HomeMy WebLinkAboutSLEEPY HOLLOW #2 BLK 1 LT 10PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940285
DESIGN ENGINEER:DAVID R. DAYTON, P.E.
OWNER NAME:TVENGE MARK
OWNER ADDRESS:P.O. BOX 670562
CHUGIAK, AK 99567
DATE ISSUED: 8/10/94
EXPIRATION DATE: 8/10/95
PARCEL ID:05151102
LEGAL DESCRIPTION: SLEEPY HOLLOW #2 BLK
0
1 LT 10
LOT SIZE: 57199 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE C~PTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
ISSUED BY: ~~
?
DATE:
DATE:
D, R, DAYTON, P.E., R.L.S.
20210Donalar Chugiak, A~laska99567
(907) 696-2417
Lot 10 Blk 1, Sleepy H~llow Subd. #2
The proposed sekotic system and well will serve a 4 BR home on a large
nearly level lot,
The proposed system will have no adverse affect on wells or septic
systems on adjacent lo~s. There will be no measurable impact on reserved
areas or drainage.
The Class C wel]l on lot 11 is apparently not in use at this time.
The proposed system will be outside the required 150' protective radius for
this well.
/.
PERFORMED FOR:
LEGAL DESCRIPTION:
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
¢¢ Z-. iownsn p, Range, Section: .~¢
WAS GROUND WATER /,/'~.,..,,
ENCOUNTERED?
SLOPE SITE PLAN
L
IF YES, AT WHAT O
DEPTH? P
E
f~onitoring? Date: _ ,
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE -- [minutes/inch} PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ("'4¢ FT
COMMENTS I~i~L~ ~7~,~.~ i .~0 ) L--vo~,~-O ~,~ ~'~ ~ ~ ~ t& ~
PERFORMED BY: ~2.10 Don~ar ?' I ~ CERTIFY ~HA~ THIS TEST WAS PERFORMED
Chugla,, Alaska 99562 ~~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GU~DELINES IN EFFECT ON THIS DATE' DATE: -
72-~8 (Rev. 4/~)
PERFORMED FOR:
LEGAL DESCRIPTION:
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
L
IF YES, AT WHAT O
DEPTH? P
Depth to Wa~er Alter. /
Moniloring? ,,~4/~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE / (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~'""FT AND (~ FT
COMMENTS
;~-----ot3a-- -t. I CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED
BY:
ACCORDANCE WiTH ALL ST.~i.~t~[~4~,i~,.[~[p...~C~DELiN ES iN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)