HomeMy WebLinkAboutMILE HI BLK 2 LT 6
NAME
'~,~,, MUNICIPALITY OF ANCHORAGE ,~,. ~'~--~"_/;~-'r-,~- ~"
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~.,z..~.;,,,)~_/__/.,/' ¢:~ ~.~ ·
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~__~'Z.- ~ '
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT -'/?~_~,~g.~Z ~-.
L ~.~ . PHONE ! [] NEW
LEGAL DESCRIPTION
LOCATION NO. OF B~I~OOMS
DISTANCE TO: IWell /~* / / ' Abs°rPii~;~r'~a
Manufacturer ~ ~0"-~_~
Inside length
Liq. c ~acity in gallons IF HOMEMADE:
Well
DISTANCE TO:
Dwelling
Manufacturer
DISTANCE TO:
No. of lines
IWe,, /'5 7
Length of each lin~,
Top of tile to finish grade .,~(~ //
Length
Width
of crib Crib diameter
Well
DISTANCE TO:
Class Depth
Building foundation
DISTANCE TO:
OTHER
P~PE MATERIALS
~',,¢~-¢- .//e~,,V/.
SOIL TEST RATING
Foundation/~ / *'
Total length of I~nes
Material beneath tile
Depth
· Crib depth
Building foundation
Driller
Sewer line
Dwelling /,~ /
Material
Width
Material
Neares~t~e ,
I Trench~¢ inches
inch es
Total effective absorption
Nearest lot line
Distance to lot line
Sept c tank
PERMIT NO. ,
No. of comp~ments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERJ~]IT NO. . /
Distance between lines
Total effective absorption area
PERMIT NO.
area
PERMIT NO.
Absorpt on area(s)
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/78) \
DATE LEGAL
PERMIT NO.
APPL I CFtNT
LOCAT I ON
LEGBL
DEP~RTMENT ~jHE~LTH ~D ENVIRONMENTAL ~OTECTION
825 ~L~ STREET, ANCHORBGE, AK. 99501
264-4?20
( ?80448 )
JAMES D. PRICE
PRICE DRIVE
LOT 6 BLOCK 2 MILE HI S?D
P.O. ~A"' 7 ER
LOT SIZE
4~_,6Bt~.: S':.qJBRE FEET
c i RBSORBTION =,~TEI'I IS: TF. EN..H
TYPE OF' _,CIL ~"~ ' ' P
¢.. =.~:~ FT./BR )=
MSXIMUM NUMBER OF 8E[:,RO01"IS = 4 SOIL RFITIHG
~-,I~.E OF THE ..,OIL RBSORF'TION SYSTEM TS:
THE REL-]LIIR. ED ~ ~'
~ LEr-IGTH= --
[:,EPTH= ~
- OR DRRINFIELD.
THE LEN.~TH DIMENSION IS THE LENGTH ,.IN FEET) OF THE TRENCH
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE =,URF~L:E OF THE
GROUND ~ND THE BOTTOM OP THE EXC~VRTtON (IN FEET).
,' NO SET WIDTH FOR TRENCHES.
THERE IS
THE 6RR'./EL DEPTH IS THE MINIMOM DEPTH OF 6RRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E~,C~.RTION (IN FEET).
~:EI]~lJ I RED SEPT I
PERMIT I~PPLICFINT HFtS THE RESPONSIBILIT°¢ TO INFORM THIS DEPBRTMENT DURING THE
iNSTi=tLLRTION INSPECTIONS OF 8NY WELLS 8DJ8CENT TO THIS PROPERTY RN[:, THE
NUMBER OF RESIDENCES THFIT THE WELL WILL SERVE.
BBCKFILL. ING OF FINM SMSTEM WITHOUT FINFIL INSPECTION 8ND 8PPROVFIL 8Y THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTFINCE BETWEEN 8 WELL FIND FtNY ON-SITE SEWBGE DISPOSBL SYSTEM IS
i00 FEET FOR A PRIVHTE WELL; UR
· :~ 200 FEET FROM FI pI.IBLI_. WELL DEPENDING UF'ON THE T'.CF'E OF PIIBLIC WELL.
i~,E TO ' r: -
OTHER REQUIREMENTS MR¥ RF'PL'¢, SPECIFICRTIONS RND CONSTRUCTION [,IRGF.'.RMS 8RE
RVRILRE:LE TO INSURE PROPER INSTRLLRTION.
F'ER£1 I 'I- E:~F' I P. ES
I CERTIFY 'rHRT
I: I RM FFtMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SE]'
FORTH BY THE MUNICIPFILITY OF RNCHORRGE.
2: I WILL INSTflLL THE ......... IN FtCCORE:,RNCE WITH THE L:ODE=,.
'"', '.$ , REQUIRE Ef.,ILRRGEf'IENT IF' THE
Z-:: I UNDERSTFIf'tD 'I'HFIT THE ON-SITE SEWER =,"¢_TEM MFIY
RESIDEf'IEE IS...4~Ef'IODELED TO INCLUDE MOF-~ THRN 4- BEDR. OOMS.
- / .I;ICF'LICFINT J'FtMES D. PEICE
08-E
Russell Oyster
694-2774
Soils E~ Foundations
Performed for: Name:
GEO .;-CHNICAL Er DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Mailing Address:
Legal Description:
Depth (feet)
Earl Ellis
688-2280
Land Development
Soil Characteristics
2
5
6
?
~ 8
9,
lO
ll
12
14
15
16
Ground Water Encountered: Yes ~ No If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments: ~~'-- ~;~-~ ~ ~ ~-~ ~-~~
Performed by: ~~~ C/~¢,~F;~'-~