HomeMy WebLinkAboutPROSPECT HEIGHTS #5 BLK 1 LT 8
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
NAME
MAILING ADDRESS ~'
LEGAL DESCRIPTION
LOCATION O~ ¢~U C% ~, NO' OF BEDROOMS ~
~ DISTANCE TO: JWe,l ] Absorption area Dwelling ~/ PERMIT NO.
~ ~ Manufacturer Material No. of compartments
~ h Liq. capacity in gallons
IF HOME.DE: Inside length Width Liquid depth
I ~ ~ DISTANCE TO: Well Dwelling
~ 2 PERMIT NO.
i ~ Manufacturer
: ~ Material Liquid capacity in gallons
Total length of lines~ Trench width ' ~ Distance between lines
~O- / ~OCmches
~ ~ Top of tile to finish grade ~ / Material beneath tile ~ ' ./ ~ /~3 -, Total effective absorption ~a
u Length Width Depth ' ' PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
DISTANCE TO: Well Building foundation Nearest Jot line
~ Class
~ ~¢~. Depth I~/ ~'"'e~¢~/4¢ Distance to lot ~Jne PERMIT NO. ~/~8~¢
Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING ) ~ / ~
INSTALLER
C~o~.~ ~s7, ~ ~o~ ~ ~
REMARKS
.... _
72-013 lRm¢.
L;~'2fi!iYl ' F?.(?.' I · Y N
r':d',E]l.h?) ;:¢d:~)IE, ¢'.,I.:::
PO b ~,..-t 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111 ~.~ O/.--' .C,' _.%
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit ¢: 840500
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 8 Block 1 Prospect Heights # 5 Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984 o
Permits are issued on a calendar year basis by autho=ity
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Keith E o Bandt, Supervisor
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
~'MWNICIPBLIT¥ OF BNCHb..,BGE
DEPRRTMENT OF HEBLTH RND ENVIRONMENTRL PROTECTION
- 825 L ~TREET, RNCHORRGE, RK' 9950i
264-4720
,--,P-4--~ ][ TE ------";E~-4EF." ._~:: &4ELL F"E F-." ~--1 I T
:'ERMIT NO:
)RTE ISSUED:
8,40500
~tF'F'~L I CFINT:
~IDDRESS:
::OI'-~T,.RC:T PH ]NE '
.EGRL [:,ESCRtP:
.OT SIZE:
iRX BE[:,R00MS:
CRSTROLYN CONSTR.
6±00 DOlL CIRCLE
RNCHORRGE, RK 99507
268-65t7
SUBDIVISION: PROSPECT HEIGHTS ~5
SECTION: t~ TOWNSHIP:
2.67R (SD. FT. OR RCRES)
5
LOT: 8 BLOCK: .1
RRNGE ' c'.': W
.ISTE[:, BELOW RRE THE OPTIONS RVRILRBLE TO "r!OU IN DESIGNING YOUR SEPTIC:
:;"¢STEM. CHOOSE THE OPTION THRT BEST FITS "r'OUR SITE.
'~; TRE[4C:H E:EB.
~EPTH TO PIPE BOTTOM (FT.) 4.0 4.0
~RRVEL DEPTH"(FT. ) 5.0 0.5
'0TRL DEPTHs(FT. ) ~.0 4.5
iRRVEL WIDTH (FT.) 2.5 18.0
~RRVEL LENGTH (FT.)
~RSVEL VOLLIME (CU~YDS~) 2~.9 24.0~
'RNK SIZE (GRL$) 1,500.0
;OIL RRTING (SQ. FT. dBR) 93 85.
:+::+: TRNK MUST HRVE RT LERST TWO 2:OMF'RF.'TMENTS
4.0
5:.0
7.0
5.0
50. 0
50. --<
· i., 500. 0 *.'+-'
CERTIFY THRT:
i. I RM FRMILIRR WITN THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS 'SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE (MOP) RND THE STRTE OF RLRSKR.
2, I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH RLL MOP CODES RND REGULRTIONS,
RND IN COMPLIRNCE WITH THE DESIGN.CRITERIR OF THIS PERMIT.
! WILL RDHERE TO RLL MOR RND STRTE OF RLRSKR REQUIREMENTS FOR THE SET BRCK
DiSTRNCES FROM RNY EXISTING WELL, WRSTEWRTER DISPOSRL SYSTEM OR PUBLIC
SEWERRGE SYSTEM ON THIS OR RN¥ RDJRCENT OR NERRBY LOT.
4. I UNDERSTRND THRT THIS PERMIT IS VRLID FOR R MRXIMUM OF 5 BEDROOMS RND
RNY ENLRRGEMENT WILL REQUIRE RN RDDITIONRL PERMIT.
F IR LiFT STRTILN I=, INSTRLLE[:, IN RN RRER C:OVERE[:, E:'",'I MOR BUIL[:,INI3 CODES,
HEN ,.'.'i) RN ELECTRtCRL PERMIT RN[:, IN-',PE_.TtLN MUST BE f]BTRINE[:,~ ,'2') R'--,-BIIILTS
ILL NOT E:E RPPRDVED WITHOL..IT RN ELECTF,'IC:RL INSF'ECTION REPDRT.; RND (--'-') THE
LECTRIC:RL. WORK MUST BE [:,ONE E:Y R LICENSED ELECTRICIRN.
I GNE[:, _~/~ [:,RTE:
F'PL I CRNT: C:RSTF.'.OLYN ]:FINSTF.'
SSUE[:, BY ' ~-'u~ ~ [:,RTE:
PERFORMED FOR:
LEGAL DESCRIPTION:
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18-
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MUNICIPALITY OF ANCHORAGE ~ . .:
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
826 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SLOPE
- +
WAS GROUND WATER
ENCOUNTER ED?
IF YES, AT WHAT
DEPTH?
[] PERCOLATION
TEST
DATE PE, RFORMED: ,,.~'~.1/~?
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE (minutes/inch}
CERTIFIED BY: