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Home My WebLink AboutT15N R1W SEC 8 LT 11T15N R1W Sec. 8 Lot 11 #051-092-15 /vl. UnlClp .ltYo{ Anchorage P.O.B./'"196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 X~7~x~xZ~ Tom Fink, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 12, 1988 John E. Brown SR 1 Box 2635 Chugiak, Alaska 99567 Subject: T15N R1W Section 8 Lot 11 Permit #870306, Tax #051-092-15 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit.. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January l, 1988, a new f~e schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. ~onSincerely' ~ Program Manager On-site Services RWR/ljw enc: Copy of Permit M U N I C I P A L I T Y 0 F A N C H 0 R A G E Department oI Health & Human Sorvices 825 L Street, Anchorage, Alaska 99501 545-4720 O N- S I T E WELL P E R M I 7 Per'mit Number: 870506 Date Issued: 11/25/87 Upgrade Owner Address: JOHN E. BROWN S.R. 1 BOX 2635 CHUG I A.~C, AK 99567 Day Phone: 688-2636 Parcel Id: Lot Legal~ Lot Size Max Bedrooms: 051-092- 15 Subdivision: - ~ ot':'"l~l- ' EIlock: - 2 .'.b ~ ' ' ('Eq'.' i'C." ' ~i~~ "bcr( s~ ...................... This Pe~rmit: 0 Total Capacity: 1 WELL: Log must be submitted to M,.~nJcipality of Anchorage Dnpartment ot- H~alth and Human Services within 30 days o~ well comple~ion. I CERIIFY TIIAl: 1. I am familiar with the requirem~-~nts for 2. .3. on-site sewers and wells as set ~orth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the syst~m in accordance with all MOA codes'and regulations, and in complianc:~) with the design criteria o~ this permit. I will adhere to all MOA and State o{ Alas'ka requirements ~or the set back distances ~rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. I und~_~rstand that this permit is valid ~or a maximum of 0 bedrooms. I also understand that th~, capacity o~ the total system is 1 bedrooms and any enlarg.:.ment will require an additional permit. S i gned: (Owner) IssL,~d By: ,:~./rl,~ -E. BROWN " GI~.EA'Ir:.R ANCHORAGE AREA BOR(.,,.IGH : ,~.,, DE'AR,M..T~,E.V'RO"ME"TA'GUA''TY ' ' " 3350 "¢°' STREET ANCHORAGE, ALASKA 9g$0~ !' '~ "'. ~ ,, . ; TELIrPHO'NE274'4551 · SEWAGE:DISPOSAL SYSTEM -- APPLICATIOH AND PERMIT FINANCED THROUGH TO BE INSTAL~ZD BY FI~L'.INSPECTION: 14 HOUR NOT~C~ R~QUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSP~)ION BY THE .. DEPARTMENT OF ENVIRONMENTA~ ~UALITY AUTHORITY Wl~ BE SUSJECT TO PROSECUTION. ' MINIMUM DIITANCEm, REQUIREMKN11 w[k~ TO S~IC TANK //') / 2 , i~[PAG~ PIT ' 4 INCH DIAM~[N CAST INON II~ON PIPES ON I~PTI~ TANK AND I[[PAG[ PiT FI~[D WITH AIRTIGHT REMOVabLE C~PS .... :.L~' · ' 'DIAGRAM OF GY~T~M . , I-I' t',~- -,' -* L: '' I I t I'. I-I I-.... I I'1 I I I'1 I ',~ I I I I I1~1 I iii, I I-~1-1~ .N , I ! ' '4 I I ~1 iii, , , ,,11 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For Ereq Legal Description: Lo~ H// Block This Form Reports Soils Log Soil Test Must Be Logged To 4' Depth Feet Soil Characteristlc~ 11-- 12-- 13-- 14-- Was Ground Water Encountered?_~V_(~__ If Yes, At What Depth? Case Below Proposed Seepage Dated Performed ~ot-?~ Percolation Test System - {11 I i I I i I I I I I.I I I I I {JJlj ii__~ Reading Date Gross Time Net Time Depth to H20 Net Drop ' ' Percolation Rate Minute Proposed Installation: Seepag,: Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench COMPENTS: Test Performed BY__J__/SL~ Date Certified BY: Date: I ~' L~-rl '" DATE RECEIVI;D ' ,NSP C,,ONAP ,N, ME"TS TIME TIME TIME INSPECTO~ INSPECZOR INSPECTOR MUNIClPALI~ CF AN~O~GE MUNICIPALITY OF ANCHORAGE DEPT. OF I'?,LTd DEPARTMENT OF HEALTH & ENV RONMENTAL PROTE~I~VlRON~[;4TAL 825 L Strut - A~hore~, AI~a ~J ( ENWRONMENTALSAN,TAT~ON D,V,S~ON t~A'~' 5 lg80 Tde~e DIRECTIONS: ~mplete ell pa~s o,t page 1. Incomplete r~u~ will not ~ pr~. Please allow ten (10J days for pr~slng. ~. P PERTY OWNER PHONE MAIUNG ADDRESS PROPERTY RESIDENT (If different from abo~ PHONE 2. BUYER · ~ P ONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE I MAILING ADDRESS 4. REALTOR/AGENT ~ PHONE I MAILING ADDRESS LEGAL DESCRIPTION ~ cO.. )'?' .i I ~-. IY~ . STREET LOCATION 6. TYPEOF RESIDENCE NUMBER OF~BEDROOMS ~ SINGLE FAMILY ~Two One ~ Four Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY ~ INDIVIDUAL* [~] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY [] Other · ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) '7 ,~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. · ' ' ~-.* FOR OFFICIAL USE ONLY ' ' , ~. 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS r-1 SINGLE FAMILY r-I ONE [] THREE [] FIVE [] o~HERI [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX · 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified - INSTALLER f--ISepticTank or [:]HoldingTank Size: If Tank is homemade SO~LS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES · Septic/Holding Tank IAbsorption Area Isewer Line Nearest Lot Line I I WELLTO: Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL {letter must accompany certificate) ' ~ DISAPPROVED 72-010 (Rev, 6/79) / unicipality Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, EtAYOR DEPARTMENT O[c ttEALTH AND ENVIRONMENTAl. PROTECTION May 7, 1980 Gregory T./Michelle Williams Post Office Box 592 Eagle River, Alaska 99577 Subject: T15N R1W Section 8 Lot 11 Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our revzew. (2) The top of the well casing sealed with a sanitary seal so that it is air tight. (3) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. (4) The septic tank pumped with a receipt submitted to this office. Please have the number of gallons pumped on the receipt to verify its size. (5) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this office at 264-4720. S~.ncerely, \ / Robert C. Pratt, R.S. Associate Specialist