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HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 2 LT 8Oltt 371 ! ~ MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~IAME PHONL ~NEW MAILING ADDRESS LEGAL DESCRIPTION NO. OF BEDROOMS I AbSOrption area D~llm PERMIT NO. Z Manufacturer Material ~ N°' °f c°mpartments ~ ~ ~ Width Liquid depth O Z < Manufacturer Moterial Liquid capacity in ~llons -- ~ Length of each line Tolal length of lines )istance ~t~en lines ~ ~ T~ of tide to finish grade ~ Material ~neath tile ~ 1 Length W dth ~pth PERMIT NO. ~ Building f~ndation Nearest lot line ~ DISTANCE TO: ~ass t Depth Driller Distance to lot line PERMIT NO. ~ - 8uildlng foundation Se~r line Septic tank Absorption ~ DISTANCE TO: OTHER REMARKS ~ · 50 ~ 72-013 IRev. 3/78) c lO0° SO t %T vc AS.BUllY NO CORNERS SET THIS DATE ,' I hereby certify that I have perfor"med n Mortgagee's apection of the following described prop~er'[y· Anchorage l[*corh~x l'r~lnet, Aloskn, and that the improve- not overlap ~ on.oath on the property ly~n~ to, ~h~t no lmproveme~t~ on property lying odja~nt thereto encroach on the premlse~ In question and that there are no ~ald property except as Indieat~ hereon. Dated at Anehorase, Alaska PERMIT NO. flUte! ¢ ] 'AL ! TY OF At~CI/"~RAGE DEPARTMEMT OF HEALTH At~D ENYIROt'IMENTAL PROTECTIO~I 825 'L' STREET, A~{CHORAGE, AK. 9950i 264-4720 ON--SITE SEWER PER£1IT ( 780504 ) APPLICAtIT gAVID L. WILM~RT~ LOCATIOti DE~RMOUN?ROCKY RO8D LEGAL L8 B2 FLATTOP VIEW BOX 10-i0~? LOT SIZE 344 6500 15000 SQUARE FEET TYPE OF SOIL RBSORBTIO~I SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR>= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTIO~I SYSTEM IS: DEPTH= -14 LEI'-.IGTH= 57 GRAVEL DEPTH---- 4 THE LENGTH DIMENSIO~J IS THE LEtIGTH (IH FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUt.iD ArID THE BOTTOM OF THE EXCRVATIOtl (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEM THE OUTFALL PIPE At.iD THE BOTTOM OF THE EXCRYRTIO~I (IN FEET). REQU I RED SEPT I C TANK S I ZE= -1000 GALLOhlS PERMIT RPPLICRtIT HAS THE RESPOtISIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATIOt-~ INSPECTIO~S OF Rt.lY WELLS RDJRCENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI40 ( 2 ) I I',ISPECT I OI'-.IS ARE REQU I RED BACKFILLING OF A~tY SYSTEM WITHOUT FINAL INSPECTIOM Arid APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIOtl. MINIMUM DISTRtICE BETWEEN A WELL RtID AtIY OtHSITE SEWAGE DISPOSAL SYSTEM IS '100 FEET FOR R PRIVATE WELb OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPOti THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND COHSTRUCTIOtt DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTRLLATIOtl. PERrl I T EXP I RES DECEMBER ~-1- I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMEMTS FOR Oil-SITE SEWERS Al. ID WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE Or.I-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAt.l ~ BEDROOMS. / SIGtED: ' ............ // R DRVID L~ WILMRRTH / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Am::hm*~, Alaska 99502 276-222! SOILS LOG - PERCOLATION T~ST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL OESCRIPTION: 1 2 3 4- 5' 6- 7- 8 9 ----JO 11 13- 14- 15 16 17 18 19- 20- COMMENTS SLOPE ~ ,. C__!_]7 £ , '-'~*--7'-'1 IF YES. AT WHAT DEPTH? DATE PERFORMED: SITE PLAN i _~_,, I I ~__]_~ _J,, .~, ~ ' ~-~-~'-"i- '~ - '~?2TT~__.L~ ;:-Z';-": i I_.~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN · FT AND (minutes/inch) , FT PERFORMED BY: I .! .~ ~ II . ~ /,, 7'2 00~ (7/76) 2701 Engle Street o~ o~, ~.u,'~ ........... _7~-~--"--.~._¥,'il-.'?~.+-h ............................... ~ ~ ~ £ ~ s.. ~......0........ ,~.o.~:/..! 0.1.Q37.....9.9.:~ 11 ................................ ' ........ w£t~--sxTL....S..,.E.,.....c.o, rner....~ £...!at..8...-.3...1..~.....2. ................. Flat-to.~ View Sub. I - I$- ' DATE--STARTED .......... ~-..~....-..~.~. ................................................................. l) AT~--~*,~D £O .............. ~.0...-. ~, 5.'A 7.~ ................................................................. SYREN BROS. DRILLING, INC.' Anchotn~e, Alaska 99503 DEPT. OF I Z.~J.L~ ~,, J~NVJRO~NMEN ' L 'gAN ~ e~ J KIND OF FORMATION: F~O.~! ........... g. ............ rT. TO......8 ................. Frhr..~-...cl ~a~.,.sa-u:t, ~RO~ ........... ~.__.~. IO......~Q .............. ~&r31.Y~.!*.C!-~.~:. ~ .~52© r~oat. L......5~ ......... ~. ~o......55. ............. ~o~ ........... ~ ......... ~. Io......~2. ............. C~ ~0......:..~ r~o~ ........... ......... ~. .............. ...... .:2~ "' %";e ~ 5~ISCUlNFOR~ATION: Fi~% w~te~, ~ ~allon peru 5~nute in clay, not Second ,v~e~, 1 ~al!on pe~ mim~te, too much clay fo~ a v/ell. r no.~ .......... 99 .......... ~'. TO ........ Z31 ......... FT..sr_L..g r~:,,.e ! ~.c! ~ y ( :':e t ) ~no~i .......... LOL......~. To ........ Z~9 ......... ~..smA....~:~eZ ,..cZ ~ y ( ,] ry ) ~nosi .......... LQg.......~. TO ........ ~1~ ......... ~..~...5~.~.~a1.~ C& ~ Y ~ '::e~ I ~ ~'' ~ ~ '~ V'~' rno~ .......... 1.ZS.......~. TO ......... 2.~ ........ ~..-~...o-:~.z-!,.~!~v, _ n FRO~I .......... i.Z.~.......~. TO ........ 12.~ ......... ~.gr~zal.,.~%k..:.',a t~r ~n~ ~andy clay Fno~ .......................... ~. TO ......................... ~ ......................................... FROM .......................... ~. TO .......................... ~ ......................................... FROM ......................... ~. TO .......................... ~ ......................................... FItOM .......................... FT. TO .......................... Fl' ......................................... FROM .......................... FT. TO .......................... FT ......................................... FROM .......................... FT. TO ......................... FT ......................................... FROM .......................... FT. TO .......................... FT ......................................... suitable for a well. D~ILL£PJS NAME ........][arni.~...D.,.....S~ ten ................................................ r-lLl[~ I C I PAL I T'~ OF Rr4~_.H,3F.'RGE DEF'ARTMENT O"'HEALTH AMD EMVIRONr. IEHTRL F~TECTIOH - ,~ 825 ~L'. STREET, RMCHORRGE, BK. 995.~1 ~' 264-472~ NELL PERF1 I T PERMIT NO.' ( 78~89 ) .APPLICANT LOCATION LEGAL DAVID ~lI LMRRTH l?-'" MI DERRMOUN RD L8 B2 FLAT TOP VIEW BOX 10-10~7 LOT SIZE 344 6500 15000 SQUARE FEET MINIMUtl DISTRNCE BETWEEN R NELL AND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR A PRIVRTE 14ELL.~ OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPOH THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT HITHIH -~0 DRYS OF THE WELL COMPLETION~ OTHER REOUIREMENTS MAY APPLY. SPECIFICRTIONS RND COHSTRUCTION DIAGRRris ARE RVRILRBLE TO IMSURE PROPER INSTALLRTION. PEF-~I"'I I T E×P I RES DECEI'Ie..ER ..~- I .. I 9 ~--:'-"8 I CERTIFY THAT l: I AH FAHILIRR 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 ~IITH THE CODES. APPLICANT¢ DAVID W~LMRRTH V3, 2 MUNICIPALITY OF ANCHORAGE EI~tROI~',:£NTAL I'  DEPAR~Em OF H~LT. & E~RONME~AL APR 9 1979. ENVIRONMENTA~ EN~INEERIN~ DIVISION REQU~ FOR ~PROVAL OF INDIVIDUAL WATER ~D SEWER FACILITIES DIREC'nON~: Comglete dl ~ o~ ~ 1. I~eamlilltl ~ wBI nm be prm~e~mJ. Pleme iIIo~ I1~ (101 d~l for proce~in9. i. PROPERTY OWNER J PHONE MAILING ADDRES~ t ~ROPERTY RESIDENT Jif different If om abo~e) /~oc..~ea ~: AY- ¢~qs Il PHONE ............. I PHONE 2. BUYER MAILING ADORE:SS ~. -LENDING INSTITUTION JPHONE JPHONE LEGAL DF.~CRI~I'ION STREET LOCATION · TYPE OF RESIDENCE SINGLE FAMILY r-I MULTIPLE FAMILY 7. WATER SUI~LY ~. INDIVIDUAL* I--1 COMMUNITY r-] PUBLIC UTI L(TY 8. EEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** r'l, 'PUBLIC UTILITY NUMBER OF BEDROOMS [] One [] Four [] Other__ [] Two [] Five ~ Three [] Six · ATTACH WELL LOG. A well log is required for all wells drilled since June 1976. For wells drilled prior to that date, give well/) depth (attach log if available.} l ~ ~' ~ I [/9~',~ ~ ~_ **If individual/on-site, give inttallation date I<~ (~ . If system is over two (2} years old an adequacy te~t is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72~010(3178) ~1/ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TiME TIME TiME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ I-'1 SINGLE FAMILY I--~ ONE I--I THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMeER I-'1 INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED ~. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER i-'~Septic Tank or i-'lHolding Tank Size:_~;~_. I f Tank is homemede SOILS RATING give dimensions: I '~ TYPE OF TANK MANUFACTURER ~ TOTAL A~SORPTION AREA MATERIAL WELL TO: 5. COMMENTS APPROVEO FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE SY (Title) LEGAL DESCRIPTION 724)10 IRev, 3/78) December 29, 1978 %780689 David Wil~arth Box 10-1037 Anchorage, Alaska 99511 SubJect~ Lot 8 Block 2 Flat Top View Subdivision A permit issued by this department for well and/or sewer system has expired. 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 should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les }l. Buchholz, R.S. Senior Environmental Specialist enc~ copy of permit