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Home My WebLink AboutT15N R1W SEC 18 LT 8 ) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~ [~ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION Absorption area t ~ DISTANOETO: IWelIi.oV I ~ ' Dwelling , PERMITN~ ~Z Manufact.rer~ ~ Mate~ No. of com~tl~ents ~ Liq. capacity in gallons Inside length Width Liquid depth ~ O ~ O IF HOME.DE: ~ ~ DiSTA~ ~ Well Dwelling ~PERMIT NO. ~ Well Foundation Nearest lot lin PERMIT NO. ~ Z No. of lines Lengt of each line Total length of lines Trench width Distance betw en lines ~. Topoftile~finisbgrad~ , (~ ~ ~ ~ inches ~ F Material beneath tile Tota ~ffectlve absorption area Length Width Depth ; PEF ~IT NO. ~ ~ Type of crib Crib d~ameter% ~ depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer Pine I Septic tank Absorption area(s) OTHER PIPE MATERIALS 72 013 (Rev. /78) PERMI'r NO. DEF'ARTMENT ,.. HEALTH AND ENVIRONMENTAL', 4OTECTION 825 "L" STREET., ANCHORAGE., AK. 9L~.501 264-4720 C"l"-,~--S X TE SE~-.~ER F'ER~-I X T FIPFLI _.ANT LOCAT I ON LEGAL CHUGIAK FIRE & RESiLIE INLET VIEW [:'R :i,_, L8 T15NR~IW ,-. o PO BOX -' .~.e,_ CHUGIRK AK LOT SIZE 4~560 SQLIRRE FEET TYF'E OF :,LIL RBSORF'TION S"L, TEt'I IS: TRENCH MRk.;IMUM NUME, ER OF BEDRA-M~ = ? SOIL R. RTING '...~,Q FT,-'BR.¢- 2'1R THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:.EF"TH= t0 LE~-~GT'H= 9~2~ ,3RR',.-"EL [:"EF'TH== __~. 5 THE LENGTH DIMENSION IS THE LENGTH (IN 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 FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). RE~g!~JIRE[:" SEPTIC: TF~-~{ SIZE= 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 HELL HILL SERVE. BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ±00 FEET FOR A PRIVATE WELL OR Z50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ER~"I ir T E::<F' I F:ES DECEFIBEF: _---::1.. I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3: BEDROOMS. I 825 "L" S'FREET ANCHORAGE, A[_ASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MA YOR DEPARTMENT OF HEALTII AND ENVIRONMENTAL PROTECTION December 31, 1980 Chugiak Fire and Rescue Post Office Box 363 Chugiak, Alaska 99567 Permit ~ 800368 ,~i Subject: T15N R1W Section 18 Lot 8 A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholzt R. ./~ /. . Senior Environmental ~p~cialis~ LNB/ljw enc: Copy of Permit SWP/057. F'ERI'I ~ T NO. I ~'ILIF~ I L~ I.~,'RLIT~' E~F DEPRRTMENT' ~ HERLTH RND ENVIRONMENTRL ~OTECTION 825 '~ STREET, RNCHORRGE, PK. 9~._,0~ 264-4728 ( 800~8 ) tlFPLI_.i-3NT CHLIGIRK FIRE & EE=,uIJE S LOCBTION INLET ',.,'IEW DR. ~ , LEGRL LOT 8 SEC 18 T1..N., R'IW BU~, -" --" -'-.6~ C:HUGIRK., BK. LOT SIZE 688-2555 4~560 SQUARE FEET TYPE QF '~AIL RB_,IJRFTION '=""- ' .... ~--,TEM IS TRENCH MR~.,'If. IUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT?BR)= THE REQLIIRED _,I~E OF THE =,uIL RBSORPTION SYSTEM I=,. El' E P T l--I = :1. ~_~t LEI'-.IG TH= '__~¢_4 ¢II~: i=! %.~ E L [:.EPTH=.=-. --* 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E;.".',CRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',,,'EL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRT!ON (IN FEET). ~;:E,;.~L! T ~:E[:,, SEPT I C TR~( S I ZE= l~---'lE~l.-~ I]RLLO~S PERMIT RF'PLIC:RNT HPI=, THE RE=,PONSIBILITS TO INFORM THIS DEPRRTNENT DLIRING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RE_,IDENCE=, THRT THE WELL WILL SERVE. .......... T~-41D ( 2 ':, I f-~SPECT I C~4S PRE REL;!LI I F.'E [:, BRC:KFILLING OF RNY -,~_,TEM WITHOUT FINRL tN=,PECTIuN RND RFPRO,,,'RL BY THIS DEPRRTMENT WILL BE .=,UBJEL. T TO PF..J=-,ECUTIC~N. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 1OO FEET FOR R PRIYRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DtSTRNCE FROM B PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET BND 'TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS WRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERI'I I T Eb-:P I RES C'EC:EME:ER __~..:IL., I FORTH BY THE MUNICIPRLITY OF BNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THaT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. SIGNE£::- ...... Ry'PL~:~ CHLIGIRK FIRE ~ RESCLIE STBTIO_~/_NG/ C:ERTIFY THRT IRM FRMILIRR WITH THE REOUIREMENTS FOR ON _,ITE SEWERS RND WELLS RS SET MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONIVIENTAL PROTECTION Pouch 6-650. Anchorage,_A!~Ra 99502 276,222? SOILS LOG -- PERCOLATION TEST PERCOLATION PERFORMED FOR: 1 2 4 5 6 7 8 9 _...~. 10,f 11 13 14 15 16 17 18- 19- 20- ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading [ Date PERCOLATION RATE TEST RUN BETWEEN SLOPE SITE PLAN L Depth to Net Water Drop . ........ FT AND ...... FT Ch~.giak Volunteer Fire Co., ,nc. P. O. Box 363 Chugbk, Ak. 99567 Note: DIRECTIONS .T~O~ m~ 3Water Program be sure to put eolou~ of house o~ othe~ landmarks that will make it easy for the inspeCtor to find. Accurate direc%iO, nS will save time and not cause delays schedut lng ·