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Home My WebLink AboutELMORE #2 BLK 9 LT 8D 175 NAME oOtn MA.~NO ^DDR~Si~ LEGAL DESCRIPTION ~'--h MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE LOCATION Wail DISTANCE TO: Manufacturer DISTANCE TO: IF HOMEMADE: , Well DISTANCE TO: Top of tile to finish grade Length Type of crib ~ter Well DISTANCE TO: Depth DISTANCE TO: Buildlng foundation OTHER Material Foundation Crib depth Building foundation Driller PiPE MATERIALS ,NSTALLER ~ I REMARKS Trench wld~ ~ inches NO. OF BEDROOM,~ PE"M'T n ¥ No, of compartment$~ Liquid depth PERMIT NO. Liquid capacity in gallons Nearest lot line Absorption area(s) --~,~ I APPR VED DATE LEGAL 72-013 (Rev. 3/7~ ' 0 ~ I WATER WELL LOG FOSS DRILLING 1316 Ir~ra Street Anchorage, Alaska 99501 MUNICIPALITY OF ANCHOP, AGE DEPT. OF HEALTH b'~ . ! I 1% ENVI~ONM'.-N'~ %~ P,: 0 T~'C'~ION WELL OWNEr ' , USE OF WELL_~ SZZE OF CA~ING,.~L~.DEI>'.PH OF HOLE/o~,~I~'T0 CJ~ED TO FEET OF DRAWDOWN. REMARKS DATE COMPLETED ~_~_~._~a~__PUMP TO BE SET to __tO · to __tO __tO __to tO to tO tO tO ~I~×IMUrt NUMBER OF BEDROOMS = 5 SOIL RF~TING (SQ FT?BR>= THE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS: DEPTH= :~_iEd LEhIGTH; ~4 GRRVEL DEPTH= 5 THE LE~4GTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR , THE DEPTH OF ~ T~ENCH OR PIT IS THE DISTANCE BETWEEN THE SU~FRCE OF THE GROUND ~N~ THE BOTTO~ Of THE EXC~M~TIO~ (IN FEETL THERE IS NO SET WIDTH FOr TRENCHES. THE GRRVEL DEPTH I~ THE MINZMU~ DEPTH Of GRRVEL BETWEEN THE OUTF~LL PZPE AND THE BOTTOM Of THE EXCAVATION (I~ FEET). ' ' REQUIR:ED/ SEPTIC TAN~( 5IZE= ~3[~e GRLLOt~ PAC~(AGE PLI~NT CiPT I 01'-I R PRCKRGE PLRt-~T MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE FOLLOW I NG COt.iD I T IONS: I. EITHER R CLRSS I OR II NSF RPPROVED PLRNT WRY BE INSTRLLED. 2. R CONTINUOUS MRINTE~Rt~CE RGREEMENT IS REQUIRED· IF 'R ~IRINTENRNCE RGREEMENT IS NOT KEPT CURRENT YOU MR~ BE REQUIRED TO ENLRRGE THE SOIL RBSORPTION SYSTEM RND/OR YOU ~RY BE SUBJECT TO PROSECUTION· TWO (2) INSPEC:TIONS PRE REQUIRED BACKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTIOf~ AND, RPPROVRL BY THIS DEPRRTMEHT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTR~CE BETWEEN R WELL 8ND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. '' WELL LOGS PRE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 50 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MR~ RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS PRE: 8VRILRBLE TO INSURE PROPER INSTRLLRTION. PER[~IT EXPIRES DECEr~BER .._~:I.~ "1977 I CERTIFY THRT :~ ~, l: I RM FRMILIRR WITH THE REQUIREMENTS FOR OfkSITE SEWERS 8ND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL I~STRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES· 5: I UNDERST8ND THRT THE ON-SITE SEWER~SYSTEM WRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO If~CLUDE MORE THRN 5 BEDROOMS· V1 0 ~' ~3NICIPALITY OF ANCHORAGE ~ .Department of }lealth and Environmental Protection SOILS LOG PERCOLATION TEST Performed for ~ Legal Description 0 ~ate Performed 4 6 14 16 Date Net Time Depth ~et Drop Percolation Rate minute SOILS P~RCOr.~TIO:i TEST Perfo_~_a~ for Le~! Kevin ~pgar Date Performed 9/13/77 Lot 8, Block 9, Elmore Subdivision, Addition 92 Red, sandy silt w/organics .(~) - Brown, sandy.gravel w/some silt (GW) · 110 ft.2/bdrm. Brown, silty,.sa~dy gravel w/some silt l~nses* (GM) · 225-2~0 ft.-/q~drm. Total Depth - 10 feet ~'er~o---m_e~ -~or Ksvin Apgar Date Performea SOILS LOG 77-26 RECEIV£D 8-19-77 Legal D~=ription 2 4 6 Lot 8, Block 9, Elmore Subdivision, Addition #2 - 1 ' - Muskeg - 2 - Red-brown, silty ~and (SM) 250 ft.2/bdrm% -10.5 - Brown, sandy gravel wi~h oc6asional interbedded silty stringers - (GW-GP) 110 ft. 2/bdrm. Weep zone at 10.5 feet. Weep zo c 10.5-11 - Silty sand - (SM) 250 ft.~/bdrm. . 11 -13 · - Fairly cleanA well graded sand (GW) 125 ft.~/bdrm~ . Total De~th - 13 feet '.% Average 136 square feet per bedroom Date [ t:et Time I Depth h'eL Drop MUNICIPALITY OF ANCHORAGE · . ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~O~'':NTAL JUN 1 1979 ENVIRONeENTAL ENOINEE~IN6 OlVI~ION REQUEST FOR ~PROVAL OF INDIVIDUAL WATER ~D SEWER FACILITIES PROPERTY ~NER PHONE ~ BUYER PHONE MAILING ADDRE~ 3. LENDING INSTIT~ION I PHONE 4. R~LTO~AGENT I PHONE I MAILING ADDRE~ 5. LEGAL DESCRIPTION STREET LOCATION E. TYPE OF RESIDENCE [~ SINGLE FAMILY I-'1 MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL· [] COMMUNITY r-I PUBLIC UTILITY 8. SEWAGE DI~eO~AL SYSTEM ~ INDIVIDUAL/ON-SITE*' [] PUBLIC UTILITY NUMBER OF BEDROOMS r'l ~,~One [] Four . ~"~v '1'wo I-'1 Five l~ Three [] Six [] Other · ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior tcl, that date, give well , depth (attach log if available.) I L'~ I .~, ~:~ ~ k e."~. *'1 f individual/on-site, give installation date If system ls over two {2) years old an adequacy test is required bv 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 . ~ DATE RECEIVED ' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I--] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [~] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I'--IINDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER Size: If Tank is homemade SOILS RATING give dimensions: I ~ 0 TOTAL ABSORPTION AREA MATERIAL i 4. DiSTANCESwELL TO: ,~ptic/ oldlng Tank IAb$orpfion Area R ISewer Line i N.re~t Lot Line 5. COMMENTS ~ APPROVED FOR '~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 3/78)