HomeMy WebLinkAboutTHUNDERBIRD FALLS LT 3
Tom Fink,
Mayor
January 10,
urdcipaH y Ar chorage
Department of Health and Human Services
$25 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
1991
Mark F. Campbell
HC 79 Box 1645
Chugiak, Alaska
99567
Subject: Lot 3 Thunderbird Falls Subdivision
Permit #900356, PID #051-411-06
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1990.
A new permit must be obtained from this office for a well and/or
on-site wastewater system not installed by the expiration date.
to be sent to
If you have drilled the well, a well log needs
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) must be sent to this office for review,
approval and documentation. All inspection reports must be
submitted Within 30 days of construction completion.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744°
JW/ljm:200
enc:
Copy of Permit
~Kids Are Our Future
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GP/~TER ANCHORAGE AREA BOROI/'~"~
D,.,ARTMEI~T OF ENVIFIONMEI~TAL 0.UALI, r ~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ~1" ,~OJ
ADDRESS
LEGAL DESCRIPTION ~/O/'.~
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY /~
_GALLONS.
MATERIAL 5/'~4&/
INSIDE LENGTH
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID
DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OUTSIDEDIAMETER
UN,NG MATER,A, *
NEAREST LOT LINE
OR WIDTH [,~ I~ ~ II
DISTANCE FROM WELl
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
.LENGTH /.~/~// DEPTH
BUILDING FOUNDATION '~'~'~'~' ,
2~:~ Y SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
, FOUNDATION
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOT LINE
1RENCH WIDTH
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE --
WELL:
LOT LINE
TY,E ,"~t/,~4,//'~////-//'~' ~'? '~'~'-'t'D,STANCE EROM
DEPTH , BUILDING FOUNDATION.
NEAREST SEPTIC SEEPAGE
., SEWER LiNE , TANK , SYSTEM___
WATER
SAMPLE
, CESSPOOl
, NEAREST
OTHER
, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
1'
G.A.A.B.
DATE r¢7/ APPROVED
GREATER ANCHORAGE AReA BOROUGH
D£PARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELePHONe 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
MA]LiNG ADDRESS~/~' ~/ ///~e/~/,/' PHONE
INSTALLATION OF: SEPTIC TANK /
TYPe AND SIZE OF FACILITY TO ~E SERVED
SOIL TEST RESULTS
SEEPAGE Pit ~' DRAIN FIELD
OTHER
NOTE: THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANKi _, SEEPAGE PIT
TO RIVER, LAKE, STREAM.
, DRAIN FIELD
· DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
., SEEPAGE Pit
~ DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UND]STURE~eD SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE Pit
FITTED With AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING ~NSTALLATION.
DIAGRAM OF SYBTEM
~,~ EA LTH AUTHORITY
or
LICENSED DESIGNER
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
/
CASE #
GRE~R ANCHORAGE AREA BOROUGH
DEPAR~ ENT OF ENVIRONMENTAL QUAL1
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For.~e~m ~m~ ~u~,~ Date Performed
Legal Description: Lot Block Sl~b .........
This Form Reports Soils~g ~ Percolation
Depth
Feet Soil Characteristics
Test
Was Ground
If Yes, At
Water Encountered?
What Depth? ~/
Reading Date Gross Time Net Time Depth to H20 Net Drop
~te Minute
Proposed Insta'l"lation: Seepage Pit Drain Field
Depth Of Inlet Depth To Bottom Of Pit ~ Trench
Performed By'
· /~ ' Data ~ertified By:
~ // -~/~/c'~ Date: