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
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