HomeMy WebLinkAboutJOHN WELLS BLK 3 LT 9B
DEPARTMENT OF HEALTH & ENVIRONMENTA!;. PROTEC}'ION
825 L Street- Anchorage, Alaska 9~501 Telephone 264-4720
ON-SITE SEWAGE I),SFOSAL SYSTEM AND/OR WF3,L ,NSPECTION REPORT
LEGAL DESCRIPTION
1 Absorption area [ Dwelling
I nside length
NO. OF BEDROOM~
IPERMITNO. / ~, ,
DISTANCE TO:
Well
Dwelling
Well
DISTANCE TO:
No. of lines/ Length of eac[
'Top of tile to finish grade.3 ~
Length Width
Foundation
Total leng(~
Depth
tile
Material Liquid capacity in gallons
/, PERMIT NO.
Trench width Distance between lines
_~'~ inches
~ ~- /'/inches Total effeTi o)1 area
PERMIT NO.
Type of crib Crib diameter
Well
DISTANCE TO:
Depth
Crib depth
Total effective absorption area
Building ecu ndation
Driller
Nearest lot line
Distance to lot Hne
PERMIT NO,
Absorption area(s)
Buildh~g foundation Sewer ~ine
DISTANCE TO:
Septic ~ank
OTH E R
SOl L TEST RATING /~ /
INSTALLER
DATE
LEGAL
72-013 (Rev, 3/78)
UNICIKALI~Y U~
Department ,~ ~ Health and Environmental rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
Applicant: ~ ._L~;~/~/~ Mailing Address:
Legal Description: LOT" ~ ~ ~-&3
Type of Soil Ab~sorption System Is:
Phone Number:
Trench: ~/ Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: C~> Soil Rating(sq.ft/br) I~O
The Required Size of the Soil Absorption System Is:
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a 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).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = O~}d~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling 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 a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enl~ar~gement if
the residence is remodeled to include more that 3 bedrooms. ~,.
SigneR: ~ ~/~- Issued by: ~/
Date: ': )~--' ~ -- ~"l
SWP/024(1/81)
MUNICIPALITY OF ANCt-IORAGE
't ,}~ 825 L. Street, Anchorage, Alaska 9950] 264-4720
~ SOILS LOG- PERCOLATION TEST
LEGAL DESCRIPTION: !..,. (:::-¥ :~;~ {'t ~':~ /'-~>~.9 .,.~"~> - .,
,SII[ PlAN
1
7
9
10
11
12
13
14
15
16
17
18
19
2O
PERFORMED
'{¥AS GROUND WATER
ENCOUNTERED?
PERCOLATION RAJ E ~s/inch)
TES'[ RUN BETWEEN
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