HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 1V LT 1ARabbit Creek
View & Heights
Block 1V
Lot 1A
#020-511-13
• \ MUNICIPALITY OF ANCHORAGE
• \
NAME
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
( i , o /�
.46 f/`_l, lam! A e., 2 .c]/ i'
PHONE j //rXNEIN
� 2S6/44
❑ UPGRADE
MAILING ADDRESS ,/�6
"
[f�4 e)PC /O /2,2,7/27
LEGAL ESCRIPTION t
`r"//ci
c��v fib.
LOC/
�,,1�
�Sf
4QAbbfrt"eN‘Lizie,
ON
IJ I 1 ✓t E .d ^ ni' E 019e-1--
19�`
N0. OF BED OMS
'I SEPTIC
TANK
DIISTAANJCEETO: 1 Wepirre 10a 1
DISTANCE
1/0
1 Absorption�rya�
Dwelling/0 (
PERMIW.66 36
Manufacturer /'1 �e"nr
'CJ
Lig1
MaterS�-- e,c
No. of compartments
J
canacit ia.c�l(-,Dons
t �J
IF HOMEMADE:
Inside length
Width
Liquid depth
6 Y
Z
DISTANCE T0:
Manufacturer
Well
Dwelling
PERMIT NO.
_
o
Material
Liquid capacity in gallons
TILE
DRAINFIELI
TRENCH
DISTANCE TO:
WP .- l °D
Foundation
l4 -
Nearest lot lin t
tO
PERMIT NO. /,�� a�-�/
`
No. of lines /
Top
Length f ch lice
Total len�Btt of lines
r Z-
Trench dth
inches
Distance etwee`n�lines
a%) A
of tile to finish grade
Length
Material beneath tile a,
�/ inches
Total effece Pbg�ption area
(.�
SEEPAGE
PIT
9
Type
Width
Depth
PERMIT NO.
of crib
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
...JClass
J
W
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
PIPE M TERIALS
SOIL TES
OTHER
TRATING 36
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1NSTALLE /^
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REMARKS
SAV
Pr"r"1-17 /& 7rrm-Lea
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APP ELOV ED
DATE LEGAL
72-013 ( q('mo14w"‘ 61 (1 9 !/( .�/J L 7
^ P1 Li r-d��������I��� ��� �P��XK�FA-11��
DEPARTMENT OF HEALTH AND ENVIRONMENTAL
^P .�^~ —\
r�',iML KU|�CTION
�� -��.��� . ��.�
825 'L/ STREET, HNCHORHGE/ AK 9951
--�`^�� /
264-4720 ' '�~/ c� "�
���� ���� ��������� ����� ���� `�J' ^ ''
PERMIT NO. ( 7905]6 ) �� « /��\��
APPLICANT JOHHNN HHMERSKI PO BOX 10~1227 349 8618
LOCATION CORNER JAMIE & CARL
LEGAL �_ RABBIT CRK VIEW LOT SIZE 76230 SQUARE FEET
+���/
TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
�������L= � ���������� ���� ��������� E)�F�����
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE �
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
ES: LET. ��:111: C.- 11-1 L',1 !Pc:: FF11VK11-7:11��
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTH!LHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
1- ID I 6%E'E4=qE "T. CD fS; FW.!EE: F.2!FF LJ E:E>
BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 ~ DAYS
OF THE WELL COMPLETIOM
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION!.
�EE P1 117 F.ES; E) LEAN ESIEE �'7"591
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
�ORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES
I: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMa
SSUED
PPiTCA@T
r
._D9TE
4
PERFORMED FOR:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-2221
SOILS LOG — PERCOLATION TEST
t>a
14 SOILS LOG
❑ PERCOLATION
TEST
DATE PERFORMED: /4 /1 1
LEGAL DESCRIPTION: L I) 0( 1 eAkc — \J.4/
SLOPE SITE PLAN
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
l�'
1
s
L
0
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
I
i
�
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE
TEST RUN BETWEEN
FT AND
(minutes/inch)
FT
PERFORMED BY:
CERTIFIED BY:
DATE: 1-