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HomeMy WebLinkAboutTURNAGAIN #2 BLK 5 LT 6LoT  ; MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION · ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-472.0 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE ~ NEW ~ DISTANCE TO: ]JWelll~ 'I[Abs°rpti°n~l area Dwelling~o t * PERMIT~ ~ o~NO'  Manufacturor ~ Material No. of compartmonts DISTANCE TO: I ID~ ~ ~g ~ ~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between lines ~ I ~ ' ~ Z~ inches 0 ~ ~ 7 ~ inches OTHER 72-013 (Rev. 3/78} MUNICIPALITY OF ANCHORAGE , . ~' Department ~ ~ Health and Environmental rotectzo 825 ~/ Street, Anchorage, AK. ~v$01 264-4720 Permit ~ ~O~G~ * * * HANDWRITTEN PERMIT * * * .~ WELL AND/OR ON-SITE SEWER PERMIT Applicant: Ch ~ ~.~ ~I~C- Mailing Address:~ ~/~ Location: / ~ ~ ~- ~/~¢~/~ ~/ Phone Number: ~¢~ & Legal Description: . Lot Size: Type of Soil Absorption System Is: ~//~$/~' ~A4~6~ ~ Trench: / Drainfield: Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: '--~ soil ~sq.ft/br) The RequiredSize ~ the Soil Absorption System Is: DEPTH /~ LENGTH ~J~~v! 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 = /OOO 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 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 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if . the resi~de~ is re~ed to include more that~ bedroom~ PERMIT N0, RPPL I CFIN'F LOCRT 10N LEGRL [.&E, GENERRL OONST. HIOFILRND OFF F'.':LR]'T RD. LOT 6 BLK 5 TURNRGRIN ¢2 LOT '= T 170E0 SQURRE FEET TYPE OF '-q0IL RBSORPTION :,T_,TEM IS: TRENCH i',IRXIMLIM NLfi'IEE. F.. OF BEDROOMS = 3: .... uIL EHTIN~ FI, E,~ .... THE REQUIRED =,I~-E OF THE =,uIL HE,_,uRFTI_N _,T_,TEM I=,. E- EF TH-- fi_E" LE~-~GTH .... - "-: .... -- ~"" TFIE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL. D. 7'HE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E:qCRVRTION (IN FEET). ]'HERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETI.4EEN THE OUTFRLL F'IPE RND THE BOTTOM OF THE E',:~;CRVRTION (IN FEET), PERMIT HFPLI_.~NT HR_, THE RE_FuH_IBILITT TO INFORM THIS DEPRRTMENT DtlRTNG THE INSTRLLRTION INSF'EC:TIONS OF RNb' HELL=, RDJRE:ENT TO THIL-q F'F'.OF'ERTV RND THE NUHEER OF RESIDENCES THFIT THE WELL WILL _,ER/E. l' ~ C~ ,-. ~=- ' "=' '=" " -- "-- --' F' c,,,= = WITHOUT FINRL IN'-qPECTION fiND RPFRO,,RL E:'¢ THIS BHck. FILLIN~ OF FIN"r' _,~_,TEM - DEPRRTMENT WILL BE _,LIEJEL, T TO PRFrBE'LTICN. MINIMUM DISTRNCE BETWEEN R WELL RND fiN"? ON-SITE SEWflGE DISPOSRL SYSTEM IS 2L00 FEET FOR R PRIVRTE WELL OR ±50 TO 200 FEET FROM Ft PUBLIC WELL DEPENDING UPON THE T'-r'PE OF PUBLIC WELL MINIMUM DISTF!NCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET FIND TO R COMMUNIT"? SEWER LINE IS 75 FEET. OTFIER REC-!UIREMENTS MFf¢ RPPL'T'. SPECIFICRTIONS RND CONSTRUCTION DIF4GRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'EF:Pl ][ T E.--.F ]: F.E._. [:,EC:Er'~BEF: 2-::_1_.. 1'_~:3:.1_ ! _.EKTIF-~ THRT -,EWEF.-, RND HELL--~~.:,"- '---,ET" ~: I RM FRMILIRR WITH THE REL4LIIF. EMENT-, FIR ON-SITE '-- ' '~ - I " '-I '~ -' .' - I-' ¢-RI'H B'¢ THE MJNIL. IFH_IT~ OF RNL. NORH=E. ':" I WILL IN:,TIILL THE ~_,TEfl IN RCCORDRNBE WITH THE Cu[.E=,. 3:: I LINDERSTRN[:, THFIT THE ON-SITE SEWER S'¢STEM MW¢ REQUIRE ENLRRGEMENT IF THE ' MORE TMRN ~: BEDRO061S. RESIDENCE IS REMODELED TO INE:LI_I[.,E s GNE[:: ___ ............. ~~,~.:E, L, ENEF. RL BON%"I". , ,. , - / ' ,,. C.,¥ r'/, /,'. 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: ~,~O"F- ~.~ ~'~/.,Cr.~.~,. ~0~ 1- 3 4 5 6 SLOPE SITE PLAN 10 11 13- 14--- 15- 16- 17- 18- 19- 20- COMMENTS ~----~O~'~ PERFORMED BY: ~'P/~? WAS GROUND WATER ENCOUNTERED7 NO I~ O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND CERTIFIED BY: ~c~. ;~_ 72-008 (6/79) · -'~,.~-' ~ 32? t,',]~' c~, .aNCHO~Aoi~ ~ ..... ~J. 99501 ............. Reading Was Ground h~ater EneountePed? if Yes, At ,.;at Depth Date Gross Time ;~--~ ~ime Depth Net Drop S~e o[ ~ing ......... ~..,~'~;.:,.::....:...:L:: x ................ 2 ................................................... Distance to ~vater.:'.-~.....'.-..-..:: ....... :L......d..-:-.-..:-.--.:.-.:.----:- ::: : ............ : .......... Distance to'water whi[9 pumping ...... :_='...__L.: ............................ at r~te Descr~pnon of Formauonl ~* i ,o( ? I ' : -. I I certify, the abov, e. true and correct, . " ................................ ' ' Driller 3401 Spenai;d Ro~d Spenord~ Alaska " We advise you to attach this certificate to your deed. ~'~'¢ D,~.'"r~ RECEIVED ~ t ~ INSPECTION APPOINTMENTS TIME ~ TIME TIME DATE ,NSPECTOR ,NSPE " MUN'CIP U> AO,^OE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION  825 LStreet-Anchorage, Alaska 99501 JUL I 0 1981 ENVIRONMENTAL SANITATION DIVISION Te,ephone26., 0 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER ,--~-~ PHONE MAII'ING ADDRESS PROPERTY RESIDENT (If different from above} PHONE 2. BUYER PHONE MAI LING AD DR ESS 3. LENDING INSTITUTION f PHONE I MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION ;TREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY [~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** ./~E~/ .YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION EEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. fl~b~ b ~ . :/~ ~ '~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [~] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] ~NDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED [~]PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holdin§ Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [~"~APPROV ED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) 82:5 "L" Si'REET ANCHORAGE, ALASI(A 99501 (907) 204-411 'f GE(.)RGE M. SULLIVAN MAYOR July 3_5, 1981 D & B General, linc. Post Office Box ].0-1349 Anchorage, Alaska 99511 Subject: Lot 6 Block 5 Turnagain Subdivision #2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) 'Zhe water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. A well log submitted to this office for our files and review. A permit has been issued for the installation of the on-site sewer system. We do not have the final inspection report in this office, If the inspections were completed by a private engineer, this will need to be submitted! to this office. If the inspections have not been completed, this will need to be done prior to this department's approval. I~ there are any further questions, please call. this at 264--4720. off ice Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/1 jw cc: Alaska USA ~ederal Credit Union 2600 De Bart Road 99504. TIME ~ ENVIRONMENTAL SANITATION DIVISION ~¢~ 8 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES PROPERTY RESIDENT (If different from above) PHONE 5. LEGAL DESCRIPTION STREET LOCATION S, TYPE OF RESlD£NC£ NUMBER OF~BEDROOMS [] One [] Four [] Other [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPELY I~] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY 0~,_~( ,,_,~ ~ Ot L~b' ~,~ ~ O::~( ~,.~ ~ ~, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) ~ THIS SIDE FOR OFFICIAL USE ONLY % 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SiX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-O10 (Rev. 6/79)