HomeMy WebLinkAboutTUNDRA JEWEL RANCH LT 14Oct 11 19 12:54p Anchorage \Nell 8. Pump Seg 9072430742 p.1
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Pump Installation Log
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Parcel Identificatia,u imiber:0- 51 - lq3- 10
Legal nescripoon — Prop er N ante_& Address.-
Pump
ddress:
Pump Installation Date: I ;. /`I
Pump Intake Depth Below Top ref «'ell Casing: � � feet
Parrtp lYianuftctarer's ;tiTame:
Pump Model: -: l
7
ize J
Pump S 4 lip
Pitless Adapter Burial Depth: \ feet
F'ittess Adapter Mar_ufactu.rer's Name:
Pitless Adapter Insiniler:
J
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection:
Comments: 1<•'
�.�
Pump Installer Name:
Attention. The pump irstk[ll tr sha,l provide a pump instaliacion log to the DSD -, dthin 3i: dad's at pump installation.
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(907) ;43_?9.0 ..
Pump Installation Log
—VarelLDrillstag_Yetrraaat_�{at�n6en:-S�'�'T—__ _Date_of_Iss�ae:_�_=:_
Parcel Identificatia,u imiber:0- 51 - lq3- 10
Legal nescripoon — Prop er N ante_& Address.-
Pump
ddress:
Pump Installation Date: I ;. /`I
Pump Intake Depth Below Top ref «'ell Casing: � � feet
Parrtp lYianuftctarer's ;tiTame:
Pump Model: -: l
7
ize J
Pump S 4 lip
Pitless Adapter Burial Depth: \ feet
F'ittess Adapter Mar_ufactu.rer's Name:
Pitless Adapter Insiniler:
J
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection:
Comments: 1<•'
�.�
Pump Installer Name:
Attention. The pump irstk[ll tr sha,l provide a pump instaliacion log to the DSD -, dthin 3i: dad's at pump installation.
P.O. BrA 6650
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
TCN? ~'NOW!.ES.
DEPARTMENT OF HEALTH & HUMAN SERVICES
January i0, 1986
TO: Permit Applicant
Subject: Permit # 850435
Lot 14A Tundra Jewel Ranch Subdivision
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 not 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
DEPARTMENT Or HEALTH AND ENVIRONMENTAL F,,OTECTION
825 L STREET., ANCHORAGE, AK 99501
264-4720
JIg--SITE SEWER 8~ wELL · PFRMIT
PERMIT NO:
DATE ISSUED:
850455
07/22/85
APPLICANT:
ADDRESS:
CONTACT PHONE:
% S&S ENGINEERING SOUTH FORK ~ONST'
SRB 195-X
EAGLE RIVER, AK 99577
694-2979
LEGAL DESCRIP: SUBDIVISION: TUNDRA'JEWEL RANCH LOT: 14A BLOCK:
SECTION: 9 TOWNSHIP: 15N RANGE: 1W
,LOT SIZE: 1.78A, (SQ.FT.-OR ACRES)
MAX BEDROOMS: 5
Listed below are the options available to you in designing~your septic
system. Choose the option that best Fits your site.
TRENCH BED W. DRAIN
~DEPTH TO PIPE BOTTOM (PT.) 4.0 4.0 4.0
GRAVEL DEPTH (FT.) 7.0 0.5 5.5
TOTAL DEPTH (FT.) '11.0 4.5 7.5
GRAVEL WIDTH (FT.) 2.5 17.0 5.0 .
GRAVEL LENGTH (FT.) - 27.0 54.0 41.0
GRAVEL VOLUME (CU. YDS.), '18.8 21.5 50.4
TANK SIZE (GALS) 1,000,0 ** 1,000.0 ** 1~000.0 **
SOIL RATING (SQ. FT./BR) 125 125 125 '
N/A
** TANK MUST HAVE AT LEAST.TWO C~MPARTMENTS
I certify that:
· 1. I am ~amiliar with'the requirements ~or on-site sewers and wells as set,
Am
IF A
THEN
WILL
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNED .___~_ ~ _~~ DATE:
APPLICANT: % S&~E~INEERING SOUTH FORK CONST
ISSUED BY ' ~~. ~ DATE:
Forth by the Municipality o[ Anchorage (MOA> and the State oF Alaska.
I will install the system~in accordance with all MOA codes.and regulations,
and in compliance with the design criteria~oF this permit.
I will adhere to all MOA and State oF Alaska requirements ~or the set back
distances From any'existing w~ll, wastewater disposal system or publi~'
sewerage system on this or any adjacent or nearby lot. ~
I understand that this 'permit is valid For a maximum oF 5 bedrooms and
any enlargement wi'll require an'additional permit.
LIFT STATION'IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~
(1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) 0THE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
6
7
9
10
11
12
13
14
15
16
17
18
19
20
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/
PERCOLATION RATE (minutes/inch)
TEST RUN BEI'WEEN FT AND ~ FT
COMMENTS
PERFORMED BY:
72-008 (6/79]