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HomeMy WebLinkAboutWAKEFIELD LT 4 Locatzon. Legal Description: Z- &/ Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: INICIPALITY OF ANCHORAGE Department o~ Health and Environmental 3otection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT ]~/0R ON-SITE sEWER PERMIT Mailing Address: ~O Phone Number: c~Tc~ Seepage Bed: Holding Tank Soil Rating (sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH 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 co~ununity 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 1 * * * 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 include more that 3 bedrooms. the residence is remo/~d to App 1 ic~ant Date: ~/~ ~/~ GRFATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE S1'. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ~',/~ PHONE ADDRESS SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY__ [~:~OO · /,-,-¢~.-J __MATERIAL ~F,~CI?~'"'[I~ 6k~-Jd NUMBER GE · COMPARTMENTS_ GALLONS. INSIDE LENGTH ~./ _ DEPTH~ __ _IN, DE-WIDTH 5' I LIQUID NEARESI LOT LINE ~/ TOIAL EFFECTIVE ABSORPTION AREA (WALL ~) BUILDING FOUNDATION sQ. ET. TILE DRAIN FIELD: / DISTANCE FROM WELL ~¢"~/~") ~ , FOUNDATION NUMBER OF LINES _~) DISTANCE BETWEEN LINES_ ABSORPT,ON AREA__ ET. DEPTH: TOP OF TILE TO FINISH GRADE_ NEAREST LOT LINE / f~'' / f t/01 TRENCI-' WIDTH ~ IX, GL t,'~'~') IN. 'OTAL EFFECTIVE LENGTH OF EACH LINE ~=~gJ DEPTH OF FILLER MATERIAL BENEATH TILE ~. ~ IN. ABOVE TILE ~ WELL: TYPE~-~e,,~/2, DEPTH NEAREST LOT LINE . SEWER LINE DISTANCE FROM WATER ,BUILDING FOUNDATION._ SAMPLE , NEAREST SEPTIC SEEPAGE OTHER TANK , SYSTEM , CESSPOOl , SOURCES. DIAGRAM OF SYSTEM DISTANCES: DATE APPROVED GAAB-HD-2 GREATEr,, ANCHORAGE AREA HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 )ROUGH 279-2511 Case No. r-~~1- SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPL,CANTJ, RESIDENCE AODRESS (~ _fz-'~ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK_ TO SERVE THE FOLLOWING FACILITY FINANCFD THROUGH PERCOLATION TEST RESULTS_ MAILING ADDRESS __ LOCATION f)F INSTALLATION_ PHONE NO / , SEEPAGE PIT. ,DRAIN FIEkD. ~ ~//n/ ANTICIPATED DATE OF COMPLETION / BELOW TO BE FILLED OUT BY HEALTH DEPARTmEnT , OTHER THIS IS TO SFRVE AS ASDESCRIBFD BELOW. SIZE OF UNH'TO BE SERVED · SEPTtC TANK SIZE. .TYPE SEEPAGEAHEA-- ~mTYPE DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requfl'ements of Greater Anchorage Area Borough Ordflmnce No. 28-68 anti that the above described system is in accordance with said code. ~]'" /,?'~' "~'"~' .~ ?' (' t-';-/ ~ g~'~' NE[~I~'"~G AND S~ RVEYING ' ' , ,'~ ~'" A, ~ ~,~2E. INTE~TIONALAI iPORTROAD , ~ TEST -- .... ~--~.~, ~ J LEGAL OESCRIPTION:~ W~_ ~ ~ ~ I- ~ ~ ~ SLOPE SITE PLAN 10 11 12 13 WAS GROUND'WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 14 15 16 17 18 19 20 COMMENTS Reading Date ...... __ .~;'~'... & ~,~ TEST RUN BETWEEN Gro$l Nat Depth to ~ Net Time Time Wator Drop (mlnutel/inch) ~..--.-- FT AND ~ FT Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ONSITE SEWER/WELL PERMIT APPLICATION NAMF OF APPLICANI:~ INSTALLATION LOCATION: LEGAL DESCRIPTION: L METES & BOUNDS: TYPE OF PERMIT: LUMBER OF BEDROOMS: TOTAL DEPTH: FT. SOIL RATING: PIT TRENCH DRAINFIELD SI--WE R UPGRADE WELL HANDWRITTEN · (Number only)' COMBINED ' GRAVEL DEPTH:, FOR UPGRADE ONLY ADD TO LENGTH AND/OR ADD GALLON TANK. FEE: COLLECTEDBY: OFFICER: 72-012 (7/77) A permit issued by system has expired Permits are issued the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be this department to document the installation date. FT. EXT.: this department for a well and/or sewer as of December 31, 1981. on a calendar year basis, as stated on sent to If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz~.~. Program Managert-~ Sewer and Water Program Enclosure: Copy of Permit 5 Fig~i,r. NORTH (¥J ANCH George M Sullivan Mayor RAGE WATER & SEWER 3000 Arctic Boulevard Anchorage, Alaska 99503 (907) 277-7622 ILITIE$ Owned by Ihe Municipality of Anchorage June 29, 1981 Security National Bank 880 "H" Street Anchorage, Alaska 99501 Re: Public Sanitary Sewer Availability to Lot 4, Wakefield Subdivision To Whom It May Concern: Public sanitary sewer will be made available to the subject property upon construction of Bruce Lateral Improvement District No. 115, Phase II. Construction of this phase is estimated to be completed and available for connections during the 1982 construction season. Sincerely, ~ RAY BL~CKMAN Managgr, Engineering & Construction Anchorage Water & Sewer Utilities DCK:deb cc: DHEP, Les Buchholz DATE RECEIVED .... INSPECTION APPOINTMENTS -~ATE DATE DATE INSPECTOR INSPECTOR I NSP ECTO R MUNICIPALITY OF ANCHORAGE ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorags, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQ[JEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. ~ PROPERTY OWNER ~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) ~HONE ~ BUYER PHONE MAILING ADDRESS ~'LENDINGINSTITUTION ~ PHONE I MAI~ING ADDRESS 4, REALTOR/AGENT ' MAILING ADDRESS ( / 5, LEGAL DESCRIPTION STREET LOCATION 6, TYPf: OF'RESIDENCE [~SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four ~ Two [] Five [] Three [] Six [] Other 7, WATER SUPPLY ~'"" INDIVIDUAL* * ATTACH WELL LOG. A well log is reqUired for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available,) 8. SEWAGE DIS OSAL SYSTEM [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY · ' 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE I~] THREE [] FIVE E] OTHER [] MULTIPLE FAMILY [] TWO E] FOUR [] SIX PERMIT NUMBER 2. WATEFI SUPPLY ~ INDIVIDUAL DEPTH OF WELL E3 COMMUNITY -~ATE ORILLEP ~ PUBLIC UTILITY LOG RECEIVED Connection Verified -- ~SEWAGE DISPOSAL SYSTEM PERMIT NUMSER ~INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified _ ~ INSTALLER ~Septic Tank or ~ Holding Tank Size: ~(~ If Tank is homemade SOILSRATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ~ Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~ APPROVED FOR . BEDROOMS ~ CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED 72-010 (Rev. 6/79) 825"1 "SFF~EET ANCIIOh>AGJi, Al ASI'(A 99501 (90/) 264 4111 July 30, ].980 Silvester Alford 1740 Wakefield Anchorage, Alaska 99502 Subject: Lot 4 Wakefield Subdivision Approval for your individual can not be granted until the completed: (2) (3) sewer and water facilities following items have been The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this department. The existing sewer system is failing, therefore, an upgrade will be necessary. Prior to the upgrade, a soils test wi].l need to be obtained so that this department may issue a permit fo~ the upgrade. A listing of private firms performing soils 'test is enclosed. If there are any further questions, please call this department at 264-4720. ~lncerely, ,/ Robert C. Pratt, R.S. Associate Special. ist RCP/ljw cc: Spokane Mortgage Company 3201 C Street - Suite 250 99503 Bill Price % Tanner-Magowan 5333 Fairbanks Street 99502