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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 15A ( 1 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 ~ P~t~E ~ [] NEW LOCATION ~ [ ' NO. OF BEDROOMS Manufacturer ..... 1 Material NO. of compartments Liq. capacity in gallons IF HOME.DE: Inside length W~dth Liquid depth O Z ~ Manufacturer Material Liquid ca.city in ~llons ~-- T~ Of tile ,o finish gradeN°' O' lines t ~ ~1 Material beneath ,ile~ ~ inches Total area ~ Well Building foundation Nearest lot line m DISTANCE TO: ~ Clas~ Depth Driller D~stance to lot bne PERMIT NO. ~ Building foundation Sewer line ~ptic tank Absorption area(s) ~ DISTANCE TO: OTHER PiPE MATERIALS 72-013 IRev, GAAB-HD-I GRFB, TER ANCHORAGE AREA BOROL"~H HEALTH DEPARTMENT r ~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADD RE S' _~. _Y ~' '2:./~'~_~'~ ~'~//-'/~' PHONE. LEGAL DESCRIPTION ~,~d""-~'"/~'~. ~C~~ SEPTIC TANK: NUMBER OF / DISTANCE FROM WELL ~'~/-'~'.~'/~-/~- MATERIAl _~",7'~ COMPARTMENTS LIQUID CAPACITY /~ ~ ~ GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT.. NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL NEAREST LOT LINE -- OR WIDTH /~"~ / . LENGTH ''5'~' / DEPTH ~/' / · DISTANCE FROM WELl ~'*~l~ ~/~---"' BUILDING FOUNDATION ' ~ / / IOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA} ~ ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES /'~--~JDISTANCE BETWE~ TRENC ~~'~"~ ABSORPTION AREA/ ,~~F/, LENGTH OF EACH UNE~ ' ' DEPTH: TOP F/TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH FOUNDATION , NEAREST LOT LINE , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: DISTANCE FROM WATER TYPE /~'~.'~/').~--./c.. DEPTH , BUILDING FOUNDATION SAMPLE__ NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINF TANK , SYSTEM , CESSPOOl DIAGRAM OF SYSTEM DISTANCES: ,, NEAREST OTHER · SOURCES ON--S I TE PERMIT NO. ( 810229 ) DEPARTMENT ~ HEALTH ~ND ENVIRONMENTAL , KOTECTION 825 ~L~ STREET, ANCHORAGE, AK. 99581 . 264-4720 SEi4EE UPGERDE PEE~ APPLICANT T.L. VICTORY LOCATION WHIRLRWAY LEGAL BOX 60 WHIRLRWRY 99577 L iSA E. R. V. RANCHETTES LOT SIZE 17955 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FTZBR>= 224 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 10 LEr~IGTH= 56 GRR"."EL DEPTH= 6 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 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). REQLI I RED SEPT I C TI=mNK S I ZE= ~000 ~ALLOr-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. TI-dO ,~ 2 ) I r-.ISPECT I Or',IS ARE REI~!.U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINRL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEAr'1 I T E×P I RES DECEMBER -?.1.. I CERTIFY THAT 1: I RM FAMILIAR WITH THE REOUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY 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. APPLICANT T.L. VICTOR~r' ISSUED BY .............................. ..... V4. 0 y"MUNICIPALITY OF ANCHORAGE ~ Department ~, .' Health and Environmental 3rotection m*' 825 L Street, Anchorage, AK. 99501 , 264-4720 * * * HANDWRITTEN PERMIT * * * ~ ON-SITE SEWER PERMIT- Applicant: ~ ~.-. I/(C7-O/~ F Mailing Address: ~6~ Location: ~3~ /w/f; 1~1~// ' Ut~e Number: ~, q~/-¢J3 Legal Description: ~/~/~ ~_: /~,/~j~/g/'TC~7~-6) 5 Lot Size: Type of Soil Absorption System Is: Trench: p/''Drainfield: Seepage Bed~ __ Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br} The Requi~ed Size of the Soil Absorption System Is: ' DEPTH /0 LENGTH ,~¢' . GRAVEL DEPTH ~ WIDTH 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). 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 = ~(~O 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 department will be subject to prosecution. Minimum distance between a well and any on-site sewage 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 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 am 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 u~s~and th~t~e on-site sewer system may require enlargement if ~~~~~led to include more that 3.bedrooms.~, ~ Signed: Issued by: , ~-;_~ ~ ~p~licant / Date: ~- ~ZG ,_..~O ! SWP/024 (1/81) '"' ,"'".)ROUGH c^^B-.,~, GREATEI, .kNCHORAGE AREA Ca~e · ~ IIEALTI! DEPARTMENT · 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS J ' ~o_~r~ ~'~L_~, ' LOCATION OF INSTALT. ATION '~'-~¢~ ~'x;-~< ~ APPLICATION TO INSTALL: SE~IC TANK K , SEEPAGE PIT ~ , DRAIN ~E~D , OTHER TO SERVE THE FOLLOWING FACILITY ~ ~(~ FINANCED THROUGH TO BE INSTALLED BY ~4~ ~ ~ q / PERCO~TION TEST RESULTS ANTICIPATED DATE OF COMPLETION ~ ~,/ 4~ ,~ow ~o ,E ~., ~. OUT ~V .E*~T. OE,AnmE.T~ &~' THIS ,S TO SERVE AS /~,~ ~J~.~)o~ ,PERMITT0 INSTALLA .~<"r~'(--~P~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED '-~,~.- ..SEPTCTANKSIZE /~&~a~TYPE /~'~ SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: /.u.ff~ ~ , .2, Area Rnrnueh Ord~an }o. 28-68 and that t~ Health Authority ! certify that I am familL~r with the requirer above described system is in accordance with said code. DATE APPLICANTS SIGNATURE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION J TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST I 1 2 4- 5" 6~. 8 9 10 11 12 14- 15- 16- 17- 18- 19 20 SLOPE WAS GROUND WATER ENCOUNTERED?. IF YES, AT WHAT DEPTH? SITE PLAN Reading Date Time Time Water Drop PERCOLATION RATE ~""~/T(F AND ~{minute~/inCh)FT COMMENTS ,~.,,~,~,~"~'~¢~ ~,..~,~.~'TEST RUN BETWEEN~ PERFORMED BY: ~ E S ~g~C~g CERTIFIED B 72.008 (6/79)