HomeMy WebLinkAboutEKLUTNA HGTS STEWART ADDN LT 13
MAILING ~AD~R ESS
LEGAL DESCRIPTION
LOCATION
DISTANCE TO:
Manufacturer
MUNICIPALITY OF ANCHORAGE
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
PHONE ~ [] NEW
Liq, cap Inside length
IF HOMEMADE:
DISTANCE TO:
No. of lines
Length
Well Dwelling
Well
Length of each~_~¥7
to finish grade /Z/~.
NO, OF BEDROOMS,.:
DISTANCE TO:
Width
Crib diameteJ~
Depth
DISTANCE TO: Building foundation
Foundation /~',O i"'-Nearestl°tline fO
Total length ofccp,I Trench width..~.j-~s)nches
Material beneath tile
Depth
PERMIT NO.
Y/ /
No. of ~.~mpartments
Liquid de~pt_h
PERMIT NO.
Material .... -- - - ' Liquid capacity in gallons
PERMIT NO. ~/'0 / ~'--
Distance/between lines
Total effective absorption~ ~'~-(/area7
PERMIT NO.
Crib ~pth ~LTp_tal-effec'tive absorption area
Building f0L~rfdb~on /Nearest lot line .... '
Driller I Distance to lot line PERMIT NO.
/
Sewer line I Septic tank Absorption area(s)
/
OTHER
PIPE MATERIALS
SOIL TEST RATING
/?0
INSTALLER
REMARKS
F'ERMIT NO. ( 8i~J51 ',
.AF F L I _.HNT
LOCAT I ON
LEGAL
WILLIAM KOEHLER
DOLLY AVE.
LOT :L~ ~TLIt..kHRU=,EN SUB.
t',ll_IP-~ ]: C: I ~ ltl._ I ]""r" CIF FtI'-.IC::I-", .~F.:.H ..:~E
DEPAF,:TMENT OF HEFiLTH AND EN'v'IF,'CNMENTF¢_ PROTECTION
'='":'~ "L '" .:,~ REET., HNE. HIJF, ~ mE, AK.
~:~ ~-.$ ,' ~:. ~
Box 279 ....
~8~ /'.~ ~ ~- - LOT SIZE 0400 SI.;!LIRRE FEET
'-' :'r:TEfl IS TREN..H
TYPE OF :,OIL RBSORF'TIL-tN '-'"-
,-" II I ' ' SOIL RATING ':'q.] FT,.'"BR)=
HH,:.,,IM_M NLMBER OF BEE>ROOMS = 2: ....
THE REg~UIRED SIZE OF THE SOIL RESORPTION '_--]"r'STEM IL:Z:
[... EFT H--- :~. ?--; LEI%I,:~TH= 4-7 l:.iF]:fl',,,"EL E:,EPTH== ~ -"~';
THE: LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE 'TRENCH OR DRAINFIELD.
THE DEPTH OF' R TRENCH OR PIT IS 'THE DISTANCE BETWEEN THE SURFACE OF THE
GROLIND 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 OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
REI:~IJ I F-:E[~ SEPT I
F'ERMIT ~RFFLI_.HNT HH.:, THE F..E=,FON_,IE, ILIT~ TO INF_IFM THIN'; [:,EPAF,:TMENT [:,UF,:ING THE
INSTALLRII]N INSPECTIONS OF RN'¢ WELLS ADJACENT TO THIS PR}PERT'-r' AND THE
NUMBER OF F.E_,IBEN.E_ THAT THE WELL WILL
TI.,..ICI ,:': 2 ::, I I'-.ISPF_iE:.T I I:.~ I'-,1'_:; FIRE F... El.:s. _11 F:E[:,
BH_.k. FILLINtJ OF RN"r' S"r'STEM 1.4ITHOUT FINRL INSPECTION AND RPPRO",,'AL B"r' THIS
B, EPRRTMENT WILL E;E SLIELTECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
J.00 FEET FOR R PRIVFtTE WELL OR :L50 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM [:,ISTRNCE FROM A PRIVATE WELL TO A PRI',/F~TE SEWER LINE IS 25 FEET AND
'TO A COMMUNIT'¢ SEWER LINE IS 75 FEET.
OTHER REg!UIREMENTS MAY APPL'¢. SPECIFICATIONS AND CONSTRUCTION DIAGF.:RMS ARE
RVAILABL. E TO INSURE PROPER INSTALLATION.
"-.,:' ..... "' ES-;
F EF.F"I I T E.-'-,.F I R [)E£:Ei'"IBEF:': .'Z<:I-.- " '---"
I CERTIF'¢ THAT
±: I RM FAMILIAR WITH THE RE;,_IF..EMENT_, FOF,: ON-SITE SEWERS AND WELLS AS SET
FORTH 8'¢ THE MUNICIPRLIT'¢ OF ANCHORAGE.
I~1 l-I ' t' -I"
2: I WILL INSTRLL THE SYSTEM IN R _. _-:_ R[. HH_.E WITH THE CODES.
~:: I _N[,ERST~ND THaT THE JN-:,ITE :,EHER $'¢$TEM M~'¢ RE~IIIRE ENLRRGEMENT IF THE
RESIDENCE IS REMO[:,~LE[:, TO INCLUDE MORE T~RN ~ E:EDROOM$.
8P~klC~NT WIEkI~M
......
M.D.G.':~ 'ENGINEERING
SOILS LO~ - PERC: TEST ,' '
'~ 'percol(~hon
performed for:- o/~-~
I0'
II
13'
15-
17,
18'
20'
groun~
depth. ,4/?
December 29, 1978
#780593
John Mongelli
Star Route Box 1135
Chugiak, Alaska 99567
Subject~ Lot 1~ T15N R1W Section 3
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 ~%y further questions~ please contact this
office at 264-4720°
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ljw
enc: copy of permit
F'ERdI"F NO.
__FHf..FHENF 17'~-*'.FIERL..]'N FINE:, EN',,,'IRCd'-,IHENTRL PTEF:'rION
,:,~:._'"L _ Ffi, E.E I. HNL. HURHL~E., RE,.'.. ,.'E~gr-.,~
264-47'20
~.-J E£ It_._ il_ .... F" ES E;4:~'.1 ][ 'T'
RPPL I CFIN'f'
LOCAT 1 ON
LEGFIL
..TOHN MONGELLI
MI 21'~: ::L,,.'2 OLD GLENN
L14 ]'15 RiW S3
BOX 1:L3:5 CHLIGtRK
LOT '=;IZE
E;S E,' 9t82
8400 SQIJRRE FEET
HINIHUH [:,ISTRNCE BETNEEN R HELL RND RNY ON-SITE SEP.IFIGE [:,ISPOSI:~L S'¢STEH IS,
tEIO FEET F'OR R PRIVFITE NELL..: OR
2L~;0 TO 200 FEET FROH R PUBLIC HELL [>EPENDINI:~ UPON THE T"r'F'E OF PUBLIC HELL..
HELL LOGS RRE REQUIRED FIN(> f'tUST BE RETURNEE:' TO THE DEPRRTHENT I.'.IlTHIN 3:0 DR"r'5
OF THE NELL CONPLETION.
O'FHER REIg!UIREMENTS i',1fl'¢ flPPLY. SPEC:IFICRTIONS RND CONSTRLICTION DIRGRRf'IS FIRE
FI',,,'RILFIBLE TO INSURE PROPER INSTFILLRTION.
I CERTIF'T' THAT
1: I Flffl FRMILIRR WITH THE REQUIREMENTS FOR ON-.SITE SEWERS 8NI) HELLS RS SE]'
FORTH B'¢ THE MUNICIPRLIT"r' OF RNCHORRGE.
2: I HILL INSTRLL THE S'¢STEf'I IN RCCORDRNCE HI]"N THE COB, ES.