HomeMy WebLinkAboutTERI #1 TR B
MUNICIPALITY OF ANCHORAGE
DE, ..-iTMENT OF HEALTH AND HUMAN SI:-'R% ES
Environmental Health Division
825 %" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
TANKS
])~i/ SEPTIC [] HOLDING
TYPE OF SYSTEM
~J, TRENCH
DepHi to pipe botlorn Irom
FT
FT
[] BED [] W. DRAIN [] OTHER
?
DIJTANCES
~ SEPTIC ABSORPT,O,
TANK FIELD WELL
WELL
LDT LINE /o
FOUNDATION o/Z ' 8S I~ _
FT
_ [.,~PRIVATE
WELL'~ "F' / ,,',.;
[] OTHER ¢ldentifv)
REMARKS:
STiL -ENGINI EEING
I '~--J~R-B--'J~'~""--' ...... cedily Ihal Ihis inspection was imflorrimd accordin9 to all
72-013 (3/85)
Di:J:'Pd::~'J'MIEI"FF IJii:~l.J'i'[ AN~} I!]\iV]:ROl\llvlJ:l\JJ('d i::;:t3FI!X]TiCIN
!3,'.::".[5 I !i~'ll::;:li!:E:T !, ANI]'I[)F;U.~d:)Ei, F]I< ?q~'J:,C) J
2(54'" zt. 7 E~C)
69q'-7'76d
L[:} I'J: ]'F~f}II:~,T i{~ !:ff. OCI<: NA
are 'Ll'm~ (::)l:)LJon:, ava:ii, able i'.c) you in design:Jng yc)l.u' sep'L:i.c
Cl"Jc, o,::..(~, LI'H¢' i:)pi'.iorl th.~'~.'L I:)F:H~:L f:ij'.!i~ yo!.u' ':~,i.'L,~'.
'11' il~:,~,':. IEZ: Jt',.,~ ]1 ::]: Ii.. ~1 .lEi}: E: :E) B.J ~,, :l[:',l, fi:::;:', &z:h ]E ~",,,q
~..:. :0Ii{F) I]I I'0 I::' :t: F'E:1301'1'0M < 3 ,, 5 F'I ,, I:;:l:i!:C;!lJ I RES ! I"IY;UI,. A't' I Of'.l
· i~.l~ DE]::"I'H TO F:']:F:'E: BO'I'IOH < ."1-:.O F-I',, FI(W Fq!Ll]!~lIFdii: A I.IF:'r'
-x.,}~. Eft?AVl:L, I.I!!:NE)'I'FI > 75 t:,,I. RE:[;!I!II::~[i:S MUt..T:fI:'I..I:~: RUNS
~)', FANIC MUST tlAV[!: AI I.E:ASI 'IWO COMF::'ARITdI~:I',ITS
v,:i.'kh Lh(.~ i"(:.)c:jt..tJ.l"(.tltl(:.)l]'t!ii for' C)l]-'!iiJ.'!'.fb) s(:~wePs
forth by 'Lhce Hur~:icil:laJ:i.'Ly i::)f Anchorage (MOA) and
:[ ]>Mi.].]. :Jf]!B'(a].] 'l'.h(2 system J.n ac:c:c)i'datlcc) wti.'Ll~ ail MOA c:oc:has and
(:]ltd J.l'l ~::(::lfiiJ::)],J.~':tf'l(::(.~ u,J:i.t.h thc) c:les:i, gll (::['.it[aP:i:a (::)f' ~'..Jl:ls~ pEH'm:i.t.
I w:i]], a(::lh~;x'e iLC) 6/].]. J"Ii]A ~'~l"l(::J S't.a't.e ~::)[ A:La~d..:a v~.::,(:lu:ir'~':~melvi'.s 'FoP
:iii::' A L:[I::'I' S'IA't]:ON ]:S IIgST'ALI.ED ]:FI AFl ARI<A COVI::RI::.I) BY I"I(:)A BUI!..DING CODES,
't'l"lt!!:t\l (1) AN I:I....E:E:]RIE;AI_ I::'IEI::~MII AIxlD IIgSPIt:C:I']:[]N MLISI- ~1~: C:)B"I'AIIxlIED~i (~)
N.LI..I...I'ql~t t.d::;. AH"l,,.Jq[::.l) WI. tt~II AN ,z.I...k~.CII'd. CAL. I.N,:I t:::CI I.[,N I"d::.l"Ul~l, AND
E:I..IZC:FF;:ICAL. WC)RIC MI. IS~.~: B[~ZZ'ilqI: BY ~ I..:I:CE:NE~ED I~EI_.I:~:JN'F~I CI AN,,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
025 'L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION 'rEST
PERFORMED FOR:
2
3
4
7
8
9
~0
~7
~8
lg
20-
DATE ~
Township, Range, Section: / ~,AJ...,,~_ / ~,, ~<' 2.~.~
SLOPE SITE PLAN
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
~)/J/,,c't ¢/",~/ Oeplh to
0 ~onileriflg?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE~ ~RC HOLE DIAME'rER
TEST RUN BETWE N _N~---"~--_ FTAND . FT
72-008 (Rev. 4/65)
P.O BOX 6650
ANCHORAGE, ALASKA 99802-¢850
(907) 264-4111
DEPARTMENT OF HEALTH & HUMAN SERVICES
January i0, 1986
TO: Permit Applicant
Subject: Permit # 850465
Tract B Teri Subdivision #1
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system ~ot installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
DEPARTMI!~ihI'I" I]F HIEALT'H AND EI~IVII:;~ONMENTAL PRO"I'E[;TICH~I
1325 L., STREET, ANcH[}RAGIE, Al< 9950
264-4720
F:'I~]:~I'II 'T NO,",
DA'I'IE I ,SS UED ,".
850465
0t3/0:1,/85
AP PI..., ]: []ANT
ADDI:~ESE]:
COIqTACT PI'~ONE ,~
C/O S & [3 [!':NE~'G S[)UTH FORK C[]NSTR,,
8RB 196X
EAGL.,E R.I, VEFh, AK 9957'7
694-2979
L,.EGAL DE,SCF~ I F'."
L.OT SZ ZE:
L.OT LOC~T'ION:
M~X BIL::DROOMS '.'
SUBDIVIEiION,~ TERI ADD I~]. I.[)]"~ TR B
SIE:CT:[ONI~ 33 TOWNSHIF": 14N RANIS)E,', 1E
5.()A (SQ.FT. OR ACRES)
TER]: RI]AD
:3
BLEIi]K: NA
L. isted below ape 'Lhe op'LiorHs available 'Lo you in de~ignJ, rlg your ~ept,:Lc:
DE'F:'TFI "FEI F:'I PE BOTTOM (FT.) 4., 0 4., 0
GIRAVEI... DEF']'H (F"I".) 5.0 3.5
TI]TAI... DEPTH (F'I".) 9.0 '7,,5
GRAVEL, WID'I"H (F"['.) ~. 5 5.0
GRAVEL. I,.ENG]'II (F:'T.) 8 J.,, 0 .x.~ 87.0 **
GRAVEl... VOL.iJME (C)l.J. YDS. ) 4 iL .. 3 64.5
Thlql< ~IZE (G~L.S) '1~000.0 '~"~' 1,000.0 *','
SOIL. RATING (SQ. F'T. /BR) ' 268 268
· ~'~ GRAVEL. LENGTH > 75 Fl". IREQLIIF~E!!~ MUL,]"IPLE RUNS (NOT EXC, EEDING '7[~ F:'"['. EACH)
· ~' "rANI( MUf~T I.I~VE AT I...E~ST TWO [;OMPARTMENTS
I c:epCi Fy
1. I am
'Lhat ,",
(amiliap wi'Lh 'LI'I~.~ r'eqLc[rement, s £oP (::)ri-site sewers arid wel:h.:~ as set
f'or'th by the Murti(::il:)a].i'Ly of' Arlc:lr~or'age (ME}A) and 'Lhe State of Alaska.
R. I wi].~ install 'Lh~ system ir'l accordance with all MOA codes and t'egulat:Lons,
al]d ~.rl {::O[llp],i~l'lC:(~ wi'~.h tJrle IJeE~;J. gl] cPiteP:J.a oJ' t, hJ,[B pePmit.
3. I wJ. ll adhel,¢e to a],l f~I]A and Stat'.,e Iii' A],a~[::a r'leqL~J. Pelllen'L~ FOP 't. he s¢-?'t., bal::k
dis'Lal'lc:es fi'om (~ny F.~Xi~F[.JIlg we'll, was'LewaCep disposal sys'~.em or' public
~(~epage !~y~t~,Hll c:)l'~ th:J.s oP ~:~ny adjacent oP r'J[~aPby ].ot~,,
any ~i] lapgemE~l]'~, wi ]. ]. I'eqLliPe al'l add it :i. ona~ pE~Pfll~t.
]:F' A LII::'T S'¥A'I'ION IS II~I!},~'I'AL,I..ED IN AN AREA COVE~RED BY MOA ~:ILJILDING CODES,
THEN (1) AN EI-ECTRII]AI- PERMIT AND INSF:'E[','FI[)N MIJST BE I]B]'AINED; (~) AS-BUII-]'S
WtI.,,L NO't" BE AF"PROVED W]:THOUT AN EL.EC'FRIE;AL. IIqSPEC'I'IOIq REF'OI~T; AND (3) THE
EI..IE[',TF~ICAL. WORI< MUS'T BE DONE BY A LICENSED EL.,E~;CTRII]IAN.
S I GNED
AI!)I:;'I_ I CANT
ISSUED BY
[,/[) ,3 ~4 ,i~ [?.NG'G ~(])UTH F:'OIR~: COIxI.~)TR.
~~.,., ,...~_ ,~_~_<~.~. ........................... DATE:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEER'S SEAL)
DAlrE PERFORMED:
LEGAL DESCRIPTION; "'~/~'/3re~- T,"~ '~A~;;~'=¢'! Township, R,nge, Section: "~-['~¢,'~...L,
- SLOPE SITE ~LAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Ho.
Oeplh lo Water After
ManitorigD?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PROTECTION PERCOLATION RATE ~-~"'7 _ (m~nutes/inch) PERC HOLE DIAMETER
'~ TEST RUN BETWEEN ('¢) FT AND. ? __FT
°°M"ENTS ..EEEiV_ED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELiNES iN EFFECT ON THiS DATE. DATE;
72-008 (Rev. 4/85)
PERFORMED IN
Z
+~0'099
Z
0
o g
$ o