HomeMy WebLinkAboutSCHULZ LT 3i
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MUNICIPALITY OF ANCHORAGE
6
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
` 825 L Street -Anchorage, Alaska 99501 Telephone 264-477.0
-- ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPOR`F
�� PHONE ❑
- NEW
NAME
y3c��,_�9as VUPGRADE
+A L) L, --
MAILING ADDRESS
F, o, fox �l 1 E/>G L-Lf-��s
LEGAL DESCRIPTION
NO. OF BEDROOMS
LOCATION `Y�✓�-'
- e �/ Well Absorption area Dwelling i v PERMIT NO.
- DISTANCE TO: ��—
U Y .— —
Material /^ No. of compartments
Manufacturer
pa
�ry J' WV
� E. Liquid depth
Liu. in Inside length Width q
capacity gallons _
I �Q� IF HOMEMADE
Well
Dwelling
PERMIT NO.
DISTANCE TO:—
U Q
Manufacturer A
Material
Liquid capacity in gallons
0_.�
- q
-�
uji
_
Well
TO:
Foundatio^L �, Nearest lot like
�'f�/—
Total lengtil�bi�,es Trench widt1,
PERMIT NO.
Distance bete l/ eslFJCOD
l
7DISTANCE
Ps Length o� yf, Ione
inches/
n",
- --
to finish grade I
Material beneath theTotal
inchesLcngth
effec rve absoi-Dion area
Width
Depth
PERMIT NO.
w
Q F-
_ _
Crib depth Total effective absorption area
Type of crib
Crib diameter
w
—
—
—
Well
Building foundation
Nearest lot line
w
DISTANCE TO:
Class
Depth
Driller
Distance to lot lineTPFRN51T NO.
.J
--L �I
building foundation
Sewer line
Septic tank rption meas)
"
DISTANCE TO:
_
OTHER
-
L
µ
PIPE MATERIALS
, f��_=/y� A LO
l �CJ80�. PSTWf
RANG
SOIL TEST
I NSTALL_ER
_
REMARKS
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—
—�
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t
N 90 A. Whciferr
fA
No. 1457•L
APPROVED 1)3q,IVEI3e A�,��'%ti14s DA�TE/ LEGAL ;
,
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DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 I ANCHORAGE, AK 99501
264~4720
Eff 31 " F EEL Ell EEL W PET! lot Ell PET lot RWIN 1:
~
PERMIT NO: B50540
DATE IGSUED: 08/26/85
APPLICANT: SCHULTZ
ADDRE�S: % S&S ENGINEERING
EAGLE RIVER,
AK 99577
CONTACT 1-11 694~2979
LEGAL DESCRIP: SUBDIVISION:
SCHUL.1—#2
LOT: 3
BLOCK: NA
SECTION: 11
TOWIASHIP:
MAI RANGE: 2W
LOT SIZE: 16131 (gQ"FI'll
OR ACRES)
MAX BEDROOMS: 3
Listed
to
you in designing
ypur septic
system" Choose the option that
best Fits
your, site"
11.4
191 IT-.: ]C)'
pvto E.". )I F:;". Ir!::!!h 1 11"'11
DEPTH TO PIPE BOTTOM (FT")
4.0
4"0
4.0
GRAVEL DEPTH (FT")
3"0
^ 0,5
3"0
TOTAL DEPTH (FT.)
7"0,
4"5
7"0
GRAVEL WIDTA (FT")
2"5
19.0
5"0
GRAVEL LENGTH (FT")
75,0
36"0
53.0
GRAVEL VOLUME (CU ^ YDS. >
24.4 '
25,4
34"4
TANK SIZE (QALG)
1,000.0 X.
1,000,�0 **
1�000.0 **
SOIL RATIN� (SQ.FT"/BR)
150
150
150
** TANK MUST HAVE Al, LEAST TWO COMPARTMENTS
..... .....
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I certify that:
1" I all familiar with the requirements for on. site Wells as set
forth by the Municipality of Anchorage (MOA) and the State o[ Alaska"
2. I will install tho system ill accordance with all MOA codes and regulations,
and in compliance with the design criteria of .this permit"
3" I will adhere to all MOA and State of Alaska requirements for the set back
d�stances from any existing well, wast ewator 6ispnsal system or public
sewerage system on this or any adjacent or nearby lot"
4" I und(7�rstand that this permit is valid for a maximt km o� 3 bedrooms and
any enlargement wil1 require an additional permit"
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1.) AN ELECTR1:CAL. PERVIIT AND INSPECTION MUST BE OBTAINED; (2) AS—BUILTS
WILL NOT BE APPROVED WITHOUT AN E-LECTRICAL INSPECTION REPQRT; AND (3) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN"
)ILA��:
SIGNED
APPLICANT SCHUL ,
ISSUED BY DATE:
�
a, Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
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a
na n', •a, von^.c,irnc
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(7l1hovl d, 8hntor ''�
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n
PERFORMED FOR: l---;7-- DATE PERFORMECJg :;`
LEGAL DESCRIPTION: Scrla-JL.,`L 51C)TI wnship, Range, Secti�'�/� j110�
P - SLOPE SITE PLAN —�
1 �` I-
2
Depth to Net
Water Drop
3
4
cri
` FJ
6
, R-
7
r
8
<o
9
10
e�
kAv"-
12
13
14-
15
16-
17
81920 18-
19-
20
COMMENTS
WAS GROUND WATER —
ENCOUNTERED?
S
IF YES, AT WHAT L
DEPTH? p
E
Depth to Water After
Monitoring? Dale: _
Reading Date Gross Net
Time Time
Depth to Net
Water Drop
PERCOLATION RATE i 1A— (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND _ FT
S a V ZA'aliqu- MINA
c±r>rt -ince
C
ER, ALASK'k my577
PERFORMED BY: 11H 694-20YI) CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _.
72-008 (Rev. 4/85)