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HomeMy WebLinkAboutT15N R1W SEC 30 LT 106A1Onsite File T15N R1W SEC 30 Lot 106A1 #051-301-32 'i --~ POUCH 6--650 :- ...... ',, ANCttORAGE, ALASKA 99502-0650 !,:~ (907) 264 4111 ~Permit ~: 820525 · January 31, 1983 TO: Permit Applicant Subject: T15N R1W Section 30 SW¼ Lot 106Al A permit issued by this department for an and/or on-site sewer system has expired as 1982o individual well of December 31, 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 i_JX:fff' I 0!"4 F'" E:rJ'~; '~}'~;Z E.R. 995?7 9'_:.'~):~.l?j::! SI;!i_.IFiRE FEET -xt r f'"'--~:- UF' ..... 9']'£L FE6ORF"f"ZOf'~ ':Td;]'Ef'1 l::]: ...."IFIY, Zh't I',! bJlIE,:E ,J'-'"'r E~EO,~;E()!'"if, = -.. ~' 'P ........... - -':' ' _. RE6LV.:F'TIC$,! ......... I IS: i1-... F'F:I Ii~'F[') ;,I,~.E I']F THE SOIL THE LENGTH .r;,II',IEN'_:_:,tO,,".,i ]:S THE LENG'T'H (:BI FEET) Cf' ]"fie TRENCH OR DF[:FII~.JFiELD. THE [:,EPq"kl OF FI TREP,!C:FI OR PIT !S THE [:,I~5TIa~,!CE BE'T!4EEP~ THE 9.JRFE:E OF' GR. OL!!',![:, FI~'.ID THE E:OTTO~'! OF THE E:':;CFI',,,'RTION (~'~ FEET). ~'" ~.~ ~Z -T F: ~ ~..~ C:: ~....~ ~.--~ % E:. -F ~._.~ i ~; ~5 .. E~ E~ E~ F' E[ EE T' .. THE GF:ff,/EL C, EPTH E; THE ?'IZNZFII..II"i [:,EPTH OF GRRkCEL BE'f'I*!EE['~ THE OUTFF!L.L R~4D THE BOTT01'! OF THE EXCR',,,'R'TZO~4 (Z~-~ FEET). F'ER!"IZ T F!PF'LII;::FII'-fi" HF!S '¥''.hEr,..B:,r,;!,.._,.z.~,.r..~:'c"-r'"li" c~ D'q ~,T'r"¢, TI].. II",!FORi"I '!'H I:E; E:,EPI::IR]]'"IEI',!T. _-:'1 IR II'.,iG_ TI'IE l ~'4STFiLL. RT ! Ol"~ ! ~',!:~,F'ECT l I.]i[q% I]IF FII"6" ~,IELL.S RI).JrRCE['4T TO TH l S F:'ROPER]3" !::t~-,![> -,rile ~',iUI'"!FEZR ¢¢' RE:E;I[:,E!'4CES THRT THE I.,.t[{LL ~,.IiLL '5ER',,,'E. EflC!-;::F~LL!,q(~ L-F RN'¢_,':';':"F'~,,-,,-,, l. rr!-H-IIT *:T ........ 'xl iftSF'ECTK$! Fli'.~£:, RPF'ROVRL F-".-' T~-Iiq · ~.T~,~ PT 'F-'~ -¢ ' · ,z' -',-'c-. ' [ .................. ~,.[[L[. ~,E ._,lJbJ,...L.] "l'l:) !tI~.,!IML!f,'I D!STRNCE BETI,.IEEN R .[ELL ,~ND Flfff O~.,I-SITE SB4RGE DISPOSRL. JX~$ FEET FOR F! PRI',/iq]'E i,.!ELL OR LSO ]-(] 200 FEET FROI! Fi pL.IE:LIC I.,.iELL [;,EF'EN[:,!~'4G IJPO~,! T!'E T"r'F'E OF PUBLIC: I.VELI.... I"I!~,!IHUi'"! [:,!:5TFli',BE FROi'I A PRIV~tTE i.,EL.L TO ¢~ PRI',,,'F4TE E;E[,ER LII',!E I~; 25 FEET FIN[:' TO F! COHFtUNIT%" SSqER LINE IS 75 FEET. !.,.IEL. L LOGS F4RE RE~]:LIZREE> I:~ND' Hi. IS]" i?E RETURn'ED' TO THE REPFIRT?iEf',!T ~'07 THE FELL COHPLETZE~I"~. OTHER R.E~Z!~REHENTS HFff FIF'F'L'¢. SF'EE:IFiE:ATIOhE; FI~',!D, CONSTRUCTiO~'~ C, ZF~GF?.R?I:[5 FIRE !~VFIZL. I:tE~LE TO Z~,!SURE PROPER Zh,!STRt..L. Fff!OFI. I Z:F'RT I F'?' T.~'lffi- , ~ ,t uL.].~t, u'-':;' O~',!-'~;ITE :,.:LIEF.:':, :'L: I Rt'"I ~:':,','T "'"I;' [,.II"FH THE F'F~':UTI:E!"!Eff!'t5 _r. "'F, "-"- !~',![:' I,.ELLS F:E; ':F'T FOR"FF! E:'¥' THE I'ILI?-~ I C: l F'fgL.. ! '!-"r' - F F.i"! 7 HI'"~RFIGE. ,...,_,,:..~=..,. ' T .,,p THE 2: '[ I,i~ _L !~',E;TF!LL. TI"E : ..... i,..I] I?'4 FfCCOR[:,Fft"E:E ,.1_ ~ I ......................... , .... I r...~ ?.E);L!IRE P.~t ~:'IF?qF'IE~'q' '[~.' THE ':" ~ LIN[:,ER~;TFti',B' THF!T TH(~ "$1--'qZTF ':;E ~'F' ,:u,:-'c'~. ','FY . ............. ' ========================================== i T 2 SUR~EYOI~S CEBTIFICATE GAAB HD-I ~ G~-~TER ANCHORAGE AREA BOROL~,H ~ ,~.. HEALTH DEPARTMENT "~ ,~ ., 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME // ~/7~/,/'?~j~'~ .//~///~/~'/' ~"~"~'/// ADDRESS LOCATION ~/~-)ff~* ~./~~''~ -/~:./-~-':~' LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. ~[< NUMBER OF INSIDE LENGTH INSIDE WIDTH DEPTH~ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER ~ OR WIDTH_ ~ '~' ~ ~ . DISTANCE FROM WELl /~ / / ~ , BUILDING FOUNDATIO~ ~b '~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ~ SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION . NEAREST LOT LINE , OF LINES , NUMBER OF LINEA~/"~'"DJ S-TX~I~[ TRENCH~C~ID$ EFFECTIVE ABSORPTION AR SQ. FT LENGTH OF EACH LINE DEPTH: TOP, OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN ABOVE TILE __ WELL:("~/~'C~/d-/~(*/'~' D~/ C~6'~-Zi~c-~) DISTANCE FROM WAIER ~ "- TYPE . DEPTH . BUILDING FOUNDATION. f~,~" SAMPLE ~ XlEAREST NEAREST SEPTIC ~ SEEPAGE I OTHER LOT LINE ~.~- SEWER LINE (~ ~ , TANK (~ ¢~- . SYSTEM /0'~ ~ CESSPOOL -~- SOURCES DISTANCES: DIAGRAM OF SYSTEM t GREATEI '.3. NCHORAGE AREA Ca, $o. HEALTH DEPARTMENT ' 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT LEGAL DESCRIPTION, APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY RESIDENCE ADDRESS LOCATION OF INSTALLATION ¢~. SEEPAGE PIT ~RAIN FIELD. , OTHER FINANCED THROUGH ,~.. ~ TO BE INSTALLED BY,~' THIS IS TO SERVE AS ,,,~,~.2/2."~ )/7~/,A/ , PERMIT TO INSTALL A .AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED. · SEPTIC TANK SIZE ~TYPE f>~7~-/~-~. SEEPAGE AREA TYPE /~,~ DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described~ system is in accordance with said code. ~~ ) /' ~/~-x& ~ ~-~,'~ ~' .r/~fl~ APPLICANTS SIGNATURF- DAT~. ~' / / ' ~REATZR ANCHORA..,- AREA HEALTH DEPAETMENT CASE 327 EAGLE STREET ANCHORAGE, ALASKA 99501 O.O Performed For 9~n~. ~ C~eek. E~{calrato~P Date Performed ~,?.e ~, ~c;7©. q~r.n~ ~'l'vvVvV . ~percolation Test This Form Repom%s a: ~ .... o~.~=~ , ...... Depth · Feet Sell ChaPactepistics Location Sketch Was Ground Water Encountered? ~.o~ d~F~e ] If Yes, At What Depth.~.~__~___~ · Reading Date Net Drop' Fro.noseG Installatzcn: Seapa~/a Pit YYYV¥ Drain Field Depth Df Inlet Depth To Bottom Of Pit Or Trenc~et "~'"'~"'~' '2~ ~ ......... ~ ,~:~"t. ',~ ~'~n~c~ ~,~-~4