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Home My WebLink AboutSCHROEDER LT 50`jchroealer D5) (:)5,7, SIO C3►oc.K MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2.64.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [__1 NEW •�IPHOgN`E/ NAME q J / i' •� �?6 5AUPGRADE Com,/-//�C/_ 1 �6 N L G. --- - MAI LING ADDRESS _ 156y - LEGAL DESCRIPTION _ LOCATION NO. OF BEDROOMS Well / e Absorption area Dwelling , PERMIT NO. Uy DISTANCE TO: ��C/C _7G (J` F 2 wF Manufacturer Mart No. of compartments (n Liq. capacity in gallons Inside length Width Liquid depth � n /0(90 IF HOMEMADE `q Well Dwelling PERN4IT NO. 6t�1' DISTANCETO: 21 Manufacturer Material Liquid capacity in gallons u? = DISTANCE TO: WeII / Foundation / ®� Nearest lot lire PERMITi W E: U W No. of lines / Length of each line Total length of Ifnes Trench wldtl �� inches Distance betweeI lines /Ilei I c `= N C1 Top//of the to finish grade ._ 1 r J Material beneath the inches Total effective absorption area _ -IL- l �rG� = Y Length Width Depth PERMIT NU. W c7 Q F Type of crib Crib diameter Crib depth Total effective absorption area as - W W rn Well Building foundation Nearest lot line DISTANCE TO: _ Class Depth Driller Distance to lot line PER NO. J J Building foundation Sewer line Septic tank Absorption area ea(s) • DISTANCE TO: OTHER PIPE MATERIALS — •� SOIL TEST RATING jTEST INSTALLER REMARKS -�' � i i'f 3�rso0o•�0 i � !rhO 1 tea I p•� � ' � (/u„%�tl O`" y VG�� P-B[/l2EpV Vtl^G P Qv -(f F.- n E rl eP 4, �y t� �, e•� Ni). 77'5-C °' v ,� I f�- qq � VP•� OOe tyn'\�� Jo !a�UA�F LSj,\N ,- c APPROVED DATE LEGAL / ze) THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM ISl �11 , R p �� Q AT! Q Fit To u "vy 119K R. . WD, I:j-1,, � THE LENGTH DIVIE KV; TON IS THE LENGTH (IN FEET) OF THE TRENCH OR |)RHINFIEL). THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETNEEN THE SURFHCE OF THE GROUND RND THE 8OTTOM OF THE EXCHVHTION (IN FEET) THERE IS NO SET WlDTH FOR TRENCHES THE GRAVEL DEPTH lS THE MIN{MUM DEPTH OF GR8VEL BETWEEN THE OUTFHLL PIPE HND THE B0TTOM UF THE EXCHVHTIOIli (IN FEET) �M His U 7V IIC:�!n III :::::,. - i~�� -f f1v 14110 �� yj , &V Us CIA ��TV! Ab"� PERMIT MOM ICHNT HHS THE RESPONSIBILITY TU INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS H0J8CENT TO THIS PROPERTY HND THE NUM8E0 OF RESIDENCES THHT THE WELL WILL SERVE. "I- WT 0 <� > ��poll KH ic�: - V it: vim P41 YY 071 If Q M PON H GO R .1 1: to! No Q I': 11. OF HNY SYSTEM WITHOUT FINHL INSPECTION RPD HPPROVRL 8Y THIS DEPHRTMENT WILL BE SU8JECT TO PROSECUTION. MINlMUM DISTHNCE BETNEEN H WELL RND HNY UN~SITE SENHGE DISPOSHL SYSTEM lS 100 FEET FOR H PRIVHTE HELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MHY SPECIFICHT1CATS RND CONSTRUCTION DIHGRRMS HRE HVRILHBLE TO INSURE PROPER INSTHLLFIT ION �Pi��!! 1'.1 :1V - 11 , IF-" � [!:: 11:7." �P.E��-: Ii.;!! ::.!I . .: �!, �-11 ;;: "� 1 CERTIFY THHT 1: l HM FHMILIHR WITH THE REQUlREMENTS FOR ON~SlTE SEWERS DMD WELLS HS SET FORTH BY THE MUNI ICIPHLIlie OF RNCHORRGE 2� I WILL lNSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES ]� l UNDERSTHND THHT THE ON`SlTE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE 11HN ] BEDRUOMS ® & E ENGI,JEERING & DEVEL®F.JENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Performed for: Name:—��f� FL — fel. P Mailing Address: �U X� ��« � Legal Description: .L,�9T f5-0, Depth (feet) Soil Characterlstics 0 —_ 1 2 — 3 4 _ 5 8 / oc s5-1 f 9n/ 10 11 —_ 12 13 -- 14 15 16 Ground Water Encountered: Yes No �If yes, what depth Proposed Installation: Seepage Pit Drain Field Earl Ellis 688-2280 s- 77 CSA/ 2L. 4 i r PLOT PLAN PERC.TEST 5. LEGAL DESCRIPTION ` V t_ S C) .S DATE RECEIVED-�� INSPECTION APPOINTMENTS 6. TYPE OF RESID NCE TIME TIME TIME S�'-\\.J 11`__ , Zl) 114__ Two ❑ Five ❑ MULTIPLE FAMILY DATE (� -in DATE DATE �-1 � (,A - 1L ` * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY INSPECTOR INSPECTOR INSPECTOR "1161RA117a�]F erJrHnRAGE MUNICIPALITY OF ANCHORAGE ��6yI�I&O T. OF H ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONONMEN7AL PROTECTION 825 L Street - Anchorage, Alaska 99501 DEC 51979 ENVIRONMENTAL SANITATION DIVISION 0* Telephone 264.4720 R E CEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER�`� � X PHONE G=l C' - rfi MAILING ADDRESS ,q PROPERTY RESIDENT (If different from above) HONE 2. BUYER ,y PHONE MAILINGADDRESS 3. LENDING INSTITUTION �_--..__ �-�" � G� � FES 1/ � �'i�' •c�C-�'� / �! C -v lD ' PHONE '� � • �%�G� MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION ` V t_ S C) .S STREET LOCATION 6. TYPE OF RESID NCE NUMBER OF,BEDHOOMS SINGLE FAMILY 1::1'6 ❑ Four El Other. _ 114__ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three CI Six 7. WATERP LAY INDIVIDUAL* EA-` * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PU LIC UTILITY depth (attach log if available.) S. SEWAGE DI OSAL SYSTEM INDIVIDUAL/ON-SITE** ` YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/70) c ` I - v V L V" , nin lmm R/1Q1 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified__ PERMIT NUMBER {� \ DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified ___ PERMIT NUMBER 1 Ua] I L DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Bolding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED yJ-' DATE I -� ^/ �:- / 1 C3 BYAN I - v V L V" , nin lmm R/1Q1 y e suR✓Eroas cERrrr;cATE n e n,x / e rn dm a am y n J M1 M1¢r -.",h Gtl g � he at ape . el xam bl S o>e aa[OV _� rz n ArAP ROVA R pp✓ tl by M NLnI y ryng AUNOJry r 3�B[{i oey o� 19-1 111'1111EII LIEOICAT'll IDe M Y A h p^ I b r p aou gln e k h i. oaree er Mcno age. a,.r.a nx��er✓ >/Sy. _roes CERF FICATCOFOWf:ERSHl4aI'7OEOIGTIO rvel. hereb/ 4=4i lV tCa(/ !we/ hdtl Ne Mrcln fOttr4rtivmperty'n a ehe oroperp Oeicviheedeeon! vebyeeNti:emehe!9unioeaPry n[ha� letl b mrMra e...0 �er are .... 'bmp, or me / ne p'ry o.roley 1 ea ,,,ia n. m xeepon rurx✓..x/,uara 1,,r,!,,,, �Inre �.erory rne9�oe„x., erxerx„m a::sea. mF.�am anVo rio9.n e.om+an9 orM1e+aOrora/_ bV 9 _ Revmv I hv' C:: anS itlOeJ ..de eymprexo. anes.__'ein.ec.nimc/mxie0ahi reeep ope.M �p LwrtYC mcu Ol\ NOTAPVACKNOV/LEOGFMENT -- ' A✓.OeN rrerump,•lorc cevuw.u.ausell. R✓ 19P2. No rq(/yq[MNOw'Fa BsvB.vr 1Y F/b �.. y l9 nn Fc{>�u19�9f J 11111'MA- SCALE "_ I n, 0 E'@I -FILED !ham + I' Al oP p e -I s s Iii Y I 1v SCH Fp EOBR SOBG�VIJION 9= , .,,..,: ras l—` ✓emx=.....,. E 1, ft RlM �w ss >µp60NNseu ,n [_z. AP11 VAL mr Poe90 • Eslie' k'+eA P 9qT» 4-il-yJ L9w 2F4! �tl Prmceeo ='.'^3 rows x.. loe' ez +36 aJ� I ve wave PaefMs£��/\ I ure y e suR✓Eroas cERrrr;cATE n e n,x / e rn dm a am y n J M1 M1¢r -.",h Gtl g � he at ape . el xam bl S o>e aa[OV _� rz n ArAP ROVA R pp✓ tl by M NLnI y ryng AUNOJry r 3�B[{i oey o� 19-1 111'1111EII LIEOICAT'll IDe M Y A h p^ I b r p aou gln e k h i. oaree er Mcno age. a,.r.a nx��er✓ >/Sy. _roes CERF FICATCOFOWf:ERSHl4aI'7OEOIGTIO rvel. hereb/ 4=4i lV tCa(/ !we/ hdtl Ne Mrcln fOttr4rtivmperty'n a ehe oroperp Oeicviheedeeon! vebyeeNti:emehe!9unioeaPry n[ha� letl b mrMra e...0 �er are .... 'bmp, or me / ne p'ry o.roley 1 ea ,,,ia n. m xeepon rurx✓..x/,uara 1,,r,!,,,, �Inre �.erory rne9�oe„x., erxerx„m a::sea. mF.�am anVo rio9.n e.om+an9 orM1e+aOrora/_ bV 9 _ Revmv I hv' C:: anS itlOeJ ..de eymprexo. anes.__'ein.ec.nimc/mxie0ahi reeep ope.M �p LwrtYC mcu Ol\ NOTAPVACKNOV/LEOGFMENT -- ' A✓.OeN rrerump,•lorc cevuw.u.ausell. R✓ 19P2. No rq(/yq[MNOw'Fa BsvB.vr 1Y F/b �.. y l9 nn Fc{>�u19�9f J 11111'MA- SCALE "_ I n, 0 E'@I -FILED !ham + I' Al oP p lets z+n6me AI'. .y by N' '.jai aI SCH Fp EOBR SOBG�VIJION 9= , .,,..,: ras ✓emx=.....,. E 1, ft �w ss >µp60NNseu ,n [_z. AP11 VAL mr Poe90 IAx CERIIP(C..TlON I' Al oP lets z+n6me AI'. .y by N' '.jai aI SCH Fp EOBR SOBG�VIJION 9= , .,,..,: ras ✓emx=.....,. E 1, ft �w ss >µp60NNseu ,n [_z. AP11 VAL mr Poe90 • Eslie' k'+eA P 9qT» 4-il-yJ L9w 2F4! �tl Prmceeo ='.'^3 rows x.. loe' ez +36 aJ� I ve wave 1983-975 O Li. :Lt M 00 B.00 A9.00 SMD] 31M0 52M0 SNW 59b0 SSW 56.00 57.W o,lnc. sem nndm+pe.wlstanssw e6me�lz��3of " `= FIRE LAKE IHfEA, EYaMASE II LE OVER. fR, ALpL0.5KA _V" ~FECOROpiAWoNpS 250 � r N �a E 45ws zo M4 s*a sE.�aarro STA e e or io B.00 A9.00 SMD] 31M0 52M0 SNW 59b0 SSW 56.00 57.W o,lnc. sem nndm+pe.wlstanssw e6me�lz��3of " `= FIRE LAKE IHfEA, EYaMASE II LE OVER. fR, ALpL0.5KA _V" ~FECOROpiAWoNpS 250 � r N �a 45ws zo M4 s*a sE.�aarro STA e e or io I L > a 6 _ N T/I6 [OP /3 BawSB I >. ��• - _7FM r �1•oa I I `�s -� aB - Co N.7TES I II �� II;C r. ALSO YF°�j ° I_1_'• L_ �. t 1 '• r 1 E ELL E .°..°,.EExT TA ,LLYLT °nL r. _._ _ .X. ...._ _ — ___S. t ".NICUs -„ STREET a E Ml.�x SET -LIR .OR III LOIR ANs° ma ° E,PSOPLAS d EAI O INEA BE US EPVP UED INTO u x OR YR bA- • M . �E6) 4 3 • 2� . 2 1 AJ BY T -T ' _ o 1 �. E� o .. 1 E c B o Lc. iR' d�2 ul' Q I' >aiai E • AI EERB LAMLLY e'yx AIN UJSE " o -� r - E Y M� __- ___ __ 17 J-111- K E 11T 11- ° . ' .vB el e -,A,. o i-. no� '°a e'.. r z. .BBn xary +BB LINE OR MaBEaBEnvE 11 1 7Y EISEEBEII _...ll 7 -._ C E V o •BE z9 2so z v - _ aE E E ur. B A, o Q I-Tt IBIE.All Y AS OF _ i�` BB ,J a9 S 5 17 ) n qa m No RIPS N 4':IS • ITABET ® `J E4a EMEHi u _ a' n� 0 05 IS ' n _ _ _ AYE V� 0 q ] ° �',� R s ]a➢ 5.l s•.r N IL -I 0 l 9.r '. 10.r I rB i 18.1 I 3n92 _ xes E2 oOE 20i i A I R 5 T F l P - A. lIT 11 1 IL aL0 •.DT1001520 NQ AMENDMENTS REVISIONS ,. Ua to ,.B ✓ /--IROS �R SUBDIVISION _--- _- _-_-- IN THE SE iT40F ?HE_NE I/4 OF 52 TI4,PR2W'SM. SCALE I° p 100 _.EU - NE 1.963 j--- -. - - _. __.— , Bx 63-SYJ. .•Nat: IY' RE3sre aumEr • rn 33n.u.. _._