HomeMy WebLinkAboutENGLE LT 3ol5
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
NAME PHONE J~' NEW
I~.~. PL/~TT~ 277-3~1 E;UP~RADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
~ Well ~ t Absorption~rea Dwelli~ ~ PERMIT NO.
DISTANCE TO:
~ Z Manufacturer Material No, of comp~ments
~ ~ Liq. capacity in gallons Inside length Width Liquid depth
/~ IF HOMEMADE:
~ DISTANCE TO: Well Dwelling PERMIT NO.
~ ~ ~ Manufacturer Material Liquid capacity in gallons
No. of lines ~1 Length of each
Distance bet~e~?ines
Length Width Depth PERMIT NO,
( N Type of crib Crib diameter Crib depth ~ Total effective absorption area
~ WeiJ Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller ~ Distance to lot line PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PiPE MATERIALS
~E~TED ~LA~I
so. ~ ~s~ .~,.~
INSTALLER
~QA~
REMARKS
PE E F~T~ b P~ PE ~-EED --
41 E~-75
~y I ~ . 'F 4
.~-013 (Rev. 3/78)
~_~UNI~IPALITY OF ANCHORAGE
Department' ~ Health and Environmenta?"~.rotection
825 ~ Street, Anchorage, AK. ~9501
264-4720
~-? * * * HANDWRITTEN PERMIT * * *
Permit ~__~~ W~OR ON-SITE SEWER PERMIT
La'cation: Phone Number:
L~q~l Description: ~ r ~ ~/~/~ ~//~, Lot Size:
T~a.e of Soil Absorption System Is:
Trench: Drainfield: X Seepage Bed: Holding Tank:
M~imum Number of Bedrooms ¢ Soil Rating(sq.ft/br)~ ~3~
The Required ' of the Soil Absorption Syste : '
g. EPTH ~"', ,,_,C' !
LENGTH ,~OC7'
· . GRAVEL DEPTH / 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 : /~,-~'0 GALLONS * *
Permit applicant has the responsibility to inform this department during the
i~stallation 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
wfll 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 $ 2 * * *
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
the residence is re modeled to include more that 3 bedro~m~
Appl~----~-~an~''-~ C/ .... -~ '~
Date: E --~ OC~-- 0~''" ''~-'
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR: [ ,~,,~e I~ ~-~''' DATE PERFORMED:
LEGAL DESCRIPTION:
SLOPE SITE PLAN
/
/
v~,
%
10
11
12
13
14
15
16
17
18
19
20
THOMAS R. SMITH
WAS GROUNDWATER
ENCOUNTERED?
DEPTH?
COMMENTS
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERFORMED B Y: ~,~~~
PERCOLATION RATE
TEST RUN BETWEEN
CERTiFiED~'~
(minutes/inch)
FTJ ,. FT
72-008 (6/79)
~ '" ' '"" ' '~l~& SHEET I O'F
MACH . S SOILS
'~^c~ ~¢ & ENGINEERS, INC.
S LOG .OLE
METHOD
USED
TOTAL OEPTH 1~,
DRILLER LOGGER ~. ~T. ~. PROJECT~
PROJECT
TIME STARTED ~O~O ~ FINISHED ~t LOO ~ ~ DATE
VEGETATION, DRAINAGE ~ GENERAL TOPOGRAPHY GROUND WATER'
~~ ~()~; ~,~~ ~t~ ~ DATE ~le/~ ~/1~/~
TIME
DEPTH
LOCATION DIAGRA~ & NOTES
m ~~ o ~ ~ ~ "'
~ 0 ~ c ~ o -- ~S~IPTION' SOIL~ COLOR, TEXTURE, OOOR~ ~RAIN~ SHAPE~ LAYERING OR
m m ~ ~ ~ ~ ~ VARVINg~ ICE ~PE~ BONDING OR TOUGHNESS~ DRILLING NOTES
- 4-~/Z
~ ~ :~;o n,.
~0.
- - 22 ~._ _ ,~ld~ / '~-
'/i~ ~/e~ ~L~
.... F/
7- - _ /~/
.... -~/~ (~ ,
8- - - N~h"/~' ~
~ ~i/Y'
.... 9 .... /~
DRAINFIELD DESIGN CROSS SECTION
.backfill
~ . ~'
barrier
taterial
screened rock per
2" over pipe
4ft. m!n.~ extended to edges of trench
perlorated [ ~'~..watertable
distribution ~
December 29, 1978
~780115
Ludwig Serbe
1801 East 68th Avenue.
Anchorage, Alaska 99502
Subject: Lot 3 Engle Subdivision
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, ~ well lo2~_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
LNB/ljw
enc: copy of permit
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GARY
BOX 476-M, STAR ROUTE A ·
PLAYER VENTURES
CONSULTING GEOLOGIST
ANCHORAGE, A L/%SK/t
SOILS LOG
Date
Soil Type Water Level
Remarks
16
18
2O
Total Depth of Excavation
Groundwater
( ) Not Reached
t
Depth, ii: Reached I I
~ Visual
( ) Sieve Analysis
Material at Total Depth
Bedrock
c~No t Reached
Depth, :if Reached
Gary F. Player, Consulting Geologist
APPLICANT MICHREL D. F'LRTT
L Of:FIT 1 01'.4
LEGFIL LOT -" P
..::-...EN~LE SUB
±?]]6 SANYA CIRCLE RNCH.
LOT --', I ~E
-'.-~. ,'
'-~.9L~.999 SI~LIRRE FEET
MINIMLIM DISTANCE BETWEEN R WELL AN[:, ANY ON-SITE sEWAGE DISPOSAL SYSTEM IS
i. O0 FEET FOR R PRIVATE WELL OR t5E4 TO 2~_.-~.'r~ FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FF.:OM A PRIVATE W'ELL TO A PRIVBTE SENER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REL.]LtIRE[:, AND MUST BE F.:ETIJRNED TO THE DEF'RRTMENT WITHIN 3:0 DAYS
OF THE WELL C:OMF'LETION. '
OTHER REL.]UIREMENTS MA'?' APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO IN':-]URE PROPER INSTALLATION.
,I CER]'IF'¢ THRT
±: I Al"1 FAMILIAR I.,.IITH THE R'EC.!UIF.:EMENTS FOR ON-SITE _-EHER.2'- , '-., AND WELLS; AS SET
FORTH E:Y THE MLIN.T.,CIF'RLIT'¢ OF HN_.HURMME.- F' - ,'--'
,=: I WI~LL INSTFLL THE SYSTEM 11'4 ACCCRbANCE WITH THE O-DES
':';I GNE [~ _]~_ ,~__'_ ......... HFFLI_.HN]' MICHAEL D. PLRTT
ISSUE[:' E~_[:,ATE
V4. 0
SEP-3O-O8 15:51 FROM-CTE ENVIRONMENTAL
~t~_.. C T&E EnvironmenzalSe rvices Inc.
T-617 P.OZ/OZ F-8~3
CT&E Ref.#
Client Name
Proje~ Name/#
Client Sample ID
Matrix
Or~lered By
PW$ID
985096001
MOA-Health/Human Sty-H20 Quality
Saraple Rom~rks:
Calcium Chloride
Calcium Chloride
Other Solids (We[
Client POff
Printed DatelTime 09/30/98 11:18
Collected Date/Time
R~ceived Date/Time 09/09/98 09'00
Technical Director: SJq~hen C. Ede
P~& un,cs Netted
Prep Anatysis
Oa=e ~a~e Init
~erats l~t ICP
Catc~u~n
C~tor~de
109000
5100 ~/Kg S~,6 60108
7t90 mg/~s EPA $00.0
0911~198 09115196 UTA