HomeMy WebLinkAboutMINK CREEK TR C
~ '~ 0 g~ E EA,.~INEERING ~ DEVELO~,~/1ENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 333-5240
Russell Oyster Earl Ellis
694-2774 333-5240
Civil Engineering Surveying
Soils 8 Foundations Land Development
GrouP, wa%er Encou. nL..Fe8: Yes -
Depth
feet
?~
Soil Classification
Area Calculations
Corem Jnts:
GREA iR ANCHORAGE AREA BOR"'IGH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'~/~- I~,~v J~,~le MAILING ADDRESS~'j~' r~o~ (~'-~ ~i~K PHONE
LOCATION J'~ ~;J~ ~' 6~ ~ LEGAL DESCRIPTION ~'~Z ~~1~ 'r~ ~J~ ~
SEPTIC TANK:
DISTANCE , NUMBER OF
FROM WELL MANUFACTURER ~ MATERIA~ ~ COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQU fD DEPTH
LIQUID CAPACITY ! ~,~~O GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION '~_.~I NEAREST LOT LINE
DISTANCE BETWEEN LINES TRENCH WIDTH ;~1~ IN.
SQ. FT. LENGTH OF EACH LINE ~' ~,i~d /0/~1
DEPTH OF FILTER
DEPTH:
TOTAL LENGTH
,OF LINES
TOTAL EFFECTIVE
TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ~.11 IN. ABOVE TILE
IN.
WELL:
TYPE '~J'~ I,~. i I1,,. ~. ~' J'~
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION J~l~, ~l't' DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE , SEWER LINE , TANK JZ~' SYSTEM
OTHER SOURCES
DISAPPROVED
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form PW~027
~ , MUNICIPALITY OF ANCHORAGE
~ ' , 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
MAI LIf~(~ A D D,~SS IE~NEW
[~UPGRADE
LOCATION
NO. OF ~ROOMS
Well Absorption area Dwelling PERMIT NO.
~ DISTANCE TO: ~ ~~
~ ~ Manufacturer
~ ~ Material No. of compartments
~ ~ Liq. capacity in gallons IF HOMEMADE: Inside length Width ' Liquid depth
~ ~ DISTANCE TO~ Well / ~welling PERMIT NO.
~ ~ ~ Manufact~
· -- ~ ~ ~aterial Liquid capacit~n~
u/~ DISTANCE TO: Well /0¢ ' Foundation ~ / Nearest lot lin~[~ / PERMIT NO.
~ No. oflin~ Length~% ~ ~ ~inche,
of each line Total length of ]i7} / Trench wid~
: ' ~ Distance
_ . betwe%%
~ ¢~ Top of tile ,o finish grade Material beneath tile effective abs~tn~rea
S /, ~nches Total
~ Length Width Depth PERMIT NO.
~ ~ Type of crib ~ diameter Crib dept.~ Total effective absorption area
~ ~ Well B~oundatfon Nearest lot line
~ E TO:
~ Class ' Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank 'Absorption area(s)
OTHER
PIPE ~TERIALS
SOIL TEST RATING : .
INSTALLER
R EMAR KS
" [:,EF'Fff~:TME~tT (,,/, HEALTH AND EN',,,'IRBNMENTRL.,'~ ;~:OTECTION
~; . 82.5 '"L'" STREET, RNC:HORRGE., FiK.
' ;. ~ 264-4728
PERMIT NO. ,' 5P'Z0542 ',
FtF'PLICRNT J BRENSTER MC CURRY BX 5'9S~ R CHLIGIRK
L. OCRT I ON S B I RCHI.,.IOOD
LEGAL BLM LT. &S~4. TR. C MINK CREEK S¢'D LOT SIZE 2E~888 S6!URRE FEET
TYPE OF SOIL RBSORF'TION zT.:,IEM IS INF
MR)<ZML~M NUMBER OF BEDROOMS = ~: SOIL RRTZN6
THE REtTAJIRED SIZE OF THE SOIL RBS;ORF'TION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH ,.'.'IN FEET> OF THE TRENCH OR DRR.TNFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DTSTRNCE BETNEEN THE SURFACE OF THE
GRC.tND AND THE BOTTOM OF'~T~CE,. E>(C'.~.'./RT~ON ,:'TN F. EET)..
,..~
THE aRH,EL DEF'TH IE; THE P.f~N.[r']ui'! E.,EF-TH uh ~3kH,,,EL BETNEEN. THE~U~PHLL PTPE
AND THE BOTTOM OF THE EXCRYRTION (tN FEET>.
E: E L-;F. L~ % F-: E [:, S; E: F' 'T :[ C: T' R f--~ ~':.'..' '-2-; ]: ;-':.~ ~-~: .... ::L C1 El E1 C.:i, .,.:~ L b. iS, 6'-.,~
PERMIT RPPLIC:RNT HRS THE RESPONSIBILITY 'Fi3 INFORM THIS DEPRRTMEN]" DURING THE
INSTALLATION INSPECTIONS OF' RNY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE I.,.IEL. L NILL SER',,,'E.
BACKFILL~ STSTEM NITHOUT FINAL INSPECTION AND RF'PRO',,,'RL EIY THIS
DEPARTMENT NILL. BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETI.qEEN A NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
· 1E~E~ FEET FOR A PRIYR. TE NELL OR ,150 TO 200 FEET FROM R PUBLIC NELL DEPEN. DING
UPON THE TYPE OF PUBLIC NELL
MINIMUM DISTRNCE FF.:OM A F'RIVRTE NELL "FO R F'RI',..,'ATE SEI,.IER LINE IS 25 FEET AND
TO R COMMUNITY SENER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY RPF'LY. SPEC!FICRTtONS AND CONSTRUCTION DIRGRRMS ARE
R",,'RILABLE TO INSURE PROPER INSTRLLATI ON.
I CERTIFY THAT
-I: I RM FAMILIAR .L4ITFI THE RE~;!UIREMENTS FOR ON-SITE SEWERS AND NEL. LS RS SET
FORTH BY THE MI_INI C:IF'FtLIT"r' OF ANCHORAGE.
.2: I NILL INSTALL THE SYSTEM IN RC:CORDRNCE NITH THE CODES.
]:: ! UNDER':';TAND THAT THE ON-SITE SENER SYSTEM MAY REL'r4UIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INC:LUDE MORE THAN ]: BE[:'ROOMS.
C,.,RR, .--
ISSU .D .............T E ._ ,._.-,
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
5
7
10.__
14
17
20-
COMMENTS
PERFORMED BY:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG
PERCOLATION
TEST
SLOPE SITE PLAN
WAS GRO .D WATER
ENCOUNTERED?
,F"ES. ATW.AT
Reading Date Gross Net Depth to Net
Time Time ~ Water Drop
PERCOLATION RATE
TEST R/UFJ BETWEEN
FT AND
(minutes/inch)
-- FT
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
'3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 27~-4561
Name Of APPliCaNT
I NSTALLAT~ON LOCATION
pERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS ~//~
COMPLETION DATE ANTICIPATED
Y
SEEPAGE PIT /~ , DRAIN FIELD , OTHER .
TO BE ~NSTALLEO B¥~
~TE: T~I~ ~E~MI~ !$ N~T VAL~ ~ITH~UT ~IL ~E$~
FINAL INSPECTION: 2/~ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SePTiC TANK ~t
FOUNDATION TO SEEPAGE PIt ~_~0 t
SEPTIC TANK TO SEEPAGE PIT WALL /:{
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN Field
SEEPAGE Pit
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANKi ~ SEEPAGE PIT
TO RIVER, LAKE. STREAM.
. DRAIN FIELD
,DRAIN fIELD
/
/
SEEPAGE PIT /(~O
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRI~ CROSSING GAP OF
EXCAVAT]0N 5 FEET INTO UNDISTURBED SOIL.
4~INCH DIAMETER.. CAST IRON SIPHO~N~ PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED With AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
SEEPAGE AREA SIZE / ,~ / .
~IAGRAM OF SYBYEM