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Home My WebLink AboutWOODHAVEN TR A MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONiVJENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~/~ ~ ~ NO. OF~BEDROOMS ~ PERMIT NO. ~' DISTANCE TO: I We~,~ IAbs°rpti°n area Dwelling ~<~Z Manufacturer~/~ Material~ ~ No. of compartments Liq. capacity inriga aliens Inside length Width Liquid depth ~ IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well t Foundation Nearest lot line PERMIT NO. ~ DISTANCE TO: No, of lines / Length o~c~ne Total Jengt~o~ines Treghwidth Distance betwee~lines Total area ~ Top of tile to~h grade Material beneath tilo?~ " inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER ~ ~/~ REMARKS 72'01 (Rev. 3/78} l PERMIT NO. RPPLICANT UNITED PENTECOSTAL CHUR LOCATION HUFFMRN ROAD LEGRL TRRCT A WOODHRVEN SUB 'TYPE OF SOIL RBSORPTION SYSTEM IS: MR~<IMUM NUMBER OF BEDROOMS = 4 ~"'~klf'-.~ :E C: :I ~'4:lL I ]r".,,r' OF H~ _~H ~..~iJE DEPARTMENT L HEALTH AND ENVIRONMENTAL , .<OTECTION 825 'L"' STREET., ANCHORAGE., BK. 995~i ' ~.e. 4-4 ,' ~0 8t0297 i850 TOKLRT TRENCH SOIL RATING F'E F.:'l"'l Z T 2~' LOT SIZE 7~288 SQUARE FEET (SQ FT,"BR) = 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [) E F" T H == ::[ ~.,-~ L E [-.~ ~_S T H = ----< ~--~." ,S F: ~ V E L [:. E P T H = :~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND TFIE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTA FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F~:E~--!Li I RE[:, :-='~;EF' T 'Ir C: TI-'~'-,I~<: S I ZE= ::L 25,.-~'~ ,.3AL L Cl~'-,l'_~ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERT~ AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T~.--ICl (2) Z ~-~'---]PEC:TIC~4~] ARE ~:E6!() IRE[) BACKFILLING OF AN9 SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS &00 FEET FOR A PRIVATE WELL OR ~50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELt_ 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 THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPL~'. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'E~--441'-I Z T E::-=:F' ][ RES I CERTIFY THAT ±: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RI.ID WELLS AS SET FORTH BY THE MUNICIPFILITY OF ANCHORAGE. D:: I WILL INSTALL THE S'¢STEM 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 4 BEDROOMS. ISSUED - ...... [. ~'TE ......... MUNICIPALITY OF ANCHORAGE '* DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , ENVlRONMEN'I'AL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl_ INSPECTION REPORT / NAME "~"~ E E~EW MAILING ADDRESS LOCATION , ~ Well Dwelling PERMIT NO. ~Z DISTANCE TO: = ~ ~ DISTANCE TO: ~ ~ No. of lines Length of each line Total length of lines Trench w)dth Distance between lines --~ inches OTHER PIPE MATERIALS REMARKS ~g 72-013 (Rev. 3/78) PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG -- PERCOLATION TEST ~ SOILS LOG [] PERCOLATION TEST LEGAL DESCRIPTION: SITE PLAN ~ 10- 11 13 14- 15- 16- 17- 18- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Wa{er Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT TYPE OF SOIL ABSORPTION SYSTEM IS~ TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS~ , '," B~P"RT"ENT OF HEALTH 8NB ENVIRON"ENTRL PROTECTION ~~ ~ ~ '~ ' 825 ~L~ STREET, ANCHORAGE, AK. 995~1 ~ --- ¢~ 8PCLICRNT UNITED PENTECOSTAL CHUR i85e TOKLRT /~" 277 i~51 LOCATION HUFFMGN RD ~' LEGAL TRACT 8 WOODHRVEN SUB~ LOT SIZE~Ti200 SQUARE FEET DEPTH= i4 LE~GTH= 75 8RA~/EL DEPTH= 4 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>. REC-~LI I RED SEPT I C TA~Jk-. S ! ZE= 1250 GALLONS PERMIT APPLICANT MAS 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. T&~O (2) I ~4SPEOTIO~IS ARE RE~.UIRED 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 i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERr'I I T EXP I I;."ES ["~E[:-EIdBER ..~?-I .. :1.980 I CERTIFY THAT 1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH 8Y THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. z/ ~ / / Box 13~39, S?AR I~OV?g A A~C~/O~A~g, A~s~ 99~0~ SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 106 ~:~e~Lo DRILLED AT THE RATE OF ~79:0{) PER FOOT, ProPErTY OWNER LOCATION OF WELL SITE DRILLER B~ WELL LOG: 0 .... 22~ 39---78~ 78--106' ~ 106 ~o 3/4 tto~e Su~r~e.~d~Ze Ilo Chx~ge. .fiom We.~ Se.od.. 7o&zL co,~Z o,Z /~edd.: $2074,,00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~2014~00 DATE THANK YOU VERY MUCH. BER,~IE CLAUS Of RAMPART D~ILLING WORKS SERVICE CHARGE O F I~% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. ~-~ .