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HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 10I0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTr :;TION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION JIF HOMEMADE: We~' PRONE ~ (Z-~N EW ~H~r(7~__]:-___~__ _.' [] UPGRADE Manufacturer Material Inside length Dwelling DISTANCE TO: Foundation Totall ngth of lines Material beneath tile Top of tile to finish grade Crib diameter DISTANCE TO: Well Material Nearest lot line Depth Building foundation NO, OF BEDROOMS PERMIT ~"~, No. of copqpartments Liquid depth PERMIT NO. Liquid capacity in gaJlons PERMIT NO. Distance between lines Total ef fecti~/a,~tion area Crib depth Building foundation Driller Sewer line Total effective absorption area Nearest lot line Distance to lot line Septic tank OTHER PIPE MATERIALS SOIL TEST RATING FIEMAR KS DATE 72 013 (Rev. 3/78) LEGAL Permit # MUNICIPALITY OF ANCHORAGE Department f Health and Environmente Protection 825 ~ Street, Anchorage, AK. . ~501 264-4720 * * * HANDWRITTEN PERMIT * * * W~:L A~/OR ON-SITE SEWER PERMIT Applicant: .~q.Q.n.m , ~ C . ['~O/~;~n~ Mailing Address: If~o ( Location: ~.~. Phone Number: _~7,V&- ~ Legal Description: p/O 6 / ~~ Lot Size: Type of Soil ~sorption System Is: Trench: ~ Drainfield: Seepage Bed: Holding Tank: Maximum Number of The DEPTH Bedrooms: Required LENGTH .,.~ Soil Rating(sq.ft/br) Size of the Soil Absorption System Is: 3~p GRAVEL DEPTH ~'~' WIDTH 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). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /DO0 GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without 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 100 feet for a private well or 150 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° Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I certify that: (!) 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 codes. (3) I understand that the on-site sewer system may require enlargement if the resideno~-is remodeled to include more that 3 bedrooms. Signe~: ~ Issued by. /Applicant ~ / SWP/024(1/81) 1'40. C,[!!:F'FIF.~:'[TIIZI",IT OF:' I'qI!~]:zIL. TH F~lql.? ENV!FU.:)I"~M[!]',ITFfl.. tC31 ['-~.~ .-'" :::E;; ]t: '"'il ' tE:Z ::~!;; fl.-]Z ~.-~J ~!E~: ~::;;?.: f' El'< [I.:;;i?/. 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'_:i;'.r'~F'I"EM L.IF:'O!',I 'TF.IE 'T'~./F'liii: OF PUE~I...IC I,I[:':L.L M :[ I',11 MUM [:, I STI:::ff.~IC:t!.:.: I::I-~:OM 1::~ [:1:.: I VF:I'T[~: NEL. L.. TO I:::1 [::'[~: I VFfTE i'~;I'::I,.![EF?. !.. I F,I[E :L :~; ;2~![ F:I_~:ET Fff.,![:, TO FI C:OF'ff'IUI'.rlIT'f :~EI.,JEI;~: LINE :[:.:}: '7'~!~ Fliii:l£T. O'[I.'iEI:;i: P.[EQU I [~:[~:I"i[~:NT!!; Ml:::l"r' F:IF'F'I..."r'. Ei;[::'[:~:l::; :[ [:: I CI:::I"I'Z ON?ii; I::'ll'q[:' !]:OP'*I:E;'T'F;UJf.::]" ): Clhl E)I FIQP. Fff'IS FIl:~:f-'!: F:i',,,'I'ZIZI_FIE!!:L.Ei: TO II"rI'Z;UF?.[~: I:::'Fi:OF:'E:I~: II'"t:~:';]'FILL.FITION. SOILS LOG PE.EORMED EOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTIVIENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 /_/o 1 3 5 6 7 8 9 --~10 11 12 13 14 15 16 17 18 19 2O BI PERCOLATION TEST COMM[--NTS 72-008 (6/79) WA,~ROUNDWATE" ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net ~Reading Date Time Time Water Drop PERCOLATION RATE_ ~ ~ (minutes/inch) TEST RUN BETWEEN FT AND FT ,Permit ~: 820344 January 31, 1983 TO: Permit Applicant Subject: Lot ]0 Block I Wynter Park Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. 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 needs to be sent to this department for documentation of the installation date and to close the permJ_t. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. l[f there are any further questions, please call this office at 264-4720~ Sincerel,~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy ef Permit SWP/057