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Home My WebLink AboutT15N R1W SEC 8 LT 47BgkgiO RILD SSG g Smi ENVIRONMENTAL ENGINEERING DIVISIGN ) 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SI'YE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LOCATION NO. OF BEDROOMS DISTANCE TO: I Well I Absorpt,on ~rea DwellinD PERMIT NO. ~ ~'G~:)O d~~ -~:~ I S~ ~/t~ ~erial No. of compartments Liq. capacity in gallons iF HOME.DE: Inside length Width Liquid depth ~9~ DISTANCE TO: PERMIT NO. · -' ~ Material Liquid capacity in gallons ~ Well Foundation Length~ eac,~ I~ TotalS? o~,~s Tren~ wid,~ Distance b ~ ~ ~ Top of tile to fi~ ~grade ~ ~at~ria beneath tile Total eff~ve~orDti~ area ~ DISTANCE 're: Well Building foundation Nearest lot line ~ .~ ,_ z, Driller Distance to lot line PERMITNO. ~ DISTANCE TO; Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS INSTALLER Permit tt , ~C)R 0N-SITE SEWER PE{MIT Applicant: >/ Mailing Address: Location: ./~ ) /~C- /-/ ~_~. Phone Nut, Der: ~ ~/ '/ Legal Description: ~ ~ c~C~ ~/S-~I ~/~ Lot Size: Type of Soil ~sorption System Is: Trench: ~ Drainfield: Seepage Bedl Holding Tank: Maximum Number of Bedrooms- ~. Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: ~UNICIPAL. ITY OF ANCHORAGE '~rotection Department ' Health and Environmental 825 ~ Street, Anchorage, AK. ~3501 / * * * HANDWRITTEN PERMIT * * * 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 ou~f-all pipe and · the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = Permit applicant has the responsibility to inform this department durin~ the insta~Llation inspections of any wells adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARF RFQUIRED * * * Backf:Llling of any system w:Lthout final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet 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 * * * 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 s~stem in accordance with codes. (3) I un~t~ th~ on-site sewer system may require enlargement if ~r~e~//~/~/modeled to include more the7 ~dro~m~. ~ Signe~: ~./~////~// Issued by: g~,~~~ licant ~ - -- v- --' _ SWP/024(1/81) SOILS LOG 3 7- 8 = MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, 8treat, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SLOPE PERCOLATION TEST DATEF'ERFORMED: (~'~-'~ -~ si'rE PLAN 10- 11 13-, 14- 15- 16- 17 18 19 20 WAS GROUND WATER ,/.) ~ U P E ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE )~/ ]J, (minutes/inch} TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY:_~_ ' PH, 694,,297~ 72.008 (6/79) P O U C,I-I 6-650 ANCtlORAGE, ALASKA 99502 0650 (907) 264 411'1 June 1, 1983 Ethel Mc Allister 4619 Spenard Road Anchorage, Alaska 99503 Sectl. on 8 Lot 47B Subject: T15N R1W ',- ' The apartment building and trailer both have unknown sewer systems, and several items will need to be completed prior to approval from this department. The items for the apartment building are as follows: (1) The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified bva registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. (2 Expose the septic tank manhole to verify its existence. An adecuacy test needs to be performed on the existing leachzng 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 office for our review. (4 The depression over the sewer system will need {:o be filled so that surface water drains away from the sewer system. The items for the trailer are as follows: (1) The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. (2) Expose the septic tank manhole to verify its existence. Ethel. Mc Allister June 1, 1983 Page Two (3) Locate and expose the cleanout to the seepage pit and/or leaching area for our inspection. This is to insure the minimum distance~ requirements are met between the well and sewer system. (4) A four(4) inche cleanout needs to be installed to the leaching area. (5) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A ]_isting of private firms performing the test J.s enclosed. This report needs to be submitted to this office for our review, If there are any further questions, please call our Eagle River O[fice ak 694-2131. Sincerely, Robert C.. Pratt, R.S. Associate Environmental Specialist RCP/ljw · . CHEMICAL & GL,. £OGICAL LABORATORIES ~ £ ALASKA, INC. ~ ' TELE..PH ON E (90'7> 562-2343 ANOHORAG E IN DUSTRIAL ~ENTER /,"'~~. Drinking W;~ter Analys;sReport for Total CDlifOrm Bacteria TO BE COMPLETED BY WATER SUPPLIER City "~[: State SAMPLE TYPE: [] Routine [] Check Sample (for routine eamble with Iai) ref. no._ .~ [] Treated Water [] Special Purpose , [] Untreated Water SAMPLE ~ Time Cellar~ted NO. LOCATION - ~ '! i - Collected By ~+ .... ~ ~,' ~'~r,~ J ~-'~ ~F~' 2 ~ L ~J s ~ J TO~'~i~E COMPLETED BY LAB[)'I~ATORY Ah~ ysls shows this Water SAMPLE to be: .[~Satisfactory [] Linsatisfactory [] Ssmpm [oo long ie transit: semele si~ould 't~6f be over 48 hours Old at examination to indicate reliable results. Please send new semDle. Date Received Time Received _ An~qlyt cf Method [] Fermentation Tube _ [2~Membrane Filter Lab Ref, No, Result" Analyst ::{ .$-- J rTl READ INSTRUCTION S BEFORE COLLFCTING SAMPLE. BACTERIOLOGICAL WATER ANALYSIS RECORD L APPLIC ~IT FILLS OUT UPPER HAL ONLY Piopr~ily Owner . Z??.~/~,/ /)~/~/'/,'////::~?.<¢. Phone ~-~ Buyer ~(Multlple Family No. of Bedrooms_ Water Supply ~ Public Utility ~[Individual Year Individual Installed: Inspector Inspector Inspector Inspector Mu~lc~pa y of Anchorage,, "Dept. of Health ( ) APPROVED BEDROOMS CONDITIONS OF APPROVAE Pro[~[0~ ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' ~ Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~A Size DALE :5'lAi~ OF ALASKA DEF ',~¥MEN'r OF HEALTH AND WELF~ DIVISION OF PUBLIC HEALi'fl BRQ ERIOLO ICAL WATER ANRLYS OFFICE NAME ADDRESS ADDRESS OF SOURCE Records in Ihls office indicate this WATER SUPPLY to be o1: Sotis~a¢lory [5 Que~llonublo [] Unsatisla¢lory Sanitary Slufu$. Analysis shows this Water SAMPLE lo be: Satisfactory ~] Queslionable [] Unsalbfaclory. SAMPLE COLLECTED BY E] al Well [] ogmr-- PURPOSE OF EXAMINATION: Illness Suspecled? [] Yes L~ No SANITARIAN'S REMARKS Signature. READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD am EMB AGAR .__ Lactose Brolh, 24 hrs.-- 48 hfs, .GrunCs stain Coliform Density. (Most probable No. per 100c¢.) MF resulls Absent.