HomeMy WebLinkAboutT12N R2W SEC 30 LT 4 SW4SW4 PTN (300 X 630)
unicipa ity
POU- ,'{ 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-411 I
TONY KNOWLES.
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECT[ON
Perm±t ~: 840638
January 31, 1985
TO: Permit Applicant
SUBJECT: T12N R2W Section 30 Lot Gov't Lot 4
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
].984.
Permits are issued on a calendar year basis by authority
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be'sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
DEI:'ARTMIF~N'T OF HE:AL. TH AND ENVIRONMEN]'AL F:'ROT~C]"ION
825 L STREET~ AIq[',HORAI31!E, AK 9950 1
264.-472]0
F:'I~.F/19 Z T
DATE' ISSUED:
840638
07/30/84
A P PI.... I CANT:
ADDRESS :~
CON'I'AC'I" F:'HONE ,~
I::RANK E. COOK
SR '738:i..-D
ANCHORAGE, Al<
345-452:S
995 16
I,..EGhL. DESCRIF': SLIBDIVJ.'SI(]N: NA LO'F: GOV'T L,4
SECTIOIq: 3() TOWNSHIP: 12N RANGE: RW
L.[IT SIZE: 18~2000 (SQ.F"F. (IR ACRES)
MAX BEDROOMS: 3
BLOCK: NA
Lis'Led below are the mpt. ior,.~ available t. cl you in designing your ~ep'Lic
=,ysLem. Choose the op'Li~that best fits yOLtr ~ ]. ~'. e) ,,
DIEPTH 'l'l]l F:'IF'E BO]70M (I=T.) 4. () 5.0 4. (I
GRAVEL. DEPTH (F'T'~) 5.0 (). 5 2.0
T[ITAI.,. ' DI~F:'TI'J (FT. ~ 7.0 5.5 6.0
GRAVEl_ WID]'H (FI'.) 2.5 14.0 5.0
GF~AVEI.... I..JENGTH (FT.) 43,, 0 28.0 36.0
BRAVEL, V~LUME (CU.YDS.) 1:];.9 14.5 ~6.6
'TAIqK S I ZE (GALS) 1, ()0(),, 0 '~"~' l, 000.0 '~'~ 1,000.0 '~"~
SOIL I:~ATING (SQ.F]'. /BR) 85 85 85
'~'~ TANK Mus'r' HAVE A]" I_EAST TWO COMPAF(I'MEI,qT8
I c;ert:i, fy that:
I am Familiar
5.
wi'Lh 'Lhe requJ, remer~'Ls for c)n-s:Lte sewers and wells as sl.~t
£c)r'th by 'Lhe Murlicipality~ of Anchorage (MOA) and 'Lhe State of hlaska.
I Nil]. :Lm]s't. all the sys'Lern in ac:cordamqce wit. lq all MOA cc}des and regulat:i_ons,
and in comp]~J, anc:e with 'Lhe desi~ln [:PJ,'['.f?P~a o{' tl"i~s permi'L.
I will adherc~ 'Lo all MOA and State of Alaska r~qu~r(]lllflFF~]S {'LIP 'Ch(~ ~:~(:~'L bac:k
di~t:,ances From any existing ~e:l,],~, wastewaLep disposal sys'Lem or public
seNd, Parle systfzfm (:]1] t.l'~:i.s or any adjacent or nearby lo'L,,
:[ ur]depstand that 'LhJ. s i]eP~/iC :[~ va].id [of a m~).(~[iL.trll Of 3 [:)ed~"~oms and
any enZaPgem¢~nt wi].]. Pequire al'l addi'Liona], perm:i,t.
]:F A L. IF'I" STATION IS INSTALL.ED IN AN AF?EA COVIEI~E:D BY MOA BUILDING C(]DI~{S,
'T'HEN (1) AN I~LI~E[71'IRI[',AI,. I:EF~M:I:]'' AND IIxlSPE:[',T]:DN MLIST BE OBTAIIqED; (2) A~]-BUILTS
WII..I.,, NO'l- BE AF)F'IROVED WITHI]UT AN EL,.ECTRICAI,. INDF'EC'I"ION REF'OF~]"; AND (3) TFIIE
[~I..,I~[;TIR]:C;AL. WORI( MUST BE DONE BY A L. ICENSED EI,..EFJTRICIAN.
o I GNED DATE ~
AF~PL, ICAN]': FI:~ANI< E. ~01<
ISSUED
BY
SOILS LOG
MUNIClPA!_.ITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SP ruE6 ~'/gg~ Scull wJ-~ .
/
WAS GROUND WATER
ENCOUNTERED?
SLOPE
SITE PLAN
IIII I I I F-1
IF YES, AT WHAT J ~ /' E-
l
DEPTH?
Gross Net Depth to Net
Reading Date
Time Fime Wate~ Drop
PERCOLATION RATE
(minules/inch)
' TEST N BETWEEN FT AND
COMMENTS
PERFORMED BY:__ L~
J
FT
72-008 (6/79)