HomeMy WebLinkAboutMADDUX PARK LT 4M ��
4
Municipality of Anchorage Page I of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage,, Alaska 99519-6650 0 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW 9if 0 2 PIDNumber:
Name: V1,0ceof P.
Wastewater System: 13 New 3 Upgrade
Address: *2 4!(ISO, _7-V0!:X Ar)cA 99s-16-1
ABSORPTION FIELD
Phone:
7AIS"- 00 7S_
No. of Bedrooms:
51 Deep Trench ❑O.Shallow Trench 0 Bed 0 Mound ❑0 Other
LEGAL DESCRIPTION
Soil Rating:
016
Total Depth from original grade:
GPD/Sq. Ft.
11.0
Lot: Block: Subdivision: -
I/
Depth to pipe bottom from original grade:
ly.
Gravel depth beneath pipe
— Nav(all:Ay. Peurk
0 Ft.
7.0 Ft.
Township:
I
Range:
i
Section:
Fill added above original grade:
Gravel length:
I — Z Ft.
51 Ft.
WELL: C-;AjSf 0 New 0 Upgrade
Gravel width:
Z'S
Numberoflines:
Dilancebelween lines:
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material: re-61 0 reef
Ft.
Ft.
71 if SO. Ft.
D-303Y No*-Perf
Driller:
Date Drilled:
Static Water Level:
Installer:
C9 IN
Date installed:
7/31 /?�
Ft.
1
Yield:
Pump Set at:
I
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION DISTANCES
(ji Septic 0 Holding 0 S.T.E.P.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer:
A n ch o r cr!,e 7',111 It
Capacity in gallons:
1000
Well
)to
to,/
—
> Z15"
Material: V
keel
Number of Compartments:
2
Surface
Water
>1&0
> too
—
LIFT STATION
Lot
25*
Size in gallons:
Manufacturer:
1
Line
0
Foundation
"Pump on" level at:
Pump off" level at:
High water alarm at:
Curtain
Pump Make & Model
Electrical Inspections performed by:
Drain
Remarks: r
BENCH MARK
�,e cet ".t e 0.-4!5�tooll 14.,7 k Y-W kr,,( e),
Location and Description:
Corper oic 6(eck
V
Gc4l1 Run" d,verke va1L-,e gel ,v
k7e_t4o# ltyy,05-4, WO#cler qrC4e0( 71ZAY19e'
Assumed Elevation:
/ �-ef 14,
ENGINEER'S SEAL
of 40;"!% 0 et 't ?C,/, Ch )(0
IN,A
7-eCA
Inspections performed by: Dates: ist_74?5� IP
Poo Ofood
2nd 7IZ9 19e-
Department of H aZltnd Hu ervices approval
*T,HE0D0j,j,E F. A,-,00RE
CE 3589
Reviewed and approved by. Date: �?/Z_
4 - *
J
2-G is (Rev. 91w 1) kq0A ez)
PERMIT NO: SW960212
SWING TIES:
FROM: COR. "A" COR. "B" COR. "C"
TO:
S.T. C.Q. "D"
9.5'
20.3'
S.T. C.O. "E"
12.5'
25.8'
DBL. G.O. "F"
16.4'
28.5'
VALVE "G"
17.7'
28.5'
TR. C.O. "H"
23'
45'
60'
TR. M.T. "1"
37.5'
47'
39'
TR. C.O. "J"
52'
47'
12'
C.O. "K"
43'
36.5'
19,
M.T. "L"
25'
15,
\
PAGE 2OF2
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e
♦
♦
♦♦ H.
R 100' T.T.
#24 NEW 1000 GAL.
SEPTIC TANK
..H — ------
I I
DECK
"p, I I
,.A"
"G.. }� "Do'_
r,
p
tb " ,r
„
„
„
NEW 51' LONG SOIL ABS. TRENCH-
r 1 7 b` Ef ECTIVE GRAVEL DEPTH
R
PLAN VIEW
V
SLE: 1" 20' - 0"
p'
GROUND
SURFACE
v
"BULL I EXISTING
RUN" I
VALVE1 3 BDRM
w HOUSE
"L" TBM B"
--- -----------------
rT.H. #1
ORIGINAL
SOIL ABS. TRENCH
r NEW 1000 GALLON I \_INV.
94 3'-1 SEPTIC TANK 94.5'
LOT 4, MADDUX PARK S/D
SEPTIC SYSTEM UPGRADE
AS -BUILT INSPECTION REPORT
FLATTOP TECHNICAL SERVICES SCALE: AS NOTED
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, ALASKA 99516 AUGUST, 1996
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON -SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960212
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:GREGORICH VINCENT P JR &
OWNER ADDRESS:2660 IVORY DR
ANCHORAGE, ALASKA 99516
PARCEL ID:01825104
LEGAL DESCRIPTION:
MADDUX PARK LT 4
LOT SIZE: 13200 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
DATE ISSUED: 7/19/96
EXPIRATION DATE: 7/19/97
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: Ezele_ <� DATE: % / Z z- / 9
ISSUED BY: U M'` DATE: - /��
-�IVItmicipality of Anchorage
Department of Health and Human Services
825 "L" Street
Rick Mystrom, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
July 24, 1996
Ted Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject: Waiver Request for Lot 4 Maddux Park Subdivision
Waiver Request # WR960033, PID 9018-251-04, Permit #SW960212
Dear Mr. Moore:
Your request for a waiver of the required 10 foot separation between a on -site wastewater
disposal system and a lot line has been approved. The waived distance is the new trench
to the west property line of 0 feet.
This approval applies to the existing on -site wastewater disposal system lot line separation
only. Any future upgrade to the on -site wastewater disposal system will require all
separations be met or another from this department.
If there are any questions or concerns regarding this waiver, please call our office at 343-
4744.
Sincerely,
AQ//
Daniel J. Roth
Civil Engineer
On -site Services
MA/
DJR./ijm:Gregorich
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -site Services Section
Waiver Review Worksheet
WR# WR960033 PID# 018-251-04 HA# Permit #
Date Received: July 8, 1996
Legal Description: Lot 4 Maddux Park
Engineer: Ted Moore, P.E., Flattop Technical Services
14530 Echo Street, Anchorage, Alaska 99516
Applicant: Vincent Greqorich
Waiver Requested: Lot line waiver of new trench to west property line
of 0 feet.
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: x Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: % - 2 ¢- 96 By : 0/�,y -
Name of Reviewer
Rec #: #02042/0586 Amount: $ 115.00 Date Paid: 7-8-96
Dear Sirs: RECEIVED
The purpose of this letter is to provide the required design narrative in support of our application for a
permit to upgrade the wastewater disposal facilities on Lot 4, Maddux Park S/D, located at 2660 Ivory
Drive. The present system is operating in a surcharged condition. In order to make this u
possible, we are also requesting issuance of a lot line waiver allowing the new trench to be constructed
de
within 0 feet of the west lot line. Soils logs, perc test results, a site plan, design drawings and
specifications are enclosed for your review.
The only available site to construct the proposed trench is just west of test holes #1 and #2. As can
be seen from the soil logs, the native material between 3 feet and 17.75 feet below ground level is a silty
sand with a measured perc rate of 8 minutes per inch. In test hole #2 some cleaner gravelly sand was
encountered down to 10 feet which will help provide better absorption in a portion of the trench, however
the extent of this sand stratum is unknown. Using the soil application rate of 0.8
nc
the wastewater ordinance for soils with a perc rate between 6 and 15 minutes per inch, his 3 bedroom in
residence would require a total absorption area of (3 x 150)/0.8 = 563 square feet. The proposed 50 foot
long trench design with 7 feet of sewer gravel has a total absorption area of 700 square feet, which should
offset any adverse effects attributable to its proximity to the original system. The proposed upgrade will
also incorporate a diversion valve allowing future reconnection to the original trench as desired, after the
original system has had a chance to dry out.
The topography of the lot in the vicinity of the proposed system slopes down towards the south
southwest at 3 - 15%. The proposed design concept is to construct the trench around the northwest
perimeter of the existing system, staying as far away from it as topographyand lot lines allow. Even with
the requested lot line waiver, the maximum separation between trnches that can reasonably be achieved is
approximately 5 feet. As can be seen from the layout depicted on the site lan
line waiver will have little or no effect on the ability to construct replacement systems onthe Lotrequest
33 which soon
the other side of the lot line.
Except as discussed above, the proposed project should have no significant impact on present or future
water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant
impact on reserved space -surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
lcoc 1177�
Ted Moore, P.E.
CONSTRUCT NEW50'LD~°
SOIL ABS. TRENCH VK7.0-QVL
BELOW HORIZ.O/8T.PIPE
10'UTILITY EASEMENT
-----'-----------
LOT1'ANBER
HEIGHTS S/D
(D WELL
'
'LOT 5
'
'
'
'
'
IVORY DRIVE
8��� �� '
_~.'
'
'
'
'
'
'
'
INSTALL DBLC.{l
� &^8ULL N^
.DIVERSIONVALVE
'DECK I
'
L} .'
'
'
'
BLM LOT7S
-------'~ )
LOT 4, MADDUX
�v�^�N�����P�---`~~
___
SEPTIC SYSTEM
SITE PLAN
FLATTOP TECHNICAL SERVICES 1I--------'
l4530ICJ�}STREET mcn=4OFEET
/L^�0KA9g5l6 DRAVVN8YTF�
NOTE THIS /8NOT ASURVEYED PLAT
ALL LOCATIONS 8HOVVNARE APPROXIMATE.
'
'
C.
1 r 3
"I I,, rl:
"All
-A M.T.
O#Av#
CONNECT TO
ORIGINAL TRENCH
INSTALL
"BULL RUN"
DIV. VALVE
INSTALL
DBL. C.O.
PLAN VIEW
SCALE: V = I ot - oil
M.T.
0
MOUND BACKFILL
MATERIAL 12"
ORIGINAL GROUND
FILTER FABRIC
F-810 PERF PIPE
1/2" - 2 1/2" SEWER GRAVEL
BOTTOM OF TRENCH
SECTION "A - A"
SCALE: V = 5, - 0,,
CONSTRUCT NEW 50' LONG
SOIL ABSORPTION TRENCH
W. 7.0'GVL. BELOW DIST PIPE
0
EXISTING
-1000 GALLON
SEPTIC TANK
0
LOT 4, MADDUX PARK S/D
SEPTIC SySTEM UPGRADE
PLAN AND CROSS-SECTION
FLATTOP TECHNICAL SERVICESCALE:
C E�By. A SHOWN OWN
14530 ECHO STREET DRAW AS
ANCHORAGE, AK, 99516 .IDLY,1996
F(attop Technicaf Services
14530 Echo Street, -anchorage, AK99516
Phone (907) 345-1355
Lot 4, Maddux Park S/D
2660 Ivory Drive
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of inspecting the condition of the existing septic tank and
construction of a new 50 foot long soil absorption trench containing a total of 7.5 feet Of sewer gravel.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to workaround y
buried utilities. ar an
1.4 The contractor shall Provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as Possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement Of topsoil and reseeding all areas disturbed by the construction.
1.6 The homeowner shall be responsible for any necessary coordination of the work, includin
probable driving equipment over the lot line, with the owner of Lot 3 g
2.0 Septic Tank:
2.1 The existing septic tank may be retained in service, only if it's structural integrity has been verified
by the inspecting engineer, and if it has functional cleanout pipes with airtight caps, allowing pumping
access to each compartment. Any existing septic tank which is not retained in service must be properly
abandoned by thoroughly Pumping, removing the top and backfilling with soil.
2.2 If required, a new 1000 gallon 2 compartment septic tank shall be set level on undisturbed soil.
Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is
buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings.
waste line from the residence to the septic tank shall have a minimum slope of 1/4 ... per foot, li - The
line between the tank and the soil absorption system shall have a minimum and the waste
cleanout shall be installed within 5 feet of the building foundation, m1mum slope Of 1/8" per foot. A
within 5 feet downstream of the Septic tank. and a double cleanout shall be installed
2.4 A "Bull Run" diversion valve shall be installed downstream of the double cleanout allowing future
reconnection to the original trench, as desired.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating a 50 foot long trench in the location
shown to a depth of 7.25 feet below the level of the invert of the discharge pipe from the septic tank.
3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to
allow Proper infiltration.
3.3 A total of 7.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the Perforated distribution pipes laid level such that the pipe inverts are no less than 7.0 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum
of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet;
two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in
addition to the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to
slopes shall be no steeper than 3:1. smooth contours. Fill
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the
site finish graded after the backfill material has stabilized, and for Placement of adequate topsoil and seed
to Promote rapid revegetation of all areas disturbed by the construction.
4.0 inspections:
4.1 A minimum of 4 engineering inspections will be required during the course of the project: () 1
initial stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
tri be laid
piping connected, but prior to backfill. This inspection may be incorporated with any of the ab an th
grading is complete. The new septic tank, if needed, requires one inspection after it is set level d e
inspections. ove
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Maddux Park Subdivision
DATE PERFORMED: June 21, 1996
PERFORMED FOR: Vince Gregorich
r)PPTW
Pt. SLOPE
GM Fill material APt.
(Original ground)SM Reddish sandy loam
11)
COMMENTS
...................
15%
SM Gray silty sand
Dry, scattered cobbles and boulders
Sidewalls do not smear
3%
Dense, hard digging ....
SM siltier and wet
between 12'& 13.5'
Sandier and dry below
SM damp near bottom
B.H.
at Test
Depth to Groundwater I Date
w I : *` ..... :- ... 3%
......................
'"rl %-ULIA I 1UN HATE 8 (minutesAnch) PERC HOLE DIAMETER 6
TEST RUN BETWEEN — 5.25 FT AND 5.75 FT —
)ximately 3.5'above septic_qqoutlet invert. Construct i,-h Al
-----------
PERFORMED BY FLATTOP TECHNICAL SERVICES,
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE CERTIFY THAT THIS TEST WAS PERFORMED IN
IN EFFECT ON THIS DATE. DATE:
6
15%
7
SP/SM Slightly silty gravelly sand
Loose, dry. Sidewalls slough
B
Many cobbles in upper portion
Will Pere faster than T.H. #1 .....
10
11
12-
13-
14-
15-
16-
17-
18-
SM Silty sand
Dense, hard digging
Similar to T.H. #1
WN
Depth to Groundwater I Date
u, 1--* .... :' - - .: ' * ' � ' .3%
CL
..........
Date Reading Time Net Time Percometer Net Dra
{minutes) I Reading {inches
1. -1 PERCOLATION RATE - (minutes/inch) PERC HOLE DIAMETER
COMMENTS: TEST RUN BETWEEN - FTAND - FT
This test hole was dug to check continuity of soils encountered in T.H. #1. Soils between 4' and 0' will perc faster, however the
the ground surface at the test hole is approximately 7 feet higher than the septic tank outlet invert. Therefore, design should be based on T.H. #1 perc.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I r _ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: -7
. ...................... . .................................
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
NAME ON -SITE SEWAGE DISPOSAL SYSTEM As` WOR WELL INSPECT -ION REPORT
PHONE
O_�N—EMAILI GADDRESS
—
NEW ADE
`ka
LEGAL
DESCRIPTION
LOCATICO
Well NO. OF BEDROOM-s—
DIS DISTANCE TO: Absorption area Dwelling
Manufacturer PERMIT NO,
Material
Liq, capacit in gallons 'S 7elj No. of compartments'
IF HOMEMADE: Inside length Width
Well , Liquid —de,h---�
DISTANCE TO: Dwelling
0 z ling—
X-1 Manufacturer PERMIT NO.
vVell Liquid capacity in gallons
Found7tion
U1j W 2m: DIS'ANCET Nearest lot
z No. of 11-
_j Length of PERMIT NO,
2 Uj each line _40-_
zx Cc �_, 1-1 n�th of lines
Tota
Top ��Ft — _�,rush
7rench vvi
Tie ti3 grade If 6-- Distance between Lines
,,{
,ill aterial beneatFi-tiTe-
Lengt 6 -1--inches
w Lengtj Width Total effective absorpt,-on-are—a
—
Depth inches
t: Type of crib Crib diameter
PERMITNO.
Uj CL ter
LU Crib� depili�—
DISTANCE TO: ___T Total effective absorption area
'Class De Building —foundation J; �eares�jot line
Driller
Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer njj_e___ Se
ptic tan )ZSOTMtion area(s)
OTHER
MATERIALS -
TEST
V(,? - -e_
RATING
S
i-L TE
0
SOI L TEST RATI N G
REMARKS
El
rk,
APPROVED
DATE LEGAL
7-1TI 0 3
� 3/78)
825 'L' STREET, ANCHORAGE, AK. 991
264-4720
PERMIT NO ��� ��E����� ������
( 300566 ) ��'� » '
- /l
APPLICANT STEPHEN H, SCHIZECK ' SRH BOX 4029 Q -��
LOCATION 144TH AND LAKE OTIS ` ' - ��49-
LEGAL L4 MHDDUX PARK
LOT SIZE 13500 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 175
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS
: /
�������-��== �� _��== � L'/ '
C, Fy Fy v��K_'
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD
THE DEPTH OF H 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 l BETWEEN THE OUTFHLL PIPE
AND THE BOTTOM OF THE EXCAVATION (�N FEET).
-1-FApAstm7D P�
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
ImSoA_Lri|1UN INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE nunBEK OF RESIDENCES THAT THE WELL WILL SERVE.
�NL
---LL����
3m~KF/MEn/ ImGW��VFLANY
�����F������
SYSTEM
� ���� �����
������
� U���� -- --
,E../n,
BE SUBJECT
WITHOUT FINHL
INSPECTION AND
~
HPPROYHL
BY THIS
TO PROSECUTION.
�INIMUMDISTRNCE BETWEEN H WELL AND ANY ON -SITE SEWAGE DISPOSAL SYSTEM IS
Lmm FEEFOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
Jruw THE TTYPE OF PUBLIC WELL
1INIMUMDISTHNCE FROM H PRIY.TE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
/u Al COMMUNITY SEWER LINE IS 75 FEET
4ELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHI14 30 DAYS
/F THE WELL COMPLETION.
)THERREQUIREMENTS MAY APPLY, SPECIFICATIONS AND CONSTRUCTION DIHGRHM5 ARE
,vAILHBLE TO INSURE PROPER INSTALLATION.
CERTIFY THAT
�IHMFAMILIAR WITH THE REQUIREMENTS FOR ON -SITE SEWERS AND WELLS fqS SET
uR/HByTHE MUNICIPALITY OF ANCHORAGE,
� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES
�IUNDERSTRND THAT THE ON -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMEN-T IF THE
cSIDEmcE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS
,17
- pr,-!
IGNED�
3SUED BY �v
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