HomeMy WebLinkAboutSTOCKHAUSEN LT 15MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
" ~ MUNiCiPALiTY OF ANCHORAGE / rI
i · DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO'~ =CTION
ENVIRONMENTAL ENGINEERING DIVISION
i 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE [] NEW
~ q~ Manufacturer ~_[~ ~ ~aterial No. of compartments
~ ~ Liq, capacity in gallons I F H~E~DE: Inside length Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O z ~ Manufacturer Material Liquid capacity in gallons
D Well Foundation Nearest lot llne
~ Top of the to finlsb grade 9' Materla[ beneath tile
~ ~4[ inches Total effective O
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
m DISTANCE TO:
~ Class Depth Ddller Distance to lot llne PERMIT NO,
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
SOl L T EST RATING
APPROVED DATE LEGAL
72-013 (Rev. 3/78) ~'~f~j~ ~'~- ~
~UNICIPALITY Of ANCHORAGE ~
Department ~ 'I Health and Environmental' '~rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
Applicant: ~ ~_~ .~uf~ Mailing Address: ~- d · ~
Location: Phone Number: .
Legal Description: L /_~ ~~ Lot Size:
Type of Soil Absorption System Is:
Trench: ~-~. Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH I~''- LENGTH ~. '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 = 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 department
will 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 d,epartment within 30 days Of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
· * * PERMIT EXPIRES DECEMBER 3L 1 9 8 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 requir~ enlargement if
the residence is remodeled to include more .that 3 be~$ooms.
Signe~: p~l ~ c a~n%~ ~ Issued by:
Date:
SWP/024(1/81)
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
[] UPGRADE
MAILING ADDRESS
LOCATION
DISTANCE TO:
Manufacturer
[Liq. capaci~n gallons ~ IF HOME,DE
D STANCE TO: Well
Well ·
DISTANCE TO: /'~ ~,
No. of lines ~ line
Top o~ tile to finish grad~
Length
I Absorption area
?~ ! Dwelling
Material
Inside length Width'~'~'~ ~-
Dwelling
' Foundation
Total length of lines
Material beneath tile
'Depth
Material
Nearest lot line
Trench width
~,~ inches
inches
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance betwee lines
Total effectiue absor~tlon area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Building foundation Nearest lot line
Well
DISTANCE TO:
Class Depth
DISTANCE TO: Building foundation
OTHER
PIPE MATERIALS ~-¢/~¢,~, .~ ~J/~
Driller Distance to lot line
Sewer line
SOl L T EST RATING
INSTALLER
REMARKS
Septic tank
APPROVED
DATE LEGAL
F:IPPL. ]Z C:F:!NT
IJ-ff-:Ffl"" '.~ N
I I=' '.iFIL..
EIF:F GLEN Hl'.!"r' F'E't"E:I:;:~'.:; C:RK
: ..... !.J ~ - L,=,E.i',! ': ,'"P
::~:::i.E~4 H.--,':~ '::' ......... "4[" ': ':: ~- :~":'-.-. ,..," '":",.' 4. E~:L:~.
LOT :E;]:;~E: ~=J;Ei~:ZI~:~]E~ ~j~E:!l...ll;::lf;i:E FEET
T"r'I::'E OF '.::;'ii iI.. I::IF'= '"F'FTT "'N . = t ,-'..11 IS: TF:.EI",hi:H
!"!F!XZFiLIH JJ 1E.~: .... OF E:E;[:,F:EIEIFIS = ,'~
=,~ _.,1 Ell
THE f~:E;QLI :[ RED S l ZE O1=' '1"HE :E;O 3;!_ I:EE~E;ORPT I ON -' "= :1: S:
THE: LENGTH D;[I'"IENSZON !S THE LEt'-,!GTH <:r.l'.,! FEE:T) OF THE 'T'RENE:H OF: E:,RFIIf,IF:IEL.[:,.
'THE: [>EP"i't.-I OF' Ft TRENCH OR P];T IS THE D:(STFIF,K;:E E:ETFIEEN THE SIJI:;~:FF:ICE; OF THE
G!:;i:CiUN[:, RI'-,ID THE BOTTOi-,~ CiF.:' THE EXCF!?'F:!"!'_I.'CiN (ZI'.,! FEET).
'/-HEI:;i:E );% IqO .'_--.-,ET 14IE:,TH FO[q: TF~:Ei'.,fF:HES.
THE; Ei,~;rF.:P,/EL. DEPTI4 :IS THE H:[I'.,IZHLII',I DE:PTH OF GF~'.I:::I',/EL E:ETklEEN THE OUTFRLL F'ZPE
RN!) THE: [~O-f'TOH OF: THE E',,.,',CR'v'RT:[OIq (]:hi FEE:T).
I::'EFti"l 3: T FtF'F'L. ): CRI",!T HFIE; 'THE I;;:EiE;F'Ilff.,!S :t: E.>, l L_ :[ T'T' 'i"O i NFrOI;:H "Ft-.! I S I::,E]:::'FIf4:'TI"IE:I'.~T [::,lJl:;: I hlLEi
........... '"" ' -' ~ -F ~ ~ I: ~ 1 T FIND 'T'I...IEC
l t'-,f':TI"FiI. I. FiT Z EIN Z N:EiF'E Z -r' :i: "ff.,P::; 3F F:ff.,t'.¢ I..Ib.L..._.:, i::!D.irF]E:ENT TO TH" ':; ...... ' - ;"' "' '
· r= '"; ' " "'~ :,[:1. [ ....
i,ILII"L,,:.!.. ElF I:~.E:, ] L. Et~._.E :, THFFf' THE FE:LL_ P-! ILL - .... "=
: PF'P :' ' '.::IL E, fl'l~ :,
P1ZN:[t','II._!I"I [) :[ STFiNE:E E:E:'T'F.IEE:N FI !4E:L.I... FIN[:, l:.:li'.,!'~.' ON-SITE SEI.,.IRGE [:,ISI::'OSRL. S'.¢::ETFEP'I IS
±EIO FEI!ET FOR t::1 I='[:;'. ); 'v'FITE !.,.!E:L..L...~ OR
::!.~5(:) TO ;2. E)EI F'E:ET FF.'OH FI F'LIE~L.]:C !,.IEL. L_ [)EPEI",!D!I",IG IJF:'ON 'I"HE~ T'-?F:'E OF PUE',L:[C HELL..
1.4EL.L. I_OEiS FIt:;;:E: 1:'4:E]i;]I. J I[;;:E:D I::INI) I"IU'.:~;T E:E I:;'.ETURIqE:D '1"O THIE DEF'FiF:TI"IEI",IT I,.! :!: TH :,r. lq 2{:G DI::I'T'S
QF THE: !4ELI. COf'qP!...E~T:!:Oi",I.
OTI~IEI::~: F'.E~;!UII:,~:EI"tEI",ITS HFt'¢ FIPPL'-¢. SF'EC):FZE:I::IT:r. ot",IS FIND CO['.,12:;TF?.L.ICT):OI",I [)]:FIEiFi:FIHS FII:;~:E::
t::I',,,'F:IZL.I::iE:LE; 'T'O ZI'.,I~;UI:::'._f.E I::'F..'EtF'E:I:;~: INSTFILLF:ITZON.
]: CtER'T' ! F'¢ TI"IFI-f'
:t: I FIi'"t FFII"tZLII:~t'4'. 1.,.IITH THE I:;~'.E:(;IIJZI:;;'.EHE=!T[".E; F'3F? '"l'....-'::'rq"E ...LHEI.._ i:tl'.,!,D I..II....LI ..... I::IS SE"I"
For.;:TH EF¢ THE f'l I'-I'.'-'fF'I:::fL 'i"1"'.~" OF Fff.,IC:I..IC~F~:Ft(::_iE.
2: 1' I.,.IZI...L. I['-~':Zj~L.l_.. THE S'¢:E;TEH :[I'-4 FICE:Of4:DF:IF,!C:E I.,IZTH THE CO[:,E"2;.
::~:: :[ i..IIqDER~/:aI'-~/~;, THFt'[' ,:~flf¢: C,N...-.S:I:TE 2;IEI.,.IEF: ':3'¢STEH I"lFl"r' F:E3::!LI'[F;:E: EI",ILF:IFb3EHENT IF THE:
F%:E;:[I:::,ENE:E /~u/fq:Et"IEOE!._~E[:'/TEI-- -- "' It",ICLUE:'E i"tEtRE:'-' THI=IN 4- E',E:DI:4:OE~H::':';.
,~ FiI~ F'[~' C; F~i'.,I T
PERMIT I",I0.
[)EPFIRTMENT OI~I-.IEf::iL.'f'H FIN[:, EI'.,!',/'IRONMENTI::IL F~?"I"EC]"IOI'..f
825 '" L' :-Fr'F:EET.,
';2.64-472G
IL.... ~ ..... [~::~ P...~J
7'8 C%:="::f. S ::,
R F'I::'L I CRN]"
I...OCFIT I ON
LEGFtL
E;TE',,,'E:
OFF GLE:N HI.,J.'T' PETERS CRK
L:J_D STOCI<F'tFIUSEN '-"-.',,'"D
L=i:l ¢34 FI.
E!:78 4.~d.::l..
55E~OE~ Sg!UFfRE FEE'F
T'.?PE OF '_.:.;O]:L. RB::.~;ORBTIEff.,I SYSTEM ZS: TRENCH
i',IR::.::IMUM NUME:ER OF ~:EDI::?.OOM':'; = 4
SOIL IRF:FTING CE;Q F"T'/E:R)= ;;!'.t5
THEE RE6:!LIIF.:EE:, SIZE OF: THE; SOIL I=LE:'_'E;ORPTION S"r'STE:M
THE LENG-FH DIP1E!'.~;ION I'3 THE L.ENGTH ( It'-,I FEET) OF THE: TRENCH OIR PRf::!! NF'IELD.
THE DEPTH OF FI TRENCH OR F'IT IS THE [:,I'.E;"rFINCE E:E]"I.,.IEEN THE SUR!=IaCE OF THE
GROUND RND THE E:OTTOM OF THE E',:.:',CR',,,'RTZON (II',l FEET).
THERE IS NO SET I,.IIDT[..I I:'OI;~: TRENCHES.
THE GRRVEL DEPTH ZL5 THE; MZNZMLIM DEF'TH OF GRW,,,'EL E:ETHEEN THE OUTFFtL.L. F'ZPE
RND THE BOTTOM OF THE E::.:',CFIVFITZON (ZN FEET).
!='ERM!T FIPF'L.!CRNT HI=IS THE RESPOI'.,IL=;IEC[LIT'.¢ TO INFORH "rl-.fl:i5 DEPRR]"i"IEN-F I}LIRING THE
:£N£g]"FiLL.FiTION ZNSPECTIONS OF FIN'? NEI...LS F:IDJ'F!CENT 7'0 TH:IS PROPERTY RND THE
[qL.IME~ER OF REE;IDENCES; THFIT ]"HE: HELL. HIL. L SEF?.',,,'I:-Z.
................. ]" b,..fl Cf} ,c: ;2~3: i:, X ~"a :~S; F> lEE El: T' % C~ E"a E~; F:~ Faa: EEl ~:;~ E: E;;~ ~....~ X E:a: EE Els
BFICI<F ! L.L I NG OF aNY S"r'iSTEM 141THOUT F' I NF:IL. l I',ISPEEC:'T I ON RI'-,ID RPPRO'v'FIL B"r' TH I S
[:,EPRRTMENT P.IILL. BIE SUBJECT TO PROSECUTION.
MINIi"IUi"I E:']:E;TFINCE BETHEEN FI I,,.IELL FIN[) FIN'-r' ON-.'SZTE SEHI=~GE DISF'OSFIL
t. I3('3 F:[EE]" FOR fl F'R!",,,'FiTE P.IELL.; OR
:!_5E) TO :-}~e,3 FEET FROhl I::1 F'UE:LIC HELL DEPEI"4D:[i",IG UF'ON THE: T'.?F'E OF' F'IJE:L. ZC HELl. ....
NELL LjZrGS RF4'.E REQUIIRED FIND MU'.E;T' E;E RETURNE[:, 'FO -f'HE DEF'FIRTMENT 14I'r'I-IZN ]:E.~ DF¥'r':~:;
OF' THE I.,.IELL. COMPLE-f'ION.
OTHER F.'.EQUZF?.E:MENTS Mi:Ih" RPPL.'-r'. E;pEr_';IFICFIT]:ONE; FdqD CON'.L:;TRUCTZON DZFIGRFII',IS FIRE
FI',?F]i'LFIE',LE TO INrSL.IRE PI;'.OF'ER i'N':7:;TFILLJ:ITZOIq.
t C:ERTIF~'r' THI::I]"
~.: I RM F'RHZL. IFIR HITH THE REQUZREHENTS FCIR CIN-'.:.'~ITE SEHERS I:~ND HELLS FIFS SET
FORTH ECr' THE MLINIC!F'FII...IT'¢ OF FINCHORFIGE.
2: I HILL TFILL. THE S'T'S'T'EM IN I~E:COR[>RNCE I.,.IITH THE: C:ODE:S.
Fi:: I LII'.,IE:,ER ND '!"HRT -IE ON-.SITE $EF.IER S'-?E;TE:M l'"119¢ REQUIRE ENLF:!RGEMENT ]:F' THE
RE:SII}ENC:E REMODE[ TO INCL. UDE MORE THFIN 4 E',EI}ROOMS.
:~ :[ GNE[:,:
. I CFINT :iS' RGGS
I S:=];UE:[) , ................. [)RTE ........ !_~..~--~ ...................... '2::
January 5, 1978
Steve Skaggs
3104 West 32nd Avenue
Anchorage, Alaska 99503
Subject: Lot 15 Stockhousen subdivision
Pem~it #77893
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,
Health and Environmental Protection
Sewer and Water Section
I:',EF'FhL.::T M E F,!' L
S T E ',,,' E '; K 1:::I(3 G S
L::I. 5 .':,iL_.M--LL.,L..i4 ....
LOT SI2;_'E !~.~El¢::l:!~i '.:::L:)iJFII:;:[:~ F:'L~:ETT'
. :I'¥F'F:; CiF: $O I I.. F:IB':'5ORB'i ]: ON ..... I E.f I .[ _,: "I"RENCH
l"jffl~.:jI?ll..IJ"l [~41..liJ[.._.t.. OF E[~'i',I4'_](]Mti.~; 4 '.~.;f-IlL [';.'.RTII",~I3 F'E'..] FT,.."BR).= ,=_1.~.,
i'HE RE:(;4L.iii':?.E[:' SIZE J3F 'I'HE SOiL FII--~%O[~.PT]:[)~
E~:': b:::" 'T ~-'~ == :~_. ;? L, E: [~-~ ~17J ~- ~'-~ === ~; ;~2~ []~[ F'~: [~:~ %"" E~ L: [Z::. E: F' ~'~ ~--~ ~ '¥~"
THE LENGTH [:,]]"'IENSZON ZS; THE LENGTH (ZN FEET) OF ]"HE -FRENCH OR DRFIZNFZEL-.D-
THE DEPTH OF R Tt;~ENE:H OR PZT ZS THE DZSTRNCE BETWEEN THE SLIRFRCE OF THE
GROUi"~D laND "rile I~O"f'TOM OF' THE EXCFiVFi'TiOt'.4 ,:: Z f.,I FEET).
THERE IS NO SET NI[:,TH FOR TRENCHES.
I'HE GRFIVEL. DEPTH IS THE PI:[NZMUM DEPTH OF GRFt',ZEL. BETP.IEEN ]'HE OU]'FfflLL F:'ZF'E
RND ]'HE E:Oi-I'OM OF 'IHE E',:.:;C:FP/FI]'ZON (IN FEET).
lq F'PICKRGE PLFIf',![ Mff'¢ BE INtL:;TFtI_I._E[:, FI'T THE F'ERMIT"iEE'"S OP'F!CIN SUSJEC"I' TO 'THE
FCIL .L[)PJ t' hEi
:L. EI'i-HEF~: FI C[_.FISS I OF?. I I I",E:;F' laPJ::'J';?.OMED PI...FINT Fil:::¢-r' [Fife
2. FI CONTINUOUS MFtINTEI"~Fli",!C:E FIGREEMEiqT iS RE((.!UIRED. ZF ffl i'dfflINTENF:INC:E
FIL~F4:EEMENi ):S NOT KEPT CLJF?.F:'.ENT '.?OU J"lFl"r' B[C F..'E6!IJiRE[) TO ENLf::IRC'iE ]]-1[:2 %0]]
l'::ll~:E;O~.:f~'l'E[Oiq S"r":'STEH fflNE:',.'"OR h"OU Ml::t'-r' BE: ~UB.]'ECT ]"CI
i~IFtl]:KF;'i[.I...iNCi CIF I::lt'~~ .,~.-IE. I1 pI'f]'H']II..IT F'iNI:31- .tH.:,F'E-.I I N END ......... r~-. EF," TH];S
l.;:'l~:f::'f~J:~r"l'l'"ll~',l'[ P~IL.L. BE _,LIE...IE....]' 'i'O PROrSEE:UTICIN.
M t N t MIJI"I [, 1' ': 't"t::li4C E iBETI4EEN R F.IEI_I.. Ftt',t[:, laf.t"r' _)f~-:, I L SEI.,.IFIGE [;' I SPOSRL
:j.l?.l[:~ F:EET hL t;:1 Pi..i:ZVF:ITE 1.41EI...I.. "R ~1..lt:~ FEET F"I~' Fi F' El '[- WELL.
14E]_L. L.UL~.:::, RRE I:~:E. L41..ILRE[:, FIN[:, l tl..I.:,j E,E RE]'iJRNE[)'T'O THE D[CPFtR"I-MEN-[' I.,J]TH)]",!
"it:: THiS MIE[.L C(]MF't_E:f'lON.
:,[ EL. 1 F .[ ~..H] Z l_;hl.:, FIi"4D '" 2 NS;TRI. I[:T Z ON [:, ] FIGI;i:Ri'"I:~; I::~ii'.E
LIf.ll:.. F?.Iff(;!LIiREMENTS i"'IFI'-¢ n.-r-~.~.
ff,,,'FIII_I:~Ed.JE TO .![4._U .... F¥;"]F'FI;~
]: : ~ f 1P THFI]'
H..., :iii;ET
',~: :':-",': ': I::'-'1~: .]i',J _ ). '[E. .:,b.!..ll:...R_ FIND I-4[EU...:~:; -'::
::i: I filM F:I::IMZLtRR t.,.!Z'I'FI THE ,:.~..;....lh. EJlLt'lf.. '-'::; ......... ~:"'
FOP::TH E THE I"ILINI(}):PFII-IT'T~ OF' F:INCHOI;.~Fp]E.
--:,. '~'H~'~ ~'~.J,~:~/i '["4F:' '::;'.,."~"'1:;:" I'N FIE:~:O;: )a'4C:E WITH THE COIZ:,E:E;.'
:". ': i;;'.~" ~:;":~".~r';%ILi-:"f:'-T'tF'--.O~-Si'''rlE Sd...El';=: L::':'gSTEM I"11'",¥ ,:.-':Ei:;:!U:[I:',:E EIqLFIi4L3EI'IENT ,_.i [: lh, t.T .-.
\ .) TM [
. :, ,..,,.. '
' · ' . ......................................... [. H : ............ ~ .......... [ ............. ¢-- ' ' I
F'i. il];~l'"i I T NO.
FIF:'I::'L. I IL:I::IN'i STF?,,,'E :i~;l<F:liZliiGS
!.OCI::i'F.TOiq OF:F: GI.,.EIq F.Ib,l'¢
LE(;iI:::Ii. i_:1.$ S'TO[;I-(HF:Ii.ISEN
C',EF'RR"fMEt,IT (;ii: HERL.TH RNL':' ENVtf, i:ONP1EN"IlaL PROTECTION
Fl;s'f;i '"L '" '::i TI-?.Ei'i;(T, F '4[; dOI-*::F:IGE., FII<. 9"_-'~il?:ld_ .
( 7789L:i: )
~¢:11:::i[:::~ SQURI:4'.E FEET
T"¢F'E OF _-,L J L F:tl3SOI:;~iBT ): O1",1 ....... I El t 1:5:
I" 1 ,...,f~. - .....
i'if:IF:;IMIJM i",!UI"IiJ~EI:;;'. 01:::' BtCC, I~OOMS = 4 SOZL PF:ITING ,:iS~i! ..... F ....... '"" '=;
ii-tE [<:E&:!UIii'.E[:, SIZE OF' THE SOIL. Fli_:~SORF'TION S'¢STEiM IS:
~i:~ ~F.': ~=:~ "F' ~--~=-== ::L. ~
T'HE LI:ENG-fH DIMENSION I:E; THE LENGTH (IN FEET) OF "l-t"l[C TRENCH OR DRFIINFZE!..O.
'f'HE DEPFI-I OF f::l TREI"a]:H OR PiT IS THE DISTt3NCE BETNEEN THE SIj~rFI::ICE OF THE
GROUND RNE:, 'tHE E:OTTOM OF THE E',:.:XDRVRTIC~N (IN FEET).
THERE 12; NO SET FIIDTH
THF: (~RRVE:i... bEF'TH tS THE P'IIN:I:MUM DEPTH OF GR~IaVEL. BETNEEN THE OU"i'FI::IIJ.. PIPE
FINi) THE BOTTOM OF THE EXCRVRTION (IN FEET).
FI F'F:ICKFIGE PI..I::~N'f' MR"r' BE ]:NSTFILLED FIT THE PERFIITI'EE'"'.~:; OI::'TIOI'4 SUB,)ECI" TO T'HE
F:'OI..LOI.41 NG CON[:, I T ]' ONS:
::L. EiTHE:f;~: R CL..RS:..T, i Ot~'. II NSF RF:'PF.".OV[:;I) PLFINT I'qFl"¢ BE: II'qSTf:ILi._.ED.
2. R CONTZNLIOLI':Z', f,'IRIi'qTENFINCE FIGF..'EEi"IENT ZS I:;~'.EQLIIt~:E:D. IF I-:1 I'"IRIN-FEblFINC:E
F!G[;:EEMEi"IT IS NOT i"::IEF>T CUI-~.RENT '¢OU I"IFW iE~E RE:QUiI';'.ED TO ENI...f:ti~'X:iE TIqE SOIL
f::tE~%Ot;i:P"I"~ON S"¢STEM FIN[:,ZOF,'. '.r'OIj MR'¢ BIS: SUBJECT 'TO
BF:iCI<F: I I-L. i i",IG OF F:INY S"r'ST'EM 1,.I I THOUT F i N~It... I i',!SI:~ECT I ON Rt"iD F:IF:'PRECv'FII-
C, iEPRR'TME:I"4T P.It[_L BE :F:iUB..JEC:T TO F:'ROSECIjTIOI"&
MiIqlMUM [)ISTFli"ICE BE"f'b.!EEi",I I:~ 14EL. I.. laND RIq"r' ON-.SITE" SEI4FI6E
Fl',f, .1~1::. blElJ... OR ;;:'R';/[ FEET l'71jl~;:: 121 F:'UBI._IC !.4EL.I ....
FLEET I:-l]lli: ICl ' '""~ ': .... -
b.lEi i. I.L..:, t'1% I:4:Ii~-)'_:.!UlF4:E :, RN[) I',IU'_-,I [.,[... F.'.[:i:TIJFd'.~EC, TO THE DEF'i::iI~frMEI'.,IT !.,.IITHIN :~:~) L:,Id"r':::,
THE 14EI~L COMPI..ETiOi'~. ..' -]. -' L~R~'- ri_:,, - i::ii:~tE
]'THIEf<: i.;.b.~=,U~RLIt,_.r4f_ I','tl::l'-r' FiPF:'L'¢. SI::,IEE:IF'IE:I::fTIOI",t?.'; FINt:) -':OI,,t'_:.';TF~:Ui::TIOI',I
f:iVFiII...I::IF.',LE '10 INSLIF-:.'E I.:'b;:OF'EI:;.'.
i CEf4:]'IF'¢ THFt['
:'1.: I 13M F:RMtL.IRR NITH THE F~EQUIRIEMEI',ITS FOI":'. ON'-SITE
FCff~iI"H EP¢ 'rile MUNICiPFII..]']-'~' OF FiI'.iCHORFIGE.
9.: i NII...I.. INS-fi THE S'¢S'fEM
:Fi:: 1 L.IN[)E:R:;xTI'[ 'THE ON.-
t;:ES 11;,E:!'4CE: l'.
=,EI..I[:f~.- I::lb,l[:, I,]1:[.[ .... I:IS .:E:
ii"4 I::IC:E:OI-:~tC, FIi'4CE 14ITH THE COl)lES.
t'E ::JiEb.liEk.". ::, ~ ::d E~ I Mff¢ I~:EI~iCJ t [;;:E IEF,tLFiFbliiEMI£1"4"t" I I::' THE
I[:,t~E MOti'.E ]-HI;:Ii'-~ 4.
Russell OVster
694-2774
Soils ~ Foundations
Performed for:
Legal Description:'
GEC. ~3HNICAL ~ DEVEL,~.
Box 00, Oavis St., Eagle River; Alaska 99577
694-2774 ~ 68~-2280
SOIL LOs
Mailing Address: _~/~ ~ ~ 2 ~~
MENT CO.
Ear/O/is
· · Land Development
Tel. No.
Depth (feet)
0
2
Soil ~haracteristics
Ground Water Encountered: Yes No ,V~ If yes, what depth__~
Proposed Installation: seepage Pit . Drain Field.
Comments:
Performed by:
Date:
_~. ~ ... APPMC?~IT FILLS OUT UPPER HAL'~)NLY
Phone
Property Owner
Address Zip Code
Address Zip Code
Phone
Street Locati~ ~' ~" ~ ~L~ ~ '
~tiple Family No. of Bedroo~
~ Other
~ividual A~ACH WELL LOG. A w~l log is required for ali wells drilled since June 1975.
~ Community For wells drilled prior to that date, give weH depth (attach log if available).
Sewer Disposal
~ividual Year Individual Installed: /7' ,~/~
~ Holding Tank
Time Time Time Ti m ~/_/~;~ ,
Date Date Date Da t ~'.~///~
Inspector Inspector Inspector Insp~tor
( ~PROVED BEDROOMS .~ *CONDITIONS OF APPROVALE;~vJi'0~lJJ)0~aJ Pm~ecticn"
( ) DISAP~OVEO
( ) CONOIT[ONAL~~APP VA *
DATE / ~
Soils Rating Da~lled Well To ~sorpBon e
Well to Tank Septic T~k Size /~ ~
72-023 (3/~)
?-~UNICIPALITY OF ANCHORAGE
De~__,tment of Health & Environmental Protectio.
On-site Sewer/Well Permit Application
PERMIT#
Name of Applicant
Mailing Address
Legal Description
TYPE OF PERMIT:
Number of Bedrooms "/~'
DayPhone ~,('~,~. ,'..'~'/~':)~ I
Zip Code
Sewer Only
Sewer Upgrade
Well Only
I plan to have the necessary inspections conducted by:
Municipal Inspectors
(Included in the Permit Fee)
~/~ Approved Engineering Firm
(Permit Fee is Waived)
Soil Rating
Combined (Sewer & Well)
FOR DEPARTMENTAL USE ONLY
TYPE OFSYSTEM: Pit Drainfield
Trench
Seepage Bed
Mound System
Handwritten
Total Depth
Gravel Depth Width
For upgrade only: Add
to length and/or add
gallon tank.
Fee Collected Receipt #
72.012 (6/82)
ALASKA EF1UIROIlmEnTAL CO[1TROL SERUICES, IIIC.
~n§inee,'in§ & Enuironmenlal Sl~dJes
JULY 15 1983
STEVEN L. SKAGGS
P.O. BOX D
CHUGIAK AK 99567
SELLER - BUYER-
SUBDIVISION-STOCKHOUSEN BLOCK-0
LOT-15
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 882 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 470 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 882 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A
HOME OF 4 BEDROOMS.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 4 BEDROOM HOUSE.
1250 IS ADEQUATE FOR
1200 [Uest 33rd Auenu¢. Suite [~ · Anchora§e, Alaska 99503 *' (907) 276-1361