HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 5
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
MAILING ADDRESS
LEGAL DESCRIPTION ~
'OCAT,O. t 7'/
DISTANCE TO:
No. of line~ ~
!
[] UPGRADE
NO. OF BEDRO~
IF HOMEMADE: I Inside length
I
Dwelling
Leng~,~h I~ e,~,
No. of c'om~partments ~
Liquid depth
Material
PERMIT NO.
Liquid capacity in gallons
inches
W;dth Depth
Well
DISTANCE TO:
Depth
Building foundation
Crib depth Total effective absorption 8rea
Building foundation Nearest lot line
Driller D~stance to lot line
Sewer line Septic tank
OTHER
PIPE MATERIALS
REMARKS
72~1
z(
LEGAL
APPLICANt
LOCATION
LEGAL
CHARL.~S l. MOwRER
CITATION RO~D
L 9 T. ~ EAG~Z CREST
PO 80X 6~7 99977
LOT SIZE
171G0 SOUARE FEEt
Type o~ soil absorption system is: TRFNCH
number O~ bedrooms = ~
Soil rating ~S0 FT/BR)= 2S0
the pequlre~ size o~ the soil adsorption system is:
The length ~lmension Js the lengZh ~ln ~eet) o~ the trench or ~rain~iei~.
groun~ an~ ~he bottom o~ the excavation ~in ~eet).
There is no set wioth ~or trenches.
The gravel depth is the mtnlmL~ ~epth o~ gravel between the outeaJl pipe
an~ the bottom o~ the excavation ~in ~eet).
Permit applicant has the responsibility to inform this ~epartment ~ur~ng
installation inspections o~ any wells a~jacent to this property ann the
number O~ reslOences that the well w~lJ serve.
T~t3 (2> I N.'~,_PEaTI L3Nt-~ ARE
Back~llling o~ any system without ~in~J inspection ann approval by
aepartment will be subject to prosecution.
~nimum Oistance between a well
100 ~eet ~or a private welJ or iS0 to ~00 ~eet ~rom a pubJic well ~epen~ng
upon the type o~ public weJJ.
M~nimum Ols~ance ~rom a private well to a private sewer line is 29 ~eet and
to a co~munity sewer l~ne is 79 ~eet.
gell Jogs are require~ ann must be returne~ to the Oepartment Wlt~ltn ~0 ~ays
o~ the well completion.
]~her requirements may apply. Specl~ications anO constroction Olagrams ape
availabJe to lnsore proper
I certify that
1: I am ~am*liar with the requirements ~or on-site sewers and wells as set
~orth by the Municipal~ty o~ Anchorage.
2: i w~]l lnsta]l the system in accordance with the co0es.
~: i un~erstan~ that the on-site sewer, syste~ ~y require enlargement l~ the
residence is remodeJe~ to include ~ore than ~ bedrooms.
f"~,MUNICIPALITY OF ANCHORAGF'"% .
Department ,f Health and Environmenta. Protection
,- ~, 825 L Street, Anchorage, AK. 99501
~,. 264-4720
~ ~ # HANDWRITTEN PERMIT ~ # #
WELL AND/OR ON-SITE SEWER PERMIT
Location: ~~ Phone Number:
Legal Description: L 5 -/-f~ ~- ~.~ ~ Size: /7/6d
Type of Soil Abso~tion System Is:
Trench: ~'~.Drainfield: _ Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating (sq. ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH LENGTH /~'" GRAVEL DEPTH ,7 WIDTH
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 outfall pipe and
the bottom of the excavation(in feet).
~ ~ REQUIRED SEPTIC(HOLDING) TANK SIZE = /~'~ GALLONS # ~
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
"" ~ TW0(2) INSPECTIONS ARE REQUIRED # ~ e
Backfilling of any system without final inspection .and approval by this departmen
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
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 8 1 '
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 system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that~3_bed~e~ms. ~
Applicant ~/~/~
Date:
SWP/024(1/S1)
PERFORMED FOR:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LO(;
PERCOLATION
TEST
DATE PE.FOR EO= /YJ
w;'$LOPE "SITE PLAN
3(
5-
6-
7-
8-
g-
12-
14-
17-
18-
19-
20 - E~e~ A
No.
COMMENTS
PER.ORMED .Y: ~$ 6 S E=
72-008 (6/79}
ENCOUNTERED? ~
E
IF YES, AT WHAT
DEPTH?
Dross Net Depth to Net
Reading Date Time Time Water . Drop
PERCO~T,O. RATE
TES~ R~.
CERTIFIED
(minutes/inch)
~ FT
DATE:
ler ';fiei BriUiug iog
by
SULLIVAN WATER WELLS
P. O. BOX 272, CHUGIAK, ALASKA 99.5~7 · TELEPHONE
OWNER OF LAND
ADDRESS "'
LEGAL DESCRIPTION c ~ / ~'
DATE - Started ' ' Ended
DEPTH OF WELL :- ' ~'
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. '
GALS. PER HR · '"'
KIND OF CASING " "
KIND OF FORMATION:
From .' Ft. to · Ft..
From '7 Et. to ;__Ft.
From Ft. to :L- Ft.__:;~--; /
From ' '~'. Ft. to
From Ft. to Ft,
From Ft. to Ft.
From ~ " Ft. to '
From___Ft. to Ft.
From Ft. to Ft,
Fmm__.Ft. to Ft.
From__Ft. to Ft.
From Fi. to Ft.
From
From
From-
From Ft. to
From Ft. to
From__Ft. to
Ft. to Ft.
· Mu~IPALITY OF ANCHORAGE
FI to__,-~,~:F.T. 0," 9~'~H &
Ft. to E~NMENTAL p~oT~CT~ON
F. ,LLr. I vr-u
From Et. to Ft.
Fmm Et. to Ft.
From Ft. to Ft
From Fi. to Ft.
From - Et. to- Et-
From Ft. to FL
From Et. to Ft
From Ft. to Ft,
From Ft. to Ft
From__Ft. to Ft.
From__Et. to Ft.
Fmm Fi. to Ft
From Ft. to__Et
From Ft. to Ft.
From__.Ft. to Ft.
From__Ft. to Ft
MISCL. INFORMATION:
DRILLER'S NAME ' ' ' /: !-~'"' ....
:~"" " APPLI~*,'~,NT FILLS OUT UPPER .~?c~,..LONLY'
Property Owner OC~.~.~~ ~~ Phone
Legal ~scrlpt~. ~
T~ of Resl~nce
~ S~n~le Family
Sewe~ Disposal
~ Holding Tank
NOTE: THE INSP/~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSiNG CAN BE INITIATED.
Inspector Inspector Inspector Inspector
MAY 1 11983
{ ,.~ ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAI~unIclpaHty of
( ) CONDIT~NAL APPROVAL*
~lls Rating Date ~wer Installed Well TO ~sofptlon Area Well L~ R~eiv~
~ --~f we, to Tank Sep,c T~k S~ze
-' · DATE RECEIVED
' '~" ' INSPECTION APPOINTMENTS
,NSPEcTO. ,NSPECTO
INSPECTORt'"% I
MUNICIPALITY OF ANCHORAGE ,MUNIC1PALh'Y OF ANCHORAGE
-,, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DFPT' OF
825 L Strut - Anchorage, Alaska 99501 £NVIJ~ON;~ENT,~L
t ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 SEP 2 8 1981
. ouEs Fo. ^...ovAL oF ,.O,V,.UAL WA E. ^.o
Ol RECTIONS: Complete all parts o, page 1. Incomplete requests will not be processed. Please allow ten (10) days for proce~slng.
1. PROPERTY OWNER ~ PHONE
CCC ConstructionI 6~8-327~
MAILING ADDRESS
P.O.B. 633 Eagle River Alaska 99577
PROPERTY RESIDENT (If different from above) PHONE
Lot 5 Tract B Eagle Crest Sub.
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION I PHONE
I
MA~ LFN ~-A Db R ~'S~ .........
4. REALTOR/AGENT ~ PHONE
~th~ Gerac~1694-9125
MAILING ADDRESS
PO.B° 633 Eagle River Alaska 99577
5. LEGAL DESCRIPTION
Lot 5 Eaqle Crest Sub. Tract B
STREET LOCATION
Citation
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four i'-I Other
[~ SINGLE FAMILY
C-I Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
[~} INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
SEWAGE DISROSAL SYSTEM
[~ INDIVIDUAL/ON-SITE"
[] PUBLIC UTILITY
1981
.YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
· , THIS SIDE FOR OFFICIAL USE ONLY .
1. TYPE OF RESIDENCE NUMBER OF BEOROOMS
[] SINGLE FAMILY I--I ONE I-1 THREE [] FIVE r-I OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR D SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED .
[]PUBUC UT~UTY
Connection Verified INSTALLER
[]Septic Tank or []Hold[ngTank
Size:/J~::)O If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORFT~ON AREA MATErnAL [
4. DISTANCESwELLTO: S~.,ic,.o,.,..T...JAb,or.,io. Ar.. JSewerLi,,e
Absorption Area to nearest Lot Line - -
5. COMMENTS
" PPROVED FOR SEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
t'--I DISAPPROVED
72.010 (Rev. 6/79)
Anchorage
/',NCltO [IAG[, ALASKA 2644! 11
October 2, 1981
CCC Construction
Post Office Box 633
Eagle River, Alaska
99577
Subject: Lot 5 Tract B Eagle Crest Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items.have been
completed:
11[1] The water analysis report needs to be submitted to
this office from Chem Lab, 5633 B Street, for our
review.
(2) A well log needs to be submitted to this office for
our files and review.
O~)~(3)L by The this sewer office, system needs to be bacRfilled and reinspected
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc:
Alaska Statebank
310 East Northern Lights Boulevard
99503
Kathy Geraci
% Great Land Realty
Post Office Box 633
99577