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)