HomeMy WebLinkAboutDEER PARK #1 BLK 1 LT 2Deer Park #1
Block 1
Lot 2
#051-042-53
\ r." MUNICIPALITY OF ANCHORAGE
I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
(/
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
/
ONSITE SEWAGE DISPOSAL AND/OR WELL INSPECTION REPORT
�SYSTEM
NAME^
/.�
ONE
NEW
U Vn /Sy-eCf s
UPGRADE
MAILI ' DOr �� •ii«
LEGAL DESCRIPTION -
L 2 f3 1 eer a ►2 � � / ,� ,,
LOCATION
NO. OF BE OMS
�.
U he
DISTANCE TO:
Welyj� (�..
C�5
Absorpter
Dwelling��
PERMIT (�
/`
/ e
WZ
Manulacturer
M eC
No. of compartments �J
C_
y~
Liq, c naciit efris
IF HOMEMADE:
Inside length
Width
Liquid depth
OJUZ
DISTANCE TO:
Well /�
Dwelling
PERMIT NO.
_? FQ-
Manufacturer �/T
Material
Liquid capacity in gallons
=
DISTANCE TO:
Well .,•., L. Fou `
(�J
Nearest_!,W CJ ie . T1—
l
PERMIT N
2
Distance bejv#enAnfjii
No. of lines Length li(1: Total le lige Tranc dth ��
inches
H
Top of til titlfsh _#16de y a,
MaYl�nZh p� N
Total eller Ive abso ption area
LeaS / inches
w
Length
Width Depth
PERMIT NO.
t7
n t-
w�
Type of crib
Crib diameter Crib depth
Total effective absorption area
DISTANCE TO:
Well Building foundation
Nearest lot line
J
Class 9Z y
DElh Driller
Distance to lot line
PERMIT NO.
W
P
DISTANCE TO:
Building foundation Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
AO VC
SOIL TEST RAT JG
2
INSTALev
L
REMARKS
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APPHO DAT LEGAL . � `�Ra'�gCX
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MUNICIPALITY OF ANCHORAGE _
Departmenj#-�if Health and Environmentcr�%Protection No
825' ., Street, Anchorage, AK. 99501
264-4720
Permit # * * * HANDWRITTEN PERMIT
ON-SITE SEWER PERMIT
Applicant: 4ZY44411-iU4 &/_4 &U e/_Mailing Address
Location: Phone Number:
Legal Description: ld%off (�r➢P PA 4�I Lot Size: --
Type of Soil Absorption System Is:
Trench: l'� Drainfield: _ Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH _ [1 _ LENGTH. 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 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(Z) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection.and approval by this departmer
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
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 3 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
the residence is remodeled to include more thao bedrooms.
Signed: Issued by /
Applicant
Date:
SWP/024(1/81)
r' ❑ BOILS LOG
MUNICIPALITY OF ANCHORAGE y(
i
*AIL +\+ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
625 L. Street, Anchorage, Alaska 99501 264-4720 TEST
SOILS LOG — PERCOLATION TEST
PERFORMED
LEGAL DESCR
15
16
17
18
19
20
Z•S��jf�dL
DATE PERFORMED:
WAS GROUND WATER A J S
1�\-%% ENCOUNTERED] L
OF �: O
......
A•�.gSt�I IF YES, AT WHAT E
} . ' �• `% �, DEPTH]
4jb.n A. Shofarcl
W
�•, ko. I157•E
OF
N.N•
s Reading
w/✓�
(FEET)
1
O \ c
Depth to
Water
Net
Drop
2-
• / %
V
rJ ���
_.
3
3-
4
4-
5-
56
6-
7
7
8
C,
s
9-
[tiIp
10-
1012
12-
13-
1314
14 -
Il
Ile
15
16
17
18
19
20
Z•S��jf�dL
DATE PERFORMED:
WAS GROUND WATER A J S
1�\-%% ENCOUNTERED] L
OF �: O
......
A•�.gSt�I IF YES, AT WHAT E
} . ' �• `% �, DEPTH]
4jb.n A. Shofarcl
W
�•, ko. I157•E
OF
N.N•
s Reading
w/✓�
Date
Gross
Tiime
Net
Time
Depth to
Water
Net
Drop
• / %
V
rJ ���
_.
g H
s
i/
[tiIp
uPERCOLATION RATE ✓ D (minutes/inch)
TEST RUN BETWEEN / FT
COMMENTS
PERFORMED BY: C:J(1J It. rr CERTIFIE 0Y.
1c rCLE• PNS I�SKr c•
72-006 (6/79) 9-297 s ��,,377
Cnrrt Mph Brt11tngmug
by.
` DOC Co. Uba
SULLIVAN WATER WELLS
P.O. BOX 272, CHUG IAK, ALASKA 99567 • TELEPHONE 688-2759
OWNER OF LAND ( /LG C / J JJ
ADDRESS 1" O 9 /= P
DEPTH OF WELL I,—) O
STATIC LEVEL OF WATER FT.
LEGAL DESCRIPTION DRAW DOWN FT.
DATE -Started y /r��/,F ? Ended / GALS. PER HR
PERMIT NUMBER
KIND OF FORMATION:
From Ft. to ^� Ft. O Ur'k /Sri��P�/
From . - Ft. to Ft.15 ,-L)0 i2r7�
From
Ft. to
Ft. to Ft.
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From
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MISCL. INFORMATION:
KIND OF CASING,
From Ft.
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Ft. to
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DRILLERS NAME
•
APPLIG�AT FILLS OUT UPPER HACONLY
Time
Property Owder i._r
\\,.'.^, CCp�k •-•e
Phone
'N'
Date
Maillf.g Address
C` L;p x '� -( O t CZ • . p .:- r% c Zip Code 1 •"} : 7
Buyer
as �
Address
ZIP Code
Inspector
Lending Institution
(;\ V, PC . . c l`_,r, ., F
Phone
Address
Zip Code
Realty Co. d Agent
.,, r \SLC ;nr�1e Q•uPK
Phone
l 1Y
Address
\- O, r C. 1Z!'C\,!• V% ZIP Code
LA O
Legal Description
LT e;\K \ Cs 6c'\}•'=-�
( ',,-)APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
Street location
� c t r F r, r• or ,_) e
Type of Residence
( ) CONDITIONAL APPROVAL'
Q/$Ingle Family
DATE � ; I
L.1 Multiple Family No. of Bedrooms
BY: ,
Cl Other
Soils Rating
Water Supply
Well To Absorption Area / O
Well Log Received p
O G
F4'11ndlvidual
Well to Tank .4,
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
❑ Community
For wells drilled prior to that date. give well depth (attach log
If available).
❑ Public Utility
Sewer Disposal
!S-1Individuat
Year Individual Installed:
❑ Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
Date
Date
Date
Date
as �
Inspector
Inspector
Inspector
Inspector
'�' n `r
Field Notes. Co
E 1-0
( ',,-)APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( I DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE � ; I
BY: ,
Soils Rating
Date Sewer Installed
Well To Absorption Area / O
Well Log Received p
O G
— 3 — aj
Well to Tank .4,
S'
Septic Tank Size f7 O C�
72 M (J
r
eebruary 6, 19dv
William Crouse
P. U. Box 77U606
Eagle River, AK 99577
Subject: Lot 2, Block 1, Addition A1, Deer Park
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
° A well log submitted to this office for our tiles and
review.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Cory Willis, K.S.
Actin.; Sewer s Water
CW112/ej/E1 Program Flanager