HomeMy WebLinkAboutRAVEN WOODS BLK 3 LT 2I aven Woods
Block 3
Lot 2
#015-232-03
*IMUNICIPALITY OF ANCHORAGE O
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
MAI LIN~ ADDR~'~S
LEGAL DESCRIPTIOI~
I J Well I Absorption area Dwelling PERMIT NO.
~ ~ DISTANCE TO:
~ ~ Manufacturer Materiel No. of compa~ments
~ Liq. capacity in gallons IF HOME,DE: Inside len~h Width Liquid depth
~ ~ D~STANCE TO: Well DweUing PERMIT NO.
O~ ~ Manufacturer Material Liquid capacity in gallons
~ DISTANCE TO: Well ~ C~' FoundaXo~, Nearest lot ,ineTrench ~ PERMIT NO.
-- .o. of?nos Length feach , e le~2~>Tes widt_~ inches
~ Top of tile to fin,sh Ce ¢~ ~' Total .
e DISTANCE TO:
OTHER
PIPE MATERIALS ~ ~ll
SOILTESTRATING 'k ~ d F 2
F'ERMIT NO
· ~PPL I CANT
LOCRT I IZIN
LEGRL
DEPARTHENT OF HEALTH AND ENYZRONHENTRL F'ROTECTZOF,I
825 "L"' STREET., ANCHORAGE., PK. 9~501
264-4720
78083:6 :,
GEORGE MUIR
TRHFPER_ TRAIL
L~E_ F.:FI',,,'E N W 00 D
LOT SIZE
4'~560 SQUFIRE FEET
T","PE OF SOIL RBSCIRBTION SYSTEM IS: [:'RFIINFIEL[:,
Ml-h.,IMUiq NUMBER OF BEDRuuM_, - 4
SBIL RRTIF,IG ,.'.'St..-.] FT,-.E,R. -' "' ":' - 170
THE REQUIRED SIZE OF THE z, UIL HB_,uRFTIUN ---r.=-TErl IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD
THE DEPTH OF R TRENCH OR PI]' IS THE DISTBNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
T'HF T REf~C:t~ b~ I [:.TH I 55 ~]_ E~C4C~ F'EET'
THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFBLL PIPE
8ND THE BOTTOM OF THE EXCBVBTION (IN FEET)
~ ¢ ---' - ..... ~ F4 L L Ll~4;::,
PERMIT FIPF'LtC:FINT HRS THE RESPONSIBILITY TO INF'BRM THIS DEF'RETMEN-F [',URINL':i THIE
Ii',LTHLLRTION TNSF'ECTIONS OF FIN'T' HELL_-, FtDJFIC:ENT TO THIS PROPERTY P,I'.,IE:, THE
NLIMBER OF RESIDENCES THRT THE WELL WILL'-_.-,ER.E' ",-,'
BP, E:KFILLINO OF Rt',iT =,r.z, TEM WITHOLIT FINRL_ INSPECTION RN[:, RPPROVRL B",-' THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTIL]N.
qlNIMUM DISTBNCE BETWEEN R WELL AND RN'¢ ON-SITE SEWRGE DISF'C~SRI.. SYSTEM IS
~00 FEET FOR R PRIVRTE WEL. L.~ OR
L50 TO 200 FEET FRO~I R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIL: WELL.
DTHER REQUIREMENTS MR'¢ RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS BRE
:~VRILRE:LE TO INSURE PROPER INSTRLLBTION.
F"EF~:f-~ I T E>-.'P I RES [)E £'~Er-IE:E~-~: 2:-t.. d_97{F.:
[ CERTIF"r' THIZlT
L: I RM FRMILIRR WITH
:BRTH B"," 'THE MUNICIPSLITY OF FhNE:HORRGE
: I .'.WILL INSTRLL THE'="_,T'_TEi'lq IN 8CL-OR[:'RiqL. E" -' WITH THE 2GE'ES
: I LINF.?RSTFtND THRT THE ON-SITE/~EWER S'¢STEi"I MFI"r' RELqUIRE ENLRRGEMENT
ESI[:'ENCE IS REMODELE[:, TO INCLLI[:,E/MORE THFIF,I 4 BE[:,ROOi',1S. - '
THE REQUIREMENTS FOR ON-SITE SEWER'=; RND WELLS Rs SET
IF THE
','3. 2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH A~4D ENVIRONMENTAL PROTECTION
Pouch 1~6~. Anchorage, Alaska 99602 276-222~
SOILS LOG ~- PERCOLATION TEST
SLOPE
AT WHAT
PERCOLATION RATE ~ {mmuteshnch}
BETWEEN FT AND