HomeMy WebLinkAboutATLEE TR A
F'ERMIT NO.
I'"llJl'-.i I IZ: I .... F'IlI_. I 1-u'r' f-iF Ft J'-.lu:: b-"-'"uF~:FtC-iE
r:,EPflRTt,'IENT .... HEFILTH fiN[:, ENVIRONMENTAL . ,4:0TECT ION
25±6 E. TUDOR RD. ,, FtNE:HOF.:~GE., QK. 99'507
276-222±
C~ I"-.I -- E; I 1'" i 2~7 i-. I--I F_-- Fa: F" E; F~: i--1 I
,:: 7680'_~ ::,
F~F'PL I CaNT F Fi [:,O[:,6E
LOCRTIf]N OMRLLE'¢ RC,
LEI-~AL PaR 5 SEC t7" T-12N R3:W
LOT SIZE
;.-]: 44 - :i. 755
2 :i. 7 :.--.: 0 Ei ?.; L.-.! U R R E F' E E:-f'
T'¢F'E OF SOIL RE:SORE:TION S'¢STEM IS' TRENCH
MRX IMUM NUMBER OF E:E[:,ROOMS =
SOIL F.:RTINi3 (St.7! FT,.."E:R',= 240
THE F.:EC.~.UIRE[:, SIZE OF THE SOIL flE:SOF.:F'TION S'T'STEM IS'
[:. E F' T H = :1_ 2 L E I'-.I ,3 T H = 4 f3_'; ~3 F-': Ft '-.-' E L [> E-- F:' T' k-~ == :F_:
THE LENGTH [:, I MEN$ I ON IS THE LENGTH ,.';IN FEET;:, OF THE TRENCH OR [:,RFIINFiEL[:,.
THE DEPTH OF Fi TRENCH OR PIT IS THE [:,ISTFiNCE BETWEEN THE SURFFiCE OF THE
GROUND FIN[:, THE BOTTOM OF THE EXCFi',,,'FiTION (IN FEEl,).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRFi',,,'EL DEP'I-H IS THE MINIMUM [:,EF'TH OF GRR'v'EL E:E'I'~4EEN THE OUTFFIL. L F'T.F'E
aND THE BOTTOM OF THE E;:'::E:FiVRTION ,:.'IN FEET::,.
E:EL--:!I_i I F-."E[)
SEF'T I ~-Z:
'"l- l-I 0 ,:'..=_'-:' .':, I I%1S F' E '2: T I ,-'_ I'-.I '._:, R F-: E F-." E t----! iJ I F-: l----_ [:,
- '' '- - EPT'
E:RCKFILLING OF FiN'T' SYSTEM WITHOUT FINFiL INSF'EC'rION RN[:, HFFF._ ,HI. THIS
[.',EF'FiF.:TMENT WILL BE SUE:JECT TO PROSECUTION.
MINIblUM DISTANCE BETWEEN Fi WELL FiND RN'¢ ON-SITE SEWAGE DISF'OSFIL S"r'STEM IS
±OEI FEET FOR Fi PR I',,,'FITE WELL OR 2E~£~ FEET FOR R PUBLIE: WELL
SPECIFICFtTIONS FIND CONSTRUCTION DIFiGR. RMS fiRE R":'FtILRBLE TO IN'_=;IJF.:E PROPEF.:
I NSTFiLLRT I ON.
F' E I;~: I'1 I T '-.-' R L I [:' F El F: El 1'-.t E 'T" E R F-: F F-: El r'l I :----; :E; L! E
I CERTIF'I" THaT
· 1: I RM FaMILIaR WITH THE REE..!UIREMENTS FOR ON'-SITE SEWERS aN[:' blEI_LS RS SET
FORTH B'¢ THE MUNICIPALITY OF RNCHORRGE.
2: I WILL INSTALL THE SYSTEM IN FiCCOF.:DFiNCE WITH THE CODES.
]:: I UNDERSTAND THaT THE ON-SITE SEWER S'T'"STEM f'tR'T' RE(;!UIRE ENLflF.'.GEMENT IF THE
RES I[:'ENCE IS REMODELED TO INCLUDE MORE THFiN _~: BE[:'ROOMS.
October 3, 1977
f76809
F.A. Dodge
Box 6409
Anchorage, Alaska
99502
Subject ~ Permit Expiration
Dear F.A. Dodge
A permit issued by this department for well and/or on-site
sewer installation on TI~ R3W Seme_~, l~arcel 5 has
expired since the issue date exceeds one (1) year.
In tho event you still plan to install the well and/or
on-site sewer system, a new permit is required. The original
soil test may be used to obtain a current permit.
If the well has been drilled, a well log should be sent
to this department to document the installation date.
If you have any questions regarding the above matter, please
do not hesitate to contact this office ~ediately at 264-
4720.
Sincerely,
I~s N. Buchholz,
Sanitarian
U~B/lJh
6REA'"? ANCHORA6E AREA BORI~$H
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME r~.
LOCATION
MAILING ADDRESS
LEGAL DESCRIPTION
/'7
SEPTIC TANK:
DISTANCE
FROM WELL -~
INSIDE LENGTH
MANUFACTURER
NUMBER OF
MATERIAL-~'~'C..,/ L. IL~ 1'7,6~JZ<)COMPARTMENTS /
INSIDE WIDTH '-- LIQUID DEPTH ~ LIQUID CAPACITY. 7-~'"(.:~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER _ OR WIDTH__, LENGTH , DEPTH ~ ~
LINING MATERIAL c~/~.~''' CRIB SIZE: DIAMETER~Z~ DEPTH (~, DISTANCE FROM: WELL
BUILDING FOUNDATION ~'0 ~ NEAREST LOT LINE ~'~( t.t TOTAL EFFECTIVE
, ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE , ~/)~ / --.,/9 ~L ~)~,(
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION ~}g-~ ~,, l,~ _/~)~('-.
DEPTH .~. 5'- DISTANCE FROM:
NEAREST ,- NEAREST ~ SEPTIC ~ SEEPAGE
LOT LINE tE -/ SEWER LINE /~ z TANK '~ '* SYSTEM
, OTHER SOURCES
DISAPPROVED
DISTANCES:
INSTALLED BY: ~I/~.~L/) c~'~t Q.
PIPE MATERIAL:
LOT SLOPE:
REMARKS: "X-'i/ '~c%]-' ~.~,/~H~"i ~'F~3'iIO[.i
/
Form PW-026
DIAGRAM OF SYSTEM
IN
APPROVED ~E~{~~
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TL.~L'IDR ROAD F'OUCH
T [ L ~:.:P H O ~',a E
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
.A.E OF APPL'CANT.F
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
MAILING ADDRESS
DRAIN FIELD
,?
PERMIT NO..
OTHER
PHONE
NOTE: THIts PERMIT ItS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED ~'>z~..~. /' '~ /~'
PFRMTT VAI. TD 0NF YFAR
FINAL INSPEGTIONI ~4 HOUR NOTI~ REQUIRED. BACKFILLING OF ANY ~Y~EM WITHOUT FINAL IN~EGTION BY THE
HEALTH DEPARTMENT AUTHORI~ WILL BE ~UBJEGT TO PROSECUTION.
SEPTIC TANK SIZE
TypESteel or cnncreteSEEPAGE AREA size ~--a~,,~'ZC';, X ~" TYPE ~/~-{.Z ~",~ /~ ll,~,f~
MINIMUM DIBTANCE$. REQUIREMENTS
5 ft.
FOUNDAT,ON TO SEPT,C TANK
FOUNDATION TO SEEPAGE PIT 20 ft. DRAIN FIELD ]0 ft.
SEPTIC TANK TO SEEPAGE PIT WALL [5 fi,
SEPTIC TANK 5 ftc. , SEEPAGE PIT ~, DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD 10 ft.
/
SEEPAGE PiT /~'~ ~ ;'
ALSO CONSIDER AREA WELLS.
10 It, . SEEPAGE PIT 1~0 ft.
SEPTIC TANK, 25 ft.. SEEPAGE PIT 100 It,, DRAIN FIELD 50 ft. i TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPEs ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
;,0 S£E[R LIRE- lO
;ul-_~-! L:.r:
L
DIAGRAM OF SYSTEM
4' EA.C;T ]ROll SIPIIOH
- S.~PTIC PIP[ k, lltl AIRTIGHT CRIB
] M:}; ~ Cf, PS
..
A 1/' I ("' -.%%-- --1~ .... <"."
=-
t~,,., ~ % /' I:::.:Z:t
CAS~ IRO. I.'7; ;:.'.1- ....
. ~o [;.'VV
,Il NIRUr. ' II]~lMUfl < "':';.-
C I raquired ~dmnever line cresses {CRIB 4' ~]~I~UM ABOV[ WATER:
under ~r ~ve~'a~. 1ABLE)
cot~Sl{:~ AREA k'ELtS.
StCPAGE PJl EXCAVATION BASED 0N '%~:LL~
50IL T~sT.
HOUSE
CAST I ~Ofl~ ~qTsEPT1C .
,,n,r s' \ ......FDA.
SOIL .% / ~SEEPAGE PIT
20' ~lfllHUH
............. l I:E~Pf~T LOT [Iff[ ,
Grade: Z'.per 1C3'
or I/4" p rfoo: '
except 10' prec~din
tank &tha. should
not exceed 7~.
B' p~' 100 on flat
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ~REA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
GREATER ANCHORAGE AREA BOROUGM--,
DEPA~'"MENT OF ENVIRONMENTAL QUA' Y
3500 TUDOR ROAD
ANCHORAGE, ALASKA ggs02
CASE #
"Performed For P~rker E×cavatin~ Date Performed 9/45/72
Legal Description: Lot_ Block .... -SubdiviSion -
This Form Reports Soils Log × percolation Test
5 Acre Plot o£ Sec. 17, TS 12 N~ R 3W
Depth ss Plotted for F. A. Dodge
Feet
10.__
14_
Soil Characteristics
Brown Sand Silt Mix (ML)
Brown and Gray Silty Sand (SM)
w/poorly graded sand
seams below 4'
Was Ground Water Encountered?
If Yes, At What Depth?
No
Reading Date Gross Time
Net Time Depth to H20 Net Dro
N
e
Proposed Insta~ Seepage Pit × Drain Field
Depth Of Inlet
COMMENTS. Depth To Bottom Of Pit ~r Trench
' ~ ~i a e area~is re uired er bedroom '---
a a er 1 le Y: National Testin8
, Date:
~SIGNED BY [STAKED
CHECKED [CONSTRUCTED
SHEET
OF SHEETS
W.O. NO. ,
.J
HOFFidAN
ALASKA 8Y HEGKED., , DATE /' IHEl , ,, OF