HomeMy WebLinkAboutDALE BRIGGS BLK 1 LT 10Del
Briggs
Block
Lot 10
#050-181 - 13
-.-~--_~ MUNICIPALITY OF ANCHORAGE DEF'[. O,
DEPARTMENT OF HEALTH & ENVIRONMFNTAL PROTECTIO~''VL'~ON''[[NT'~'L
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage. Alaska 99501 Tele.hone264~720 0CJ- 8
WELL INSPECTION . .
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
U~ DISTANCE TO: ]Well 'O ~ IAbs°rpt'°n area , O D~lling ~ ~ PERMIT NO.
~ Z M;mufac~urer Material ~e( ~ No, of compartments
L*q. capacity in gallons IF HOME'DE: Inside length Nioth Liqu,d depth
~ ~ DISTANCE TO: Well Dwelling PERMIT
O ~ ~ Manufacturer Material Liquid capacity in ~l[ons
Q Well Foundation Nearest lot hne I ~ PEHMIT NO.
~ DISTANCE TO: ItO ~ ~
-- ~ Dmslance ~t~en lines
~ NO. ol lines Length of each line Total length of lines~ ~ Trench wi ~ ~nches
Q ~ ~ T°P OI I"e '° finish grade q'. Material beneath tile ~ inches
~ DISTANCE TO:
m ~ DISTANCE TO: Building foundation Se~r line ~ ~ / Septic tank /~ ~ ~ Absorption area(s)
OTHER
PiPE MATERIALS
PERMIT NO:
DATE ISSUED:
APF'LICANT:
ADDRESS:
CONTACT PHONE:
MUNII~ PALITY OF AN[- IORAGE
DEPARTMENT OF' HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANGHORAGE~ AK 995¢)1 ~_~
264-4720
ON--S ITE SEWER PERI~! I'l
08/~1/84 ('~) ~ ~-'~'~'~-"~ ~'
7600 DOVER COURT ~~ ~ ~
ANCHORAGE, AK ~95~ ~ -
557-2576
LEGAL DESCRIP: SUBDIVISION: DALE BRIGGS
SECTION: 12 TOWNSHIP: 14N
LOT SIZE: .27A (SO,FT.~OR ~RES)
Listed below are the options available to you in
LOT: 10 BLOCK: 1
RANGE: 2W
designing your septic
syste~.
Choose the optio0 that best ~its your site.
TRENCH BED W. DRAIN
DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 4.0
GRAVEL DEPTH (FT.) 7.0 0.5 5.5
TOTAL DEPTH (FT.) · 11.0 4.5 7.5
GRAVEL WIDTH (FT.) 2.5 1~.0 5.0
GRAVEL LENGTH (FT.) 55.0 . 56.0 49.0
GRAVEL VOLUME (GU.YDS.) 25.0 25.4 56.5
TANK SIZE (GALS) 1,000.0 ** 1,000.0 ** 1,000-0 **
SOIL RATING (SQ.FT./BR) 150 150 150
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
certify that:
1. I am Familiar with the requirements ~or on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and reg~lations~
and in compliance with the design criteria o~ this permit.
5. I will adhere to all MOA and State o~ Alaska requirements ~or the set back
distances ~rom any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 5 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE
iiiiiilAiAL iii~i~ENSED ELECTR I C I AN ' ~_~_~L ~~~ . DATE: ~_~ ~_~____
ISSUED BY __~ ~ DA~E: _y_SZ~__~_~ .....
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 2644720
SOILS LOG - PERCOLATION TEST
~'~ SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
WAS GROUND WATER t% ~.~ S
11 ENCOUNTERED? ~ OL
P
12 .
I ~- .... I~ ~ . .~ IFYES ATWHAT E
i I ~,~,,am,, ~ ~lY~l~g,,~ DEPTH?
I
15
~ o~'
I '~P;;; .;~- ..o....o. RATE~(minutes/inch,
I 'h~; '" ;~-
tX[/~AL ~-- I t[ST. RUN ,E~[N · . FT ANO FT
72-008 (6/79)
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE-Started "~
PERMIT NUMBER
SULLIVAN WATER WELLS
P,O. BOX272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759
Ended
L~AY 1 5 ~£'7g
RECEIVED
t;lt7'°O ,q,~ 4''''~/ DEI'TII OF WELL .' ,"'" ,--)-
STATIC LEVEL OF WATER Fr.
'~ '*' ' I)RAW DOWN FT. '"
KInD OF casino.._~/'_-_~;-- 'D 0
KIND OF FORMATION:
From " Ft. lo
From '~ Ft. to
From ~ Ft. to
From , , Ft. to
From !' :;' FI. to '7';'
From __ Ft. to
From. '5/ Ft. to
From , ; Fi. lo ,:
From "::" ~ Ft. Io
From ', ~c Ft. to
From ' ' ~, Ft. to /""
From Ft. lo
From Ft. lo
From ~" ~ Fi. to
Front ~ FI. to~
From ~ Ft. Io
From Ft.
Ft. ¢, ,.' '"'7 ~7C~ ,;??.(,.,.d From
Ft. ,'~"h--~,9 ~! (~.'d~7~ From~
Ft. '~( ~'~ ~ (~&.~ From
/
Ft ,:.~ - C-~ '~t'~ From
', From
. Ft.
.Ft. /" ~ ,r'~/)';: From
Ft. From
Ft. Frmn
Ft. lo FI
Ft. lo Ft.
Ft. Io Ft.
FI. lo FI,
FI. to .... Ft
__ FI. lo__ Ft.
__ Ft. lo FI.
Ft. !o___ Ft.
Ft. Io .... FI.
FI. lo__FI.
Fl. lo FI,
Ft. lo _Ft.
Ft. to FI.
FI. lo Ft.
Ft. fo.__Ft.
Ft. to___Ft.
FI. to___FL
MISCL. INFORMATION:
DRILLER'S NAME
PERMIT NO.
;.1LI[-I I C I PC~L I T'"r' OF
DEPRRTMENT 0, tERLTH RND EN',/IROflr'IENTBL F' TECTIOrJ
8.25 'L' STREET, R[ICHORRGE., BK. 99501
264-472O
i.-IELL PERI"1 I T
( 798888 >
APPLICRNT
LOCRTIOri
LEGAL
JACKIE N HEfITHORr~ 7,5OO DOVER CT.
LYNN DR
LOT io BLK i DRLE BRIGGS SUB
LOT SIZE
~ 2576
11286 SQUARE FEET
MIrIIMUM DISTRrlCE BETNEEN R WELL RrlD RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL; OR
150 TO 200 FEET FROr'I R PUBLIC HELL DEPENDING UPOrl THE TYPE OF PUE:LIC WELL
HELL LOGS RRE REQUIRED FiND HUST BE RETURNED TO THE DEPRRTMENT NITHIrl ~0 DFt',r'S
OF THE HELL COr,IPLETION,
OTHER REQUIREMENTS MAY RPPLY. SPECIPICRTIONS RND CONSTRUCTIOri DIRGRRr,IS 8RE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PERI"11 T E×P I RES C-~ECEI-"IBEF.: _'2:-1., 1979
I CERTIFY THRT
1: IRM FRHILIRR WITH THE REQUIREMErITS FOR ON-SITE SEWERS RND NELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I HILL INS]'RLL THE SYSTEM IN RCCORDRNCE HITH THE CODES.
S I GrlED: ........
./'P~PL~C~ JBCKIE W HErITHORN
ISSUE
V_?... 2