HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 1 LT 6A
MUNICIPALITY OF ANCHORAGE
e ) 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
NAME PHONE [] NEW
~IAI LING ADDRESS
LEGAL DESCRIPTION --
LOCATION NO. OF BEDROOMS
~z Manufacturer EJ / 3T/N G Material No. of compartments
~ Liq. capacity in gallons Inside length Width Liquid depth ..
O ~ ~ Manufacturer/~/~ Material Liquid capacity in gallons
G Well
~ DISTANCE TO: /~O 1' Foundatio~o 1, Nearestlotli.~ 1~ PERMITNO. ~'e, ·
I N O' O f Ii"es / Le~gt h of ~e, I Tota e~s. ~os Trench wiO~o Distance between lines
= ~ Top of tile to filaiSh grade Z ' tile
~ ~ Type of crib Crib diamet Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
~ ~ ~il~i~g ~u~da~o~ ~ ~Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOILTESTRATI~G~V~ N
REMARKS
3 (Rev. 3/78) I [;]-]~ e,J-~.¢,0~9
~ MUNICIPALITY OF ANCHORAGE
o' ' Departme~ '~of Health and Environmen?~% Protection
825 'L Street, B_nchorage, AK. 99501
264-4720 ~
Permit #
~)~/~-~ ~L AND/OR 0N-SITE SEWERAddress:/oAPERMIT c)/.~ ~
Location: Phone Number:
Legal Description: ~-~ ~/ .
Type of Soil~bsorption Syste~KIs:
Trench: /~ Drainfield: Seepage Bed~ Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is: '
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 : /~)0 GALLONS
Permit applicant has the responsibility to inform t~is 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 pqivate well to a private sewer line
is 25 feet and to a conununity 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 1 9 8 3 * * *
I certify that:
(!) 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 residence is remodeled to include more that 3 bedroo~s/
Applicant / ~'-\ ~-~
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Ataska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
DATE PERFORMED:
SLOPE
10
12
13
14
15
16
17
18
20-
WAS GROUND WATER NIO I~
ENCOUNTERED? pO
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERFORMED
72-008 (6/79)
DEF'AR'I-NENT OF HEAL. TH AND E'NVZRONMEIqTAL PROTECTION
19;';~5 L STREET~ ANCHORAGE~ ~K 9950 1
264-4720
F'ERM I ff' NO: 840884
DATE I,.,,~,tJED. 10/16/84
APPLICANT: ROBERT J KELLY
ADDRESS: SR' BOX 167
EAGLE' RIVER, AK
CONTACT PH[)NE: 694-2636 '
9957'7
LEGAL. DEscRIF': SUBD'IVIS]:ON: UPPER [E R ESTATES LOT: 6 BI..OCKn
SEC'TION: ~7 TOWNSHIP: :[4N RANGE:
LOT S~ZE}~ ~.5A (SQ.FT. OR ACRES)
I ceptify that:
1. I am familia~~ wiCh the eequipements ,for' on-site sewep~:~ and wells as set
fop'[.h by 'Lhe Municipal.iCy of Ancho~age (MOA) and the Sta'Le of Ala~l<a~
2. ]: will ins'katl th~ system in accordanc:e with all MOA codes and pegulation~,
and :in compliance with the des-ign cpitepia c~f this~ per'mit.
3. I will adhepe to all MOA and S'LaCe (~.~ Alaska pequip(~mgents {'(m~ the set back
dis't, arices fpom any existing.well, wastewateP disposal, system op public
sewepage system OF'i th:Ls op any adjacent (Ir near=by lot.
APF'LICANT: ROBERT J I<EI.~_Y
/
by
DOC Co. dba
OWNER O~ LAND /-~?; d5
ADDRESS - ~' '?';- (~' ~ ?,
LEGAL DESCRIPTION ,~4:~. l
DATE - Started / I ~/~f 'q
PERMIT NUMBER
SULLIVAN WATER WELLS
P. O. BOX 272, CHUGIAK. ALASKA 99567 · TELEPHONE 688-2759
Z.;2,~"'~) /dr'."/J'.~d...· ~77 ~ ~',~7'7?7'~R~kWDOWNFT'-
Ended / {~//~ ~? GALS. PER HR
KIND OF ~ASING
DEETH OF WELL ~y
STATIC LEVEL OF WATER FT. c.Q~ . ~,
KIND OF FORMATION:
From O Ft. to (~ Ft. O ,~,~/>5:~
From '(7~ Ft. to ->:: Ft. /,/
From ~ ] ~" Ft. to__~ ¢" Ft
From ,~,) lFt. to
From Ft. to
From Ft. to
From / -, Ft. to Ft.
From Ft. to Ft.
/" "~ Ft,
From .~ ~ Ft. to
From / Ft, to M.ct' Ft.
From (¢(>,'~ Ft. to ~ Oa Ft.
FromcX.~ Ft. to
From ,~'~c,~.Ft. to :}¢- ~ Ft.
From '-- ~ 3 Ft. to t:Y,~',~ Ft.
From .'c .. FLto .:t.~O Ft.
From Ft. to~ Ft
From-:((-::;~ Ft. to
From,3
From Ft. to_~Ft..
From 3 ,"/ Ft. to~. > ~ Ft.
~,)'~/~'~. ~;"~ From --
/'~i',Z~:'d/~fl ,"~/ From
t,~d t~ / From~
Ft. to
Ft. to '
Ft. to
:?Ft.
Ft.
Ft.
Ft
Ft
Ft.
Ft.
to
Ft. to ~Ft '
Ft. to Ft..
Ft. to Ft
Ft. to___Ft.
Ft. to Ft.
Ft. to Ft.
Ft:to Ft.
MISCL INFORMATION: