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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENIAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
PHONE I I-]NEW
34~ :;~..~.~OO J~UPGRADE
R~c/-/, ftl~, 995'//
NO OFBEDROOMS
Absorption area ! Dwelhng / PERMIT NO
DISTANCE TO "/r /~.~' 7
Manufacturer Mater~al No of compartments
I~ S T~ ~
L~q capacity m gallons IF HOMEMADE
Well Dwelhng
DISTANCE TO
Manufacturer
Well
DISTANCE TO Length
No of hnes of each hne
Foundation
Mater~al Liquid capacity m gallons
Nearest lot line PERMIT NO
Trench w~dth roches Distance between hnes
Top of tde to fimsh grade
Length
W~dth
Total length of lines
Material beneath tile
roches
Total effectwe absorption area
Depth PERMIT NO
Type of crib Crib dmmeter Cr~b depth Total effective absorption area
Well Budding foundation Nearest lot line
DISTANCE TO
Class Depth Drdler D~stance to lot line PERMIT NO
Budding foundation Sewer hne Septic tank Absorption area(s)
DISTANCE TO
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
p~ /~ltl'.loold EXC, E. X85-o/~
R EMAR KS
APPROVED
72 013 (Rev 3178)
DATE
LEGAL
tO't 0
Department ~-H&aith and Envzronment~ ~lProtection
, ' ~ 825~ Street, Anchorage, AK. ~-99501
264-4720
* * * HANDWRITTEN PERMIT * * *
P.~'rm~t ~ ~)O~ _~AND/0R 0N-SITE SEWER PERMIT--
A~:l~cant'~/~/~ ~/~2/~ Mailing Address:~,~/O~
no~atzon: /~/~ ~~ ~/ Phone Number: ~- ~OO
/
Legal Description: ~ ~1~,~. ~-~ ~/&/ Lot S~ze:
T~pe of Soil Absorption System Is:
Trench: Dralnfzeld: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ~ Soil Ratlng(sq.ft/br)
DEPTH
The Required Size of the Sozl Absorption System Is: ~~~-
LENGTH G GRAVEL DEPTH ~ WIDTH~-~
The length dimension is the length(zn feet) of the trench or dralnfleld. The
depth of a trench or pit zs the distance between the surface of the ground and
the bottom of the excavat~on(zn feet). There zs no set width for trenches.
The gravel depth zs the minzmum depth of gravel between the outfall p~pe and
the bottom of the. DxcDvatlon(in feet).
. .
REQUIRED~'SEPTIC(HOLDING) TANK SIZE = ~:~'~ GALLONS * *
Permit applicant has the responsibility to inform th~s department during the
~ns'tallatlon ~nspectlons of any wells adjacent to this property and the number
of residences that the well w~ll serve.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system w~thout f~nal inspection and approval by this department
wzl.1 be subject to prosecution.
Minimum distance between a well and any on-s~te sewage d~sposal system zs 100 feet
f~r 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 dzagrams are
avazlable to insure proper znstallatzon.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
I certify that:
(1) I am familiar w~th the requirements for on-szte sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system ~n accordance with codes.
(3) I understand that the on-s~te sewer system may require enlargement if
the3;~'%dence ~s ~emo~led to include more tha~bedroom~
"App 1 ~/~an~ ' ~ / /~/~/07
Date: ~///Z? .
SWP/024 (1/81)
[ ~ARTM~.N] Ot tq '~ /~
POUCH 6-650
ANCHORAGE ALASI<A 99502-0650
(907) 264-4111
? ONY KNOWi ~ g
MA YOn
ENVIRONMENTAL PRol ECTION
<Permit ~: 820508
January 31, 1983
TO: Permit Applicant
Sub]ect: Lots 3, 5, 6 Junction Subdmvmszon
A permzt issued by this department for an individual well
and/or on-site sewer system has expzred as of December 31,
1982.
Permits are mssued on a calendar year basis, as stated on
the permmt, by authorzty of Munzclpal Ordinance.
If you have drmlled the well, a well log needs to be sent
to this department for documentatmon of the znstallatzon
date and to close the permzt.
If a przvate engzneer inspected the lnstallatmon of the
on-szte sewer system, please have them send us the as-buzlts
for our fzles and documentation.
If there are any further questzons, please call this office
at 264-4720.
Szncerel~
Robert C. Pratt, R.S.
Actlng Program Manager
Sewer and Water Program
RCP/Z3w
enc: Copy of Permit
SWP/057
F'ERMt T NO
[.[:FHf-. I ItEN r~,,,/"" HE,4L. THRN[:, ENVIRONME'NTFIL~,,,.~]TECT EON ~ ~
,::,,:~ J "L ' 5TREE"r, FIN[ I tORAGE, Fq, ':,9~ ¥1
,. JPO508 :,
FFI_I _HNI
LOCRT i f3N
LE_~AL
T"r'F'E OF ::,L IL AE:'5ORF'"[ I 'EH : T.:- TEl1 I'".T, TRENCH
,NIR)<II'qUM NLHE, EF OF BEE)ROOMS
?0000 SCHJF4F..'L F EE-f
FiT I NG ,:' 5[;~ F T -' BF.,. = ! 25
THE ~'EOUIRED SIZE I]lF THE 'SOIL I E, z,L~FIION z,-rz, TEM tz,
[:. E F" l' !~.~ =:= ~. t:Z1 b E' Ih.a C-~ T' ~.-.~ =.: ~E~ C~ F: ta %." E k. [. [£ F T H :=
THE-" LENGTH DIMENSION IS FHE LENGTH ,:.IN FEE'r) OF THE TF.'ENEFI OF~' DF."RINFIELE:'
THE DEPTH OF R TRENCH OF,:' F'[T IS FHE DISTANCE BE"FWEEN THE SURFACE OF THE
GF.'OUND AND THE BOTTOM OF THE E::<CRVRTION '. IN FEET)
THERE IS NO SE"f WIDTH FOR TRENCHES
THE GF'R',,,'EL E:,EPTH tS THE MINIMUM [>EPTH OF GRR'./EL BETWEEN T.~fE OUTFALL PIPE
AND 1HE E:OTTOM OF T, HE EXC. Fq',,,'FIFYCIN ': IN FEET..,
F-:E--_u~L~ :E ~.:E":[:.t''' ~E~E.F" T :[ C TF-'~'..,~.=:: :._E.; Z ~E- =~ ~, ~F2~ ~:"E~ F2~F~L..L_C~-~;
FEF.'MIT RF'F'LIL-FINT HFI.'" THE REE, F'ON'~IE:ILI"f'T' "fO [NFOF.'M THIS [:,EPFIR'fMENT [:,LIR1NG 7HE
WE.- L:
f '- ' '~,' -I '- FIE:,IAFENT TO THIS Ft~OFE.'f'r FINE:' THE
_N=,THLLA"fION INSF'EC"fI_t,I.:, OF FiN'¢ - - "'"" '-~'"
F..'E.:!E.E[~.E= fHFlt" THE I.,.tELL N1LL qERVF
NUME:ER 0F '=; ', P .... - ....
........ 'T[.JlCl .:..-:2: :::. J: I'-,t ~.; F" E.:- C: T .'[ g--,i~'-.~"_-'; F~ F:-': Iff:: F:E E:,T, L~ [ F:E-'[:.
BACk-:FILLING L'lt-- FINY SYSTEM I.,.I!THOUT F F~-,FI.. If-'::SF'EZ"FION RN[:, AF'Pf4?OVFtL B*¢ TH1S
DEPRF.:TMENT 141LL E,E .~LE,,.I[:._ F TO F'F.'F~SECLITZON
MtNTMUM DISTF~NEE BEFWEEN A b.tELL ~qN[) FiNY ON-S;ITE SEWAGE DI'.:EiPOSAL SYSTEM ES
£00 FEET FOF.' A PRIVFITE WELL OF.' 158 TO 2Oe FEE'r FROM R PUBLtE HELL [.,EF"END1NG
UPON THE ]"¢F'E OF PtJBL I E HELL
MINIMUM B, 1S]TFINCE FROM R PFzIVATE WELL TO R PR I ',,,'RTE' SE-[dER LINE IS 25 FEET FIND
TO A COMMUNIIY SEWER LINE IE, 75 FEE"E
OTHER F.:Et.T.!UIRF_MENTS MR'¢ RPPLY SPEC IFICR'rlONS AND, CONSTRUCTION DIAGRFtMS RF.'E
AVAILABLE TO ~NfSURE F'ROPEF.' INSTALLATION
CERTIFY THFIT
I BM FRMILFRF.: WIIH THE REOUIF.'EMENTS F-OR ON-SITE SEb. IERS; AND NEL. LS, RS SET
FOF.'TH B'¢ 7HE MUNICIPRL. I'f"r' OF ANCHOF'RGE
I WILL INSTALL. 7HE SYSTEM !N RCCORDANCE t41TH '[HE CODES
I UNDERSTAN[:, THF~ F THE ON-SI T E SEWEF.' SYBTEM MW-r' F:E6)UIRE ENLRRGEP1F.~.~T 1F THE
RESIDENEE iS REMODELED TO INCLUDE MORE THAN
SIGNED . .............................................................
RF'F'L IEANT '_=,UNSET H..[LL E:FtFTIS"[ CHURCH
Munici Y litYo
Anchorage
P~'"'C H 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
/()NY KNOWI. I S
MA YOH
DE,~ARTMENT OF t-tEALTN AND ENVIRONMENTAL PROTECTION
June 11, 1982
Nell Thompson, Pastor
Sunset Hills Baptlst Church
Post Office Box 10-205
Anchorage, Alaska 99511
Subject: CU82-75: Sunset Hzlls Baptist Church
This department has reviewed the adequacy test performed by
Alaska Environmental Control Services on June 9, 1982.
The test Indicates the septic system and a 500 gallon septic
tank add-on w~lt meet the guzdellnes of th~s department,
concerning the wastewater disposal for the church.
If there are any further questions, please call thzs office
at 264-4720.
Sincerely,
John W. Lynn ~ /
Envzronmental Speczallst
JWL/13w
CC
Joe Stlmson
Municipal Planning Department
ALASKA eFIUIROF1FFI FITAL COF1TROC S RUICSS, IF'lC
MUNICIPALITY OF ANCHORAOE
p'rT C" I F I T~ ~
' '~. ' 1962
RECEIVED
June 10, 1982
Mr. Nezl Thompson
Sunset Hzlls Baptzst Church
Mzle 8 Old Seward Hzghway
P.O. Box 10205
Anchorage, Alaska 99511
Dear Mr. Thompson:
The Sunset Hzlls Baptzst Church seepage system was tested
by an adequacy test on June 9, 1982.
The seepage system zs capable of absorbzng 1,067 gallons
per day, uszng a safety factor of 1.5. The EPA Deszgn Manual
for "On-szte Wastewater Treatment and Dzsposal Systems" gzves
typzcal wastewater flows for buzldzngs. It does not have a
flow rate for churches, so a flow rate for a vlsztors center
of 5.3 gpd per person was used as being a conservative rate.
Uszng thzs crzterza the seepage system can handle the wastes
from a church and Sunday School w~th 200 people.
Slncere ly,
Leroy C. Rezd Jr., PhD, PE
President
1220 U Jest 25th Au~nu~ · Anchorage, Ala~b 99503 ° (907) 276 1361
E~"~G L HEALTH DEPARTMENT ~
327 E ST ANCHORAGE, ALASKA 99501 279-2511
LOCATION /~7/
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
· . PHONE
~ ~4.U(L~d /~ LEGAL DESCRIPTION ~T¢ 3 J'~D 400C'~IOt~
SEPTIC TANK
DISTANCE FROM WELL
LIQUID CAPACITY
MATERIAl.
GALLONS
COMPARTMENTS
SEEPAGE SYSTEM
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT
OUTSIDE DIAMETER OR WIDTH
~J~/Jz~E~- ~/~ DISTANCE FROM WELL /~ 7 /
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) U~ SQ
LENGTH DEPTH.
BUILDING FOUNDATION
FT
TILE DRAIN FIELD
DISTANCE FROM WELL
NUMBER OF LINES
FOUNDATION
DISTANCE BETWEEN LINES
, NEAREST LOT LINE
.TRENCH WIDTH
TOTAL LENGTH
OF LINES
IN TOTAL EFFECTIVE
ABSORPTION AREA
SQ FT LENGTH OF EACH LINE
DEPTH TOP OF TILE TO FINISH GRADE
WELL -Z)r, ll dt
DEPTH OF FILTER MATERIAL BENEATH TILE
!
DISTANCE FROM ~
., BUILDING FOUNDATION
IN ABOVE TILE
WATER I.~/~ (
SAMPLE 7~'' NEAREST
LOT LINE
TYPE
DEPTH /~-'" ''~
NEAREST SEPTIC
SEWER LINE ,~7/
, , TANK
SEEPAGE: /' ~?.~ /
, SYSTEM '~/ '~-~ ~'
~ OTHER
CESSPOOl SOURCES__
DISTANCES
DIAGRAM OF SYSTEM
DATE
GAAB-HD-2
GREATEI ANCHORAGE AREA .J)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, AlaSka 99501 279-2511
Case No
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT -~(~x,~-~Z~/~-'~ ILING ADDRESS '7:-'
RESIDENCE ADDRESS~-- LOCATION OF INSTALLATION
LEGAL DESCRIPTION ~%L--Y~/¢~t'~ /"////dX'?'*'~5)
APPLICATION TO INSTALL SEPTIC TANK ~, SEEPAGE PIT , DRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY ~~
FINANCED THROUGH 5~ TO BE INSTALLED BY ~
PERCOLATION TEST RESULTS ~ ~ ANTICIPATED DATE OF COMPLETION ~ ~
BELOW TO BE FILLEO OUT BY ~EALTH DEPARTMENT ~ ~ / ~
THIS IS TO SERVE AS~~'~~RMIT TO INSTALL A
PHONE NO ~
AS DESCRIBED BELOW
SEPTIC TANK SIZE /~,-~ O~
DISTANCES
SIZE OF UNIT TO B~ SEI~VED
~AGHAM DF SYSTEM
/Health Authority
I certify that I am famdzar w~th the reqmrements of Greater Anchorage Area Borough Ordmance No 28-68 and that the
above described system ~s ~n accordance wxth smd code
DATE ~/////////~p APPUCANTS SIGNATURE ' ,.-'~/~J~--~f-~. ~~~ .
01¢--- zC)