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