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Home My WebLink AboutPREUSS #2 BLK 2 LT 1257Z - {"--! 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 IPRONE ~ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ ~/D ~ NO. OF BEDROOMS I W,I~ q/ / Absorption area Dwelling , PERMIT NO. DISTANCE TO: ~ ~ Manufacturer Material No. of compa~ments Liq. capaciw in gallon~ Inside length Width Liquid depth / ~ IF HOME,DE: ~ ~ DISTANCE TO: Well Dwelling ' PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons Q Well / Foundation~/~ / Nearest lot line PERMIT NO. ~ ~ ~ No. of lin~ / Length of each line Total Trench ~ ~ ~ Top of tile to finish grade. Material beneath tile Total effecti~ absorption area Length Width ~pth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total ef fecti~ absorption area ~ Nell Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PiPE MATERIALS INSTALLER REMARKS 72-01.' 3~78) PERMIT riO. r.'liJl',l T i:: I~. RLI TY OF FII'.IE:I--~ ,RFtGE DEPARTMENT OF HERLTH RND ENVIRONMENTF~L PROTECTION 825 'L' STREET, RNCHORAG5 A}~. 99501 264-4?20 OI".I--S I TE SEI---IER PERM I T 7904~6 ) APPLICANT LOCRTIOtl LEGAL HOWARD ERICI(SON DRVID AVE L12 B2 PRUESS S/D #2 SR BOX 90F0 LOT SIZE 688 9280 40000 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TREt.~CH MAXIMUM t'~UMBER OF BEDROOMS SOIL RRTIt-~G (SD FT?BR)= 225 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: DEPTH= 9 LENGTH= 68 GRR'v'EL DEPTH-- 5 THE LEHGTH DIMEt.~SION IS THE LEHGTH (It'~ FEET> OF 'THE TREtICH OR DRRIHFIELD. THE DEPTH OF R TREHCH OR PIT IS THE DISTRt.~CE BETWEEN THE SURFACE OF THE GROUt. ID A~'~D THE BOTTOM OF THE E>~CAVATION <Itt FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MIHIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE Rt'~D THE BOTTOM OF THE EXCAVATION (IH FEET>. REQLI I RED SEPT I [7. TRI'-.IK $ X 7'E= .'1 ~--~ 0 -------------------~ Gl=Il., LOI'-.I$ PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO IHFOR~I THIS DEPARTMENT DURING THE I/'~STRLLRTION INSPECTIONS OF Rt']Y WELLS ADJACENT TO THIS PROPERTY AND THE t'~UMBER OF RESIDENCES THAT THE WELL HILL SERVE. TI--lO < ? > I NSPEC:T I ON--C; ARE REL-~U I RED BACt(FILLI[~G OF ANY SYSTEM WITHOUT FINAL I[~SPECTION AND RPPROVRL BY THIS DEPRRTMEHT WILL BE SUBJECT TO PROSECUTION. MIHIMUM DISTANCE BETWEEN A WELL Rt.~D ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE t.lELb OR t50 TO 200 FEET FROM R PUBLIC WELL DEPEHDIHG UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS PRE AVAILABLE TO IHSURE PROPER IHSTRLLATION. PERr"i I T EXP I RES DEC:EI"IBER 3:::L, :1.979 I CERTIFY THAT l: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND ~IELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL It'~STRLL THE SYSTEM IH ACCORDANCE WITH THE CODES. ~: I UNDERSTAteD THAT, THE O~-SITE SEWER SYSTEM MAY REQUIRE Et'~LRRGEMENT IF THE TO E ROOMS. RESIDEHCE I5 SIGNED: _~~~~ RPPLICRtlT HOWARD ERI Ct4SON O & E ENL.,NEERING & DEVELO, MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Ruuell Oyster 694-2774 Performed for:. SOIL LOG Name:. ,~'-~,/~/<,,~.~/,/, t~ Legal Description: Mailing Address: /2., Earl Ellis 688-2280 Tel. N0.~ ~°v- 72°~O Depth (feet) /CA Soil Characlerlltlcs .._- 4~ 5 6~ 7~ 8 10~ 11~ 12 PLOT PLAN PERC. TEST Ground Water Encountered: Yes..~____~ No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: PERI"II T NO. I"'ILII~-.I I t_-:. I. F~L T T"T' OF I=I~'~I~'~"~RRPJt'- -DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. .q.-q. 501 264-4?20 I.~ELL P~R~'I I T 7905i9 ) APPLICANT LOCATION LEGAL LEE ROBBINS L12 B2 PRUESS 2 S?D SR BO>; ?149 CHUGIRK LOT SIZE ~88 ~OiO 24008 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND fiN',' ON-SITE SENAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL; OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF 'PUBLIC NELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN -~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERi"I I T E."Z.F' I RES DECE[dE:ER _-~-~ ~ ~1 979 I CERTIFY THRT l: I AM 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, SIGNED: RPF'LICANT LEE ROE:BINS ISSUE[> BY ~.~. DEF'fiRTMEHT~ HEHL'rH RHD EN'¥~RCU.;hlEHTF~L~ROTECT[O~ PERMIT HO. ( ) LOT S[ZE~'~~-.C--SC4'_IRRE FEET ' YPE OF ~OIL ~E:SORDTION -~>:IHUH NUMSEI:: OF BEDR00rIS = SOIL RATIHG 'CS-P. FT/E:R)= '- 'q IS: REQUIRED SIZE OF THE SOIl. ADSORPTICII,-I :,~r_TEH :t %--:-- p T i-t == L E 1'-4 L-~ -I~ I ~ ~ I..~j J:;::.~ F,~ %..' E [-- {':' E P T J'--'l ~ THE LENGTH DIMENSION IS THE LEHOTH (lin FEEl') Of TIlE TRENCH OR DRRIriFIELD. THE DEP.TH OF A TREHOH OK PIT IS THE DIS'FFtNCE E:ETHEEI,I 1HE SURFACE OF TIlE GROUHD RIND THE 80TTOM OF THE EXCRVRTIOH (Ill FEET). THERE IS t,lO SET HIDTH FOR TREt~CHES. THE GRAVEL DEPTH IS THE HIiHIHL~H DEPTH OF GRR',,,'EL BETHEEH THE OUTFALL PIPE RHD THE BOTTOM OF THE ED-;CRVRTIOI,~ (IN FEET). :E~>Li I RE[;, '=;EPT I F': 'FFI[-Jt< '--'11 '3 I----I i_ L I'-i r-4 ~ RMIT flPPLICAI,iT HFIS THE RESF'OI~.ISIE:II.IT',r' TO lr-iFOR£1 Tills DEPflRTHEHT DLiRII'.tG THE ;STRLL. ATION INE. F'ECTIOH$ OF AH~r' HELLS ADJACENT TO THIS PROPERTY F~lqD THE IHE:ER OF RESIDENCES THF~T THE HELL IdILL SERVE. TI.JCl ,: 2 ) I r-lSF'FC:~' Z 0 r-4'_~ tIRE RECaLl I F:I='P.· :C.K~ILL]I,'I~ OF ANY $'Y'STEH Id~THOUT FINAL IIISPEOTIOH AHP RF'F'ROV~L BY TH~S :F'RRTMEr;T HILL BE SUBJECT TO F'ROSECUTIO~N. N/HUH DISTFINCE E:ETI.,~EEN A HELL AND filly OI'I-SITE $EHAGE [:,ISPC, SFIL SY~TEPI IS E~ FEET FOR A PRIYRTE I.IELL; OR E~ TO 2E~0 FEET FROPI R PUBLIC HELL DEPENDIrg.'i LIPOr.i THE TYF'E OF' PUBLIC HELL LL LOGS ARE REOUIRED AND r'IUS'F E:E RETURI,.IED TO THE DEPRRTHEI'.IT N:ITHJri _~0 DFl~r'$ THE HELL COI,IPLETIOH. HER REOUIREHENT$ ;.1R~' APPLY. $PECIFICRTIOI'.I$ AIq[.~ CONSTRUCT/ON DIRGRAH$.ARE RILABLE TO IHSURE PROPER INSTALLFITION. F'EF-:P1 ~ T E:>::F' I IRES [:,E~DEf'IBEF-: 3-1.. :L_~. ,--"L~- ::ERT IFY THAT Afl FRI~1ILIAR FILTH THE RECgJIRErtENTS FOR ON-SITE SEN'ERS RI.ID HELLS RS SET' ~:TH E:Y THE HUNICIPRL. ITY OF RD~CHORRGE. HILL INSTALL THE SYSTEH IN R~L. LR[)MHCE HITH THE CODES. LINDERS~RND. THAT THE OH-~ITE SEHER SYSTEP1 HAY RE~_IRE E[ILRRGEMEHT IF THE ;IDE[./C~S REMODELED TO IHCLUDE' r'IORE THRH 3 E~EDROOHS. .......... FIPPL I CANT /'~ . ',' ., :UED _: .... OWNER OF LAND ADDRESS '" "' LEGAL DESCRIPTION DATE - Started / ~ I.. PERMIT NUMBER DEPTH OF WELL ~, C' c:q ,/ c. r~:; t' STATIC LEVELOF WATER FT. - 1 ? ' ,'/ .) I /-..z , ~ C C ~-r DRAW DOWN FT. / "' KIND OF CASING /..2-- ,-:, KIND OF FORMATION: From '" ~ FI, to Ft .':~ c..,-r~'' ,., , ,, ,:.'/2 ,,o From Ft. t° 4'". Ft. , From Ft~ t° Ft. From ·., '; Ft. to f' ';' Ft. From ~ L.. FI. to ,."il Ft From ::'? Ft. to /"; FL From__ Ft. to__Ft. ,,-c,, ,v.: .:~ ~: ~ .... Fr~ , '" FI. to 'J ' .'~ Ft. ,' ..... From '.'.'.L' FI. to :5~'"FI, F~m ~ ' '~" Ft. to ') <~ ~ "F~ '::' Fl. '" '~ ' From ":' to "" '~ Ft. r From Fl. to Ft. ~mm :~"~ 'FI. to :~";:~Ft From ' "'" Ft. to · '~; ~' ~ Ft. F~m ....... / FI. to : '7,: From -- Ft. to Ft From_ Ft. to Ft. From Ft. to Ft. From __ Ft. to Fl. From Ft. to Ft. From Ft. to . Ft. MISC L. INFORMATION: " DRILLER'S NAME /::f,r,-"-:' ~:~-'-'""~-'"---'~ " DATE RECEIVED · '"' ' INSPECTION APPOINTMENTS ~(_.~~, TIME TIME TiME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anch~age, Alaska 99501 · ENVIRONMENTAL Pi~OTEC3'ION ENVl RONMENTAL SANITATION DI VISION Telephone 264-4720 N 0V P, 6 1979 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~[I~I~.~I~D. ' DIRECTIONS: Complete all parts o. page 1. Incomplete request~ will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNI~R I PHONE MAILING A DQJq ESS PROPERTY RESIDENT~:~_~f{~r[n, from above, PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING~;~__.,~,~T~INSTITt~TION ~)~'~C_.~"~ ~II PHONE MAILING ADDRESS 4. REALTOR/AGENT..i,.I~ I1~"~ ~-~ ~ ~ I PHONE MAILING ADDRESS 5. LEGAL DESCRIFTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS I-'] One [] Four ./~ SINGLE FAMILY ~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ,~ INDIVIDUAL* COMMUNITY [] PUBLIC UTI LITY * 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.) 8. SEWAGE DISK)SAL SYSTEM .,~ INDIVIDUAL/ON-SITE" [] PUBLIC UTILITY .YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. . THIS SIDE FOR OFFICIAL USE ONLY __. 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] . INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRI LLE D [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS [~APPROVED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (lette~ must accompany certificate) ' ' [] DISAPPROVED DATE BY/~ 72-010 (Rev. 6/79) /v unicipa. lity o[ Anchorage 825 "L" STREET ^'C"ORAGE. ^L^S~^ 995o~ {907} 264-4111 GEORGE M, SULLIVAN. 13EPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION November 28, 1979 Doug/Isolde Gibson Star Route Box 7149 Chugiak, Alaska 99567 Subject: Lot 12 Block 2 Preuss Subdivision #2 Approval for your individual sewer and water facilities can not be granted until the following items have been' completed: (1) (4) The top of the well casing sealed with a sanitary seal so that it is air tight. The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. A well log submitted to this department. We have not received the as-builts from the engineer of the installation of the sewer system. Please have the engineer submit the as-builts for our review. Please notify this department when the noted descrepancy has been corrected for a re-inspection. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security Pacific Mortgage 1011 East Tudor Road - Suite 190 99507