HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 35
MUNICIPALITY OF ANCHORAGE
· ~1 DEPARTMENT OF I-IEALTH & ENVIRONMENTAL PROTECTION
'1' ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchora§e, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
"~'A M E -- PRO~
MAILING ADDRESS
LEGAL DESCRIPTION
Bg~f,~ ~rell~ , Absorption~, area
DISTANCE
TO:
a.~k" ~ Manufacturer ~ ~ Material No, of compartments
Liq. capacity in gallons Inside length Width Liquid depth
/~ O IF HOMEMADE: ~
~ ~ DISTANCE TO: Well [)welling PERMIT NO.
~ ~ ~ Manufacturer Material Liquid o~paoity in gallons
~ ~ Z No. of lines Length of eaclf4ine Total length of lines Trench width Distance between lines
Top of tile to finish grade Material beneath tile Total effective abso ption area
Length Width Depth PERMIT NO,
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
u~ Well Building foundation Nearest lot line
~ DISTANCE TO:
¢O7 Building foundation Sewer line Septic tank Absorption area(s)
DISTANCE
OTHER
~PE MATERIALS
~ 3o3~
~OI L TEST RATING
INSTALLER
APPROVED DATE LEGAL
72-013 (Rev. 3/78}
PERHIT NO.
DEPRRTMENT ,, HEFILTH FIND ENVIRONMENTFIL ,:OTEE:TION
825 "'L" STREET, RNCHORFIGE.. BK. 9~51.3±
264-4?20
)
FtPF'L I CFINT
LOCRT 1 ON
LEGRL
E:'¢ L.',,,' I R JOHNSON
L--<5 E:± W'~NTER PRRK
661i MINK RVE 99504
LOT SIZE
43:560 SQLIRI;...'E FEET
T'¢PE OF SOIL RBSORPTION S'-r%'FEN IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RRTING (SQ FT?BR)= 165
THE RE~.7~UIRED SIZE OF ]"HE SOIL RBSORF'TION S'¢STEi',i IS:
[]) E F--~ T'H:=: S'~ L E f-~ F_~"F l-~l =: ~Se-; mB f~: I-]1%.' [Z L [aEF'-FI4 == F_;
THE LENGTH DIMENSION IS THE LENGTH (IN F:EET) OF THE TRENCN OR DRRINFIELD.
]"HE DEPTH OF R TRENCH OR PIT IS THE DISTFINC:E BETI.4EEN THE SLIRFRE:E OF THE
GROUND FIND THE E:OTTOH OF' THE ENCR',,,'RTION (IN FEET).
THERE IS; NO SET WIDTH FOR TRENCHES.
THE GRR',/EL DEPTH IS 'THE HINIMIJM DEPTH OF GRFI'¢EL BETHF:'EN THE: OLITFFILL PIPE
RN[:, TNE BOTTOM OF THE EXCFIVFITION ,.'.ZN FEET).
F:: EZl-T~ L,J I I-~.: E [:. :~.EF"']- Z C -[-R f-J F--:] :---; I ZEE ==
PERMIT FIPPLICRNT HRS THE RESPONSIBILIT'¢ TO INFORM THIS DEPF~RTMENT DURING THE
INSTRLLI:ITION INSPECTION~, OF RN~¢ HELLS FI[:,JRCENT TO THIS F'ROF"ERT"r' Bf',ID THE
I",IUMBER OF RESIDENCES THFIT ]'HE .t4ELL HILL SERVE.
BRCKFILLING OF FIN"? S'¢STEN NITHOUT FINFIL INSPECTION RND RPPROVFIL B'¢ THIS
[:,EF'RRTt"IENT HILL BE SLIBJEC:T TO PROSEE:UTION.
MINIHUH DISTRNCE BETHEEN R HEL. L RND FtN'-t ON-SITE SEI.4RGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVRTE NELL OR ±50 TO 200 FEET FROM R F'UBLIC NELL DEPENDINO
UPON TH[-: T'.tF'E OF F'UBLIC HELL
MINIMUN DI£';TRNCE FROM R PRIVRTE NELL TO R PRIVRTE SENER LINE IS 25 FEET RND
TO R COMHUNIT'¢ SEHER LINE IS 75 FEET,
OTHEF.'. RE6¢..IIREMENTS HR'-/ RPPL"r'. L-]F'ECIF'ICRTIONL-] RND CONSTRUCTION DIRGRRMS RF..'E
F%,'RILRBLE TO INSURE F'ROF'EF.: INSTRLLRTION.
P'EF-:I"I Z T EE::-::F' I I[~:'.: EC--c:; [)EE:EE~'"IE:ER -----::±..
I C:ERTIF'¢ THR'r
1: I RI',I FRMILIRR HITN TFIE REg!LIIREMENTS FOR ON-SITE SENERS RND HELLS RS SET
FORTH B%.' THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: I HIL. L INSTRLL THE S~¢STEM IN RCCOR[:,RNC:E HITH TFIE C:O[:,ES.
3: I UNDERSTRND THRT THE ON-SITE 5EHER S'~'S]'E["I MR'¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REIdODEL. ED TO INCLUDE MORE THRN 4 BEDROOMS.
_~m~.ED ~ _. ' ~ ....................
RPFL. IC~N'IT/ S~r'L'¢I~ .TOHNSON ~,l.,.'
~-~-:~/ ~ ....~h ~ . ~ , ~..-~
B'¢ ~__~ /~ ~C,~-~ ['RTE
~ SSUED ..... F ~L .....u'7~ ............................... ~___,.4..~u.~/~, ,'- ,4. _
F:'I:Zt:'?.H ]i T HO.
Ill ..... ti.II
I. (')rtF:tT ]: ::: I",l
I.. lil I:!i I:::ll .
L Ir, F:II?!:i;OF~IIF:T "r' ['"1 :.I I t t .... 'I'[;;:f';:NCI t
THE f~%~3:!I...IJ:I:RE:I) ='.[,'.[. OF:' I'I'JE ;'L.I,!. F ..... [..I II. LIt tLII .I .....
'1'11E I.I!:NEi'fH I::, :1: I'"ll!:f',l::!i; :!: (::lhl !: :5 -rHfi': L IEI'.,IC!i'III ,:: ): hi FEi:ET' ::, O1: 'l"l,tl:!:
"IF.IlS- DIEF'TH OF F:I 'IF;:!~CI'.,IC;H ()1:;i: F':[T :1:::i~ '['HtE D:I:'.::};Tf:II'..IC:[:
(;iI:;;:CILIH[) [=11'.,I[:~ 'I'IIE E:()T'I'Ed','I ()1::' Till:!: I~:::.:',IZ::I:::IVt:::IT:t:OI'-,I (:[I,I
'I'I.IIS:I:i:E: :[::!; NCI :Sh:'l' !,.I]:DTH F;'Ot;~:
THEE (:iF~:FI',?ti!:I. f::,t:::.F:'TH ]:'il; THE: I"I):F.I]:HUf'I bEi:I::'TH Cfi= GI:;;~f::IVI::L
I::IN[) THIE EK::If"IOM (::IF Fl..IF: E::.::C:I::IVF:tT_I:I:)N (]:1",1
I::'l:::l:?.l"l]:'l' ~ f F'L I .' HI t'11:::1'-:~; 'rl-Ilil I.. :iF ~lll. ,.1[..I.! .l~ TCi '' - ','
.I. I II . fJ t II I T ':i; [)ET:'F:If;?.'f'HI:ilhFf ti:,t.ll:;~l ill t'..!(?i ql
ill N'.ii};Tl:::l! .I..FIT ill CIhl [ I I.. [ I..... I 1.. I I.: OF I'"II",l'r~ I,.IEI.I..S; F:lfi:,.irl:::l(i:El'.,!'l" I'() TH :Il ~!; F'F?.CIF'EiI;?. I"~.' I::lhlll) '!
I',tUI"iB!EI;i: i' f:;' I;~:E:ii;:[ I)t:!!:iqE:E',E; TIIf:IT THE: I,.IEt.,J,, Iq :[ 1.1 ........... ':;: FI;' ,'t:'
;I I:::EI';?.T];I::="¢ "I'HFIT
;:L: if] 1:::11"1 t:'FIl'l:(I.]llf::lt:;?, t.'I;[TH Till!] t;~:[:)~:!l.J].l;?.F:if'l~%!Tfi; I:::'OF?, CII",I'"SZTFi :SE!,I[ZI;i::~!; f:ll",ll) 1'11(lt iii; FI:E;
F"OI';i:TII E~"r' TH[il I'"II_IH]!iC:]]F'I=II.i[T'r' CIF f:ll",lC:llOl:;?.F'l(il]~i.
~:; ~i] I'I]]I,.L ]]l",l'E;"f'f::ll,! Fill.:] :i~7'r':ST!~ff'l
;:~i: :l; I.II",II:)IEI:;?.STt::It",I[:, I-I'If~'l' I'IIF; (:rI'.,I...:F~;]:'IE SEI.,I[~;I:~: ~;"~.':~;'1[~1'"1 I"II:::I'¢
~; :t: ,::~iNIEt::,: ~.:~. _i_~~: ................
f:l",![.F:II:;b:::il!!:H[!:l",! ! ): F: 'FI
\h(, , \(,~, ;'\lA%t</19!b01
December 31, ].9'79
Howard ' '
L~ 1ckso ~
Star Rouhe Box 9030
Chug]ak, Alaska 99567
Permit
7302o4
Subject: Lot 35 B].ock ]. Wynter Park Subdivision
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authorJ_ty of' Municipal ordinance.
If you have drilled the well, a well log should be sent
to %his department to document the installation date.
If an enginee~ has 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 contact this
office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Speci~t~
LNB/].jw
enc: Copy of Permit
APPLIC' NT FILLS OUT UPPER HAl ONLY
Mailing Address
Buyer
Address
Lending Institution
Address
Zip Code
Phone
Phone
Realty Co. & Agent
Address
Legal Description
Street Location
Type o[ Residence
Phone
Water Supply
[] Individual ATTACH WELL LOG. A w6ql Icg Is required for all wells drilled since June 1975.
;~ Communlly For wells ddlled prior to that date, give well depth (attach Icg if available),
[] Public Utility
Sewer Disposal
[~ Holding Tank
Year Individual Installed: ~ ~iS
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEEORE Pf~OCESSING CAN BE INITIATED.
Time Time Tlrne Time
Date Date Date Date &~ :/~,~
Inspector Inspector Inspector Inspector
JUN 2~ 1983
"Mtmiclpality
"Dq)t, of ....
( ~PPROVEDBEDROOMS ~ .CONDiTiONSOFAPPROV~VII0111B~n al PTum~tluu"
( ) DISAP~OVED
( ) CONDITIONAL APPROVAL'
Soils Rating Date ~wer Installed Well To Absorption Area WOI~ Log Received
~ ~ Well to Tank Septic T~k Size /~(~
72.023 (3182)