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Home My WebLink AboutEAGLE CREST #1 TR B LT 10 ~IUNICIPALITY OF ANCHORAGE f/'-' ~ ,~ , 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 AME AILING ADDRESS EGAL DESCRIPTION OCATION DISTANCE ~; Manufacturer DISTANCE TO: Manufacture, IF HOMEMADE: Well DISTANCE TO: Well No.o, n~.~ Length of each l~ i Top of tile to finish grede Length Width Type of crib ~ DISTANCE TO: Dwelling Total length of li~ ~ Material Nearest lot Trench wid~ ~ inches /pOinch-- Crib diameter....~.~ Crib depth Total effectiv~ absorpti~on area DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST RATi N~G '~L~ INSTALLER REMARKS Depth Sewerline r'-IUPGRADE DATE LEGAL NO. OF BEDROOMS3 No, of compa r t ~_~t $ Liquid de~ PERMIT NO. Liquid capacit.~galtons PERMIT NO. __ Nearest lot line D~stance to lot line Septic ;ERMIT NO. I~IIJN I C I ,Il~. I TY OF RI%ICHC~GE DEPARTMENT OF r4,-RLTH AND EMVIRON['IENTAL Pm',,-,~.CTION ,. 825 'L" STREET~ ANCHORAGE, AK. 9.~501 264-4720 Ot~--S I TE SE[4ER PERM I T 7e05~2 > h >LICRNT '. ;RTION .~ 3AL STEVE SCHUMRN 147 CRESTVIEH LT. lB BLK. B EAGLE CREST '~ 3E OF SOIL RB$ORBTION SYSTEM IS: h ~IMUM NUMBER OF BEDROOMS = ~ LOT SIZE TRENCH SOIL RATING ! -- REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 20000 SQUARE FEET (SQ FT/BR)= EPTH= ii LEt~IGTH= ~ GRRVEL DEPTH= 7 /THE LENGTH DIMENSION IS THE LENGTH (IM FEET> OF THE TREHCH OR DRR~NFIELD. THE DEPTH OF B 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 OUTFRLL PIPE ~AND THE BOTTOM OF THE EXCAVATION (IN FEET>. ,E~U I RED SEPT I C TRt4K S I ZE= ieee GRLLOt~S ~MIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE ~TRLLRTION INSPECTIONS OF ANY WELLS RDJRCEMT TO THIS PROPERTY AND THE ~BER OF RESIDENCES THAT THE WELL WILL SERVE. - ~""-- THO ( 2 > I t"iSPECT I Or-IS ARE REI;~U I RED r~ ~'KFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AMD APPROVAL BY THIS !3 3RRTMENT WILL BE SUBJECT TO PROSECUTION. qIMUM DISTANCE BETWEEN A WELL AMD ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ~ FEET FOR R PRIVATE WELL; OR ~ TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL ~ER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND COMSTRUCTION DIRGRRHS ARE ~ILRBLE TO INSURE PROPER INSTALLATION. PERM I T EXP I CERTIF~ THAT I RM FRHILIRR WITH THE REQUIREMENTS FOR ON-SITE 5EWERS AMD HELLS R5 SET ~RTH B~ THE MUNICIPRLIT~ OF ANCHORAGE. I WILL INSTALL THE 5~STEM IN ACCORDANCE WITH THE CODES, I UNDERSTAND THAT THE _ON-SITE SEWER S~5TEM MR~ REQUIRE ENLRRGEMEMT IF THE ~SIDENC; IT;MODE~~ INCLUDE MORE THAN 3 BEDROOMS. APPLICANT BTEVE SCHUMAN I~UED M.D.G. ENGINEERING sOILS LOG - PERC. TEST -: ' J~ SOdS 'log O percolation test performed for: '~"~'~-'-' ~"~.~/~.~'.~u/~, le I /Q ¸6- 9 I0' II ground wate~ , ~ deptl~ re~dln~ date a.hme n.fime d.fowater net drnn 15, ~m ~ 17, 18, 19. 2.0. perc. rote ~,~m~ m. betwe--~~= '- _.,,./ ~_. u, _~.~.-.:~_....... Per fo'rmed ' For Legal Oescrtntion: mot/0 B1 This form Reoorts Soils LogI t~.~j~ ~eoth Feet 'Soil Characteristics Date Performed Subdivision Percol~ati on Test I~"'. [~e~# En~0untered? .,/~o _ · ~as..~round Water .. If Yes, At what Depth?m Percolation Rate !$inute ,' Pronosed Installation: See~,aoe Pit Drain Field ~ Deoth of Inlet ' Depth lo ~ottom O.f.Pit Or lrench !" T · // ~' · · ~" Readin~ Date Grnss Time Net Time Depth to H20 )tet Dro~ I t " ' ; ( erlifie) Drilling ~ O~ A~CHO~AC~ OF H~AL~! & by ~IRO~ENTAL p?,OTE~ION A & L DRILLING COMPANY BOX97, EAGLE RIVER, ALASKA99577 . TELEPHONE694-25~ JAN A1979 OWNER OF LAND ADDRESS LEGAL DESCRIFTION PERMIT NUMBER DEPTII OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. * /v~' GALS. PER '1~ q~; O KINI) OF CASING (~ '~O~ RECEIV,ED :~o "7 KIND OF FORMATION: From 0 Ft. to~' From / Ft. to . From ~.~ FI. lo From ~*~ Ft. to From ~O Ft. to From ~ FI. to .. From / ~'~;" Ft. to . From //~" Ft. lo From ~ O ~ Ft. to *~c~' Ft. From ~,2-~'Ft. to ,,~3~ FI. From .2, :~ Ft. ,o ,;l 9q Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to____Ft. Ft. O UC~r' 0 0 </--/C/~ From Ft. From ~ ~From From From From ~ ~ From From From From From From From FI. lo Ft. Ft. lo____Ft. Ft. fo.__Ft. FI. to Ft, Ft. to Ft. Ft. to.~Ft. Ft. to.__Ft. FI. to Ft. FI. to Ft. Ft. lo.~__Ft. Ft. to Ft Ft. to Ft. Ft. to Ft FI. to Ft.__ __.Ft. to Ft.__ __FI. to Ft. FI. to Ft~ MISCL INFORMATION: DRILLER'S NAME. ~ '~--~"¢' ' PERMIT NO. r~u~4 I I---- I~.L I T"r' O,F A~'4C.H~R. AGE DEPART. MErIT 'tEALTH AND EN¢IRONr. IENTAL ', ~ECTION 825 ~L~ STREET. 8NCHOR~GE. RK. 995~1 ~64-4~2~ IWELL PERI~ I T APPLICANT STEVE SCHUMAfIN t47 CREST VIEW LANE 694 92~? LOCATION CIT8TIOfl LEGRL L10 BB ERGLE CREST S/D · LOT SIZE 22000 SQUARE FEET MINIMUM DISTANCE BETWEEH R ~/ELL AND ~t~'~' ON-SITE SEI,I~GE DISPOSAL SYSTEM IS 10E1 FEET FOR R F'RIVRTE I,IELL¢ OR 15~3 TO 280 FEET FROr,1 R PUBLIC HELL DEPEHDItlG UPOf~ THE TVPE OF PUBLIC I,IELL. ~IELL LOGS ARE REQUIRED AND MUST BE RETURt4ED TO THE DEPRRT~EHT H/THIN 2~ DRYS OF THE 14ELL COf'~PLETION. OTHER REQUIREMEHTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRf,IS ARE RVRILRBLE TO INSURE PROPER INSTALLATION. PERP1 I T E.'-.'P I RE_<:; DECEr-IBER ~--l. ::L_'3-- T"E: CERTIFY THAT I Rr~ FRr,IILIRR I,IITH THE REQUIREMEHTS FOR ON-SITE SEHERS AND I,IELLS RS SET FORTH E:Y THE MUflICIPALITV OF RNCHORRGE. 2: I ~ILL IN~RLL THE f,,~STEM IH RCCORDRf~CE I,IITH THE CODES. s ............ = ................. RPPLICRf~T STEVE SCHU~IR/I[t I~SLIED BY.._~_~ ......... DATE ~--''-- '~ V3. 2 MUNICIPALITY OF ANCHORAGE , · ...... ~ DEPARTMENT OF HEALTH & ENVIRONMENTA~ PROTE(~rIO~ ENVIRONMENTAL ENGINEERING DI~ IS '"' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTTON~: Co~ete e~l parts o~ page 1. ImmmO4em refuels will not be ~. Ple~e allow ten (10) days for PROPERTY RESID£NT (T! di~r~m fro¢~ a~e) j /r PHONE 4. REALTOR/AGENT MAILING ADDRESS TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY r-] MULTIPLE FAMILY 7. WATER &LilLY I--I INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY ~ INDIVIDUAL/ON-SITE** I--1 PUBLIC UTILITY [] One [] Four I--1 Two I--I Five ~ Three r-I Six [] Other A~-I'ACH WELL LOG. A well Io~ 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, give installation date ~,C~'"1 ~ If system is over two (2~ years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72,010(3/78) _ ~*~: THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME )ATE DATE DATE INSPECTOR INSPECTOR )IRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ '~[[] SINGLE FAMILY [] ONE 't~ THREE [] FIVE I--1 OTHER [] 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 '~] INDIVIDUAL/ON -SITE DATE INSTALLED -'IPUBLIC UTILITY Id~ 7~ Connection Verified INSTALLER ~[]Septic Tank or I-'lHolding Tank Size: Ir-y~ If Tank is homemade SOILS RATING give dimeneions: i~ TYPE OF TANK MANUFACTURER TOTAL A,SORPTION AREA MATERIAL WELL TO: I~ //-Y~ Absorptio~ Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR ~ BEDROOMS DONDITIONAL APPROVAL (letter must accompany certificate) tSAPPROVED l DATE BY I LEGAL DESCRIPTION 72-010 IRev. 3/78)