HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 8B MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street. Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
Address
Pnonets) I Permit NO. I.o. of ~Orooms
TANKS
SEPTIC r-I HOLDING
Nlanulacturer CapaClly In gallons
TYPE OF SYSTEM
D TRENCH I-I BED ~ W. DRAIN D OTHER
Depth to pipe bottom Item Tolal Oeptrl from or~l.lal grac~e
Fill ecloed ebove oreg~nal gtacle Gravel depth beneattl p~pe
~ FI ~
Gravel length w~h
"7 FT
Total absorphon area Distance petween hnes
~t L~::> sQ FI }~0
FT
Number of Iir~e~ Soil rating Pipe material
~> ,b~" SOFT
I"1
WELLS
r"l PRIVATE .J~'~THER fldentlfvl
C~ass,f,cat~on (A, ELC) I Total Depth FTI I Cased fO
Installer I Date Inslalled:
REMARKS:
~. ~ ~1~,~:~ j%'..4,:;,,,/,~:::;.,,~13
DISTANCES' o ~--~-
~ SEPTIC
TANK
WELL ~,C)(.~ t +'
LOT LINE ic:>~ 4- %~+. ~
· flUNDATION ~, t~ ~ ~
AS-BUILT DIAGRA~ IShew I~ahon Ol we,. ~phc ~tem. propedy hnes, foun~ahon,
~rweway. waler ~ms. etc.)
ABSORPTION
FIELD WELL
,~_.,,Cc::~ [ 4--
Health Department
Inspecti~,~ by:
ce~Jly that this Inspecfl~l was.~rlm'med Icc~diflg to lit /
~.4~.~.j ~ Date: ~/'-/(~"~
r
72-013 (3/85)
MUN I C I F'AL I T Y OF ANC NORAG E
Department of Health ~.: Human Services
825 L Street., Anchorage, Alaska 99501 3zt3-4720
0 N - S I T E S E W E R ~ S E P T I C
Permit Number: 900195 Upgrade
[)ate Issued: 07/11/90 Engineer Designed
TANK F'ERM I T
Owne~' Name: JAMES W. TREESH
Owner Address: 18550 MAN-O-WAR
EAGLE RIVER., AK 99577
Parcel Id:,~'~'r~.-~"' .... ~-~ ~~
Lot L~gal: Subdivision: EAGLE RIVER~RANCHETT~Lot: 8B
Section: 7 Township: 14N Range: 1W
Lot Size 17955 (sq. ~t. or acres)
Max B~drc)om~.: This Permit: 4 Total Capacity: 4
Day Phone:
264-1775
Block: 00000
SEP'I'IC ]"AHK: Minimum total septic tank capacity: 1,250 gallons. Each septic
tank must have at ].east 2 compartments. Depth 'Lo top of septic tank(s) .{ 4.0
feet. requires insulation over tank(s).
"f'HE EXISTING SYS]~'-M PLUS7 BE PROPERLY ABANDONED. THE UPGRADE '
SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGIN'-
EER'S DESIGN DATED 7/6/90. NOTIFY DHHS BEFORE ALL INSPECTIONS.
THIS PERMIT IS FOR A 4 BEDROOM SINGLE FAMILY RESIDENCE ONLY.~ AND
EXPIRES ON 1--~/51/90.
I CERTIFY ]'HAT:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality o£ Anchorage (MOA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and regulations~
and in compliance with the design criteria ~ this permit.
5. I will adhero to all MOA and State o~ Alaska requirements for. the met back
distances ~rom any existing well, wastewater disposal system or public
sewerage sy~;t~m on this or any adjacent or nearby lot.
4. I undorstand that this permit is valid ~or a maximum o~ 4 bedrooms. I
also understand 'Lhat th~ capacity o~ th~ total system io 4 bedroom~ and
~ny e~nlargement will ~'equire an additional p~rmit.
SCALE
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13-
14-
15-
16-
17-
18-
19-
20-
Municipality of Anchorage
825 "L" Street. Anchorage, Alaska 99502-0650
~IL~ L~ -- PEB~TI~ TE~T
Township, Range, Section:'"7-"l e/~ ~-//,~ , :~ ~"~-, 7
SLOPE SITE ~LAN '
WAS GROUND WATER
ENCOUNTERED?
DEPTH?
E
0epth to Waler Nter,///¢~
IT:I° T TIII
I Illll I-I-.L.I I I I
I-1'~--~-I I I I I I I I
Reading Date Gross Net Depth to Net
Time Time Water Drop
?.-- l ."q~ 3o ~ //J. E,"~/~''
PERCOLATION RATE / ~) (m,nutes/inch) PERC HOLE DIAMETER
TEST RUN ~ETWEEN 5"' FTAND ~ FT
COMMENTS ,~
S, S ENGINEERING ~ / _..--
17034 Eagle River Lcmp Reed No, ,204 ~ THAT/3~IIS T~ST WAS PERFORMED IN
PERFORMED B[igj. ~;v;r~ ~;11~i ~1 CERTIFY
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~/~ECT ON THIS DATE. DATE: ~/~/~O
72~8 (Rev. 4/~) ~ / /
GP~ATER ANCHORAGE AREA BORO~,~H
f ~ HEALTH DEPARTMENT ~ '~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACITY
GALLONS.
ADDRESS
LEGAL DESCRIPTION
MATERIAL ~j~l~ J~ ~ NUMBER OF
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH ~-~ DEPTHLIQUID
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
/'~ OR WIDTH LENGTH , DEPTH '~O
DISTANCE FROM WELL ~..1~)J4'% ! , BUILDING FOUNDATION ~"l I
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~' ~' SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES.
ABSORPTION AREA.
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION , NEAREST LOT tINE
DISTANCE BETWEEN LINES~TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
· DEPTH OF FILTER MATERIAL BENEAIH TILE
TOTAL LENGTH
OF LINES ,
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
DISTANCE FROM : WATER
TYPE '~.--.~m , , DEPTH ,BUILDING FOUNDATION _SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE ., SEWER LINE ., TANK , SYSTEM , CESSPOOL
DIAGRAM OF SYSTEM
DISTANCES:
, NEAREST
OTHER
SOURCES
HFALIH AUIHORIIY
GAAB-IID-~
GREATER ANCHORAGE AREA L.)ROUGH
! ! EA LTH D EPART~! EN T
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case N o.._~1~_
SEWAGE DISPOSAL SYSTEM' APPLICATION & PERMIT
NAME OF APPLICANT -~,/,'P,',' ~ ~
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
MAILING ADDRESS // PHONE NO.,
LOCATION OF INSTALLATION
SEEPAGE PIT
FINANCED THROUGH
PERCOLATION TEST RESULTS
~U..~..~ ,DRAIN FIELD ] , OTHER
TO BE.NSTALLED BY .,.4,'.' ()'
~,] J'~ ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT//~F~,,(~C..~..
THIS IS TO SERVE AS ;z',,~,,~ ~' o ~x...,-,,,~ , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE
Health Authority
TYPE -'"~'(*';';' ( , SEEPAGE AREA ~TYPE,
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE ~ ~ APPLICANTS SIGNATURE