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Home My WebLink AboutEAGLE CREST #1 TR B LT 7 ~ 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 NAME PHONE NEW MA,L,NOADD. - ~--~0 Z < Manufacturer~ Material Liquid capacity in ~ltons Length W~dth 'Oepth / PERMIT NO. < ~ Type of crib Crib di r I~ Crib depth Total efl~ti~ absorption area ~ Well Building foundation Nearest lot line m DISTANCE TO: ~ Cles$..~~, ~h ~ Driller D~stance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Se~r line Septic tank Absorption area(sD INSTALLER ~,---,. 72-013 (Rev. 3/78) PERMIT NO. M[JN I C I PAL I T'{ OF OEP AR Ti'qEN "'"OF HEALTH AND 8~5 L' STREEF~ ANCHORAGE~ L~N--~ · TE ~~ PE~.r T 810790 ) %PPL~CANT _OCA T I LAN JEGAL IVAN SOLBOM EAGLE RIVER L 7 T. 8 EAGt~ CREST SR 80x 9030 99567 LOT SIZE 28000 SGUARE FEEt type o~ soil absorption system is: DRAINFIE£.D qaxim[~m AL[tuber o~ bedrooms = S The length dimension is the length tin ~eet] o~ the trench or draintieJd. The depth o~ ~ trench or pis is she distance between the surface o~ She ground and She bottom o~ the exc~vation The gravel depth is ~he minimum depth o~ gr~vel between the out~all pipe and ~he bottom o~ the exc~vation lnst~ll~tion inspections o~ ~ny wells ~dJ~cent ~o this number o~ residences tr, a~ the well wllJ serve. property ~nd the TWt3 (8) ~NSPECTI t3NS ARE RE(-~L~IR .F_19 8ack~llling o~ mny system without ~inal inspection and apprDvml by this ~epartment will be subject to prosecution, ~Jnimum distance bet~Jeen a well 100 +eet +ora private welJ or ]SO so 200 tee~ trom a pubJic well depending upon the type o~ public well. MJnimum ~lst~nce ~rom e private well so a pr. irate se~er line is 2S ~eet end So a community sewer line is .)ther requirements may apply, Spect+icmtions end conm~ruction diagrams ere avellabJe to insure proper P~. rm:i't: exp.~rP.~ December i certify tr, mt ~: I mm ~amtliar with the requirements ~or on-site se~ers eno wells as sec ~orth by She Municipality o~ Anchorage, 3[ I understand that ~he on-site sewer system may require enlargement l~ the residence is remodeled to include more APPL.ICAN[ IVAN SOLSOM th~n S bedroOm~o ISSuEO OY ..... w.o , . .~Z.~ ' ,'"MUNICIPALITY OF ANCHORAGE"% . ,.~., fW~Dep~rt~ent .f Health and Environmenta. Protection · ¢~. ~-~t~ L Street, ~chorage, AK. 99501 ' '~ ' _ ~ 264-4720 ~~~ * * * HANDWRITTEN PERMIT * * * ~ ~ WELL AND/OR ON-SITE SEWER PERMIT Location: ~ Phone N~er: ~F-9~D Legal Description: C7 ~r. ~, ~ ~ Lot Size: a< Type of Soil ~sorption System Is: Trench: Drainfield: ~_ Seepage Bed ~ Holding Tank Max~ N~er of Bedrooms: .. ~ Soil Rating(sq.ft/br) /~ The Required Size of the Soil Absorption System Is: DEPTH 3 LENGTH ~7 . GRAVEL DEPTH / WIDTH ~ The length dimension is the length(in feet) of the trench or drainfieldo 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 = l,~O0 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * 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 a~ 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 include more to that ~be~roo~s.. SWP/024 (1/81) ' 'o'^17 o ~ SO,La ~oo ¢..~ "0~ MUNICIPALITY OF ANCHORAGE 0~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION 82~ L, Strut. Anchorage, Alaska ~501 2~4720 TEST SOILS LOG -- PERCOLATION TEST ~ERFORMED ~OR: DATE LEGALDESCRIPTION: ~ ~ 1 2 3 4 5 6 7' 8 9 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER 7~ / / ENCOUNTERED? pO IF YES. AT WHAT E DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop ~,. ,/'"/,~ ~,. ! PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) FT COMMENTS CERTIFIED BY: 72-008 (6/79) CHUGIAK, ALASKA 688-3199 ~)~')';RILLING CO. ~ WE SERVE ALL ALASKA POST OFFICE BOX 42 -- CHUGIAKo ALASKA 995S7 KODIAK, ALASKA 4864826 OWNER OF LAND ..]~v~tr:..5o3.heL~ ............................................... ADDRESS ....2~0...J,[e ].v~.z~.....A~e h o.:-~e ,...A]c.._9.9.SQ~ ..... DATE - STARTED .--.7-,,.~..~,,80. ................................................................ DATE - ENDED ......7..~7..-..~.(~ ......................... i .......................................... D£PT. OF WELL...58E.t ....................................................................... STATIC LEVEL OF WATER FI' ........ l..~..~.'c......[z%..h.o~.e .................. DRAW DOWN Fr...J~0.~ .......................................................................... GALS. PEP, liP, ......... .~..0..~....~.~^ ............................................... ~ ........ ~ND OF CAS~C ..61 ru...,9~: h...~0ff. .................................................. KIND OF FORMATION: FRO,mi ....... .0 ............ Fr. TO .........~. ........... Fr..O.',re r.b.,,1,~ d, e,rl. ...... FROM ....... -3 ............ FT. TO ........6......'..... Fr. FROM ....... .~ ............ FT. TO ........ 2.~ ........ Fr. Sanct..&..ffa, te~. FROM ...... 2~. ......... FT. TO ........ 5~. ........ Fr. ~.~&.Y..e..~ ................. FROM ..................... FT. TO ...................... FT .................................. FROM ...................... Fr. TO ...................... FT .................................... FROM ...................... FT. TO ...................... FT ................................... FROM ...................... Fr. TO ...................... FT .................................... FRO~,! ...................... FT. TO ...................... FT .................................... FRO~! ...................... Fr. TO ...................... Fr .................................. FRO.~! ...................... FT. TO ...................... FT ................................... FRO,'d ..................... FT. TO ..................... FT .................................... MI$CL INFORMATION: FROM ....................... FT. TO ....................... FT .................................. FROM ....................... FT. TO ........................ FT ................................. FROM ...................... FT. TO ........................ FT ................................. FROM ............~ .......... Fr. TO ........................ FT ................................. FRO.X! ....................... FT. TO ............. .: ......... FT ................................. FRO~,I ....................... FT. TO ........................ FT .............................. FRO~! ....... ~ .............. Fr. TO ........................ ~r.~...~ :.tb~.~ ...... ~,o~, ...... Fr. TO.Cl._. 0,~.1',4 ........... ..................... FROM ....................... FT. TO ........................ FT ................................. FRO~! ....................... FT. TO ....................... FT ................................. FRO.ff ....................... Fr. TO ....................... FT ................................. FRO.~! ....................... FT. TO ....................... FT ................................. PERMIT NO. i'IUN T C I ~PI-~L I TY OF' i::INC:I~ij~RAGE DEPARTHENTf ~ HEALTH AND ENVIRONI4ENTAL~ ~OTECTION 825 "L" STREET, RNCHORRGE, AK. 99o01 264-4720 HELL PERI'I I T APPLICANT RICHARD LARSON LOCATION CRESTVIEW LEGAL R-8 -]~OT-7 ~EAGI 'E-CREST'-~ BOX i072 EAGLE RIVER LOT SIZE 694-2466 22000 SQUARE FEET HINIMUH DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR :1.50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINiMUH DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMHUNITV SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPRRTHENT WITHIM 30 DRYS OF THE WELL COHPLETION. OTHER REQUIREHENT$ MRV APPLY, SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERI~i I T EXP I RES DECEI-flBER ~:L. :1.--'~80 I CERTIFY THAT t: I RM FRHILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BM THE HUNICIPRLIT~ OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ..... ~PPLICRNT ~RIC~RD ~SON ~ ......... V4. 0 ~ r ' ' ~ ~ .... /" DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE , INSPECTOR INSPECTOR INSPECTOR~. MUNICIPALIIY OF ANCHORAGE ' ~r~l. C~ ~':, th 825 L Strut - A~or~, AI~I ~1 1 81 ~ ENVIRONMENTAL SANITATION DIVISION T~.~. ~7~ RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL ~ATER AND SEWER FACILITIES 2Goo PHONE 3. LENDING INSTITUTION PRONE 4. REALTOR/AGENT I PHONE I 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPEOF RESIDENCE NUMBER OF~SEDROOMS ~ SINGLE FAMILY ~'~'"~TwoOne ~--I[] FiveF°Ur I--1 MULTIPLE FAMILY Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL' [] COMMUNITY [] PUBLIC UTILITY 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.) nd m 7~ ~ 8. SEWAGE DISPOSAL SYSTEM ~' INDIVIDUAL/ON-SITE** 1-'1 PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) ,.- THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I-'1 SINGLE FAMILY [] ONE [] THREE [--I FIVE [] OTHER I--I 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 []PUBLIC UTILITY Connection Verified INSTALLER I-'lSeptic Tank or [] Holding Tank S[ze: If Tank is homemade BOILS RATING give d[mensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTA,CESwELLT0; ~ptic/Holdi~lgTaRk IAbsorptionAre. ISewe. Lin. Absorption Area to nearest Lot Line 5. COMMENTS ~[~,,,~APP ROVE D FOR 7 BEDROOMS [] CONDITIONAL APPROVAL (lett'er must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79)