HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 33 MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMEN'rAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT
L~]~y ~gallons IF ROMEMADE:
DISTANCE TO: Well
Manufacturer Material
DISTANCE TO: ,~t~,)
PERMIT NO,
Liquid capacity in (3~llons
No, of I~es Trenc[~vidth ~/c¢=~ ~) i~]ches Distance 7~es
Total
DISTANCE TO:
Crib depth Total effective absorption area
Building foundation Nearest lot line
DISTANCE TO:
OTHER
foundation
PIPE MATERIALS
INSTALLER
rJ J' "7"
REMARKS
DATE
72-013 (Rev. 3/78)
BI ........ I,.,: :1,
:t: C:l!~l'~:l`']:l:::".l.' 't'HFI"I`':
:1... :1:I:::11'11 I::'F:II',I]:L.J[F:II`;~: I.,.I]:TII '1'11[!:: I`;]:[F:]::!I.J:I:I~:[2:P'IEi:I'.,IT~.:: F'O[~'. OI'.,I...S]:"I'I:: SE:I,.IE:J':~'.S F:lbl[) bJE:I..L?:: f:l:L", SET
F'CII:?.'I`'I.I [3'./ TH!i!: I`,IL.Ii'.,I]:C:]:I`:'FII..]:T'./ Cll`::' FIJ'.,ICHCII:~:I`:II3[:_' (l'lCll`:l::J l:.:ff.,ll:) THE: '.'STf::ITE: 01:: FIL. I::I~',I<FI.
,[i:. :[ I.,.I:[L..L. :[i'-,[:.E:"l'l:::iI.L. 'T'I`..IE: :!!i:'-~.'?i:Tl::l'l :[['.,I FIC:O.:)I`"-:.'I:)FIblC:E: Iq:["l'H FIL. L. FIOF:I (::OI::,E.?:C, FIN[)
l`:'ll'ql`::, Zt'.,I COHI::'L.:t:FII'.,tCI!!i: I,.l:l:"l"ll THE: D[::.:S:[Gi'.,I C:[;~'.:[TI::I.~:]:FI OF:' 'TH]:S I`:'I:~F~'.H:[T.
::!i:. :[ I.,J:[L...L f:'i[)HE:l`?.[ii: TCI I::'ILL. kICIF'I I::'llq[::, :!i;'fFITE Cll-::' FII._.FI::.E;KFI I;~:I`L:':(i:ILI]:I`~:J~:I'II:£NT::7, I:::'OF['. THE: SI:~T
[::, :[ STf'INC:E!:::~ l`:'l`:[:OH F:tN'./ E:::.:: ]: '.:ST ]: I',IG b.l[::L.[ ..... I,.II`:IS'I"E:I.,.If'ITE~R I::,:[SF'OSFIL. S'?'STE:]'"I O1::,' F:'UI!~I....]:C
:E;l:!i:!-,IJi~:l::::F:l(:J[ii: :i~:'.~.".iTT'E:I`'I O1',1 "l'H:l:~i!; O1:;~I f:ll'.,]'.~.' I::I[:,..'.I'F]I::E:i'.,IT O1:~: I'-,IE!:FI[;]'.B"r' LOT.
4. :1: I...iI'.,I[)EI:i['.ST[:Ib,I[:, TI-IF:IT TH:IS l`:'li~F~:l'l):T :IS 'v'l:::lk... ]: [) FO[;~'. [:l i',ll`:l',:.:',:[l','iLIP'l ]::il`::' ~; BE:DI;~'.OOI'"I:~;
FIN"r' [~:NL.F:IF]'.('!ilEI"dE2',IT I.,J:I:L.I.~ Fi'.E'::[::.:~U:[FLI`:: FIN FI[)E):[T:[C~i",II::II... l`::'l`:l`~:FI]:"l'.
F'ERMIT i'-,10. (
DEPRRTMENT ( HEFtLI'H FIND ENVIRONMENTRL ]'FECTION
E~25 "L' STREET., RNCHORFIGE., ELK'.
264-4720
RF'F'LZBFIN'r
LOCRTION
LEGFIL.
DFIVID M ..L. IdE, E
E.
L]:3. Bt ~4'T'NTER F'RRK
920 !4 6TH
T"?F'E OF '=' - ' ....
_,UIL HE,,:,uF..FTIui',I ,z,,c' ,. ,-.
_,~'_,TEi'I I=,. TR. ENL~:H
LOT '-'
TM
· :,.[ ~.E
MR;:<IMUM ?.~I_Ii','IBER OF E:EDROCd"~S = E;
,UIL ~.HFIN.3 ,::SC! FT,.E,F. ....
THE REC!UIRE[:, SIZE OF THE SAIL RB_,URFrlON
_,'r_,TEfl I2;:
[:, E: IF" 'T' l-i == :L Ii, L_ E: f-,113 T i-! == '~(~ F. Iff'--" -- "~," E.L_--
TNE LENGTH DIMENSION I.':5, THE LENGTH (IN FEET....' OF THE TRENCH OR DRRINFIEL..D.
THE DEPTH OF R TRENCH OR PIT IS TNE DISTRNCE BET[4EEN THE SURFRCE OF' THE
GROUND BND THE BOTTOM OF THE EXCR',/RTION (IN FEET....'.
THERE IS NO SET klIDTN FOR TRENCHES.
TFIE GRR',/EL DEPTH IS THE MINIMUM [:'EEPTH OF' GRRVEL BETLqEEN THE OLITFFILL PIPE:
RN[> ]"HE BOTTOM OF THE E:".;CR",,'RTION (IN FEET>.
F'ISF.:MZT RF'F'LIC:RNT HH_, THE RE-FuN_,II.,ILIT~ TO INFORM TH.C=, [:,EF'RRTMENT DURING THE
[I~STRLLRTION ZNSPEC:TInN2; OF RN'¢ P~ELL':; R[:,JFICENT TO rHI:, FR_FERr~ RND THE
I~JHEE~. OF RE_,ZE.,ENL. E=, THRT THE ~,.IELL NILL
....... "'IF !-.-t rJ ':' ;--':-' ':, :[ t'-.~ _c;... F" Er ,-: 'T' ]: ,_.~, 1'-4 2'i. l=:l F--: E F-' E ~ -'::-, I , :E F.:. IE [.-,
E,I"tL.I'...FZLL. INL~ OF RN'¢ _,~'_,TEi'I !4ZTHnLIT FINRL ZN_,FEL. I ZuN FINE) FtF'PRO',,,'RL BY THIS
DEPFIRTHENT b. IILL BE .d_B.~IEL. F TO FEE_:,EL.I..ITION.
MINIMUI,I DISTRNC:E BETNEEN R L,IELL RI'4D FINY ON-SITE SEI.qRGE DIL:;POSRL S"r'STEM IS
±00 FEET FOR R PRIVRTE NELL OR i50 TO 200 FEET FROM A PUBLIC 14ELL DEPENDING
UPON TNE: TYPE OF F'LIBLIC NELL.
MINIMUM DISTRNCE FROM R PRIVRTE P.IELL TO R PRI'¢RTE SEI.,.IER LINE IS 25 FEET RND
TO R COHHUNIT"r' SENER LINE IS 75 FFET.
OTHER REQUIREMEN'rs MR'.? RF'PL'¢. SPECIFICRTIONL:; RND CONSTRUCTION [:,IRGRRMS RRE
RVRILRBL. E TO INSURE PROPER INSTRLI_RTION.
F EF-..I 1 :[ 'T E,---oF ]: REE'_-~ E)EiZ:Ei'-IE,"EF--: ...::---::1. .... L .....
I CERTIFY THFIT
±: I Rid FRMILIRR I.,IITFI THE REQLIIREIdENTS FOR ON-SITE L--,EFIERS
FORTN B"r' THE r'IUNICIPFILIT'-r' OF RNCFIOF.'.FI~.aE.
2: I !-,IIL. L INSTRLL THE S'~"STEI"I IN RCCORDFINCE t.,.IITH THE CODES.
3: I UNDER.$TFff.~D THRT THE: ON-SITE SE!4ER S"r'STEM MR'¢ F'.EL::!UIF.!E ENLF~RGEMENT
F:'.ESI[:,ENCE I~ REMODELE[:, TO INCLUDE MORE THRN E; BEDROOi-"IE;.
__. ............
n,,
RN[:' UELL:,Hz,"'- SET
I F THE
',,,'q.. El
PERMIT NO.
BPPL. ICRNT
LOCRTION
LEGBL
DR"/ID TO MCCRBE
L,=".:.~ B± WgNTER PRRK
920 W E;TH 9S'50:L
LOT SIZE
999999 SQLIRRE FEET
T"r'PE OF SOIL ME,-,ORFTION =,~-TEH IS: TRENCH ~.,c~(./~?.
I'dR,%'II"IUM NUMEER OF BEDRO(]MS = 6 SOIL RRTING
THE REQUIRED SIZE OF TME SOIL RBSORF'TION S"r'STEM IS:
[) E P ]'- H == ::L 0 L E F~ G T H == ?" ~3 G R R %,,' E I_ P I,-] P -r F-t = ~;
THE LENOTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL.D.
TNE DEPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF TNE
GROUND FiND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIFIUM DEPTH OF GRRVEL BFTHEEN THE OIJTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F;:E~21U I I~:ED SEPT I ~2:
PERMIT FIPPLICRNT HRS THE RESPONSIBILIT'¢ TO INFORM THIS DEPBRTMENT DURING
INSTRLLRTION INSPECTIONS OF BN¥ WELLS RDJRCENT TO ]'HIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT ]'HE WELL WILL SERVE.
TFIE
.... Ttl*lO ~.': 2 ) ][ NSPEE~'=:.T ! OI'4S F~ f4.':E RE ~. LI Z RE[) .........
BRCKFILLZNO OF RN'¢ SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTTON.
MINIMUM DISTRNCE BETWEEN R WELL RND RN9 ON-SITE SEWRGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVRTE [,]ELL. OR 150 TO 200 FEET FROM R PtJBLIC HEL. L DEF'ENDING
UPON THE T~.'PE OF PUBLIC WELL
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVBTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MR¥ RPPL¥. SPECIFICBTIONS RND CONSTRUCTION DIRGRRMS RRE
R'v'RILRBLE TO INSURE PROPER INSTRLLRTION.
F'EI~?.M I 'T EE::-:: F'" ]C F4ES [)ECEI"IBEF-: Z=:=L..
I CERTIFY TMRT
:L: I RM FBMILIRR WITH TBE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B"r' THE MUNICIPRL. IT"r' OF RNCHORBGE.
2: I WILL INSTRLL THE S"r'STEM IN RCCORDRNCE WITH THE CODES.
3:: I UNDER-;TRND THRT THE ON-SITE SEWER SYSTEM MR'T' RE~;!UIRE ENLRRGEMEN'F IF"' THE
RESIDENCE IS REMODELED 'FO INCLUDE MORE TFIRN G BEDROOMS.
V4. 0
O' & E EN(~..NEERING & DEVELO,
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 668-2280
,vlENT CO.
Russell Oyster
694-2774
Performed for: Name:
SOIL LOG
Tel. No.
Earl EllIs
688-2280
Mailing Address:.
Legal Description: /-~¢~'~ '~ ~[
Depth (feet)
Soil Characteristics
0
PLOT PLAN
'11 __
'12 __
13__
'14 __
'15 ___
'16 __
No____ If yes, what depth__
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit____ Drain Field~"'"~~
PERC. 'rEST
,; ;:,cji: ,'; .....:, ,: ,-,~
Comrnents:
Performed by:
<Permit ~: 820968
January 31, 1983
TO: Permit Applicant:
Subject: J,ek 33 Block 1 Wynher Park subdivision
A permit issued by this department for an individual well.
and/or on-site sewer system has expired as of Deceraber 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 permit.
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.
If there are any furhher questions, please call this office
at: 264~4720.
Sincerely
Robert C. Pratt, R.S.
Aching Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057