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Home My WebLink AboutVALLISKA LT 1Valll*ska Lot 1 #051-302-44 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 NAME�7 //—y p 4k J/i / /�E%t/DEl�i PHONE NEW ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION oT VA /) s�/9 LOCATION NO. OFBEDROOMS tP V Y DISTANCE TO: Well ✓ 3/ Absorption area Dwelling PERMITNO. i ZQ wF Manufacturer Material No, of compartments r Liq. capc}jy inyllons // VV IF HOMEMADE: Inside length Width Liquid depth �Oz DISTANCE TO: Well Dwelling PERMIT NO. _ F Manufacturer Material Liquid capacity in gallons O DISTANCE TO: Well Foundation Nearest lot line [y PERMIT NO3,3,Zp r LUT w z F z w No. of lines Len th of ea e) / r 2 Total length of li es i Trench width b inches Distance between lines �- H p Top of tile to finish grade ) / ti.— Material beneath tile � inches Total effective absorption area w Length Width Depth PERMIT NO. Q F wa Type of crib Crib diameter Crib depth Total effective absorption area w N DISTANCE TO: Well Building foundation Nearest lot line Class .n.rtn Depth &k #' Driller Distance to lot line PERMIT NO. w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER E PIPE MATERIALS {n� SOIL TEST RATING C INSTALLER Com' L/ r REMARKS (� P i 10 gl 1 Dr 1 DATE LEGAL APPROV a&_ S 3/-e3 72--073_IWv. 3/78) V i 01_91`*) I ED 1-'91— I -T-'Y' c)1' FA to EDF "t FV FY 01= 1205 DEPARTMENT' HEALTH AND ENVIRONMENTAL ,-OTEC:T I ON ,5,a (o _- 825 'L' STREET, ANCHORAGE, AK. 9950+1 771 1_41* L_ 1._ 1=11- E> CD fA -- a g _l. E--- =.1=1 ^-11;1-^ F- a 1 PERMIT NO. ' 810378 j APPLICANT WILBUR H. DITTBREDER SR2o BOX 412 EAGLE, RIVER 688-3=19 LOCATION LEGAL LLT 1 VAUI'SKA SUE: LOT SIZE 999999 SQUARE FEET TYPE OF SOIL AE:'SORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 6 SOIL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: • E0T 1-1= -1 L_ E= 1' A !3 T 1--1= :IL KIN VIT awl FQ Fl EE1_-_ E • E FO _1_ 1-1= THE LENGTH DIMENSION IS THE LENGTH {IPJ 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 F, R. 1-611✓ T E=V4C VA NA 11071-1 WE _ -._ c3cwch E=E=-F- THEGRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION (IN FEET). FR E0 ED L_/ A F! E E ^ Al L=1=' -f- I (_ T 1A FJ 1-= _ _. I = E_ = I a— to M _-a C31 =11__.1._ r_ a VA PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION IPdSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --------- T1. 0I C3 Kt 11 _> T P4 i_ nF"E=zn_=T 113 VA 'n FA FRE= KE_®_a LJ �r FTE=E> — BACK:FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THI_, DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIf'UM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I_• 1001 FEET FOR H PRIVATE WELL. OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY _,EWER LINE I= 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN =tai DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS NAY APPLY. _•PECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE P'ROP'ER INSTALLATION. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE _EWERS AND WELLS AS _ET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL IN=TALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 1: I UNDERSTAND THAT THE ON-SITE _EWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IE REMODELED TO INCLUDE MORE THAN 6 BEDROOM_,. SIGNED ISSUED V4. 0 12 Dale t,WC 0R, t:F, ALASKA 99503 Depth to Water q<Q6` � 16 Pi',1CDLAY, r . _ �. Icsr SOILS LOG - PFRCOLATION TEST z ary FOR' I/V �•[:5../_—_. / II LL I'L I t FORMED'_��_.___ PERLOR'dED _ �-�. �i_.f iii. ______—_Un LEGAL DE SCRIPTION: r_-3 / Al r_ j V /0f�ail�- -.--- —.�_.-.. _1� SLOPE SITE PLAN - - -- --� IFEC. TI � �a�✓IiGS - -. . o®•®. f -at prtinJcc 'brawn, sDxlgiL� ___ _0.,-2 'o •�� ✓V - LLL 3 I rk `rvL V A I �� c$Li vtAS �° Wrwc{ P�bb)e S G✓� co�iaJea 5 �• a � o i; ._ 0. U 12 20 COMMENTS PC FORMED BY: 72008 16/19) WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH' S L —._ G P E Rczding Dale 0�o A n�1 15 Depth to Water q<Q6` � 16 17 e JOHN E. SWANSO� N 1834-E a FO PR0fESS100 20 COMMENTS PC FORMED BY: 72008 16/19) WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH' S L —._ G P E Rczding Dale Gross Time Net Time Depth to Water Net _ Drop PERCOLA71014RATE_It�}/. _GmnutesFnchl��g"- 7t TEST RUN RET%,EEN _ FT AND — -- FT PIED Gvf"r— DATE�!7� _ by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 272, CHUGIAK, ALASKA99567 • TELEPHONE 688-2759 . OWNER OF LAND 7l.) i:. ,✓ ,c /J,"T t#./,',alb ADDRESS 1 laa LEGAL DESCRIPTION DATE . Started i�L Ended Pll Y3 PERMIT NUMBER KIND OF FORMATION I DEPTH OF WELL STATIC LEVEL OF WATER FT. / P DRAW DOWN FT. GALS. PER HR Sri KIND OF CASING % D 0 From t '' Ft. to < ` FL t3 c? ' '� C7 `` '' From Ft. to Ft. From Ft. to -L' Ft. ph,j 3 cic ttT From Ft. to Ft. From Ft. to Ft. :A I Y. e n From Ft. to - -Ft, From %.,Ft. to,�' Ft. !,�r=�')r7 (,-j From Ft. to Ft From j <:1 Ft. to�Ft. (;r y};f(>t. 4� f?k'n f ,= ^' .From Ft. to Ft From Ft. to Ft. o -u sa- r From Ft. to Ft. From - Ft. to ;..x., Ft. (iF,^%/.cPa<,.1< 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. toFt. ---lRU—N/ CIPALjFy From Ft. to Ft: From F A Ft. to QSe.T n� ?`ICHORAGp �fN�ONMLTLi - - nOTECTION From Ft. to Ft. From Ft. to—Ft. Ft. From Ft. to FL From Ft. to— oFrom From—Ft. Ft. to Ft. From Ft. to_- 7R LL MVED, MISCL. INFORMATION: __ ry LO DRILLER'S NAME ; . ' Time APPLI( NT FILLS OUT UPPER HACONLY `Property Owner/,/j.�' e--,:; zc Phone Date Date Date Mailing Address ��r Zip Code Inspector Buyer Address / < �._ �.! Zip Cade Lending Institution �'� G: Phone Address v;- Zip Code Realty Co. & Agent �L 1583 Phone Address – /i�g -e— Zip Code ( ) APPROVED BEDROOMS 'CONDITIONS APP drionmOntal PrOfS00011" ( ) DISAPPROVED Legal Description p `Y BY: P1 Street Location Date Seyrer Installed Well To Absorption Area Type of Residence Septic Tank SizeV7SO El Single Family ❑J Multiple Family No. of Bedrooms Well to Tank ❑ Other Water Supply ElAndividual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal E;Xndividual Year Individual Installed: ❑. Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector L e—S Field Notes: cs/SS °� w.- 4.�-A�,eNw'--n_� v;- �L 1583 "Municipality Of Ariftiage" "Dept. of Health & ( ) APPROVED BEDROOMS 'CONDITIONS APP drionmOntal PrOfS00011" ( ) DISAPPROVED ( )CONDITIONAL APPROVAL DATE `Y BY: P1 Soils Rating Date Seyrer Installed Well To Absorption Area Well Log Received Septic Tank SizeV7SO Well to Tank 72 023 (31K)