HomeMy WebLinkAboutGATEWAY TO THE PARK BLK 2 LT 4t 02_
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
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
l Well , Absorption area
~ v DISTANCE TO:
i Liq capacity in gallons I ...........
/ ~-~'~-; ~r ~u ......~=:
DISTANCE TO: Iwe'
Manufacturer
I Well t
DISTANCE TO'
No, of lines Length of each line
Top of tile to finish grade~
Insidelength
Dwelling
Material ~'~'
Width
PHONE I [~'N EW
Length
Ty~f crib
DISTANCE TO:
Class
DISTANCE TO:
NO. OF BEDROOMS
PERMIT NO.
83o?o
No. of compartments
Liquid depth
PERMIT NO.
Dwelling
Material Liquid capacity in gallons
Nearest lot line
Trench width
~>Oinches
Foundation
Total length of lines
Material beneath tile
PIPE MATERIALS
b3o34
SOIL TEST RATING
INSTALLER
87
Depth
inches
PERMIT NO.
Distancebetween lines
Width
:rib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
Depth
Distance to lot line
Septic tank
Building foundation
OTHER
Driller
Sewer ~,ie~O f
REMARKS
PERMIT NO.
PERMIT NO.
Absorpt on area(s)
APPROVED
?/,/~DAT E
LEGAL
i-lbit-,.i T i--: ..... T ;qi -'---- T-'_', ~- ,:--,F F-ii'-ll-:.i-- ~F-:_F!~i3E
DEFRETHENT ,_~F HEF-t.:LTH FIND
;--~25 'L" STREET.: Fd'.b-:HnF::FiGE.,
,-,i'--i--5 ~ TE
F--'PF-:?i T ? ~'-¢F ,' F?:~-.370E', }
FIF'FL Z E::,ANT E:F-::FIE:, E, T E. KE'-r:
L Fii-: FI T i 0
LEGR_
.:- E4-47::-A
':-;.Ei--JE F-: F'EF:I-'i f T
LF~T 4 E;I-::::2 GFITENFI':' Tn THE
'SEC 4-TJ.]N-RZE LnT SiZE 5E~5'5± SE.¢_IFIF::E FEET
t-IF' ':;Fl~'i AF~':;!]PFTii-d'-.~ ~,:T::~TEi"i i:~: TF:EN'-.H
i'iF~;:':;THUi'i NLii'iE:ER FiF EEDF. Eu}i'iS = ,~-
'~OiL F:FITiNG ,"-SC, FT,.'"E;R)= i--'::5
THE F::EC!UiF.:EE, ZiZE C,F THE SOiL FIE;'_-FOF,:?! .~0i'.4 S"?STEi'i iS'
[_, i-- .,---' _'"T H = -~,- L E i--..iI] T H = ~-. i---~ tE.i F-: R "...' E L [:,E F" TH = 4. 5
THE LE'.NF, TH E:, i HENS ._'f Fd'-4 TS THE LENGTH IN FFFT::, OF THE TRENCH OR [:,RFIINFiEL[:,.
THE E.,EF'TH OF FI TF:ENCH OF: RZT i9, THE D_.TSTF!i'.,iL-E BET.WEEN THE SLiRFFIE:E nF THE
GROUND FINE:, THE E:OTTOi,i OF THE E;:.';CFI',,,:FITION TN FEEl..,.
THERE ZS Nn 9ET ~4TE.,TH FOR TRENEH~_-..
THE ARFI:,,,:EL E,EF'TH 2:5 THE i'iiNi?iUH [.,EF'TH ,-~F GF.:R:,,,'EL E~ET!-,.iEEN THE OUTFFILL F'IPE
.,qNE, THE EO~"TOi'i OF THE E::.:;ES:,,,:FIT_TF4'.4 'iN FEET:.,.
P~'~-'h!TT 5F'F'LTESNT HFIS THE RE%FONSTE;i'LiT:,~: TU INFOR!'! THIS E:,EF'FIRTMEI",iT [.'UF::iNG THE
Tl'.?--..m,~i i ~TTA?.J T?-J-~.--'F'FTTi-d-.,J'-F ,qF R.i'-,."T' NELLS FIE.'..i'FICENT TF~ THiS F'RF~F'EF,:T"¢ FINE:' THE
N 'i~-:F~-' '-'= F-.~,zZF,~'~.;-'~-:: ~-~4~' T~4~' L,JFI i !-,~.~LL 5ER"?E.
.~ _'--.i ~-: '-: 2 :-" '~ i-'-i] '5 F' E "_ ~ _~. ,]~ .i--,i S F'i F-: E F-: E L---! I_i 1- F-' E [:'
E;FICi':.:FZLLz.-NZ OF Fli"~"~' '??"5TEh! HITHOUT FINFIL ZNE, F'ECT!ON FIN[:' FIF'PRO","FIL B"r' THIS
F_'EFFIRTh!ENT HILL E~E SUE'._t-EF:T T.} PF:Lq'EEEL~T-']L-d"L
i'!ZNTi'F_ii'i E.'iSTFINCE E:ETF-tEEN FI HEL_ 5N[:' FINY FiN-5ITE 5ENFIGE [.'ZSF'OSRL 5YSTEH I5
ZE~E~ FEET FE, F: B F'RZ:'?RTE NELL OR ZSE~ TO 2E~E~ FEET FROM ~ F'UE, LIE: NELL [:'EF'EN[)ING
UF'ON THE T'T:F'E OF F'UE;LZC. NELl
H!NiHUH E'Z'~T~NCE FF:OH ~ RF:!V~TE NELL TO B F'E:I","RTE 5ENER LINE IS :25 FEET HN[:'
TO ~ .]Oh!FIL. NZT? SEF4ER LiNE i'~ 75 FEET
OTHER REQUZF'.EHENT$ I'IW~: ~PF'L'T' :%F'Ei].ZFZE:~T!ON% RN[:, CONSTRt_ICTtON [:,IRI]E:~[,1S RR.E
~',,,:~ZLBE;LE TO ZNSi_iRE PROFER ZN'~TBLLBT!}N
i C:EF~:TiF"r: THFIT
i: I Fli'i FFd'!ZLT~F-: iJTTH THE F.:EC¢_iiF.:Ei'iEi".iTS FAF: ZLN-'_:;iTE SEi-,.JEF.:S FINE:' i.4ELLS FIS '_=,ET
............. TN&T Tk4F -N-.--TTF '--Fi.j~'E- '::.¢':TFi'd i'iA;-r' F.'EIEilII'RE ENLFIRGEHENT iF THE
F~:ES_TE.'Ei"4~-.E i:5 F,:Ei'iAE'ELEE.' TO ZNC:LUE,E i"!FhE:E THF!N 4 BEDRF, Ed"!S.
PErmit #
~pplicant: -~., ~,,~?
Legal Description: k ~ ~f ~
Type of Soil ~sorption System Is:
Trench: ~ Drainfield:
Max~ N~er of Bedrooms: . ~
MUNICIPALITY OF ANCHORAGE "
Department ~ Health and Environmenta"~rotection
825 ~ Street, Anchorage, AK. ~9501
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
Mailing Address: ~.~. ~.~
Phone Number: 6¢~(/~ ~-~ ~
~-,k~' LOt Size: /. /~{
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br)
DEPTH
The Required Size of the Soil Absorption System Is:
LENGTH ~00 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 = /~1~ 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 31, 1 9 8 3 * * *
I certify that:
(1) 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
residence is include more that 3~drooms
the ~ r~modeled to ~ ·
Signe~:App~ica~Y~?~'A ~_~.~~ Issued by: ~~
Date:
t
SWP/024 (i/81)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~-~ 7-
2
3
4
7
8
10
14
15
16
17
18
19-
20
COMMENTS
[] PERCOLATION
TEST
SLOPE
ENCOUNTERED? O
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
.!
PERCOLATION RATE h !.~_ (minutes/inch)
TEST RUN BETWEEN FT AND ~ FT
CERTIFIED~~~~/
July 20, 1983
Brad ~
~c~ey
SR Box 1613
Eagle ~ve~, AK
..... -, B-2 Gateway to the Park
Dear Mr. Dickey:
An on-site sewer and well .vermit was =s~ed to you
on 07/20/S3.
After reviewin~ the soils test ~t was noted that
the engineer ~ho verformed the test 'is not on our
approved list. Therefore, the eermit ~s no lon?~er
valid.
If you have any ouestions, o!ease contact me at
26~-~72~.
Sincerely,
Associate lnvironmenta!
Sneciaiisv
RP/dw
THE THIEL
Eosineerin8 & Surve~
P, O. Box ~273
WASILLA, ALASKA 99687
Phone 376-5164 376-2268
JOe-- ~-'~"? ~/~)-
SHEET NO __ OF
LOCATION
SOIL LOG NUMBER
DEPTH (feet)
SOIL CHARACTERISTICS
, /7 L
8
9
10
11
12
13
14
15
16
17
18
19
20
GROUND WATER ENCOUNTERED : YES
PROPOSED INSTALLATION: SEEPAGE
DEPTH NO X
DRAIN FIELD
COMMENTS:
PERFO~HED BY: DA~,:
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
in
Plans for the construction of Z,bT
~.,-/ p.I-- Fl. ~3'-~
~ approved.
?', ,,
~ /~'>¢ ~ public water system !ocated
, Alaska, submitted in accordance with ~8 AAC 80.:00
have been reviewed and are
conditionally approved (see attached conditions).
' , _n.s certificate is void and new
,f construction has not started within two years of the aoproval date, ' ~
p',ans and specifications must be submitted for review and approva', before construction.
APPROVED CHANGE ORDERS
Change (~o~t,~c~ o~¢, oo. Approved by Date
The "APPROVAL TO OPERATE'' sect!on rnust be comp',eted before any water is made avai!ab'e to
the pub!lc.
APPROVAL TO OPERATE
The construction o~the pub!ic
water system was como:eted on (date). The system is hereby
granted interim a.oprova :o one,ate'or 90 days fo'.tow!ngthecomo'etion date.
As-bui!t plans submitted during the interim approval period, or an inspection by the Department has
confirmed the system was constructed according to the approved p'ans. The system is hereby granted
fina: approval to operate.
BY TITLE DATE
P. O, ~ 1273
11
12
14
'18
19
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" '~ THE THIEL CO.
~ENGINEERING & SURV[~tlNG
~ ~. O. ~o~ 1275 Wasilla, ^K
.~_~_~ (907) 376-5164
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