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Home My WebLink AboutEAGLE CREST #1 TR B LT 13 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ UPGRADE ~ ~ ~ Top of til~o finis~rade~ ~ Mat rial beneath tile Total ~tive ab~rptio~rea ~ Well Building foundation Nearest lot line m DISTANCE TO: PIPE MATERIAL~ ~ ~ ~ APPHOV ,' ' DATE LEGAL ........ ~ & S ~. 3/78) , / PER~II T r.lo. MV~ I C I PAL I TY OF A~CHORAGE DEPARTMENT .~--,HEALTH AND EN¥IRONMENTAL ~"~DTECTION 825 'L 'STREET, ANCHORAGE, AK. 264 -4720 \~. Ot~--S I tE SEldER PER~ I t S00~10 > APPLICANT DICK LRRSON BOX 1072 LOCRTIOtl 3RD ~= CRESTVIEW LEORL [.L~T .l~ ~ ~ FJIP.~EC.R[~T ~B '? ~ LOT ~IZE TYPE Of SOIL ABSORPTION S~STEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 / SOIL RATING (SQ ?T/BR)= 125 THE REQUIRED SIZE OF THE SOIL 8BSOP~TION S~STEM IS: DEPTH= 12 let~OTh= 24 GRAVEL DEPTH= 6~4-2767 12000 SQUARE FEET 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) Of THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 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 GRRVEL DEPTH IS THE MINI~UM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). REQU I RED SEPT I C TRNa( $ I ZE= ~OOO G~LLON$ 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. Thio (2> INSPECTIONS' liRE REQUIRED BACKFILLI~G Of ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVRL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL FIND RNY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DECEMBER --~-~ '1~80 I CERTIFY THAT l: IRM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORROE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. PERFORMED FOR: LEGAL DESCRIPTION: 6;' 10- 11'- '"'"--'~'~12 13 15, 16: 17 18 lg 20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 t. Street, An~hm'age, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~/P ?'--~4'~. (~ WASCROU.DWAT~R ~, /~'-~NCOUNTERED, . · $OILS LOG [] PERCOLATION TEST DATE PERFORMED:ZZ J~ITE PLAN P E Gross Net DePth to Net Reading Date Time Time Water Drop PERCOLATION RATE Iminute~/inch} , FT AND FT TEST RUN BETWEEN COMMENTS ~ n'~ / CERTIFIED ~/5~:x/). DATE:~ MUI",I I C I PAL I TY OF' ANCHORAGE DEPARTMENT ~'~HEALTH AND ENVIRONMENTAL f"~TECTION / ~ " 825 'L' ~TREET, RNCHORRG6 AK ~5~1 APPLICANT DZCK LAR30N BOX lOZ2 ~O~~~ LOCATION 3RD ~, CRESTVIEW , ~/ ~~~ LEGAL LTI~ TRACT B EAGLECRE~T S/D .~ ~ S~E 12eO0 SQURR~ FEET MRXIHUN NUMBER OF BEDROOHS = ~ SOIL RATING (~Q THE REQUIRED SIZE OF THE ~OIL RBSORPT~t(~Y~TEM ~//~ A~ ' - ..... DEPTH= 12 LEt~GTH=~ GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH <IN FEET) Of THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND R~ID THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS ~lO ~ET ~IIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET)· RE~.LIIRED.. SEPTIC TANK --qI2E= -1888 GALLOI'-IS PERMIT APPLICAN~ HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS AD.TACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE ~IELL WILL SERVE. .... Ti40 (2> I hlSPECT I Otis ARE REQLI I I~ED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THI~ DEPARTMENT WILL BE ~UBJECT TO PROSECUTION. MINI~IUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 3.00 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC ~/ELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS ?5 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTFILLATION. PERM I T EXP I RES DECEMBER 3-1.. -1~)80 I CERTIFY THAT 1: I RM FAMILIAR t. IITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPRLITY OF ANCHORAGE. 2: I WILL INSTALL-THE SYSTEM IN'ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. '" , ' ,b .................... APPLICANT DICK ISSUED PERMIT NO. MU~ICIPALITY OF A~CHORAGE DEPARTMENT~.HEALTHRNDENYIRONfIENTAL ~OTECTION 825 'L' STREET~ ANCHORAGE, PK. ~9501 2~4-4720 ON--~ITE SEIWER PERMIT ( 800298 ) RPPLICRNT DICK LRRSON BOX 1072 LOCATION 3RD .*: CREST¥IEH LEGAL ~ FTi~ *~RACT_ B: ERG~-EC~REST ~S/D' ! LOT SIZE ~94-2767 12000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR>= 267 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= :~-2 LENGTH= 6'1 GRAVEL DEPTH= 8 ') F THE OR THE LENGTH DIMENSION IS THE LENGTH (IN FEE~')~F WEENTRENCH:E B~T DRAINFIELD, THE DEPTH OF R TRENCH OR PIT IS THE DISTRt~C GROUND AND THE BOTTOM OF THE EXCAVATION (~N FEE~>, THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF G~!RVEL/BETW NFO~I THIS DEPRRTM AND THE BOTTOM OF THE EXCRVRTIOH (IN THE SURFACE OF THE BETWEEN THE OUTFRLL PIPE REQ..U I RED SEPT I C PERMIT APPLICANT INSTRLLRTION NUMBER OF IRS THE RESPONSIBI ~NS OF WELLS THRT THE WILL TI~O < > I NSP BACKFILLING OF ANY DEPARTMENT WILL BE TO PRO NT TO THIS PROPE IRE DURIHG THE THE IRED ----- BY THIS MINIMUM DISTRNCE IOO FEET FOR R UPON THE TYPE OF MINIMUM DISTANCE FROM TO R COMMUNITY SEWER L OTHER REQUIREMENTS MAY AVAILABLE TO INSURE ~EN R WELL A D ANY WELL OR i5~ TO 209 FEET WELL. PRIVATE lL TO A PRIVR qE IS 75 FEET, CIFICR RTION. POSAL SYSTEM IS :LIC WELL DEPENDING LINE IS 25 FEET I CERTIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS :TE FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRN( WITH THE ~: I UNDERSTAND THAT THE ON-SITE 5EWER rEM MAY RESIDENCE I~ REMODELED TO INCLUDE MORE 3 BEDROOMS. T LOG -- PERCOLATION TEST · SLOPE SITE PLAN 1 2 3 4- 5- 6- 7- 8- 9- 10- 11- 12- 13 14 15 16 17 · .18 19 20- Robert A, No. 14574 ENCOUNTERED? IF YES. AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time ~ Time Water Drop 72.008 (7/76) PERCOLATION RATE ~''~O (minutes/inch) TEST RUN BETWEEN FT AND FT 9rn nO.( ~ O , ..... .4 _ .. l " J iz '~,~ ~ .~- . -~~ ~; , /II 1~° CERTIFIED B AS.BUILT SURVEY 0 0 PERMIT NO. I'~iUI-.I I C If'"~=lL I T'-r' 01':' AI%ICI'Z'~RI:~E~iE DEPFIRTHENT t., HEFILTH FIND EI'IVIROI'IMENTFIL , ,<OTECTION 825 'L" STREET, FINCHORFIQE, FlK. .99501 2,~4-4720 L,JF='LL. PE~RI"i 'r T ( 800;'58 > RPPL I CANT LOCRT I ON LEGAL RICHFIRD LFIR$ON CREE;T¥IEW BOX i072 EFlGLE RIVER LOT SIZE ~94-2466 22000 SQUFIRE FEET HiHIHUH DISTFlNCE I:~ETWEEN Fl WELL FIND FlNY ON-SITE SEWFIGE DISPOSFIL SYSTEM IS t0~ FEET FOR Fl PRiVFlTE WELL OR i50 TO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. liINII'IUI'I DISTFlNCE FROI'I FI PRIVFITE WELL TO Ft PRIVFITE SEWER LINE IS 25 FEET FIND TO FI COMI'IUNITY SEWER LINE IS 75 FEET. WELL LOGE; FIRE REQUIRED FIND MUE;T BE RETURNED TO THE DEPARTMENT WITHIN :~0 DFIYS OF THE WELL COHPLETION. OTHER REQUIREHENTS HAY FlPPLY. SPECIFICFITIONS FIND CONSTRUCTIOM DIRORFIPIS ARE FlVFIILFlBLE TO INE;URE PROPER INSTFILLFITION. I CERTIFY THFIT :L: I RH FFII'IILIFIR WITH THE REQUIREI'IENTS FOR ON-SITE SEWERS RI'ID WELLS Fie; SET FORTH BY THE HUI'IICIPFILITY OF FINCHORFIGE. I WILL NE;TFlLL THE SYS'[ +,IW FlCCORDFINCE WITH THE CODES. V4. 0 .,,. '; APPLI~(-'JT'FILLS OUT UPPER.HAL"-~NLY 0 Single Family Water Supply ~mm¢ity~ ~- For wells ¢llled prior to Ihat date, give well depth (attach I~ Il available). S~wer Disposal ~ Holding Tank NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date ;Date Date Inspector Inspeclor Insp~:tor tnsp~<:tor r ( ~VED BEDROOM~ *CONDITIONS OF APPROVAL ( ) DISAP~OVED . ( ) CONDIT~NAL APPROVAL' O*TE~ ~ ~ Soils Rating Date ~ er Install~ Well To ~sorption Area Well Log Recelv~ Well to Tank Septic T~k SJze %2,023 ~ ~ ' ' DA*~ RECEIVED INSPECTION APPOINTMENTS ~.~L~-./)X .~t~j?' .~ 3ATE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SANITATION DIVISION 1. P PERTY ~NER , PHONE ~OPERTY RESIDENT {If dilferent from ~e) PHONE 2. BUYER PHONE MAILING ADDRESS LENDING INSTITUTION PHONE I PHONE MAILING ADDRESS STREET LOCATION - ' 6. TYPE OF RESIDENCE ,~ SINGLE FAMILY I--1 MULTIPLE FAMILY 7. WATER SUPPLY [INDIVIDUAL* COMMUNITY PUBLIC UTILITY NUMBER OF~BEDROOMS r-I One [] Four [] Two [] Five ~ Three [] Six r-i Other · ATTACH WELL LOG. A well log is required for all wells drilled since ,June 1§75. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ¢ 'ND'V,OUAUON-S,TE- [] PUBLIC UTILITY 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 · I-'1 THREE [] FIVE r"l 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 '"~ ~ ~0 Connection Verified INSTALLER []Septic T.a~ or []HoldingTank Size: / O 0 If Tank is homemade SOILS RATING give dimensions: ~ ~ _~' TYPE OF TANK MANUFACTURER //~J~ TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS [~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must acco/~3~ny certificate) DATE -- ~t -- ~ BY ' ~/ 72.010 (Rev, 6/79)