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HomeMy WebLinkAboutCOTTONWOOD HEIGHTS BLK 1 LT 13' [ 051 MUNICIPALITY OF ANCHORAGE D£ ~TMENT OF HEALTH AND HUMAN SER ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~nm~O SEPTIC ABSORPTION LEGAL DESCRIPTION LOT LINE 70 ~ ~ ~ / t Co To oo 14Y FOUNDATION Township. Range. Section ~[~ [~ I ~ ~ ~ dnv.AS'BUILT DIAGRAM (Show Iocat,oe of well. septic system, property hnes. foundatiOn.way, water bo0ies, etc.) TANKS ~ SEPTIC ~ HOLDING TYPE OF SYSTEM .: TRENCH ~ BED ~ W. DRAIN ~ OTHER Depth to p,pe botto~ from Total depth from orig,nal grade n I 1,0 n Gravel depth beneath p~pe Fdl ad~gmal grade Gravel length .- Gravel ~dth ~ota, absorpt,o, area Distance between lines S0 ETI]pie material ~ FT 'N~mbe. of hnes So,, rat,ng j Date Installed WELLS / ~PRIVATE ~ OTHER (Identify) olass~icat,on (A,~,Q 7ota~ Depth ~ Cased to , , FTI FT !;. ; · Instalte~ Date Installed: ' :, ;' I REMARKS: Health Oepa.ment Approval~ ~ ~-- U / 72-013 (3/85) DEF'ARTMENT OF HEAL. TH AND I=.NVIRONI tEN I AL FI",O 825 I .... STREET, ANCHORAGE, Al< 9950t F:'EI:'"(M I T NO ." DATE IooLIED. APF'I.... I L, AI I1: A D D IR E S S: CONTACT PHONE: 86() 102 ()4128186 T'OM UHER BOX 770178 EAGLE RIVER, AK 688-2895 9957'7 MUNICIPALITY OF AI',ICFf©~,AGE DEPT. OF HEAL'rr-] ~, ENVIRONMENTAL PROI ECTION 1986 RECEIVED L. EGAL. DESCRIP: SUBDIVISION: COTTONWOOD HTS. LOT: 13 SECT ION: 2'.9 'I"OWNSH I P: 15N RANGE~, ,1. W LOT' S,I ZE: 54945 (SIT,). I::."1". OR ACRES) MAX BEDROOMS ~ 3 BLOCK: :l, I...isted below are 'Lhe opt. ions available t.o you J.l'] desicning your septic system. Choose the opt:i.c.,r~ 't'.hat best fi'Ls your site. DEI:::'T'H TO f'":'IPE BC)TTOM (F'I".) GRAVE. I_ DEPI"H (F"T'.) 'T'[YT'AL. DE:I:::'TH (FT,,) BR~VE:I .... ~ID'TH (FT.) GR~VEL I....ENGTH (F'T'.) GRAVEl .... VOL. UME (CU,, YDS. ) 'T'ANK SIZE (GALS) SOIL RATING (,":SQ. I::'T. /BR) 4. () 4.0 Zl.. 0 7.0 0.5 3.5 11.0 4.5 7.5 2.5 19.0 5.0 33.0 36.0 49 ,, () 2.3.0 25.4 36.3 1,000.0 ** 1,000.0 ** .1.,000.() ** 150 150 15() · x-.. 'I"ANK MUST HAVE AT I...EAS'I .... r'wo COMPAR'I"MENTS I certify that: 1. I am familiar wi'Lh 'Lhe r'equirement, s For on-site sewers and wells as se'L £orth by the Municipality o£ Anchopage (MOA) arid the State of' Alaska, 2. I will J. nstall the system in ac:cordance with all MOA codes and r'egula'Lior~s, and in compliance with tine design criter:ia of this perm:it. :3,, I will adhepe to alt I'10A and State of Alaska r'equir'emer~ts for' the set back distances f'r'em any ex'i. sting well:, wastewater disposal system or pLtbl:i.c sewerage system on this or arty adjacent oP nearby l~t,, 3 bedroc, ms and 4. I unders'Lanc~ tha'L 'Lhis permit is valid For a maximLtm of any enlargement will r'equir'e an addit:i, or~al permi'L. IF' A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, 'T'I-E!iN (1) AN EI_IEC]"RICAL I::'ERMIT AND INSPECTION MUST BE OB]"AINED; (2) AS...,'BUIL..'T'S WIL. I.. Iq()']" BE: AF-'PROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) THE EL. EC]"F~I[:;At... WORK MUS'T' BE DONE BY A L..ICENSED ELEC]"RICIAN, '.:.~ 1 b N I:: 1. D AF'F:'L I CANT': TC)M ,'DI~ER ]: SSUED' BY ~/~ .~-4_ DATE: C~' ' ..... PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:t, 1 2 3 4 5 6 7 '8 ~9 10 11 12 13 14 15 16 17 18 19 20 PERFORMED BY: · ~ 0'~ /,3' ~/Z~~ ,~.~Township, Range, Section: WAS GROUND WATER ENCOUNTERED? S It: YES, AT WHAT L DEPTH? O P E Depth to Water After Monitorino? Date: Reading Date Gross Net Depth to Net Time Time Water Drop -- (.m~nutes,.mch) PERC HOLE DIAMETER PERCOLATION RATE ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 72.008 (Rev, 4/85) TEST RUN BETWEEN __ FTAND __ FT DATE. PERFORMED FOR: LEGAL DESCRIPTION: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORM~ Township, Flange, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS p-- ?oo 1F SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? p E Depth to Waler After Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN __ __ {minutes/inch) PERC HOLE DIAMETER FT AND __ FT PERFORMED BY: C/'~(~' i¢,~(~ '~""t..¢,.,.--. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008(Rev. 4/85) QO~5 % ~C*~ -- 7T LEGEND: ~ Bra. CaP Monument {~ Iron Pipe · 5/8" x 30" Reber E:] Survey Hub & ) 3 , Block I hereby certify that I have, surveyed Lot Subdivision, Anchorage Recording Precinct, Alaska, and have replaced all lost Corners with §/8" x 30" rebar. It is the responsibility of the owner, prior to construction, to verify proposed building location on lot, grade, and utility connections, also to d~termine the existence of any covenants or restrictions which do not appear on the recorded plat. Dated at Anchorage, Alaska this day of ,19, CONSTRUCTING ENGINEERS, INC. 9601 Buddy Warner Dr. Anchorage, Ala8ka 346.2000 694.9098 \00 PLOT PLAN SCALE 1" :