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Home My WebLink AboutSCHWIGER LT 2Scyl��cje�" osl 151 51 .0 r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO"i ECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEANEW �/-v7 ( C � /, (_nj_&j \,t�!'IGUr �'�/2, PHONE r, 11 UPGRADE MAILING ADDRESS LEGAL DESCRIPTION � !I. 1/ ,,o�"lam �__=�'//rJ�/'. �c'7 SSC %/SA) Q LO /o I LOCATION NO. OF BEDROOMS G> O .[ DISTANCE TO: WellAbsor .{ 75- tion area r I Dwelling <3 1 K%Z PERMIT NO . a F Manufacturer Material �c L No, of compartments to Liq. capacity in gallons >1 IF HOMEMADE: Inside length _— Width Liquid depth OJ z DISTANCE TO: Well Dwelling PERMIT NO. 2 Z F Manufacturer Material Liquid capacity in gallons y DISTANCE TO: Well/ JS` Foundatio - v Nearest lot line f t PERMIT N _ Q021?%' m J LL Z ti ui No. of lines l Length of each line / Total le gth of lines /C' ' Trench width 3 C inches Distance between lines ¢ F. O Top of tile to finish grade `c' `/ ' Material beneath the Sf / i ncAes Total effective absorptio area /-/6 c) LU a Length Width Depth PERMIT' NO. <l- w� Type of crib Crib diameter Crib depth Total effective absorption area U) DISTANCE TO: Well Building foundation Nearest lot line J J CJgs tt Depth Driller Distance to lot line PERMIT NO. w R:DIST ANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER V e PIPE MATERIALS _ SOI l_ TEST RATING '2'30(t 0- v INSTALLER — RE�M`ARKIIS/ Jc - �I.tom �te? ,SFZ(/ • '--.(Ll�'(3 S i�� -t p w - r e APPROVVIED� s DA/TE LEGAL /L -U IS Ihev. sl /t51 II I'D MUNICIPALITY OF ANCHORAGE Department Health and Environmenta' 825 Street, Anchorage, AIC. _J 264-4720 Permit # HANDWRITTEN PERMIT # # -WER ON-SITE SEWER PERMIT Applicant: n ; �C�j i�, Mailing Address: •otection �- 01 r, 41J, I i i3 Location: _ Phone Number: ®� Legal Description: Ll(, -7 71-6N R%U) Lot Size: Type of Soil Absorption System Is: Trench: ✓ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH _ I �,- LENGTH __ GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfiel.d. 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 minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE_ _u� D D ('� GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a. public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community 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 3 2 1: certify that: (1) 1 am familiar with the requirements for on --site sewers and wells as set forth by the Municipality of Anchorage. (2) 1 will install the system in accordance with codes. (3) 1 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more t at/3`� bedr ms. Signed: ' Issued by: Applicant Date: SWP/024 (1/81) ��_d/J5�� Russell Oyster 694-2774 ® & E ENC.NEERING & DEVELG. MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOO Performed for. Name: — <' 61\4 H V%/ Mailing Address: Legal Description: L 16 71 Depth (feet) Soll Characteristics A 3 4 5 N 7�Al ! 'r, 10 11 __ L3 co t1j18 ; /-� ' 12 Earl F1119 688-2280 _ Tel. No. (,-q y – `i (53 -:� -7 '�� r 1111 PL01'PLAN 13 —_ PERC. TEST 141��rr�ASI-- 6AliA-/ T 15 �y_y jam, r� . 16 7 - tai A. ��tl Ground Water Encountered: Yes-- NoZ If yes, what depth'. V® e Proposed Installation: Seepage Pit_ Drain Field Comments: 4�rP anA..:(.a a�ns .' onno icy q'.n •� .A S7 "( y..e�s.n. .• •a�. � 4, Earl P. Ellis d `Q! Performed by: VPARTMEN l DF HEALTH AND ENVlKUNM[NTAL PROFECTlON 825 L STREB, ANCHORAGE, AK 99501 264�4720 4 7 1 1VT-~�. A. A Q ��. K . Mn� F � 1-1 A: ii `ERMlT NO: 8600i5 }ATE lGSUED: 02/12/86 �PPLIFAN lRONALD SCCHWlGER WDRESS: BOX 194 MERCY DR. EAGLE RIVER, AK 99577 �3�TACT �HONE: 694~77:�!4 -EGAL DESCRlP: SUBDIVISION: SCHWIGER LOT: 2 SECTION: 8 TOWNSHIP: 15N RANGE: 1W .OT SIZE: 53905 (SQ.FT. OR ACRES) BLOCK: NA I certify Lhat: 1. I am [amiliEa, with the requirements for on-site sewers and wells as set {orth by Le Municipality o[ Anchorage (MOA) and the State of Alaska. 2. I wi1l install Lhe syste:l in accordance with all MOA codes and regulations, and in comp]jance with Lhe design criteria o[ this permit.. J. 1 VA ] adhere to all MOA and State W 1)111ska requiremenis <or the set back distancog well, wastewater disposal system or public sewe,age system on this or any adjacsnt or nearby lot. 3 1 WITA < �.... _ ~ APPLICANT: RONALD SCCHWIGER ^' ' ISSUED 8Y DATE: -2-~/ -�~--..... -.~�~�- LOCATION OF WELL (Please complete either lo, Ib or Ic.) la. Borough Subdivision Lo178 Block p1b. I/a ql re. SChld:�g 2 of -of -of I,I DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Well Location WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysicol Surveys Or 11 ling Permit No. A.D.L. No. Section No. TownshipN❑ Range E❑ Meridian S❑ W❑ 3. OWNER OF WELL: Ron S(,-hwlgo'r Address: 711 1 Box 2477 ChuErl,q c, Alo.ska 99567 2. WELL LOG Material Type Feet Below Surface 4, WELL DEPTH: (final) 147 ft 5. DATE OF COMPLETION 6 _ 1- _ Top Bottom 1V2CJ 7t1 T 3 6, ❑ Cable tool ® Rotary ❑ Driven ❑ Dug ❑ Auger ❑ Jetted ❑ Bored E] Other: Sand PC f x AV87- 12. GROUT ING Well Grouted: ❑ Yee ❑ No Material: ❑ Neat Cement ❑ Other: 1 (� l�irn TR c% 7.UBE: 0, Domestic ❑ Public Supply ❑ Industry Irrigation ❑ Recharge ❑ Commerical ❑ Test Well ❑ Other: — •rnl 50 r 70 r n f,"I 6. CASING ❑ Threaded Q Welded dlam. in. to__1_4!7_ ft. Depth Weight 1'7 Ibs./ft. diam. In. to__fI. Depth Stickup 1f. —�' o '1 !,'}' 14. REMARKS: o 9. FINISH OF WELL: Type: ()p('J) ilU.1.8 _ Diameter:- Slot/moth Slze;_ Length: Set between ft. and ft. Backfilling Gravel pack — 10, STATIC WATER LEVEL: 125 ft. 6-1—L11�L Date E]Above or ❑ Below land surface Equipment used: .n7UF3.{;.LC �1 1)(' -INET' 16. WATER WELL CONTRACTORS CERTIFICATION: I 15, Water Temperolure —e ❑ F This well was drilled under my jurisdiction and Ihis report Is Irue to the best of my knowledge and belief; Part Bullock' n 1101:1 i,r�i l Lint; Inc .1 ,/— Registered Business Name Conlract License Number Address: Signed: thorized Representative Date: n— /— Form 02-WWR (II/81) Copy Distribution: WHITE -Stole DGGS, PINK -Driller, CANARY-Cuslomer ❑ C 11 PUMPING LEVEL below land surface and YIELD � f1. of for ;)� hrs, pumping 1_ 9.p.m. ft. after hrs. pumping 9.1).m. C N 0 N r o 12. GROUT ING Well Grouted: ❑ Yee ❑ No Material: ❑ Neat Cement ❑ Other: .. 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity 9 -P.M. ❑ Subm. ❑ Jet ❑ Centrifical ❑ Other — 14. REMARKS: o 16. WATER WELL CONTRACTORS CERTIFICATION: I 15, Water Temperolure —e ❑ F This well was drilled under my jurisdiction and Ihis report Is Irue to the best of my knowledge and belief; Part Bullock' n 1101:1 i,r�i l Lint; Inc .1 ,/— Registered Business Name Conlract License Number Address: Signed: thorized Representative Date: n— /— Form 02-WWR (II/81) Copy Distribution: WHITE -Stole DGGS, PINK -Driller, CANARY-Cuslomer ❑ C �. _R9 ' CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. —�-TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL CENTER tea. oR.e 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ('> See h on back I.D. NO, Water System Name Phone No. Mailing Address city State Zip Code SAMPLE DATE: Mo. Day Year SAMPLE TYPE: 0 Routine O Check Sample (for routine sample a Treated Water with lab ref. no. --�Untreated Water ❑ Special Purpose SAMPLE Time Collected NO. LOCATION Collected By 1 II 2 L� 3 I JI 4 READ INSTRUCTIONS TO BE: COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received _ Time Received -Analytical. Method: O Fermentation Tube Membrane Filter Lab Ref. No. Result* Analyst –,{,[' 7 " E;2- - L__—� F77 _ I —_j e .No of colomof/ 100 ml. o, No. of Pus, lwe portion] 00-1220(b) BACTERIOL.OGICAL WATER ANALYSIS RECORD Por. 1983 Membrane Filter. Direct Count CollformN00ml Vorlficatlon: LTB BGB_ Final Membrane Filter Results — Coilform1100ml BEFORE -` / Reported By Date _ � Time: _ � Df� a.m. P.M. COLLECTING SAMPLE TNTC = Too Numerous To Count