HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 8 LT 11Zodiak Manor
Block 8
Lot 1 1
#015-042-18
t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
~ · ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE / ~i~ NSW
MAI LING AD DR ESS
LOCATION NO. OF BEDROOMS
PERMIT NO.
Manufacturer Material No. of compartments
Liq. capacity in gallons Inside lenCh Width Liquid depth
~ ~ Well Dwelling PERMIT NO.
DISTANCE
TO:
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ Well Foundation Nearest lot line PERMIT NO.
t~ ' NO. o' lines , Length of each IJn~ Total length of ,ines~= ~ Trench width~o inches Distance between lines ~
~ Top of tile to finish grade Material beneath tile Total effective absorptio
Length Width Depth PERMIT NO.
~ Type of crib Crib diameter Crib depth Total effecti~ absorption area
~ Well Building foundation Nearest lot line
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Buildingqofoundation~ Sewer li~ //~ Septic tank //O~ Absorption area(s)/~
OTHER
72-013 (Rev, 3/78)
PERMIT NO.
RPPLICRNT
LOCRTION
LEGRL
DEL LOWERY
MRRS DRIVE
LOT 11 B $ ZODIRC MRNOR
4630 MRRS DRIVE
LOT SIZE
344-6348
26369 SQURRE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MRXIMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT/BR>= 125
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 10 LENGTH= 32 t3RRVEL DEPTH= 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
fiND THE BOTTOM OF THE EXCflVflTION (IN FEET>.
REQUIRED SEPTIC TFINK SIZE= 1000 GALLONS
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE
------ TI~iO ( 2 ) INSPECT IONS ARE RE~;IU I RED
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL~ OR
150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PERM I T E~-~P I RES DECEMBER 31., 1978
I
l:
FORTH BY THE MLtNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR¥ REQUIRE ENLRRQEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3 BEDROOMS.
SIGNED:-~~-DE~-~y~~ Y~_ ............
CERTIFY THRT
I RH FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
Gm
to
Gw
The sediments had a very
high cobble and sand
They were also very compact
and had a low moisture con-
tent. Ail contacts were
gradational
No
LOCATIO I ..... H
Was Grounc Water
If ye-~., A~ fghat
NgT
DAT~
DEPT~[ TO }l (
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6650, Anchorage, Alaska 99502 276-2221'
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
[] PERCOLATION
TEST
PERFORMED.FOR:
DATE PERFORMED:
LEGAL DESCRIPTION:
1
2
3
4-
6-
7
8
9-
10-
11
13-
14
15-
16-
17-
18-
19-
20-
SLOPE SITE PLAN
was GROUND
ENCOUNTERED?
IF YES, AT WHAT
DEPTH~
f
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
TEST RUN BETWEEN
FT AND FT
PERFORMED BY: [-~OotJ'/'~r~ ~ ~_~./
CERTIFIED BY: Jt'~)Vl~J~-~-'~_ ~ DATE:
72-00~ (7/76)
1336 .]~ngra Street
~chorage, Alaska 99501
SIZE OF CASING ~ DEi~H OF HOLE ~. CAS'" TO I O ~r.
FEE~ OF DRAWDOWN.
REF.~RKS
to
~
mto
~0
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