HomeMy WebLinkAboutTONJESS ESTATES BLK 2 LT 11Onsite File
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Block 2
Lot 11
#051-831-04
Undocumented well needs to be properly
decommissioned prior to COSH approval
(see Record bwg for Lot 10)
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PANNONE EMG SVC LLC
P.O. BOX 1807 PALMER, AK 119645
PHONE (907) 745-8200 FAX (907) 745-8201
TONJESS ESTATES B2 L10
TYRONE ROWSE
24997 SCHAFF DRIVE
CHUCIAK, AK 99567
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PANNONE EMG SVC LLC
P.O. BOX 1807 PALMER, AK 119645
PHONE (907) 745-8200 FAX (907) 745-8201
TONJESS ESTATES B2 L10
TYRONE ROWSE
24997 SCHAFF DRIVE
CHUCIAK, AK 99567
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REVISIONS uAIL
05/15/2019
SCALE
1" = 60'
P.I.D. NO
051-831-03
PERMIT N0.
OSP791100
SHEET
2OF2
/'" "'" 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 IPHONE
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
i
Material No, of compartments
~ ~ Manufacturer *~m~'
Liq. c~allons IF HOME'DE: Inside~ Width Liquid depth
~ O ~ DISTANCE TO: Well ~/. Dwelling PERMIT NO.
O Z ~ Manufacturer/~ Material Liquid capacity in gallons
Q Well Foundation Nearest lot line PERMIT NO.
~ ~o. o[ line~ length of *ach Ii oral length o~ line~ lr~nch width Distance bergen line~
inch~
~ Top of tile to finish grade Material beneath tile Total effective absorption area
~ ~ inches
m Length / Width , Dept~
~ Type of crib __ Crib diameter Cribdepth~ --Totaleffecti~absorptionerea ,~
= -- DISTANCE TO: Well
." :lass ~O~_ Dept~ /; ~ ~r& Distancetolotline , PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
~Z ;(Rev. 3178J
__MUN~CIPALITY~OF ANCHORAGE .
Depart~ent~--f Health~ Environmenta"~?rotection
825 ~ Street, Anchorage, AK. ~9501
. ,/~~ 264-4720
· * * * HANDWRITTEN PERMIT * * *
Permit ~ . ~ ~WELL AND/OR ON-SITE SEWER PERMIT ~ ~ ~ ~
Applic~t: ~ ~~ Mailing Address:/~-~ ~~ .-- ~/~/~/~
Location: ' Phone Nu~er:
Legal Description: ~//. ~ ~U ~ ~Size:
Type of Soil ~sorption System Is:
.
Trench: Dra~field: Seepage Bed: Holding Tank:
Max~: N~er of Bedrooms: Soil Rating(sq.ft/br)
The Required Size of the Soil ~sorption System Is: '
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 minima depth of gravel between the outfall pipe and
the bottom of the excavation(in feet). /U('/J~O~
* * REQUIRED SEPTIC~HOLDING) TANK SIZE =
GALLONS
*
*
Pe~it applicant has the responsibility to info~ this department during the
installation inspections of any wells adjacent to this property and the nu~er
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection.and approval by this departmer
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minim~ distance from a private well to a private sewer line
is 25 feet and to a co~u~unity 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 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set.f~..~ by the Municipality of Anchorage.
(2) I w~l ~_~tall t~e/~ystem in accordance with codes. ~
(3) I~nde~and t~the on-site sewer system may require enlargement if
~e ~/~2~/~remodeled to include more that 3 bedT~oms.
Sign~d:~ ~/~//~/~ /~ Issued by: ~.~3- L,~
SWP/024 (1/81)
.?
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
r-i PERCOLATION
TEST
PERFORMED FOR:
./~ ~" 5 ("'lr~f.~'T"J~--(-,/C-"~ ~/'~ DATE PERFORMED:
SLOPE SITE PLAN
6
10
11
12
13
14
15
16
17
18
19
2O
l~rt ~
[.k _ WASGROUNDWATER [
ENCOUNTERED? O
EPTH?AT WHAT 7
· ~ Gross Net Depth to Net
.~ eading Time Time Water Drop
Date
PERCOLATION RATE
]minutes/inch)
~, , ./ ~ z TEST RUN BETWEEN ~ F~' AND ~ FT
PERFORMED BY: .': ', ~D -~e,,,,. CERTIFIED B
· - ,.3L ........ :,, ~
72-008 (6/79) --
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
APPLICT'HT FILLS OUT UPPER HAL"~ONLY
'*
Address Zip Code
Type of Resl~nce
Slngle Family
Multiple Family No, of Bedroo~
~ Other
Water Supply
~ Individual A~ACH ~LL LOG. A wall log Is r~ulred for all wells drilled since June 1975.
~ Community For wells ~illed prior to that date. give well depth (attach I~ If available).
' O Public Utility
Sewer Disposal
~ Public ~llity When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
\ -~C~, -~5 ~,~.
Inspector Inspector Inspector Inspector
Fie,d Notes: Oo,_O.S
( ~ ) APPROVED ~DROOMS 'C~TIONS OF APPROVAL
( ) DISAP~OVED ~
'~"
' ~/~ Jo
~lls Rating~ Date ~wer Installed Well To ~sorptlon Area /~ ~ ~ - Well Log Received
22.023 I3/8~
APPLIC'~"1T FILLS OUT. UPPER HALt"~ONLY : '~ t ,-
Property Owner ~'LA~,&~ L ~LI*~~ ~ Phone
Address Zip C~e
Phone
Realty Co. & A~nt Phone
Address ~ ~ ~ Zi~ Code
Street Locati~
Type of Resl~nce '.
~ Slng,e Family ~
Multiple Family ' No. of Bedroo~
~ Other
Water Supply
~ Individ~l A~ACH ~LL LOG. A w~l Icg Is r~ulred for all wells drill~ since June 1975.
~ Community For wells Ollled prior to that date. give well depth (attach I~ If available).
~ Public Utility
Sewer Disposal
Year Indiv~ual Installed: ~--~ --~
Indivld~l
Public ~llily When Co~ecled Io Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH ~E~EST BEFORE ~OCESSING CAN BE INITIATED,
Date Date Date Date
Inspector Inspector Inspeclor Inspector
Field Notes:
( ~PPROVED BEDRgOM~ ¢'CONDIkl3'NS
( ) DmSAP~OVED
Soils Rating Dat~~ Well TO ~sorptlon Area Well Log Received
Well Io Tank Septic T~k Size