HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 16
~''~ MUNICIPALITY O F 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
Dwelling
W dth
L E G AZ;;S~T I O ~/~
DISTANCE TO: jWe,l ?~ ~, I APsorpt,on are.aX /
Manu '~ct u rer~'~ ~ ~. ~. ~_x
_1 ~
Inside length
Material
,ounda,io;z.p., N.re,t
Tot,I len ~t~.~i;? es Trench
~ 0 riches
Material beneath tile
NO. OF BEDIMS
No, of ¢ompa~ent$
Liquid depth
IF HOMEMADE:
Wail PERMIT NO.
Manufacturer Liquid capacity in gellons
Length of
Top o, ti,.. ,o ,inish grade
Distance between ines
PERMIT NO.
Type of crib Crib diameter Crib depth Total ef fectiw absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Building foundation Sewer line Septic tank
DISTANCE TO:
OTHER
REMARKS
DATE LEGAL
PERMIT NO.
APPLICAMT RICHARD CONST.
LOCATIOM 3RD AVE ,
LEGAL ~L 16TR.~'~B~EAGLE~CREST~
MUN T C Z PAL I TY OF RI'-ICHORRGE
DEPARTMENT ~'~ HEALTH AND ENYIRONMEHTAL ~"~.OTECTION
825 'L' STREET, ANCHORAGE, AL"
Or4--S I TE SEI4E~ PERM
785 MULDOON RD
LOT SIZE i?B20 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTE~I IS: DRRINFIELD
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ PT/BP)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 4 iE~4GTH= 48 GRAVEL DEPTH----
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>.
THE TREt-4CH I-4IDTH IS 5. 0~0 FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
RE~.U I RED SEPt I C TANt( S I ZE= :L250 GALLOt4S
PERMIT APPLICANT HAS THE RESPOf. ISIBILITY 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.
TI40 ( 2 ) INSPECT IONS ARE REQU I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEI4RGE DISPOSAL SYSTEM IS
100 FEET 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 R PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 7,5 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E×P I RES DECEMBER ~:L~ '1~q81
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUFIICIPALITY OF R~ICHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I Ur. IDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RE~IDENCE~~ED TO INCLUDE MORE THAN 4 BEDROOMS.
~I GNED .... ~/~----~-~-~ ...........
APPLICANT RICH~ CONST.
'~SUED BY_~! .... ~ .......... ~RTEl~!:-~-! ....
V4. 0
· unicipalitYof
nchor ¢
825 "L°' STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
December 31~ 1980
Richard Construction
705 Muldoon Road
Anchorage, Alaska 99504
Permit ~ 800654
Subject: Lot 16 Tract B Eagle Crest Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please call this
office at 264-4720.
Sincerely, // ~
Senior Environmental ~F~cialist
LNB/ljw
enc: Copy of Permit
SWP/057
MUr~ I C I PAL I TV OF At'cH'ORRGE
· ' DEPARTMENT OP~,HEALTH AND ENYIRONMENTRL ~-~OTECTION
825 'L STREET, ANCHORAGE, AK. ~..l
264-472~
- ' - ~ Ot~--5 I mE 5EHEE PEE~ l m
PERMIT NO( ( S~654 )
APPLICANT RICHARD CONST. ?05 MULDOON RD.
LOCATION ~RD AVE
LEGAL ~[.OT i6 "TR." B 'EAGLE-"CREST 'SUB' ;' LOT SIZE
3~8~082
i7820 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ FT?BR)= 85
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
DEPTH= 4 I--E~,IGTH= 48 GRF:IVEL DEPTH= 2
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND RND THE BOTTOM OF THE EXCAYRTION (IN FEET>.
THE TREI',~C:H L,~ I DTH T ~; [:5. I~lO FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
REQU I RED SEPT I C Ti:tNi,-. $ I ZE= I :~$0 Gi::ILLOI%IS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TWO (-'-;') I N--c;PEC::T ION$ FIRE REQU I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND RNY ON-SITE SEWAGE DISPOSAL SYSTEM IS
:I. 00 FEET FOR R PRIVATE WELL OR 3.50 TO 200 FEET FROM R PUBLIC NELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
~VBILBBLE TO INSURE PROPER INSTALLATION.
PERM I t EXP I RES DECEMBER
I CERTIFY THAT
l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
5: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
S I OWED: ..........
APPLICANT RICHARD CONST.
V4. 0
r-JN--S I T~ ~-'~EW~'R PERM I T
' ~ ~o ~ __
L. THE TR~I~H HXOTH Z~ 5, 006 FEET.
iL: ! ~ FR~ttC. I~ 14tftl TH~ R~JIR'E]'~P.~ FOR 0ei-:SITE S, E3,~RS ~ I,ag..L.'~ fl'; ~r
PERFORMED FOR:
LEGAL DESCRIPTION:
4-
5-
6-
7
8
9
10
12
13
14
15
16
17
18
20.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street. Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
~>(
COMMENTS
/~ SO~L:S LOG
I--I PERCOLATION
TEST
SLOPE ~ SITE PLAN
r/
WASGROUNDWATEfl
ENCOUNTERED?
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERFORMED BY:
72-008 (6/79)
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND , FT
PERI'lIT NO.
APPLICANT
LOCATION
LEGAL
RICHARD LARSON
6RESTV I EW
BOX 1072 EAGLE RIVER
LOT SIZE
694-2466
22000 SQURRE FEET
I'IINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEN IS
t00 FEET FOR R PRIVATE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
I'liNIHUH DISTRNCE FROM R PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COHHUNITY SEWER LINE IS 75 FEET,
WELL LOGS ARE RECqUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS
OF THE WELL COI'IPLETION.
OTHER RE(;~UIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERI"i I T EXP I RES DECEI"'IBER ..,~-1.. 'l 980
I CERTIFY THAT
t: I AH FRI'IILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE HUNICIPRLITY OF ANCHORAGE,
APPLIOA. R Iy. RD
V4. 0
; ~ DATE RECEIVED
DATE DATE J
INSPECTOR iNSPECTOR , INSPECTOR~
AGE DEPT OF t L~H &
MUNICIPALITY OF ANCHOR ' '
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~
9
REQUEST FOR APPROVAL OF INDIVIDUAL ~ATER A~D ~E~ER FACILITIEg
PROPERTY RESIDENT iii dilferent from abo~) PHONE
MAILING ADDRESS
I
4. REALTOR/AGENT PHONE
5, LEGAL DESCRIPTION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
~ One ~ Four
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
[] Other
WATE SUPPLY
7. ~ INDIVIDUAL·
[] COMMUNITY
I--] PUBLIC UTI LITY
· AI-rACH 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.)
SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH' REQUEST BEFORE PROCESSING CAN RE INITIATED.
72.010 (Rev. 6/79) 1+ ~.~0 :, .'
... THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[:~FNGLE FAMILY
[::] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
[:~INDIVIDUAL
I--I COMMUNITY
[:] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
I[:~N DIVI D UAL/ON -SITE
[:]PUBLIC UTILITY
Connection Verified
[::]Septic Tank or I-'t Holding Tank
Size: If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
DATE INSTALLED
INSTALLER
SOILS RATING
TYPEOFTANK MANUFACTURER
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
MATERIAL
Septic/Holding Tank Ab$orpuori Area ISewer Line
I
INearest Lot Line
5. COMMENTS
DATE
~]~APPRovED FOR ~ BEDROOMS
r-I CONDITIONA. L APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)