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Home My WebLink AboutDEBORA #2 LT 11 REM 12 REM 13 REMry31� ;� 0!50 oq z i I o00 \\ MUNICIPALITY OF ANCHORAGE �` 1 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 NEW 0 13c— u, 4/J ]DR-4-7S;7I ❑UPGRADE MAILINGADDRESS D 190k LEGAL DESCRIPTION /-/ -7/Z- iso LOCATION NO. OF BEDROOMS (� DISTANCE TO: Well /_ Absorpt q�are��[ Dwelling 114PERM�Z.fJO. 17 O // _Y WZQ Manufacturer^e `—I Ma - I No. oIznpartments ~ G to ' gallons IF HOMEMADE: Liq M'3 Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. dOZ _ F Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well Fountl i / Nearest lot b L./- PER '` = _ Z No. of lines Length,ot ea0o Total I Aof Trench Distance between lines J L inches H Top of the to A gr My n;l ben! tL I / y Total effeCliye absorption area !Width Z 2 y S.� vo inches v' Length Depth PERMIT N(J. W V Wd Type of crib Crib diameter Crib depth Total effective absorption area N DISTANCE TO: Well Building foundation Nearest lot line J Class( De th Driller Distance to lot line PERMIT NO. J Building foundation DISTANCE T0: Sewer line Septic tank Absorption area(s) OTHER 6� PIPE MATERIALS t It SOIL TEST RATIN 8s a2 C4 C INSTA ez REMARKS r l It rN� . A 5Z o J' 1� No. 1157-E ,•'��'101 d � 4' APP ED D TE LEGA. (7 �' SRS 12CX pr' W f ALI j;,0LC.FNER, 7C01y1Rev. 3(18) 3 MUNICIPALITY OF ANCHORAGE Departmentrf Health and Environmenta)o-Protection 825 ' Street, Anchorage, AK. ..9501 264-4720 Permit'# * * * HANDWRITTEN PERMIT T WELL ANDS ON-SITE SEWER PERMIT Q Applicant: \.) AL -)0 CP_AC( e 4i% Mailing Address: Location: Phone Number: — S Legal Description: 667— // 12 eqlk F Ree a#•ot Size: Type of Soil Absor h: (/ tion System Is: TrencDrainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: te Soil Rating(sq.ft/br) S The Required Size of the Soil Absorption System Is: DEPTH — LENGTH 15� . GRAVEL DEPTH S - WIDTH 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 minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ %'SO 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 departmen 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. 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 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if th reside ce is remodeled to include more thaV bedrooms. Signed: Oa Issued by: Jn rn` e _ Y Applicant 44 Date: SWP/024(1/81)'�J✓� -�7iirce�� 78G1SS RG -a r-� December 29, 1978 #780554 Don Bcaujean Post Office Box 2444 Anchorage, Alaska 99510 Subject: Lot 11 and Lot 12 Block F Debora Subdivision €2 A permit issued by this department for well and/or sewer system has expired. 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 should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz. R.S. Senior Environmental Specialist LIIB/l jw enc: copy of permit rlLJr 1 I C I FYXPL- I TY OF Rr C!0lf E?FiGE _ DEPARTMENT 0. IEALTH AND ENVIRONMENTAL F `fECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 WELL- Fit4E> OtJ-SITE SEWER F}ERJ'7I T PERMIT NO. ( 780554 ) APPLICANT DON BEAUJEAFJ PO BOX 2444 278 4957 .LOCATION MERCY DR LEGAL L11 & 12 ELK F DEBORAH #2 LOT SIZE 12500 SQUARE FEET TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 6 SOIL RATING (SQ FT/BP,)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E+EF?TH= S3 LE"1:3-r"= S2 13Rn%-PE:L l7EFP-r"= B THE LENGTH DIMENSION IS THE LENGTH CIM FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF R TREK H OR PIT IS THE DISTRFJCE BETWEEN THE SURFACE OF THE GROUND AND THE EOTT 1 OF THE EXCAVR N (IN FEET). THERE IS NO SET WIDT FOR TRENCH . THE GRAVEL DEPTH IS HE MINIMUM EPTH OF GRAVEL BETW FJ THE FALL PIPE AND THE BOTTOM OF TH EXCRVATI N CIN FEET). 'C REG!U I REO I C/ TFlr4f< I ZE= 07SO /GFILLONS PERMIT APPLICANT HAS THE RE PONSIBI TY TO INSTALLATION INSPEGTIOFJS 0 ANY WE Rf # PR¢FERTY NUMBER OF RESIDENCES THR HE WELL 4 LL \/ --- TWO C2> tISPE�TBACKFILLING OF ANY SYSTEF WITHOUT IFJRLTIDEPARTMENT WILL BE SUBJECT TO PROS !T MINIMUM DISTANCE BETWEEN R WELL AND RFJY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOP, A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. R -THI TO THI T DURING THE AND THE RRE REG"►L_1 I REDS --- OFJ AND APPROVAL B'.' THIS F EOFZV 1 I T EXP' I RES E>ECCEMJETER =Lw 15=+?S I CERTIFY THAT 1: I 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 6 BEDROOMS. SIGNED ISSUED -�%�L�� -�L l/1L------------------ T DON •ERUJERNB--------DATE-- l-,Al2 --- V3. 2 _ 0 & E GEO':'CHNICAL & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska M77 6942774 or 668-2280 Russell Oyster Ead Ellis 6942774 SOIL LOG 688.2280 Soils 6 Foundations Land Development Performed for: Name: 1722 4Qd <a�A0--7V—,-41(/Tel. No. ;27e - Mailing Address: 2Z/4w ,4Ai6-44OeCG-!5- /sic -?96ly 1 Legal Description: Go -r- // fl /Z S N Ba Depth (feet) X011 Characteristics 0 1 /YlG— S,�T- oG�ro.a- wjG'�oc/s_ � �,�a,4�✓/cs,_ 2 3 �-4 5 6 8 Coa,ec 10 11 12�- 13 14 15 16 Ground Water Encountered: Yes No If yess what depth Proposed Installation: Seepage Pit Drain Field . � Comments: <� n��-r •nao Fdl�Pf'cr 3 l� /'tS7 / •n% !/�.asJ 'a eco 17, 'Z ;7�5- Performed by: Date: ::7L�Iz 27. i97r> Ofd SM / .rt A"mo.,__. DI;PT.OF FNIVIRONIMNTAL CO\SFRVAT1O\ SOUTHUNTRA[RfG/OXA[OUXE / =VDVtUSMUT AtraCAr svaD a Roau ust AXCMAGf OW 1 June 28, 1978 Don Beaujean P. O. Box 2444 Anchorage, Alaska 99510 Subject: Lots 11 & 12 Class C Public water System Dear Dir. Beaujean: I have reviewed the plot plan showing the proposed location of the well and sewer system on the subject lots. The well is to serve a duplex which will be constructed on the lots. The water system is approved for the features with which this depart- ment is concerned providing the sewer line is located at least 75 feet from the well. The sewer line between 75 and 150 feet from the well should be of cast or ductile iron construction. Sincerely, James O. Starr Environmental Engineer cC: DiiEP n CnrTIFICATE OF b DEDICATIO:I rO3'. WATER W - ILL RADII I e hereby certify that we are the owners of the property affected by the water well radii as shown hereon dotted anal hereby dedicate to the public all easements for the wat^_r well ratii with the following restrictions. No septic systems shall be allowed within 150', no so%:or mains or services shall be allowed within 100' and all sewer mains and services within the 100' to ]50' radii of the proposed or existing :.later well shall be cast iron, (minir..un) NOTARY'S ACKNOIMEDGEMENT Subscribed and sworn to before me this .4-= day of 7 ,,, ]978. my commission.expires NOTARY FOR ALASKA 1