HomeMy WebLinkAboutSIERRA VISTA TR 1AOnsite File
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Lot Survey Certfication �,'�� ` " a ��'��� Prepared by
► hereby cerfifytnatlhave .rv- �F , G S Su wve y,!
eyed the property shown and ��';: °°; �'..�-- �� Professional Land Surveyor,
desrnbed Here«, and that the •
pro+esnentssrtuatsd �``��Y�t '.°� Scale: ��_ ��� Date Drawn: /�_"y'91Z
Ore watw-theProperty rresand goo °°:19042a.s°.aa.a.2
do rot vveriap or erg rooch on ® Dote Drawn:
adjxent property and that no • " : ... .. • . ;...
r -pro,='', - onodpcentprap- Jerry !_ Sherbahn o f=te}d Referencce:
erty o�iap or encroach on the �t °, N-. 4468-S �' %
prem es in q xsfran and that F9 °°. �•'�J�,�
g,
.znorood--utility aF®OO.oaoa°°a0".D f afDescxiption: rr, /— Sic ! ~ /s a. J'v
rsnesorr7` wvisbeecsemerft � A�r:SSiu1dA�
on s^:rd prop" except os ����,�� Prepared for:
*xc`ed hereon. sea[
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4:� i = a a . I/W 3 . W. —7
7,-,-,1-61
Lot Survey Certfication �,'�� ` " a ��'��� Prepared by
► hereby cerfifytnatlhave .rv- �F , G S Su wve y,!
eyed the property shown and ��';: °°; �'..�-- �� Professional Land Surveyor,
desrnbed Here«, and that the •
pro+esnentssrtuatsd �``��Y�t '.°� Scale: ��_ ��� Date Drawn: /�_"y'91Z
Ore watw-theProperty rresand goo °°:19042a.s°.aa.a.2
do rot vveriap or erg rooch on ® Dote Drawn:
adjxent property and that no • " : ... .. • . ;...
r -pro,='', - onodpcentprap- Jerry !_ Sherbahn o f=te}d Referencce:
erty o�iap or encroach on the �t °, N-. 4468-S �' %
prem es in q xsfran and that F9 °°. �•'�J�,�
g,
.znorood--utility aF®OO.oaoa°°a0".D f afDescxiption: rr, /— Sic ! ~ /s a. J'v
rsnesorr7` wvisbeecsemerft � A�r:SSiu1dA�
on s^:rd prop" except os ����,�� Prepared for:
*xc`ed hereon. sea[
se -v4 77317
] MUNICIPALITY OF ANCHORAGE
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
[] UPGRADE
LOCATION
DISTANCE TO:
Absorption area
/cf'/
NO, OF B~iOOMS
PERMIT"O'¢¢O O/
No, of compart ts
IF HOMEMADE: Liquid depth
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Liquid capacity in gallons
Length o~a~ ]~e
Top of tile to finish grade
DISTANCE TO:
No, of lines ~
/
Insidelength
Material beneath tile
Depth
Dwelling ~U//~
W dth J
Material
Tren h, O ,nches
inches
Length Width
Well
DISTANCE TO:
PE"M'TNO'?? ¢5--¢/
Distance
Total e~ctjv~(~sorption~,~ area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Building foundation Nearest lot line
Class Depth Driller
Sewer line
DISTANCE TO: Building foundation
Distance to lot line PERMIT NO,
Septic tank Absorption area(s)
OTHER
PIPE MATERIAL.~ ~ ¢,
SOl L TEST RATIN~/~/
INSTALLER
DATE LEGAL
PERMIT NO.
FtPPL I CRNT 1.4I LI_ lFlf'l K, HRL. L.RCE
LOCRTION PRUDHOE PR
L. EGRI_. Ti]"::N R:LE 54 T::L
55S~.~: COLLEGE PR
L. OT ~;!ZE 200~300 S6!LIRRE FEET
T'¢F'E OF SOIl_. FtSSORBT_TON SYSTEM I:5: PRRINFZELP
f"IRXIMUM I'.,!Ui',IBER OF: 8EDROOH;5 = ]':
'-=.;OIL. RRTING ,::StT4 FT/BR)= ilo
'THE RE6¢JIREP SIZE~.OF THE SOIL RBSORPTION S~r'S]'EM IS:
THE L. EI'.,!GTH DIHENSION IS THE LENGTH (IN FEET) OF:' THE TRENCH OR PRFIINFIELD.
THE DEPTH OF !::1 ].'RENCH OR PIT IS THE [:,ISTRNCE BETt4EEN -rile SI_.IRFRCE OF TFIE
GROUNP BNP THE 80TTOH OF THE EXCB',/RTION (IN FEET).
THE: GRRVEL DEPTH IS THE MINIHUM DEF'TH OF' GRRVE:L BETI,.tEEN THE OUTFFILL. PIF'E
RND THE BOTI"OH OF THE EXCRVFITZON (IN FEET).
PERMIT RPF'L. ICRNT HRS THE RESPONSIBII..IT"r' 'TO INFORM TH!S'] DEPFIRTMENT I}URING ]''HE:
:(I',ISTRLLRTICIN INSPECTIONS OF RN'¢ HELLS FI[)JRCENT TO THIS; F'ROPERT'¢ RNE:' TF!E
NOHE:ER OF' RESiPENCE:S TFtRT THE WELL P.!ILL SERVE.
BRCKFILLING OF RN'¥' S"r'S"f'EM HITHOUT FINRL INSPECTION RNP RPPROVRL B~r' THIS
PEPRRTHENT WILL BE SUBJECT TO PROSECUTION.
i"lINIMIJl"l PIS]"FINCE BETP.!EEN R P.IELL RND RN"r' ON-2~t].'E L::;EP.IRC';E DISPOSRL S"r'S]"EH
:i..OO FEET F'OR R F'RtVF;TE WELL; OR
:)..50 TO 288 FEE]" FP.".OH R PUBLIC HELL PEPEND]:NG UPON THE T'¢PE OF POSL. IC .t4EI...L.
OTHER RELqUIREHENTS HF¢?' FIPPL."?. SPECIFIOIRTIONS RNP CONSTI;?.LIE:TION [)IRGRRHS RRE
RVFI!LFISLE TO INStJRE PROPER INSTRLLRT!ON.
I CERTIF"¢ ]'HRT
±: I RM F'RMILtRR WITH ]"HE RE6]UIREHENTS FOR ON-SITE SEHERS RF,ID PJEI.J..S FIS SE-F
FORTH EPr' THE MUNIC!PRLIT'-¢ OF RNCHORRGE.
2: I 1.4ZLL INBTRLL THE ~;"r'STEf"l IN BCCORPFINCE 14ITH THE COPES.
Ti:: I UNPERSTFII",IP 'FHFFF THE ON-SITE ~;EI.,.IER S'¢5;TEM MFi'.r' REC:iUIRE ENLFIRGEMENT IF THE
RESiE:,ENCE IS REHOPELEP TO INCLUDE MORE 'FHRN ]: E:EE:,ROOMS., ~ ~2 ~ ~ '~
~F'PI....~C:~NT I.,.I:~LL~FIM I<. I,.IRL.LFICE ~to ~~
ENG,NEERING & DEVELO, ~vlENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for: Name: Z~/Z, ~.
Legal Description:
Depth (feet)
SOIL LOG
Earl Ellis
688-2280
Tel. No.-~-~ 7-/~?¢
0
If
5
6
7__
8__
9__
10__
11__
12
13
14
15
16m
PLOT PLAN
PERC. TEST
Ground Water Encountered: Yes ///
Proposed Installation: Seepage Pit__
No__ If yes, what depth
Drain Field P/
Comments:
Date:
F'ERMIT NO.
RPF'L I CRNT
LOC:RT I ON
LE
W.K. WRLLRCE 553:2< COLLEGE DR
· ?-. ,'3_' MI lip .TIINIPER ',,,'RLLE'T' _, D
_,I ~-E
L'-L El/2 NWl/4 NWl..'"4 S4 Ti-:.:N Ri~ LOT ¢ '"
<'::¢' ~,..,, ~
200000 SQURRE FEEl'
MINIMUM DISTRNCE BETWEEN R WELL RND BNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR 8 PRIVBTE WELL; OR
t50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS RRE REQUIRED BND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAMS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MBY APPLY, SPECIFICRTIONS AND CONSTRUCTION DIBGRAMS ARE
BVBILABLE TO INSURE PROPER INSTALLATION.
][ F-. EZ _. [:. E C: E ~ B E F~ ~ :t .. 1 :-~, ?
I C:ERTIFY THRT
IL: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON--SITE SEWERS RND WELLS RS SE]'
FORTH BY TAE MUNICIPALITY OF 8NCHORRGE.
2: I WILL INSTALL THE SYSTEM IN RCCORDANCE WITH THE (;ODES.
S I GNED: ..............................................
R~T W. K. WRLLR BE
12;SUEE' ¢__~ _ ~-~ .....................
',,,' _E::. 2:
~
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND
PERMIT NUMBER 7~O ~.~
DEPTH OF WELL ~//
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. ~ t
GALS. PER aR 7 c~ O
KIND OF CASING ~ *~]&O
KIND OF FORMATION:
From U) Ft. to -~ Ft.
From .:~ Ft. to_(~'~; Ft.
From ~q Ft. to c~ff. Ft.
From Ft. to Ft.
From__.Ft. to Ft.
From Ft. to Ft.
From Ft. to. Ft.
From Ft. to Ft.
From____Ft. to Ft.
From Ft. to Ft.
From__Ft. to Ft.
From _Ft. to. Ft
From Ft. to Ft
From Ft. to .Ft
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft
From
From
From__
From -
From
Frmn
From
From
From
From
From
Ft. to Ft.
Ft. to Ft.
Ft. to. Ft.
.Ft. to_ Ft.
Ft. to Ft_
.Ft. to Ft.
.Ft. to Ft.
.Ft. to_ Ft.
.Ft. to Ft.
Ft. to' Ft.
Ft. to Ft.
.Ft. to. Ft.
Ft. to Ft,
Ft. to Ft.
Ft. to.___Ft.
Ft. to Ft.
Ft, to Ft,
MISCL. INFORMATION:
DRILLER'S NAME ~(J~< .~'?'(