I'-,IFI E, LOL. I':,: NI:::I LOT: ::!..~.3:~
l...O.]" 5;IZE ,::!-'.~54.~ SL.'::L i=T. "I'O!,,.INSI...IIF': ':i..SN RF'INGE: ::LI.,.tSECTION:
PIFt',:-:',tFIUH NUI"tE:E:R OF' 13EDROOI'"IS = E",~ SOIL [~:I='ITINCi = Cl (il Ct ('":;L:~. FT.
L]:S.]"ED BEI.OH FIF.:E 'T'HE OP]":[Of.,I,',:~; RVI::tII._FIBLE TO'"r'OU II",l DESIGNING "fOl..IR SEPTIC
S"~'~STEH. (::I'"IOOSE THE OP'T:[ON 'THI=IT BEST F':[TS *'POUF: SITE.
Z CEFRTIF"""r' THFIT:
4:. ]: FtH F'FII'q:[L. IIRR HITH ]"HE I(:Eg!UIREHEN]"S F'OR ON'""S]:TE SEI.,,IERS FIND I.,.IELLS FIS '.:[;ET
[':'OtRTH BY' THE: I"IlJI",I:[C::[PFtI,.IT'.,,' OF' FIt",ICHOF['.RGE FIND THE S'T'F:ITE OF F~LRSKFI.
2. I P,IIL. L. INS;TI=ILL THE S"r'STEH IH IRC:COF['.DFINCE FII.]"I'I ·'I'HE CODES F~ND HF:IVE RECEIVED
FI C:OF'"*" Of THE C:O[)E SUHIqFIR"," FIND D:[It:IGR~RH F:ITTIflC:HMENTS I.qHICH t~ F'P"II~:T CIF' 'THIS
F:'ERM l ]",
:Z, I LJN[)r[FIRSTF:IND TI,-tlRT 'i'NE OH.~-SITE SEHEg: S;"r'STEM HFlY' REQUIRE ENL. RRGEHENT ZF ']"HE
RESIDENCE :IS REHODEL. ED, '1"O ]:NCLUDE HORE THFIN C~ DEDROOHS.
F:'EERI"i,T."[' FtF'F'LIC:FINT HI=IS THE RESPOF,ISIBIL. IT',~.' TO ZNF'ORi'I PERSONNEL DURING
.]"HE ]:NSTFtLL, P.]T:[ON IF,ISI='EC:TIC:NS (:iF:' FrlN"r' P,tELLS I::II::,.Zt'FICENT TO 'THIS; PIROPEF.':'T'"r' FIND
THE NLIMBER OF:' t~'.ESIDENCE:~ THFIT THE HEL. L. HILL SERVE.
If FI LIFT ~;.]"F~TIOIq ]:5; :[NSTFILLED., I=IN ELEOT[~'.IOFIL PERHI.]" FIND II",ISPECT]:ON P'IUST
BE OE:TFI].'NED. F".]S"-'I,E:IJ:[I.TS CI"=INNOT BE I=tF'PRO',,,'ED IqITHOUT i=IN ELECTRICRL :[NSF'ECTION
REI='OI';..'T. ]'FIE EL. EC:TR:[CFIL I,,.IOI:~:K HUST 'BE [:'ONE ,E,"~" F:I L. IC:ENSED ELEC'TR:[CIFIN
,I-I'[ [ . NI
· ':"= "' [!!:"r'
]: ...,._,L.IEE. DFII'E:
Permit ~
App 1 ic an t: /~~ '/~c~
Location:
Legal Description: /-~/~$~ ~/~0' ~
MUNICIPALITY 0P ANCHORAGE
Department ~ Health and Environmenta?
825 ~ Street, Anchorage, AK.
264-4720
j/~ ~ ~ ~ ~ HANDWRITTEN PERMIT ~ ~ ~
WELL AND/OR ON-SITE SEWER PERMIT
/~C Mailing Address:~oTc
~rotection
_ 9501
Phone Number:
Type of Soil Absorption System Is:
Trench: ~_, _ Drainfield: Seepage Bed~
Maximum Nur~ber of Bedrooms: ,~ ~
r
Lot Size:
Holding Tank:
Soil Rating(sq.ft/br) /~ (~4J
The Required Size of the Soil Absorption System Is:
DEPTH ¢4~,0 LENGTH ~7 GRAVEL DEPTH ~'
_ . WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between 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(HOLDING) 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 departmen
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of 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
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 S * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
I will install the system in accordance with codes.
(2)
(3)
S igne'd:
I understand that the on-site
the r~:ide i remodeled to
pYi&ant
sewer
include more that 3 bedrooms.
Issued b -_~
Date: /://~:
system may require enlargement if
SWP/024(1/81)
TO
ARCTIC ENGINEERS, IN¢
1506 West 36th Avenue
ANCHORAGE, ALASKA 99503
(907) 277-8593
RE:
WE ARE SENDING YOU XAttached [] Under separate
[] Shop drawings [] Prints
[] Copy of letter [] Change order
cover via
[] Plans
)<.
,the following items:
[] Samples [] Specifications
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
[] For approval [] Approved as submitted [] Resubmit copies for approval
[] For your use [] Approved as noted [] Submit copies for distribution
[] As requested [] Returned for corrections [] Return corrected prints
[] For review and comment
c,J ~[ .L l
COPY TO
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: ~¢[~T,6,,I'"~ ()~A, 'T-~_~L.~l~/~t:- .Ac.~,z*.-x~ [P~?~OK.[.; I~',~ C.. DATE PERFORMED:
LEGAL DESCRIPTION:
1
2
3
4
5~
6-
7
8~
9-
10-
11
12
13
14
15
16
17
18
19
20
COMMENTS
SLOPE
C~x~'/- ~tLL LAYb~
PqO~.%T
RI.V,/
SITE PLAN
WAS GROUND WATER SL
ENCOUNTERED? ~'F.~ O
-- '446~/~°~/* 7 NO g~UT IFYES, ATWHAT E
- A¢~/.~¢ ,Z DEPTH? ~ % ~ T.
~TO~
0¢
H o L_rc
/L.,~ ?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE nutes/inch) :~
TEST RUN BETWEEN :
PER¢
72-008 (6/79)
CERTI FI ED /'~ ~/--~J
'J:::)LA/,q Vf 6W
ARCTIC
ENGINEERS
INC.
ANCHORAGE, AK.
PROJECT NO.
DESIGNED:
DRAWN:
CHECKED:
DATE: II-
0
50
30
NO0 02 35 W
NEWTON ,~o.oo .L. S
.~.Street ~
MAT-SU T ST LAB--; ....
So~J, - Concrete - Water "..~'" :.
Field ~nd Laboratory Te~tlng Ser~s ~0 ~
A.I.C. gld~., W~iII~,A/.~ S~O? . (gOT) 876-8005 · SmA ~ox 6364, P~lmer, AiaN-, ~64,
DRII~II~G WATEIi ANALYSIS FOIl TOTAL COLIFORM BACITRIA
APPLICANT I~O~TION
State I.D. No.:
Date Collected :~7/~_ Tine Col. lected:~Xp~/~Collected By:~t~_~ ~ZL~_7[.~-__~_
Sample Type: [:]Routine [JCheck Sample ~treated [:]Untreated
I~IS SECTIOH TO BE CONlfL~TED BY LAB
ANALYSIS RES [rLTS
ySatisfactory
flUnsatisfactory
~ Sample Rejected: Sample over 30 hours in transit. Please Resmmple.
No. of Po~i.tive Tubes from five 10~I Portions ~' : MPN -~g-_7_per I00 ml
HICROBI0~ I~O~TORY ~CO~-~OLIFO~I ~N ~ALY'SIS
Date Received: Ti~e Received:
Tes~ St'arted:~.~ ~Analyst:
Presumptive
Confirmatory
Completed