HomeMy WebLinkAboutUS SURVEY 3201 LT 14 T10N R1W SEC 9
Tom Fink,
Mayor
unicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 29, 1992
Stephen C. Rubright
HC 52 Box 8515
Indian, Alaska 99540
Subject: U.S. Survey ~3201 Lot 14
Permit #SW910172, PID ~090-021-23
The subject permit, issued June 26, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of June 26, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater sys{em, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
Acting Program Manager
On-site Services
Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW910172
DESIGN ENGINEER:AK ENVIRONMENTAL CONTROL SERVICES
OWNER NAME:RUBRIGHT STEPHEN C
OWNER ADDRESS:HC52 BOX 8515
INDIAN, AK 99540
PAGE 1 OF 1
(UPGRADE) PERMIT
DATE ISSUED: 6/26/91
EXPIRATION DATE: 6/26/92
PARCEL ID:09002123
LEGAL DESCRIPTION: US SURVEY 3201 LT 14
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1o THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ISSUED BY: ....
/--
DATE:
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO /" OF
CHECKED BY DATE
SCALE
....... ~.s~.~4..~,~ ~ ; ~, ~ ~
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
CALCULATED BY DATE
CHECKED BY DAT~
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
OHEET NO. OF.
CALCULATED BY DATE
CHECKED BY
'SCALE r ~ ~
DATE
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PERFORMED FOR:
· E ^L DESCR,PT,ON:
2
5-
8~
9-
10-
11
13-
14-
15-
- 16-
17-
18-
19-
20-
DEPARTMENT OF HEALTH & HUMAN SERVICES r--'~/~.-.f Y /
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:. ~--'/¢~D ~//~
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT ~'Z ~'''/~
DEPTH7
Depth lo Water Afler~Z ~ ./ .
Monitoring? . -;~- ' Gate:
S
Gross Net Depth ~ ~z' Net
Reading Date Time Time Water Drop
COMMENTS
PERFORMEOSY; '~' /~'J '
PERCOLATION RATE /C/, ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN / FT AND /',.~ ' FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
72-008 (Rev. 4185)
ALASKA' ellUlROllml rlTAL COI1TROL'S6RUIC6S, Inc.
~inccr[n(1 $ ~nuir0nm~nlal .$tudi~s
J~'~ 2-- · PER_COLATION TEST DATA sHEET
ADDRESS
zzP CODE
LEGAL LOCATION ,~°~'
TOTAL DEPTH OF HOLE
ZONE TESTED .
ft.
ft TO /'J~ ft
TH ~. ~
READING J CLOCK TIME MET TIME DEPTH ~ NET DROP RATE (rain/in)
DATUM '
~.,
? ~ ~..---'~,~i~ ':'.. ~.,2 ·
FINAL 'PERCOLATION RATE
· PERFORMED BY , ~, ~a~
(mi n/in)
~..~ 0 ll~ .. ~
~'%~.,~
5~.." A o,~.
IT IS THE RESPONSISlLITYOFTHE OWNER OR gUILDEr, ,~.~ . ~ '
PRIOR TO CONSTRUCTION, TO VERIFY' PROPOSED.
GRADE RELATIVE TO FINISHED GRADE AND UTILYTIE$ ~/ '
CONNECTIONS~ AND TO DET~ERIdlNE THE EXIST! ~CE'OF · .,,l'
ANY. EASEMENT, COVENANTS, OR RE~ICTIC WHICH
DO NOT APPEAR ON THE RECORDED
~ Kad
. ELEVATIONS BASED ON ~
,-'ANCHORAGE~RECORDING DISTR
msPL~,.i'.EmsY,,: DOWLING & ASSOCIATES .-
.,.. : :' 1426' HYDER. STREEt..'... "
ANCHORAG Ar'.ASKA 99§01
nATF', /) SCARE: /~ WORKORDER;
~" NOTE ' '
F I E D ' P LO T 'P L'A ..... .. -- · ,,:,.. ~TS OF R~OORD, re'HER THA~_
.':' SHOWN .ON THE'RECORDED PLAT~ .AH~
~4~'=,z~--' ','~-/c-~:./.,:~'~'.T i""~ '':~ ;." :: ~ s~ow~ Hm~O~. ..,,. ~:...
>"~ '''~':~"~': : ...... : ................ SS CAP HONUMENT ~ DRAINA~E DI~OTION
'; '"" 0 IRON.PIPE
REBAR PROR OOR,FHD ~ : "'
~ HUB & .TAOK
BOOK: