HomeMy WebLinkAboutTRAILS END BLK 1 LT 12
"' MUNICIPALITY OF ANCHORAGE
' ' DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
'Aderess ~ SEPTIC ABSORPTION
Phone(s) JPe INe. of~eereoms/. WELL ~/~-~/~ /~ ~/~
AS-BUILT DIAGRAM (Show Iocat on of well, septic system, prope~y hnes, foundahon
driveway, water ~e~es. etc.}
TANKS
Manufacturer -m-
TYPE OF SYSTEM
D TRENCH ~ BED D W. DRAIN D OTHER
~pth tO p,pe bottom from ~ I Total depth from orlg,nal grade
Fill added above original grade Gravel depth ~neath pJpe {/
Gravel length Gravel w~dth
Total absorption area I D~stance ~tw~n lines
Installer
WELLS
~ PRIVATE ~ OTHER (Identify}
Classih~hon (A,B,C) Total Depth p ~se~ to
Installer Date Installed:
M U N I C I P A L I T Y 0 F A N C H 0 R A [5 F.'.
Department of Health & Human Services
82.5 I.. Street, Anchorage, Alaska 99501
0 Iq -- S I T E S E W E R P E R M I T
Permit Number: ?0,:,2~5 Upgrade ~..~C~.~~~)~
Date Issued: 08/:50/90 Engineer Designed
OwneP Name: GAYL & CARRIE JOI<IEL
OwneP AddPess: 846~ LONGHORN DRIVE
ANCHORAGE, AK 99516
Day F'hone:
· _.49-.-. w 11
F'arcel Id: 015-191-03
Lot. Legal: Subdiv.ision: TRAILSEND ~, Lot: 12
Section: 24 'l~ownship: 12N Range: 3W
l_ot Size 26996 (sq..~'t.. or acres)
Max Bedrooms: This Permit: I Total Capacity: 1
SEPTIC 'I"ANK: Minimum t. otal septic tank capacity:
tank must have at least 2 compartments.
feet requires insulation over tank(s).
B 1 ocl.::: 1
1,o00 gallons.
Each septic
Dept. h 'Lo top o£ septic tank(s) ~' 4.0
];NF'ORM D.H.H.S. PRIOR TO INSPECTIONS BY ENGII',IEFR, IF AFTER
OFFICE HOURS.., CALL :34.5-4681 AND LEERVE A MESSAGE.
CONSTRUCT PER ENGINEERS ATTACHED DESIGN.
'THIS F'ERMIT EXF'IREES 12/~;1/90 ~lgD VALID FOR A SINGLE FAMILY HOME.
i CERTIFY THAI':
1. I am familiar with the requirements for on-site sewers and ~,~ells as set
forth by the Municipality of Anchorage (IdOA) and the State o¢ Alaska,
2. I wJ].l ins'Lall the ~ysLem in accordance wi{h al'l MOA codes and regulations,
and in cDcflpliance ~i{h thE, design criteria of this permit. '
:3. I will adhere to all MOA and State 0¢' Alaska requirements for the set back
distances Crom any e~.~isting well, ~astewater disposal =~y=t[=m or public
sewerage system on this or any adjacent or nearby lot.
I understand that this permit is valid for a maximum or 1 bedrooms. I
also L~nclerstar~d that the capacity o¢ the total system is Z bedrooms and
any enlargement will require an additional permit.
. ...................................
(Owner) GAYL ~.~ CARRIE JOKIEL
PERFORMED FOR:.
LEGAL DESCRIPTION:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502.0650
SOILS LOG -- PERCOLATION TEST
~K / ~~~ Township, Range, Section:
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS,
PERFORMED BY: ~~
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
Monitori.o? 7--1~ Dale: i~
Reading Date ~ Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
(m,nutes/inch) PERC HOLE DIAMETER
-~ FT AND ~ FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev, 4/85)
/? ?o
000
mOO
000
~'~00
Ja~a~'~ 24, 3.977
E.J. Clabo
Box · 3-4056
Anchorage, Alaska
99509
Subjectz Lot 12 Blook l Trails End
On September 2, 1976 you took. out a well permit from this
department. Since then, this office ha'~ been u~tabl~ to
contact you by t~lephone and ham .r~ceiv~d no info~ation
from you in the form of a well log to indicate tile well
was drilledo
It is this departnentSs policy that wall ~ermits are active
for a one (1} year period, l~aking ~is permit invalid.
Until further infor~ation is receive~ from you or ~e weli
flriller, the well, if drille~, can ~ot be apgroveao
If ~here are any fur~er qu~ationa, please contact this
office at 279-2511, or oome into our offices at 825 L
Street, Fourth Floor
sincerely,
Willi~mDi~on
Principal Environmental Control Officer
[:,EF'FIF.:THEI'.~'I- ~ Hi--FiLTH RI'.,IE:, EN',,,'I F.:ONHENTRL t'"~','F~TEF:'I- I L-iN
2~::L¢-';_ _ E.' ._II)OF.: F.:I':,. ., RNFHFIF.'FIGE_ - · ., ':'~"... ':' .,6.~7
,.-- ¢
I-.-IEi_[_ i:'EF-:U-I Z T
,' 7~7~5 :
FIF'F'L I F:RI'-JT E.J. C:LREu3
L.L-K.':.R'F I Fd'.4 L~JNGHEIRI'-4 [:,R'
LE(~FIL L2L2 B'I TRFIILS END --,UE,
B O ::-:: .5:- 4 E~ D EX
LFIT SIZE
27'E~EIEi SC!URF.:~ FEET
HINIHLIH DI':;TRNCE BETHEEN R HELL RN[.', RN'.r' ON-SITE SEI4RGE DISF'OSRI_ S'.r'STEH IS
· _I.E~E~ FEE]' FOR R F'RIVRTE 14ELL OR 2E1£~ FEET FOR R PUBLIC: HELL
NELL LOG'_c, RRE REC!UIRED RN[:, HLIST BE F.:ETLIRNE[:, TO THE DEPRRTHENT 14ITHIN Z.':E~ DRY'_-]
OF TFIE 14ELL COHF'LETION.
SF'ECIFICRTION:='; RND CONL-]TF.:UCTION DIRGF.:RH'_-] RRE R',,,'RI[.:RBLE TO 'INSUF.:E F'F.:OF'ER
I NSTRLLRT I ON. ~
I,.IELLS FIS SET
'' DRILLING LOG
" ' ' . · .. . . · . · ........ :.,d ......................
Static water level_/~-'" .... it. t;tl'mvc) Screen ( ); l'crl'oratcd (
of drawtlown [rom,Mal~c Icvcl.
Date of completion ...............
'l,'ini.sh ol Well ¢cl,vck onu) open end ( 2( );
h,,m :; 'wilh ..... ' .......... '~. fl.
WELL LOG
Depth i~t ft:,'t from
ground surface
.......... TO ........
.TO._,
TO ...........
.. TO .-
· . TI I
TO
I -- CUSTOMER