HomeMy WebLinkAboutLot 15 '0,5'1
II J
WIUNICIPALITY 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
PHONE (~NEW
~- ~ ~ [] UPGRADE
MAI LING ~, ~
LEGAL DESCRIPTION
DISTANCE TO: I Well
I
Manufacturer /
ILiq. capacity in gallons I ' '^MEMADE
DISTANCE TO: ]Well
Manufacturer
' ] Well
I
. ~.. I D~
Top of tde to finish grade ~/
Length Width
Type of crib Crib diameter
DISTANCE TO: Well
]Class Depth
DISTANCE TO Building foundation
Abs~.r I~t i o n area
NO. OF BEDROOMS
PERMIT NO,
No. of cornpartments
Inside length Liquid depth
Dwe ng PERMIT NO.
Material Liquid capacity in gallons
Foundation~
Total
Material beneath tile
Nearest lot li~e
Trench width/!
3~'~ inches
/
inches
Depth
Distance between lines
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller ' Distance to lot line
Sewer line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
PERMIT NO~ ( ?"8061]~ )
RPPLICONT STEVEN 2'.IEGLER 4217 MT VIEW DR
LO[.':BTION PETERS CRK
LEGAL L±5 82 EFIRL R1'9¢ S,.'"D LOT SIZE
TYPE OF SOIL RBSORBTION S"r'STEM IS: TRENCH
MRXIMLIM NUMBER OF BEDROOMS = 2; SOIL RRTING (SO FT/BR)= 288
THE REQUIRED SIZE OF THE SOIL RBSORPTION S'¢STEM IS:
[:. i?. F- T' ~-I == :iL I~E', LEE ~'-.~ g--i'f' t-~ = ~"=_-'. :.1.. Ci f(: F~'..." ES L- g, E:£ F'"F U' '#==
~;EF'FIRTMENT OF HEFILTH AN[:, EN,,,IRONMENTRL FRO~,:CTION
825 '"L" STREET., RNCH~RFIGE., RK. 99501
264-4 ¢' 20
5E1000 SOUFIRE FEET
THE LENGTH DIMENSION IS THE LENGTH (IN FEET.'., OF THE TRENCH OR DRRINFIEL. D.
THE DEPTH OF Fi' TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFRC:E OF THE
GROUND FIND THE BOTTOM OF THE E?.',CFiVFITION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THF GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFRLL PIPE
FIND THE BOTTOM OF THE E,"..:,'CFiVFiTION (IN FEET).
PERMIT RPPL. ICRNT HRS TFIE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING 'THE
INSTFiLLFiTION INSPECTIONS OF:' 8N'¢ WELLS FiDJRCENT TO THIS PROPERTY RN[:, THE
NUMBER OF RESIDENCES THRT THE NELL WILL. SERVE.
BACKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION FIND APPROYRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM IS
iOO.FEET FOR R PRIVRTE WELL; OR
150 TO 208 FEET FROM R PUBLIC WELL DEPENDING UPON TNE T'¢PE OF PUBL. IC WELL..
WELL LOGS RRE REGUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN
OF THE WELL COMPLETION.
' ..... IONS RND F:F'~N'~TR ]]"~CIN [:,IFIGRRMS FIRE
r3THER REQLIIREMENTS MR'¢ RPPL'¢. mPE..IFIE:RT .....
RVRILRBt_E TO INSURE PROPER INSTRLLRTION.
i CERTIF"¢ TFIRT
1: I 8f'1 F'FIMILIFiR WITH THE REQUIREMENTS FOR ON-SI"rE SEWERS RN[:, WELLS FiS SE'['
FOF.:TH B"r' THE MUNICIPFiLIT"r' OF MNL. HUF..R.~E.
':,. T [,~'l'~ IN'=TRL[ ~HE 'g't"gTEM IN RCCORDFINCE WITH THE: CODES.
~;; ~ ~;[,][:~R~?'¢~IND ~T T~E-ON-SITE SEWER SVSTEM MFI¥ REQUIRE ENL. RRGEMEN]"
RESI[:'ENCE IS ~,ELED TO INCLU[:'E MORE THRN 2~ BEDROOMS.
ISSUED
IF ]"HE
\/.3:. 2:.'
GEO'I -- HNICALDEVEL(--'MENT
Box ~i'~, [)ay _s St , ~c~ ~:~ Fiiver, Ah~ska 99577
694 277~ or 688 2280
CO.
R,,zsse/! Oyst[er
694 2774
Soils E~'
Performed for:
Legal Description:
Earl ELq/s
,~0~ L LOG
Land
Mailing Address' z~ - / 7 ,'?~: J~6~t .... .~
~]]_.gha rac~eri st~c~
Ground ~ater Encountered: Yes
Proposed ~tatlation: Seepage Pit
wh~t depth .....
Drain Field~Y_~~'
Perfor~ned by: ........ ,-~ .....