HomeMy WebLinkAboutLot 03yule Briggs
Block 2
Lot 3
#050-182-03
r MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
\ 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
^
PHONE
�j ��
NEW
UPGRADE
MAILING ADDfyj rP�S
LEGAL DE CRIPTION
LOCATION
•We
NO. OF BEDROOMS
U
DISTANCE T0:
� /O
Absorption a�a
Dwelling 6 /
PERM O
Y
P Q
Ws-
Manufacturer �
Ma al,
o. of compart nis
Liq. cape ' in ,on,
IF HOMEMADE:
Inside length
Width
Liquid depth
1j Y
Jvz
DISTANCE T0:
Well
I
Dwelling
PERMIT NO.
_ 'X
Manufacturer
Material
Liquid capacity to gallons
w
W =
DISTANCE TO:
.jiC
Foundation
Nearest I
PERMIT NO.
Q
J Z
r- Z W
No. of hoes
Length a II
Total gt nes
Tren uyh
CO inches
Distancebgrvse es
t–
–top—of the to finish grade of
Material beneath tile
752, inches
Total effecti0o area
CJ
w
Length
Width
Depth
PERMIT fiO.
%l–
W L
Type of crib
Crib diameter
Crib depth
Total effective absorption area
s"
N
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MA RIALS
�T
SOI L TEST RATING
INSTALLER
REMARKS
I
v
l
I
APP VE DATE LE AL
72-01AjAev. 3/761
MlJt4 I C I F�1L I TY OE= At4CHC SAGE 1 ;AU
• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION a',; b
825 'L' STREET, ANCHORAGE, AK. 99501
264-4720
Oto—S I TE SEt4E"K PERM I T L
PERMIT NO. C 790402 )
APPLICANT EARNEST LIPTRAP BOX 243 CHUGIAK 688 9001
LOCATION UNK.
LEGAL L3 62 DALE BRIGGS S/D LOT SIZE 49500 SQUARE FEET
TYPE OF SOIL ABSOP.BTION SYSTEM IS: TRENCH
MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING CSQ FT/BP,)= 140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
GEF1TH= :lL £0 F_Et4GTFi= :1 IS GRA•,-PEL C7EE: F�'-r E
THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN 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 CIN FEET).
REG-1LJ I FZEC> EF=•T I C TF=l FVFC B I =E= 1 ia�E-+iD GRLLQtJ�
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 C 2 ] I t45F}ECT I Ot45 ARE REClLJ I FTEF>
BACKFILLING OF ANY 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
100 FEET FOR R PRIVATE WELL: OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F=•ERM I T E}{F} I RES~ DECEMBER :T1.r
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE IS REMODELED J TOINCLUDE MORE THAN 3 BEDROOMS.
/i c n/% 011?"
SIGNED
ISSUED BY
PPLICANTn EARNEST LIPTRAP
1."Avns�
AND WELLS AS SET
ENLARGEMENT IF THE
V3. 2
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----------------•7777-7777---7777--\-�--^s_
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�� - -^ �\ \ .__dlt:'17777 •-'----�------7771-- �-----.','::I �!3'I.•:.
n r�
SOILS LOG
~Steven A. Johnson ..
P.O. Box 76
Chugiak, AK 99567
Phone: 907-688-3085
• '❑ PERCOLATION
TEST
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: '^I �. Y,\ 1F s'}' L ;Air,, O DATE PERFORMED:/_
LEGAL DESCRIPTION: L.o�3 I��O[.IC IJ A'C f�(1c�nS Sc/�7
(OEFTH
FEET) �YC. �1 1 cj r~v4y Silt
(--iL-)
SLOPE N SITE PLAN
GM
2--
3-
4 C� P
5
6-
7-
8-
9 789
'10
rte b[a.>.,
gr4� 6. Lca;►, s 4..,ay
p
o n
WAS GROUND WATER S
ENCOUNTERED? _ NO L
(7M 9Ya. / �jYCJi/1 D
1z P
IFYES. AT WHAT E
DEPTH13-
14
3 14 1IS TV?j 6A1 ,%j
15 Tct...1 oypt-Ii[
16
17
18
iOcLi to 5c."Ic
19[1 immmmm�
20
PERCOLATION RATE (mimtWimh)
TEST RUN BETWEEN FT AND FT
COMMENTS Our-RAL.r 40';cR,01:jcw AREA RtFA,uieau 1=Rte..,, LC,*
_ n
PERFORMEDBV:��'t c..,i hyysn� CERTIFIED
72008 17/76)
DATE: _ = i21 I]cl
.. •--ii— . .. , . ,
r
Frneat Liptrap
,Lot 3. 71ock 2 Dale ia Sut:divioion
Sa-le giver, At.
Cell heal
12
Fitlees
adapter
18
Bleed tack
24
VElve
,'-'
Sn
36
'All
„
4'
r f,
''•
G7
��
�/✓
72
I
7P
�•
y4
N
g0
/Static leve
L
96
102
.0
108
r�
114
32
144
may`
Larte rocks and bouldors
6" wnter well
Drilled cad lo.,ecd by
bill HaCnu_--on
cottea-;'�Rgrouson Drilling
Water Fs -:duction estima-
ted at j0 (3.I'.h.
Anular rravel and clay
Lr.r,.e boulders, s"e water. candy hroun clay
Finrdpan. boulders
156
162
168
174 Pu omP /�,r-Si:T 17
18C Layers troy Flay and Lravel, some wnter with read
Red Jeckct
3/4 I: gum 192
12 staco 198
�.
cot ut 2311 204
., 210
216
lsrZo rocks, /sawn clay and angular Lravel
La 220 I.ar�e t ou1Ber, h:+ter
0
Ernect Laotrap
Lot 3, Block 2 Dale Iri6ga Subdivision
Eagle River, Ak.
Well seal
Pitless
adapter
Bleed back
valve
/Static 1
Red Jacket
3/4 EP pump
12 ctaCe
act at 2011
6
12
1':•
24
30
3E
4c
4t;
60
6
72
78
S4
90
9
102
114
120
126
I
74
92
98
Larte rocks and boulders
6" water well
Drilled and logged by
Sill Vagnuson
Cotten-Mn.-nuson Drilling
Yater production eati¢a-
ted at 30 G.P.M.
Angular travel and clay
LarLe boulders, some water, sandy brown clay
Hardpan, boulders
Layers grey clay and Travel, cone water with sand
It Lame rocks, brown clay and anLular gravel
` 220 Large boulder, water
rel LJ V4 I Cl I F`4 L- I T Y CD F 61 r4 C Fi r�w_: Fl C3 F=
DEPARTMENT Ot HEALTH AND ENVIRONMENTAL F.._TECTION
• 825 'L' STREET, ANCHORAGE, AK. 99501
264-4720
44 E FL IL F' E Ft rel I T
PERMIT NO. C 780671 )
APPLICANT ERNEST LIPTRAP PO BOX 704 EAGLE RIVER. 694 9245
LOCATION MONTE RD
LEGAL L3 B2 DALE BRIGGS S/D LOT SIZE 0 SQUARE FEET
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.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
nVAILABLE TO INSURE PROPER, INSTALLATION.
F'EFRrl I T 1 {F�* I FRE'_ GF- :::EryEJF=F; --1 . s _+?L
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF+NCHOR.AGE.
1 WILQJNSTALL QE SYSTEM TN ACCORDANCE WITH THE CODES.
SI
APPLICANT 'ERNEST LIPTRAP
ISSUED BY
?—;�9f-` 8
V3. 2
0
MUNICIPALITY CF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. C"
/ DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECIlt%oPi:i..i.'c
/ \ 825 L Street • Anchorage, Alaska 99501
(SPR 3 0 1980
J
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 cc FF I�
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWSFF 99INIP
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (/0) days for processing.
1. PROPERTY OWNER
PHONE
r
- '330g
MAILING ADDRESS ,
iG E 1L
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
$33 — X033
INDIVIDUAL'
MAILING UDRESS
30. �A-x c 9Sa
3. LENDING INSTITUTION r
PHONE
U 1lY Ya �' ZWait-,,
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
MAILING ADDRESS
T),-
4. REALTOR/AGENT
n
PHONE
G9 4/a.
t1 c�e1-sores
-
MAILING ADDRESS
'P.O. Rny' t-
V
5. LEGAL DESCRIPTION
,
UT
oT 3
STREET LOCATION
1�'1lw� F'-- TR<I
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
fl' SINGLE FAMILY
❑ One ❑ Four ❑ Other
Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATERS PLV
INDIVIDUAL'
' ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
_
calf individual/on-site, give installation date Ll \m —
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME -
TIME
TIME
DATE
DATE -
„
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX .
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
Connection Verified
PERMITNUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
C►
1
INSTALLER
' ' " ' "
SOILS RATING
❑SepticT,rankor [--]HoldingTank
Size: 1000 If Tank is homemade
give dimensions:
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA i
MATERIAL
4. DISTANCES
WELLTO:
Septic/HoldingTank
too
Absorption Area
QQ
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line -
5. COMMENTS
V -'APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE /
w-6 —,ec,
BY (Title)
V,—/
LEGAL DESCRIPTION
2-010 (Rev. 3/76)