HomeMy WebLinkAboutTRAILS END BLK 7 LT 8
NAME
MAILING ADD~ESS
LEGA~ DESCRIPTION
LOCATION
? ~ MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 2644720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
D,STANCE TO:
L q.~macity in gallons
~ O~ IF HOME.DE:
DISTANCE TO* ~ Wetl
I
DISTANCE TO:
Top of tile to finish grade
Inside length
Dwelling
Total length of lines
Material beneath file
Crib depth_
Building fo~t ~
Well
DISTANCE TO:
DISTANCE TO: Building foundation
NO. OF BEDROOMS
PER I NO. --
Width Liquid depth
OTHER
PIPE MATERIALS
C. AST' i'~o~ f~ h30_~q
SOIL TEST RATING
INSTALLER
MARKS
APPROVED
~/72~13 (Rev. 3~78)
DATE
~X~NEW
[] UPGRADE
PERMIT NO.
Material Liquid capacity in gallons
Nearest lot bna PERMIT NO.
Trench width Distance between lin~s
inches
inches
Total effective absorption area I~ "~ I ~:~1 /
Nearest lot line ..,~.~ I
2"' L4 31' -
LEGAL
H~NICIF'ALITY OF ANC.~AOE
~ DEPARTHENT ¢' ~ HEALTH AND ENVIRONMENTRL~OTECTION
''' 825 u STREET, RHCHORRGE, RK
.' .. 264-4720
PERrIIT NO:' S40258
BATE ISSUED: 04?30?84
APPLICAHT:
ADDRESS:
CONTACT PHONE:
GORDON WOLFE
308 DEERFIELD DR.
AHCHORAGE, RK 995i5
249-7826
LEGAL DESCRIP: SUBDIVISION: TRAILS END LOT:
SECTION: 24 TOHNSHIP: 12N RANGE:
LOT SIZE: .SA (SQ. FT. OR ACRES)
1.1AX BEDROOHS: 3
BLOCK: 7
LISTED BELOH ARE THE OF'TIOHS AVAILRE:LE. TO YOU .IH DESIGNING YOUR SEPTIC
.SYSTEH. CHOOSE THE OPTION THAT BEST FITS YOUR SITE.
TF:Et-4614 E:ED 1.4. DRR IN
DEPTH TO PIPE BOTTOM (FT.) 4.0 .4.0 4.0
GRAVEL DEPTH (FT.) 4.0 0.5 '3.0
TOTAL DEPTH (FT.) B.O 4.5 · 7.0
GRAVEL WIDTH (FT.) 2.5 '25.0 5.0
GRAVEL LENGTH (FT.) 120.0 ~:~: -49.0 i12.0
GRAVEL VOLUIqE (CU. YDS.) 50.0 45.3 72.5
SOIL RATING (SQ. FT./BR) 318 267 318
GRAVEL LENGTH > 75 FT. 'REQUIRES HULTIPLE' RUNS (NOT EXCEEDING 75 FT. EACH)
TANK ldUST HAVE AT LEAST THO COHPARTHENTS
I CERTIFY THAT:
I. I RII FRHILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
IF A
THEN
WILL
FORTH BY THE HUtlICIPALITY OF ANCHORAGE (HOA) AND THE STATE OF ALASKA.
I HILL INSTALL THE SYSTEH IH ACCORDANCE HITH ALL 'MOA CODES RND REGULATIONS,
AND IN COMPLIRNCE HITH THE DESIGN CRITERIA OF THIS PERHIT.
I HILL ADHERE TO ALL 1t08 AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROH ANY EXISTIHG HELL, HASTEHATER DISPOSAL SY,STEH OR PUBLIC
SEHERAGE SYSTEH OH THIS OR RHY ADJACENT OR HEARBY LOT.
I UN[:'ERSTAHD THAT THIS PERHIT IS VALID FOR A HAc*<IHUH OF 3 BEDROOHS AND
ANY EHLRRGEMEHT HILL REQUIRE AH ADDITIONAL PERHIT.
LIFT STATIOH IS INSTALLED IN RN AREA COVERED BY HOA BLIILD~NG CODES,
(2.) AN ELECTRICAL PERHIT AND INSPECTIOH HUST BE OBTRINED.~ (2) RS-BUILTS
NOT BE APPROVED WITHOUT RN ELECTRICAL IHSPECTION REPORT; AND (~) THE
D/PARTMEN'I' OF HE'ALTH AND /NVIRON',!ENTAL PROTEC1
~Permit #: 820296
,January 31, 1983
TO: Permit Applicant
Subject: Lot 8 Block 7 Trails End Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
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 needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/05?
PERHIT NO.
DEPARTMENT ,.. .~ERLTH RND ENVIRONHEHTRL . .,,JTECTION ~ I~_~
82,5 ~L/ STREET, RNCHORRGE, AK. 99501
264-4720
Of4--S I TE SEIdER F'ERtU I T
820296 )
APPLICANT
LOCATION
LEGAL
ALI BUR CONST.
DOGGIE DR.
L8 BT TRRILS EN[)
8404 HRRTZELL
LOT SI~E
~44-965i
2~780 SQUARE FEET
TYPE.OF SOIL RBSORPTION SYSTEH IS: TRENCH
HR,.XIHUM NUHBER OF BEDROOMS
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EF'TH= 8 LEI'-.i 6 TH = iL:IL8 6 R FI'-...' E L g"EPTH= 4
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE E×CRVRTION (IN FEET).
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUr'! DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXORVRTION (IN FEET).
F:EL--.~I_I I RED SEPT I C T~'-hNK $ I ----"E= :1.000 6RLLOI'-.I$
F'ERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INE, PECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE
NUHBER OF RESIDENCES THAT THE HELL HILL SERVE.
Ti-lO (2 -" I 1'4$PECT I 0f-4S FIRE F:EQIJ I RED
BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT HILL BE SUBJECT TO PROSECUTION.
HINIMUH DISTANCE BETHEEN R HELL AND ANY ON-SITE SEHRGE DISPOSRL SYSTEM IS
:L00 FEET FOR R PRIVATE HELL OR 150 TO 200 FEET .FROH R PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
MINIMUH DISTANCE FROM R PRIVATE HELL TO R PRIVATE ~EI,IER LINE I~ 25 FEET RND
TO R COMMUNITY SEHER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICRTION3 AND CONSTRUCTION DIRGRRM~ ARE
RVRILRBLE TO IHSURE PROPER INSTALLATION.
PERI~"I I T E×F' I RES DEC:EI"IBER ~__-1 .. ::L--'5--'- 82
I CERTIFY THRT
±: I AH FAHILIRR HITH THE REQUIREMENTS FOR ON-SITE ~EHERS AND HELLS RS SET
FORTH BY THE MUNICIPALITY OF RNCHORRGE.
2: I HILL INSTALL THE SYSTEM IN ACCORDANCE HITH THE CODES.
PERFORMED FOR:
*..,dNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 I~ Street, Ancho~ege, AIiskl 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
3.
4-
5-
6-
SLOPE SITE PLAN
'
WAS GROUND WATER
e. Reading Date Groi~ Net D~th to
~ ..
· HU~Z¢~PALZ%~i' 0P &',i'G~ORAG~
DZVZSZO~I' OF EI~VI~01~EI~'~t I~L~H
DEPARTI~F.~"~ OF gF_ALTg' ~ EI~Z~ONHEI~TT. AL I~0TECTZON
APPLZCATZO~ l~l~. gEAL~ ~H~Z~ API~0VAL CER~ZYZCA.TE
Application Date
~ l' Geueral Znfor~a~iou
'(e)
(c)
(d)
Lesal,Description (include lot, block, subdivision, section, township, range)
~-ocation (~dres~or direcCl~) / ~. ' . ~ , ~
Applican~s Mdress
Applican~ is (check o=e) Le~i~ Ins~lCu~ion ~; ~er/b~lder ~;
Le~iu~ Institution Telephoue
Address
(e) Real Estate Co. & Agent
Address
Telephone
.Hail the EAA to the following address:
Type of Residence
Number of Bedrocms
Hulti-F-~!!y~
Other (describe)
~ater Supply
Individual ~ell.~ Co~muni~y ~-~ Public ~
Note: l~ comaunity ~11 ~s~e=, mus~ b~ve ~i~en co~i~a~ioa ~ro~ the S~a~e
Depat:menC of Enviro~en~ Co~e~aCion a::es:i~ to the leaali~ aM s:a~us.
4. Sewage Disposal
Ousite ~ Public ~ Coamuai~y ~-~ Roldin~ Tank
No,e: H community well system, must have written confirmation froa the S~ate
,Department o~ Environmental Conservation a~estin2 Co the legality and s~aCus.
[Page 1 o~ 2]
Engineerin~ Firm Providin~ Inspectious, Tests, File Search, Data and Information
~'~ certified by my seal affixed hereto and 'as of the validation date sho~n below,
verify that my investigation.of this Health Authori~y Approval sho~s that the ou-sl:e
water supply and/or ~aste%rater disposal system is safe, functional and ~dequate for
the number of bedrooms and ~ype of structure indicated herein.. I further verify that,
based on the information obtained from the Nunicipality of Anchorage files and frcm my
· investigation and inspection, the on-site rater supply and/or ~-astewater disposal
system is in compliance vith all Hunieipal -~t State codes, ordinances, and
tious in e~fect on the date of this inspection.
Approved X Disapprove~ Cooditional
Terms of Conditional Approval
~-A~TZON
TEE MIJNICIPALIT~ OF ANCHORAGE DEPARTMENT OF ~TH ~ E~O~ ~OTECTION
(D~P) ZS$~S ~TH ~H~I~ ~OV~ ~ET~ICA~S B~ SO~LY U~N ~ ~SE~-
ATIO~ GI~N ~ P~ 5 ~0~ B~ ~ ~PE~ ~OFESSIO~L ENGI~ER
IN '~ S~ OF ~S~. ~ ~P ~ES ~ ~ A ~SY TO P~SEKS ~ HO~S ~D
T~ ~ING ~TI~IO~ ~ ~ER TO SATISFY ~K~IN ~DE~ ~ S~TE ~QU~E-
~S. Di~O~ES OF ~EP ~ NOT ~U~T ~SPECTIO~ OR ~YZE' ~ BEFO~ A
~RT~I~ ~ ~S~D. ~ ~ICZP~I~ 0F ~N~H0~ ~ NOT ~SPONSIB~ FOR ~ORS
OR OMISSI0~ ~ !~ ~0FESSI0~ ~GI~ER*S ~0~.
RR~,/e]/D18
[Page 2 of 2]
7-19-84
DEPT. OF H,~ALTH &
l: ~,~'¢1 ~, Oi' ,tV,[ NTAL f'ZCT£CTION
CT~Y~LIST - FEBRUARY 1984
Legal Description:
BEG 2 4 ~4
RECEIVED
L~;t
Sanita. y ~eal ca Casir~ ~__
".pressica A~amd Wellhead (Y~L
Separation Distances f=~ W~II~
To Septic/Hold~ng Tank ca lot 1{7% ~ ;Cn ~joining Lots
[Pa~ 1 of 2]
Receipt % % 1%~q -~
Date Paid: ~o.~q-~%
Amount: ~.~
2-15-84
~ols/Ac~ss (Y~)
Vent (Y/N)
Co~.~nts
2-15-84