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Home My WebLink AboutILIAMNA ACRES LT 1 MUNICIPALITY OF ANCHORAGE . DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ENVIRONIVIENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT · ' ' IPH~ON~ I ,L~,NEW M~LING ADDRESS LOCATION NO. OF BEDROOMS Wel~ _ / Absorption e~ Dwelling / PERMI~NO. ~ ~ Manu facture/]~ ~ Ma~ria ~ ~ ~ No. of~partments q/~ gallo ns I FH O ME MADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. 0 Z ~ ~anu~acturer ~ -- ~ ~at~ial Liquid capacity in gallons ~ ~h95c¢:' FOU,~O~ Nearestlotline, ,t,~ PER~O. D STANC TO: , Trench~d~ Distance between lines ~ ~ ~ Top of tile to finish grad, ~,/ Material "oeneath tile --.O[ ~2~ inches Total ef~tive absorption area ~ Length ~ Width Depth PERMIT NO. ~-~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ DISTANCE TO: Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER MATERILS TEST RAT/~ ' _ /~ REMARKS AP~ /~P, I ~~ DATE LEGAL /. 3~78) / D~te Drilled~ 11-18-83 W~L LOG Static Water Level Draw Down N/A 46 feet feet Gallons Per Minute Total Feet of uasing 20 66 ?y~e Material Drilled~ 0 feet to 30 Silty Sand 30 feet 55 feet to 55 Sandy Clay to 66 Gravel w/water to tO %O Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska 99507 Permit ~ Applicant: Location: Legal Description: MUNICIPALITY OF ANCHORAGE ~ Health and Environmenta? Department 825 ~ Street, Anchorage, AK. ~9501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/~R ON-SITE SEWER PERMIT Mailing Address: Phone Number: d(l~,~ ~creS, , ~rotection 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 C~,, 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(HfrL-'-Dt-NG) TANK SIZE = l~('~z_ 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 department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 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 require enlargement if the residence i-s remodeled to include more that ~bedrooms. Signe~: Issued by: ~-~ ~~ Applicant Date: (~- SWP/024 (1/81) Depar~_:t o~ R~alth and ~nvironme. ~a~ ~rote~tion 264-4720 D~PTH _.. ...... LENGTH ~ GRAVEL D~PTH <-~ WtI)TH ' · he leuqth d~e~a~.o~ i~ ~h~ long~h(tn ~eet.) o~ the ~rench or dra~field, -? .-dep~li of a ~rt~noh or pit i~ the d~an~ between tire 0urface og ~ho qro~ the bo~om of ~he ~xcava~ion(in feet). Th,~r~ is no sa~ width for ,The grave~ depth %~ ~O m~ d~kh of 9~'ave~ betwee~ ~ha ou~:fal~ ~ipe '~ the ~ttom of the egcavat~on(in f~t). ~ * REQUIRED 8EPTIC(~I~) TANK $IZ~ = ~~ GALLONS ~" '-':: Po~mit appJ. icant ha~ th~ r~po~ib~l~ty to i~fo~ ~his depart~on~ dur~g .... ' * * ~0(2) INSPECTIONS ~ck~il~g of ~y ayat~ withOUt public Wel~. ~in~_m,~ diet.ce f~ a ..] I c~rkify ~ha~: (1) :~ ~ f_am, iliar, with met forth by ~he (2) ~ wAlL ~n~ta%~ the MUNICIPALITY OF ANC'HORAGE DFpAITTMENT OF HI=A/TH AND FNVIF;ONMFNTAL PROT£CTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~ S~)I LS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: TI~.,.,,,,,,,. Ac.,-¢s T,--~ 2 3 4 5 6 7 8 9 10 11 12 19 2O Reid, Jr..t 2251-E COMMENTS ~9;\ :~ co.'~-¢¢~ PERFORMED BY: ~q~r~ ~ ~ -- -1-HI SLOPE WAS GROUND WATER S ENCOUNTERED? "~o L O P E IF YES, AT WHAT DEPTH? r~w~z~ l~oh _ST ~3 o~ SITE PLAN Gross Net Depth to Nel Reading Date Time Time Water Drop fl~% -- . ~o - ~sI i,~ .~H Io I~ -- .~ 3 -- PERCOLATION RATE "~"~ '1~'- (minutes/inch) TEST RUN BETWEEN ~ FT AND ,.~ '/2. FT CERTIFIED BY: DATE: 72-OOB (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:__ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS DATE PERFORMED: ~// [~ /C~'~ SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop q~5o I I ,50 ,1~ PERCOLATION RATE 1 ~ (minutes/inch) TEST RUN BETWEEN ~ FT AND ~ '/Z. FT PERFORMED BY: ~ff q~,% CERTIFIED BY: DATE: 72-008 (6/79J APPLI(' NT FILLS OUT UPPER HAl ONLY Buyer Address Zip Code Realty 0o. & Agenl Phone Address Zip Oode 8treel Looali~l ~Single Family Wa~er Supply ~lndividual ATTAOH WELL LOG. A well log is ~equired for all well8 drilled ~inoe dune 197~. ~ Oomm~ni~y For wells drilled prior ~o thai d~te, give well deplh (~ttaoh log if available). ~ Publio Ulili~y 8ewer Disposal ~ Publio UHlity When Oonneoled to Publio Ulility: ~ Holding Tank NOTE: THE IN~PEOTION FEE MUST AOOOMPANY EAOH RE~E~T BEFORE ~OOES~ING OAN BE iNiTIATED. Time Time Time Time Inspector Inspector inspector Inspector Field Notes: (/) APPROVED BEDROOMS 'CONOITIONS OF APPROVAL I i D~SAPPROVED I I CONDmONALARPROVAL/ Soils Rating Date ~wer Installed Well To Absorption Area ~ / Well Log Received 72.023 (3/82)