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Home My WebLink AboutT15N R1W SEC 18 LT 101B 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 . , L .o.o DISTANCE TO: , ~ I A~[ Dwellings/ ~ ~ ] Wel'l~ Absorp 'on area PER~~ITNO. ~in gallons IF HOMEMADE: Insi~ ~l ~ '~ Widths, // , Well Dwelling PERMIT NO, ~Z ~ DISTANCE TO: / O Z ~ Manufacturer Material ~ ~iquid capacity in galtons ~ DISTANCE TO: W""~0 ' F°u"dat'~7 / Nearest '°2~ :~ NO. of I,nes .~ Le n~;h~ Total leng~'~n. Trenc,~,nche, h~ Top of tile. fihish grade X' Material beneat, tile .~ inches Total effec~area Length Width Depth PERMIT NO. ~h T~pe of crib Crib diameter Crib d~pth Total effective ~bsorption ~ Well Building foundation Neerest lot lin~ ~ DISTANCE TO: a Cl~ss Depth Driller Distance to lot line PERMIT NO. ~ Building foundation 8ewer lin~ Septic tBnk Absorption area(s) ~ DISTANCE TO: OTHER ~4~ ~ C ~'+'""'""'" " " ~'~ ~'"""' '""~, SOIL TEST RATING , DATE I LEGAL 72-013 PERMIT NO. APPLICANT LOCATION LEGAL I'IUNICIPF~LIT'~ CIF 8~C:HL~RF~C~E~ DEPARTMENT OF.HEALTH AND ENVIRONMENTAL PROTECTION 8~5 'L' STREET, ANCHORAGE, AK. 9~50~ ~64-4720 WELL ~[:' O~--SITE SE~ER ( ?9000? ) % ORVILLE LOESCHER BIRCHWOOD LOOP RD TiSN RIW Si8 LlOl ~ BRYANT RIDGE PL F'ERF1 I l" '~ C LOT SIZE 48400 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 8 SOIL RATING (SQ FT?BR)= ±50 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIECD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CRVRTION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEl_ BETWEEN THE OUTFRLL. PIPE AND THE BOTTOM OF THE E~CRVRTION (IN FEET). REC-!.LI I RE[) SEPT I C TRr. IK S I ZE= PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE." TFJO (~) I NSPECiTI[~S RRE F-~F2~!L.~IREI} BRCKFILLiNG OF RN¥ SYSTEM WITHOUT FINRL"~NSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL, BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR A PRIVATE WELU OR 150 TO ~00 FEET FROM 8 PUBLIC WELL. DEPENDING UPON THE TYPE OF PUBLIC WEL. L WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTF1ENT WITHIN }0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION, F'ERrl I T E.qP I RES DECErlBEF~' _::~L.. I CERTIFY THAT l: I RM FAMILtRR WITH THE REQUIREMENTS FOR 0N-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~: 'I WILL INSTALL THE SYSTE~ IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND'THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED~TO~,DE MORE THAN 8 BEDROOMS.~~ SI GNED: _~--~~/_Z~ ~ ............. SOLD T? ~ 10784 7800 Lake Otis Parkway Anchorage, Alaska 99507 9071344.0531 CHECK NO.__ BANK__ _5, REC'D BYX .~ TE~MS: Accounts payable by the 15th of the month ~. mox~mum serv , (?-N_NUALPE~CENTAG~IIATE OF 18%)on nvoices unaer el ....... ~of 1~ p~ m~h A'~TE~l~lontn · . .... · ............ ',uuuana,~rmon~h,~NU~ . FRESHLY MIXED CEME ........ AUTION ~ ~uH~AR, CONCRETE OR GROUT MAY CAUSE SKIN INJURY AVO D CO WITH SKiN WHERE PO~ BLE AND WASH EXPOSED SKIN AREA PROMPTLY WITH ~rATE~ IF ANY NTACT OR CEMENT MIXTURES GET INTO THE EYE RINSE · CE KEEP OUT OF REACH OF CHILDREN. F'ERMIT NO. DEPARTMENT ~ HEALTH AND ENVIRONMENTAL ..OTECTION 825 'L' STREET, ANCHORAGE, RK. ~50i 264-4?20 14EZLL_ RUE:. ON---"-~; ]TE: 2~;EZ&.IEt;: F~FZRf.I:E'"F HFFL I ..HN r LOC:FIT I ON LEGAL _74]!:3:.90:1. 4 48400 SQL ARE FEET T'?'F'E OF SOIL -"--"'' - IS RE, suRE, TIEN SYSTEM : TRENC:H MFI~':; I r,ILIM NIJMBER OF BE~.ROIDMz., = 8 --,UIL.'-~ RRTINO("z,t..! ..... F T,."BR .... .., - 15¢4. THE REQUIRED _,I,:.E OF THE SOIL ABSORPTION SYSTEM I:,. THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIEL. D. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETI.,.IEEN "['HE SLIR. FAC:E OF THE GROUND AND THE BOTTOM OF ]'HE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF' GRAVEL BETWEEN THE OU"I"FRL. L. PIPE AN[) THE BOTTOM OF THE EXCAVATION (IN FEET)· PERM I '1 ..... ' ' ' , .... * . HFPI. ICRNr HFIS THE RESPONSIBILITY TO INFORr,1 THI=, DEFRRTMEN7 [:,URING THE · ,q-" ,: -. c ' q FHI_ F'RC~F'EF:.TY AND THE: IN_IRL. LRTION IN-,PEL. TIDN_, OF ANY NELl__ ADJACENT TO NUMBER OF' RESIDENCES THAT THE WELL WILL~,,_ERCE. BH_.F...FILLINE~ OF AN"r' =,'r.~,TEM NITHOtJT FINAL INSPECTION AND APPRAVR[ DEPARTMEN~r Nil_t. BE z, UB,.TEC. T TO PRCSECUTION. MINIMLIM DISTANCE BETWEEN A NELL. AND ANY ON-SITE SEWAGE DISPOSRL S?STEM IS 100 FEET FOR A PRIVATE NELL.; OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T~'r'PE OF PUBL. IC: WELL.. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~;0 OF THE 14ELI. COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS RN[:' CONSTRUCTION DIFIGRRMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F~EZRr'I I T E,,--.F I E.E._ [:'EZOEPIBE:E'. .... gL.. d..[¢ .~:3 I CERTIF~r' THAT i: I RM F"RM[LIAR WITH THE REQUIREMENTS FOR ON-SITE SENERS BND WELLS RS SET FORTH BY THE MUNICIPALIT'¢ OF ANCHORAGE. 2: ~ NILL INSTALL THE S~STEM IN ACCORDANCE NITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SENER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESI[:'ENCE IS REMODELED TO INC:L~RE THAN 8 BEDROOMS. .,.., ...... [ z,;~I.,IE[,¢ BY .................... [)RTE ......... ~','~:, ;:2. / / 2204 Cleveland Anchoraga, Alaska 99503' Performed For Tuktu Eng. & Const. Co. Dat~ Performed Leoal ~escrintion: LOt,lO1BBloch Subdtvisinn of Lot lOl This Form Renort$ Soils Loc Yes Percolation TEST HOLE #1 nenth Feet Soil Characteristics ' b" Peat & 6" R~ddt~h g41~ Brown Sli§htly Silty Sandy 4-- Gravel 6-- 8-- --10 -- 14 16-- 18-- 20-- Bottom of test hole 6-24-78 Test SE] MkP j ! Was Ground Water Encountered? No I~ Yes, At what Depth? .% I ' Readinq Date Grnss Time Net Time Depth to H20 Net Dron Percolation Rate ~Hnute Prnposed Iostallation: Seenaoe Pit Drain Field DeQth of Inlet Depth To Bottom Of Pit Or Trench C~ENTS: 150 Sq. Ft. drainaee area req. Jrpd po~ ~o~rnnm · ;~. Date: DEPT. OF ENVIRON MENTAL CONSERVATION June 27, 1978 Orville K. Loescher 3937 Bryant Ridge Place Anchorage, Alaska 99504 Subject: Lot 101-B of BLM 101 Dear Mr. Loescher: I have received and reviewed the plot plan pertaining to the subject lot on which you propose constructing a duplex. The well which is to serve the duplex would be called a class C public water system and it must be placed at least 150 feet from any septic tanks and drain fields. The project is approved for the features with which this department is concerned providing the well is located near the front property line (along Birchwood Loop Road) and the above separation stipulation is satisfied. Sincerely, James O. Starr Environmental Engineer cc: DHEP D/ I01 -A ~ZO00 lo I ,~ gLM ~'Vi 0 N