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HomeMy WebLinkAboutTUXEDNI PARK BLK 1 LT 5  . ["% MUNICIPALITY OF ANCHORAGE ~="~I ~0~ 53- ~ ~ 07--9 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 IPH°NE ~ ~EW LEGAL DESCRIPTION LOCATION $ ~C~A5 ~{n t~C3h%5 NO. OF BED~OMS I I PERMIT NO. Well Absorption area Dwelling ~ ~ DISTANCE TO: lO0 ~ ~ ~ ~ Manufacturer ~ ~ Materi~ ~ L ~ ~ ~ No. of compartments Liq. capaci~ns IF HOME.DE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ~Q DISTANCE TO: Well IO0~ Foundation 5--~ Nearest lot li)b + PERMIT NO. ~Z~ = N°' °f lines ~ Length °f ;h~ Total length of I~ Trench ~h inches Distance between lines ~ ~ ~ Top of tile to finish grade~ ~ -- .., Material beneath tile Total effective absorption area Q~ / O ~ 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: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area{s) ~ DISTANCE TO: OTHER PIPE MATERIALS ~ I SOILTESTRATING ''O ~ ' ~ iNSTALLER R EMAR KS APPROV~~ DATE LEGAL K/ qI 3 72-013 (Rev. 3/78) ~.~.-)~,/? 825 ~L'- STREET,264-4720ANCHORAGE' AK. 99501 .r -_.- ...... ~. Ot-l--S ITE SEI-dER REAP11 T PERMIT N0. ( 8_~0248 ) APPLICANT JOHN R HRRVATH ~048 BALCHEN DR RNCH 9950~ LOCATION' LEGAL LSBl TUXEDNI PARK ~: LOT SIZE 999999 SQLIRRE FEET TYPE OF SOIL ABSORPTION SYSTEM IS' TRENCH MAXIMUM NUMBER Of BEDROOMS = 4 SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ,DEPTH= :L2 'LEt~GTH= 4-:3 GE:R%-'EL E'EPTH= THE LENGTH DIIdENSION IS THE ~LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. 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 ISiTHE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL.PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). , REm_~IJIRED' SEPTIL--. .TRt-~F( CIZE= :L25~-~ m-~RLLOt4S F'ERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS AD,TACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI---lO · .; 2 ) I I'-~:~;PEm._?.~T I 01'-,15 RF.'E REm_--~.I_..I I RED BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION AND' APPROVAL BY THIS DEPARTMENT WILL E:E SUBJECT TO PROSECUTION. ' I'ilNIMUM 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 COHMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS ldAY APPLY. SPECIFICATIONS AND' CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF-:t'I I T E>~P I P-ES DECEr'IBER ~:L~ I CERTIFY THAT i: 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 THE.CODES.' ~: I UNDERSTAND THAT THE~ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO 'INCLUDEiMORE THAN 4 BEDROOMS~ :. S I GNED: RP~ICRNT~JOHN R HRRVRTH V4. 0 DEi'.",tRTIV1EFj 1' OF tlf AL'I Il ;..;' ; .,',;;.'IFION!~AENT,~,L PnO'TECTIOI',I ~Permit #: 820766 · January 31, 1983 TO: Permit Applicant Subject: Lot 5 Block 1 Tuxedni 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 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 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 of Permit SWP/057 RF'PL I CRNT LOC:RT I ON LEGRL JOHN R HRRVRTH L5 B:I. 'TUXEDNI PK ' 3:028 BRLCHEN DF.: 99503: LOT SIZE TYPE OF SOIL RBSORPTION S','STEr'I IS' TRENC:H :>74-592:4 999999 SC..!L~RRE FEET l,lRl:<If,lL~r,1 NUMBER OF BEDROOMS = 4 SOIL RRTING (S.c..! FTZBR)= ~.90 THE F.:EQUIRED SIZE OF THE SOIL RE:SORPTION ~'_~TEM IS' [:,EF'TH= 12 L E 1'-.~ 1.3 T H = 4:--: ~.3 F-: R'-..' E L [:, EF' T t--I = 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCR\,'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE E,':'.,'CRVRTION (IN FEET). F.:EL----!L! I F-:'E[:, '---]EF'T I C: TR~"-,~F-':..' '--~ I ZE= 1258 1.3RLLCI['-.~'--] F'ERMIT RPF'LICRNT HRS THE RESF'ONSIBILIT'~ TO INFORM THIS DEF'RRTMENT DLIRING THE INSTRLLRTION INSPECTIONS OF RN'~ WELLS RDJRCENT TO THIS F'ROF'ERT'~' RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SER\,'E. TI.'-II2I '-'- ':-: ) I i'-.ISF'EE:T T Cll'-,l_'S--. FIF.:E F-:E I_--!. IJ I F-'E[:-. BRCKFILLING OF RNa-' S~-'STEM WITHOLIT FINRL INSPECTION RND HFPF.._- ' 'A',,,RL' E:~r' THIS C'EPRRTMENT WILL BE SUBJECT TO .PROSECI_ITION. MINIMUM DISTRNCE BETHEEN R NELL RND RN~r' ON-SITE SEWRGE DISPOSRL S"r'STEM IS ±00 FEET FOR R PRI\"RTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T~r'PE OF PUBLIC WELL MINIMUM DISTRNCE FROM R PRI\,'RTE WELL 'TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY' SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN '~:0 DR"S OF THE WELL COMPLETION. OTHER REQUIREMENTS MR"r' RPPL~r'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE R\"RILRBLE TO INSURE PROF'ER INSTRLLRTION. PEF-:I"I I T E:=-::F' I F-:E5 E:,EISEI"II::::ER '~--::I... :::L~-- 82 I CERTIF~r' THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B'~" THE MUNICIPRLITb' OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~'.: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM r'lR~' REQUIRE ENLRRGEMENT IF THE RESIg~~~TO~~~~~~~INCLUDE MC, RE THRN 4 BEDROOMS. S I GNE[:, ~ _~ ,'~,_~~ RF'F'LIC:RNT JOHN 8 HRRVRTH MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST S LOG [~ERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: SLOPE SITE PLAN 4 5 10 11 --------12 13 14 15 16 17 18 19 20 pwrcc 'r'gST. COMMENTS WAS GROUND WATER ENCOUNTERED? ' IF YES, AT WHAT DEPTH? iilllIil III_ii Ii 0 P E Gross Net Depth to Net . I Reading Date Time Time Water Drop RATE /~ Iminutes/inch! TEST RUN BETWEEN FT AND FT /?~ ~',~-/~ ' / CERTIFIEDBY~ ~/'~~ PERFORMED BY: 72-008 (6/79) INVOICE NO. 1424 J OH N H AFC_VAT FI s:..:..~TO rAJ. At. W?t'tT'E SOLD TO STREET & NO. ~'. :' r P- 6 vg.aZc_c cA J~ MUNICIPALITY OF DEPT. OF HEALTH & CITY ENVIRONMENTAL ~rOTEaT~;_LT.,~ L,._ :NOV ~11986 V~Z~L L ___<:g-' 2./ j L..L../ -F~.o_.D_U_C~?.5 4._.~ G?_K~ , ./ ~~® 7H 736 I I P._L'~_~ 6_L~&_V_E.6. J__ iNVOiCE