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.
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F':'EF;:MIT FIF'I'::'L.Z[C:FIF'tT HFI:':'; THE F;~:E:E!;F:'OI''I:~;IIBILIT'~" TO IF'tFOF~:M THI:'T:' i:::'EF'FIP."I"M[~J'"I'T C'I..IF;:!i"'!G '['[IEi:
):I'"i:E;TFIL.L.F{TION ZN::'~;F'E(:Z:T:I:ot'"I':'!; OF' F:ll'q"r' I"l[i::L.L:i'}; FI[Z)..ZrFICI::]",IT TO "1'!~1I::!; PI;i:Cff::'EZ['~:'T? FIIx!D TH[!!:
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MII'.,!IMt.IM [:,t.'::;'!'FI['..IC:Ei: [:!:ETk!EEF,! FI N[~I.A. Fff.,ID Fi[',I'~' ON-:~;:[TIi~ :!!!;EktI::IGE I::,ISF:'O:~;I::[I.. '_: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.,![:,
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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
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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