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Home My WebLink AboutEAGLE CREST #1 TR B LT 9 ~ ,, MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVI.RONMENTAL ENGINEERING DIVISION 825 LStreet Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF MEDROOMS ~ ~ DISTANCE TO: ~ ~ ~ DISTANCE TO: Well ~ ~r Foundation ~S I.ch~ Total eff~ti, ab~rea No. of lines ~ Material ~neath tile ~ ~ O inch~ ~ Top of tile to finish grade ~[ O Length Width ~pth PERMIT m DISTANCE TO: ~ ~lass ~ Depth Driller D~stance tolot line PERMIT NO. ~ DISTANCE TO: Building foundation S~r line Septic tank ~sorption area(s) OTHER PIPE MATERIA~ INSTALLER . / ~ ~ , t~ ~t 72-013 (Rev. 3~78) PERMIT NO. HUN ~' C: 1' t F3L 1' TV OF RNCH,...,RRGE DEPARTMENT OF HEALTH AND ENVIRONMENTRL PROTECTION 825 'L' STREET, ANCHORAGE, RI(. ~501 264-4?20 ON--~; I TE ~EWER PERM I T ( 780~62 ) APPLICANT LOCATION LEGAL STEVE SCHUMANN EAGLE RIVER L9 TR B EAGLE CREST 147 CRESTVIEW LANE LOT SIZE i7820 SQUARE FEET TYPE OF SOIL BBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: I= :9 LENGTH= 4'1 GRAVEL DEPTH= $. 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI~U I RED 5;EPT I C Ti:iNK ~; I :::~'E= ::L000 GFILLON~; PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURIt(G THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE ~UMBER OF RESIDENCES THAT THE WELL WILL SERVE. ------ TWO (2 > I N~;PECT I ON:~; ARE RE(;IU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL 8E SUBJECT TO PROSECUTIOK MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL; OR ~i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEMBER ~'1~ :Lg?S I CERTIFY THRT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET ~FORTH BY THE MUNICIPALITY OF ANCHORAGE ;2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTAND THAT TH~ ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IA REMODELED ~p INCLUDE MORE THRN 3 BEDROOMS. performed for: IE desc, I 2 5' 4. 5. 6. 7. 8' 9. I0- II 1::5. 15 i 17- 18' 19 20¸ comments performed by: M.D.G. ENGINEERING SOILS LOG - PERC. TEST {~ sods 'log percolation test date -si=, ~,er ~r~o~nd water lS.T. ~ depth n,time' ' " readma date a.hme d.lowater ne~ drop perc. rote ~Jin. between -- f; cerhfied by: :/'1 '' ,. ,.' l,y JAN 4 1,079 '!'A & L DRILLING COMPANY RECEIVED BOX 97, EAGLE RIVER, ALASKA 99571 · TELEPHONE 694-2588 OWNER OF LAND ~'-7'~c/~' .~'~ h/~I/'~,s~/-d/'~] DEPTH OF WELL ~ ADDRESS /~ ~ C~ ~ ~ STATIC LEVEL OF WATER LEGAL DESCRI~ION ~ ~ ~ ~ ~ ~Y ~RAW DOWN ~. DATE - Sta~ed ~7~ Ended ~ ' GA~. PER HR ~ERMIX SWAYER 7Z 0 7~ 7 KIND OF CASING KIND OF FORMATION: From o Ft. to ~O FI. OL,_~-%~ (5o.'¢'~e'''''t From Ft. to Ft. From ~ Ft. to /~ Ft. ~ From ~ Ft. to Ft. From /~ FI. to ~ Ft. ~ From~Ft. to Ft. From ~ Ft. to--Ft. ~ ~ ~ From Ft. to Ft, From /~/ FI. to lq ~Ft. T/~ ~ From Ft. to~FI From /~ Ft. to /g7Ft. ~4~r ~d~ From FI. to Ft. From /~7 Ft. to [~ Ft. ~4~~ From~Ft. to Ft. / From ~Ft. lo ~ Ft. ~O ffe~a~ ~~rom~Ft. to Ft. From Ft. to__Ft. From Ft. to Ft. From Ft. to Ft, From Ft. to__Ft. From Fl. to Ft. From Ft. to Ft From Ft. to Ft. From Ft. to__Fl From Ft. to Ft. Fromm. Ft. to Ft. From,~Ft. to.~Ft. From ~ Ft. to From.~FL to Ft. From Ft. to MISCL INFORMATION: DRILLER'S NAME /~"/ ~' ' ' MUNICIPALITY OF ANCK, aGE l DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK ~501 264-4?20 !PERMIT NO: DATE ISSUED: ON--$ I Ti=:' 8404~1 06/20/84 APPLICANT: ARTHUR M SPONSEL ADDRESS: EAGLE RIVER, RK ~577 iCONTRCT PHONE: 27i-4204 ~'~' iLEGAL DE$CRIP: SUBDIVISION: EAGLE CREST LOT: ~ SECTION: ? TOWNSHIP: i4N RANGE: LOT SIZE: 17520 (SQ. FT. OR ACRES) .LOT LOCATION: BLOCK: B I CERTIFY THAT; :~' · i; I'.AM FAMILIAR WITH THE REQUIREMENT$~OR ON-SITE SEWERS AN~ ~ELLS RS SET FORTH BY"THE MUNICIPALITY OF'ANCHORAGE (MOA> AND THE STATE,OF ALASKA. 2. I WILL INSTRLL~HE SYSTEM IN AccORDANCE WITH ALL MOA ·CODES AND REGULATIONS, _'~ AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY E~ISTING WELL~ WRSTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY RDJRCENT OR NEARBY LOT. SIGNED DRTE: APPLICANT: ARTHUR M S SSUED BY D TE: DATE RECEIVED INSPECTION APPOINTMENTS TiME TIME TIME ~.., ~* DATE DAT ~ ~" {~ ~ DATE INSPECTOR INSPECTOR INSPECTO~~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ION 825 L Strut · Ancho~a~, Al~a ~1 Telephone ~7~ DIRECTIONS: Complete all pa~s o~ page 1. Incomplete r~u~ will not ~ pr~. Please allow ten {10) days for pr~sing. 1. PROPERTY~NER ~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If diHerent from ebon) PHONE 2. BUYER PHONE MAILING ADDRESS ~ LENDING INSTITUTION ) ~ PHONE 4. REALTOR/AGENT I PHONE MAILING ADDREg~ 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF R~ [] SINGLE FAMILY r-I MULTIPLE FAMILY NUMBER OF~BEDROOM$ [~] One [] ' Four I--I ~.Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY I--I INDIVIDUAL· [] COMMUNITY [] PUBLIC UTILITY B. SEWAGE DISPOSAL SYSTEM r-1 INDIVIDUAL/ON-SITE** [] 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.) ,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 [] SINGLE FAMILY [-] ONE [] THREE [-1 FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [-'1 FOUR [] SiX PERMIT NUMBER 2. WATER SUPPLY · [] INDIVIDUAL' DEPTH OF WELL r-1 ,' COMMUNITY DATE DRILLED I--I PUBLIC UTILITY , Connection Verified LOG RECEIVED , 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER i-'IINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ ~ -~ ~ ? Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: l00~ IfTankishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS / [~] APPROVED FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72.010 (Rev. 6/?9) DIRECTIONS: Con~lm ,,al parts on page 1. Ineam~m requmls will not be prm:M~d, F~e allow ten I 1. ~JQPERTY BUYER MAI LI N"G ~DDRESS 2. LENDINOJ, I~TITUTION MAILING ~DOR F~ REALTOR/AGENT PHONE TYPE ~/~$1DENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY [] PUBLIC UTILITY 2. EL=WAGE ~i~,J~AL SY'~T~M I'-1 PUBLIC UTILITY NUMeER OF eEonooMs [] One [] Four [] Other i-'t~Th~) [] Five ee [] Six · 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.) If Individual/on-site. g,ve installation date /./~//~ If system is over two (2) years old an adequacCt~t-is rf, quired by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, ; ~ THIS SIDE FOR OFFICIAL USE ONLY i '~ DATE RECEIVED iNSPECTION APPOINTMENTS TIME TiME TIME DATE OATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] 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 []PUBLIC UTILITY Connection Verified INSTALLER i'-ISeptic Tank or []HoidingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL A~ORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank lAb~orptto~ Ar. I~ewer Line I Neere~! Lot Line I I I 5. COMMENTS J~],,,~APPROVED FOR '~*.,. BEDROOMS [] - CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY(T~tle) t~ //.? LEGAL DESCRIPTION 72-010 (Rev. 3/78)