HomeMy WebLinkAboutCALKINS LT 2050-2: I l--Icl
~ . UNICIPALITY OF ANCHORAGE I
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street o Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
l--I UPGRADE
MAILING ADDR~ESS
LEGAL DESCRIPTION
~--~7" ~, ~--~,~C.~'~'~'~ ~C~,e .
LOCATION
J Well ! Absorption area Dwelling
DISTANCE TO: /~:) "~ ~' Material
Width
NO, OF BEDROOMS
PERMIT NO.
IWe,, //~. ~
Length of each line
Manufacturer ~----- -- ~,~..~ ~__ No. of compartments
Liq. capacity in gallons ¢ u~^ ~,¢ Inside length Liquid depth
/ ~._ ~'~:::) .............. :
DISTANCE TO: ~ Well Dwelling PERMIT NO.
Manufacturer Material Liquid capacity in gallons
Nearest lot line / PERMIT NO,
DISTANCE TO: Foundation ~ ~ ~ /~
No. of lin~
Total length of lines
Material beneath tile
Trench wi~.~:) inches
e~C~ inches
Top of tile to finish grade
Length Width Depth
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s)
Distance between lines
Total effective absorption area
PERMIT NO.
OTHER
PIPE MATERIALS
SOl L TEST RATING
'~ .t"" ~',~,
INSTALLER
REMARKS
72-013 (( Rev. 3/78)
DATE
LEGAL
PERI'II T t'lO.
LOT SIZE
6~:6; 9280
28888 SOURRE FEET
SOIL RRTIHG
THE REQUIRE[~ SIZE OF THE SOIL ABSORPTIOf. I SVSTEf'I IS:
[:,EF'TH= 6 LEI'-.I 6 T H = 5E·- I3 F~: R'-.-' E 1_ [':., E F" T H = ~
THE LENGTH DIMBISIOf. I IS THE LEfmIGTH (If.4 FEET> OF THE TF:E~.~CH OR DRRIf. FIEL[:,,
THE DEPTH OF R TREHCH OR PIT IS THE DISTRfICE BETIIEEH THE SURFACE OF THE
6ROUf.~[} Al.If) THE BOTTOf,] OF THE E:-',CAVRTION (If-i FEET).
THE TF-:EI"ICH 14IDT14 IS 5. iElr_-~]~ FEET
THE GRAVEL DEPTH IS THE f,]I~-llMUf,i DEPTH OF GRA'¢EL BETI,;EEf.; THE OLITFALL PIPE
Al.lC, THE E:OTTOft OF THE E,'.z, CRVATIOf. I (If4 FEET).
F.:EI_::!IJ 'ir RED SEPT I C TI---If-Il{ S I ZE-- ::L25 f~:-~ GFILLCIIqS
F'ERf'IlT APPLICRf.tT HAS THE RESPOt'ISIBILIT~r' TO IHFORf'I THIS DEPARTI'IEf'IT DURII.IG THE
I[.~STALLFITIOf. I INSPECTIONS OF Rf-I'¢ ;,1ELLS ADJACENT TO THIS PROPERTtr' Rf'ID THE
f'IUr'IBER OF RESIDEr. ICES THAT THE I,IELL ;,IILL SERVE.
TI..lr~ ( 2 ) I i'ISF'EI3T I O1'-,!':; RF.:E F.: EL--)_ I_I I F.:EI::,
BRCKFILLIf. IG OF Rf.I'¢ S~r'STEft I,IITHOUT FI[.IRL If. ISPECTIOf. I RrlE~ APPROVAL E,"-r' THIS
[.',EPFtRTI'IBIT HILL E:E SUBJ'ECT TO PROSECUTIO['I.
HIf'lIr'lUf'l [;,ISTRf-ICE BETIIEEf. I R I,IELL Rf. ID Rf'l"r' OD-FSITE SEI,~RGE DISPOSAL SYSTEI'I IS
:LOF-~ FEET FOR R PRIVATE I,IELb OR
&SE~ TO 2~"-~0 FEET FROI'I R PUBLIC I,IELL DEPEI'IE)It. IG UPOt. I THE T~-'F'E OF PUBLIC I,IELL.
OTHER REQUIREr'lB'ITS r,IR~ RPPL'.r'. SPECIFICRTZOr. IS Al. ID CONSTRUCTIOI'I DIRGRRf,IS ARE
RVRILFIBLE TO ItISURE PROPER IHSTRLLRTIOt. I.
F'EF-'FI I T E::-::F' I F-:E$ DECEr'IE:EF: 2-:'!. -I "__--~ ?_~4.
I CERTIFY THFIT
:1.: I Aft FR['IILIAR I,IITH THE REQUIREI'IEf'tTS FOR OfmI-SITE SEI4ERS AND [,~ELLS RS SET
FORTH B'¢ THE I'IUfIIClPALIT~r' OF R~'ICHORRGE.
2: I I,IILL II'ISTRLL THE SYSTEI'I If'4 RCCORDRfICE I,IITH THE CO[~ES.
~:: I U~IDERSTRf'ID THAT THE OfI-SITE SEI,IER S~'STEI'I b~'¢ REQUIRE EHLRRGEf'IB-tT IF THE
RESIDE/'40E IS RB'IODELED TO It'ICLLIDE I'IORE THR['t 4 BEDROOr,lS.~ ~ OCTtO~
RF'F'LIC~NT ~lR ~Ef'FERICkSOf'IS BRCKHOB / ~ = ~3
,...
PERMIT NO.
rdl_l~ I i-: I F'RL I T'.r' I~_iF- R[~CHORRGE
DEPRRTMENT OF HERLTH RND ENVIRONMENTRL PROTECTION
825 'L' STREET, RNCHORRGE, RK. 99501
264-4728
b~ELL P~R~4 I T
( ?8800_?. )
RPPLICRNT
LOCRTION
LEGRL
?.0~.. I~,RF.'.R I NGTON l't05 H.
CRESTVIEH LRNE ERGLE RIVER
L2 80 CRLKINS SUB
~4TH
LOT SIZE
2??'6206
20000 SQURRE FEET
MINIMUM DISTRNCE BETNEEN R WELL RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE ~,ELL OR 200 FEET FOR R PUBLIC WELL
WELL LOGS RRE RE6~UIRED RND MUST BE RETURNED TO THE DEPRRTI'IENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREHENTS MRY RPPL9. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PE~:r-II T E~<F' I RES C. E,] E r-1E:E R %i.
I CERTIFY THRT
i: I Rr,1 FRMILIRR HITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS 8S SET
FORTH BY TH~IUNICIPRLITV OF RNOHORRGE.
2: I HIL~~'STEM I~TH THE CODES.
s ~ 6~.ED: _ }~~~~/~ .... ~__
R~NT ROSS~RR I N~ON -
-. 'O &'E EN~,,EERING & DEVELC. ~v~ENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Ruasall Oyster
694-2774 SOIL LOG
Performed for:, Name:..
Earl EIIls
688-2280
Legal Description:
Depth (feet)
0
Tel. No.
Mailing Address:
2~
3
4~
5~
----.6 ~
7~
8~
9~
10
11
12
13~
Soil Characteristics
PLOT PLAN
14
15
PERCoTEST
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments:
No P"'"' If yes, what depth
Drain Field
OWNER OF LAND
ADDRESS
{gertifir. Drilling
?Y
A & L DRILLING COMPANY
BOXO7, EAGLE RIVER, ALASKA9~)577 · TELEPHONE694-2588
~S.[ C~e{~Cr~DEPTHOF~VELL ~
LEGAL DESCRIPTION ~'- ~ C/~/</1/-0
DATE-Started ID/&t/-t7 Ended
[ !
PEP~MIT NUMBER '75 OO O 5: ' f
STATIC LEVEL OF WATER FT. o~ / o~
!
GALS. PER HR ~ ~ t~
KIND OF CASING -(?~'~Q
KIND OF FORMATION:
From C) Ft. to ! 'Ft. t~O~'~Ro~'~9~'tO From.~
From
'From I/. Ft. toO,~ Ft. ~L~ ~ ~o~ From
from~Ft, to
From /~' Et. to t 3 ~ Ft..~d~ ~/o<< From
From l$~'Ft, to /4F Ft. dZ~ C~O~C From
From /~Ft. to~Fi, gg~O ~ ~agC From
From I-~ Ft. to~Ft.~
From Ft. to Ft. From
From Ft. to Ft. , From
;
From Ft. to~Ft, From
From Ft. to Ft. From
From .... Ft. to Ft. From
From Ft. to Ft. From
Fromm. Ft. to Ft. From
From Ft. to Ft. From
Ft. to, Ft.
Ft. to Ft.
FI. to Ft.
FI. to Ft.
FI. to Ft
FI. to Ft.
FI. to Ft.
Ft. to Ft.
Ft.'to Ft.
FI. to Ft.
FI. to Ft
FI. to Ft.
FI. to . Ft
FI. to Ft
FI. to Ft.
Ft. to Ft.
FI. to Ft
MISCL. INFORMATION:
0 ,'= C~J,',O ( .
' DRILLER'S NAME . ./?,.~r,_/ ~ .
': Anchm-axge
\
(9,')7) 264-4111
December 31, 1979
Itoward Erickson
Star Route Box 9030
Chugiak, Alaska 99567
Permit ~ 790569
Subject: Lot 2 Calkins Subdivision
A permit issued by this department for well and/or sewer
system has expired.
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 enginee~ has 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 contact this
office at 264-4720.
Les N. Buchholz, R.S. .~-~.
Senior Environmental Speci~-!~ist
LNB/ljw
enc: Copy of Permit