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HomeMy WebLinkAboutT12N R3W SEC 35 PARCEL 18A MUNICIPALITY 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 . [~ UPGRADE MAI LING ADDRESS LOCATION ~ ~ Msnufactursr Material ~o. of compartments ~ ~ Eiq. capacitg in ~allons IF HOMfi~D~: Inside lenflth ~idth Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Materla] Liquid capacity in gallons ~ Foundation~f~/ Nearestlotline ~-/ PERMITNO.~¢ ~o. o* linos k~n~th of ach line ~ Total length es~7~ *ronch widt~ Distance between lines~ / Total effective absorption area Q ~ Top of tile to finish grade Length Width Depth PER~IT NO. ~ ~ Type of crib Crib diameter Crib depth Tota~ effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller ~istance to lot line PERMIT NO. ~ Building foundation ' Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: REMARKS Foot st ,? o/ W-o hv ,,x ' , , APPROVE~~~ DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO. ( 8~0±54 ) BPPLiCRNT PBUL MFICDONRLD LOCFITION LEGFIL T±2NR~W S~5 PBRCEL ~ C: i ..P,_.,RL ][ T'~-' i_iF Hl'-~ _-N~QRRuE E)EF'R~'.TMENT i' ",HEFILTH RN[:' EN',,,'IRONMENTRL IDTECTION 825 "L' STREET, RNCHORRGE., BK. 995E~1 264-4720 ~E~-~E~ PE~:~d Z T PO BOX &0t82 995i~ 345-±274 LOT SIZE 222222 SQURRE FEET TYPE OF SOIL FIBSORPTION SYSTEM IS: MFIXIMUM NUMBER OF BEDROOMS = ~ TRENCH SOIL RFITING (SQ FTc'DR)= ~22 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:,EF'TH-- ±± L Et'-~,] T t-~ = E:} i..]~ F.: R '-,,' E L [)EPTH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFFICE OF THE GROUND FIND THE BOTTOM OF THE EXCFIVFITION (IN FEET). THERE iS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE FIND THE BOTTOM OF THE EXCFIVRTION (IN FEET). PERMIT FIPPLICFINT HRS-] THE RESPONSIBILITY TO INFORM THIS DEPFIRTMENT DURING THE INSTRLLFITiON INSPECTIONS OF FINY WELLS FIDJRF:ENf TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES THi=IT THE WELL WILL SERVE. T~4~] (2) ~ ~-~SPEB]TZ~]i~'~. R RE ~E,Z~L~I ~:E[:, BFICKFILLING OF FINY S~STEM WITHOUT FINRL INSPECTION FIND RPPROVFIL BY THIS DEPFIRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DIS~FINCE BETWEEN B WELL FIND FINY ON-SITE SEWFIGE DISPOSFIL SYSTEM IS ±00 FEET FOR FI PRI'¢FITE WELL OR i50 TO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTFINCE FROM FI PRIVFITE WELL TO R PRI'¢FITE SEWER LINE IS 25 FEET FIND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MFIY FIPPLY. SPECIFICRTIONS FIND CONSTRUCTION DIFIGRRMS FIRE FI',,,'FIILFIBLE TO INSURE PROPER INSTFILLFITION. F'EF-:~"~ I;. T E;=-;:P I: F~:E'_=. [)E£:E~'~BEF-: ~=-i.. I CERTIFY THRT i: I BM FFIMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS.FIS SET FORTH BY THE MUNICIPFILITY OF RNCHORFIGE. 2: I WILL INSTRLL THE SYSTEM IN FICCORDFINCE WITH THE CODES. 3: I UNDERSTFIND THFIT THE ON-SITE SEWER SYSTEM MFIY REQUIRE ENLRRGEMENT IF TWE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. -,IbNE[.: __~ ......... MFFLILMNT FMUL MHuD~ - -:- . .... . ] · - I=,=,UE[ BY_2~ .... DR'rE__ '¢4. 8 ANQHORAGE. A~ASK/',99502 0650 (907) 264-4111 <Permit #: 820514 · January 31, 1983 TO: Permit Applicant Subject: T12N R3W Section 35 Parcel 1314 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance° If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720° Sincerel~ Robert C. Prattt R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERI"il T FiPF'L. i CF!HT LOE:F!Ti Cit.,! LE)]FIL Fq. . L. I"f~E:E:'EIN,~LE:' PO _i:~l-t::':', ..... '" .... ,~ FINCH - ~ ' . ..... hHE_.EL t:'.::±4 LOT ':'rz'E "["fF'E OF ':OIL FE:SORF'I"IOH '.:Tf:F, TE?I i$: "f'RE,~.~CH i"!F:~::'::tHUi"i N.J"IE:EF: OF BEDRr}OH:5 = ]: :::;'3]:L F.:RTi,~.~i] ,'S) F"I-/E~R)=: THE RE,LIRE[:' 'SIZE OF THE SOiL REE;CGtP'T']:O!',! S~'E~'! I:5: "FHE LEHGTH DIMENSION IS THE L. ENGTf4 (iN FEET) OF !'HE 'T'REi',ICH OR DRFtINF'IELD. THE DEPTH OF B TREHCH OR PIT' iS THE [:,iSTP]NCE BE"FHEE,~',I THE SURFI~CE OF THE GROUN[) FINE:, T'HE E:OTTOH OF "FHE E::.:',E:Ff,/F~TION ,::tN FEE:T). 'I'HERE I'_::.; h,!O SET HI!ii, TH FOR: TRENCHES. TF!E C4RFf,/EL E:,EPTH ~S TF!E HZNIHUH DEPTH OF' GRF!'¢EL BE"f'P.!EEh,t THE OLITFFILL PIPE RNC, THE E:OTTO!~"! OF 'T'HE E?,CFI',,,'FITD]N ,::iN FEET). HI.- _, THE RE'::F'OHS i D I L :[ 'I'Y 'T'n 'r I,,!l::ORf,1 TH I S [:,EF'Fif::Ti',EI'.,!T DUR I t'.,!~3 TF!E PERK:( T RPF'L ! E:Fi[.~T :': rF-rE:,: FIN[:' THE !NSTRLL. FtTZOH l[4:,["::.L.t !,...l~L. CID',. FI~']Y ,._~ ..... FtDJ'~CENT J",JU?EE{R OF' RE':Z}EF,JlE:E'~; THFIT 'T'HE HELL J,,.JZLL ........... FE':FE:k:FiLLi?,i!:i IF E?.4'f ':.','fb l~r"i H!THOU'F FINRL :[i,E;F'EC'f'I(.'ii',J R?.,ID RPF'RO',/FIL B'¢ -' 'r,"' DEPFiRTHENT H .I.' L! ....... ~. ,:; F 'rE' - T 1-n pE'F qF' Z ! IT Z ESL i'"ill'4i?llJH i}!L:E;TF-I?,!CE FJE'I"!,iEEN R ,HELL R;'.,IC, RN'¢ ON-SITE SEHF!GE DISF:'OSRL S'fSI'EM iS :LgE) FEET FOR FI PR!VF!'I"E HELL E)R iD~ TO 209 FEET FROI"! F:i F'UE,'L]:C HELl... E:,EF'ENE:,!NE~ UF'ON THE TYPE OF PLIBLiC HELL.. t"ili'.~iF!U?! DISTFdNC:E FROM ~-"~ f:'F:i',/Ff'f'E HEL.L 'FEi i::i F'R!VFiTEi SEHER L)?-,!E IS 25 FEET FINf) TO F! E:Oi','ti',!IJNITY SD,ER Lii:,iE ]]5 75 FEET'. OTHER RE{;iL!J[REHEhF['S I',lFt'f F!PPL.'f. SF'EC:)iF!E:FIT:[O!'-,IS: F:!i'.,t[;, E:Oi'.E;TRIJCTIOI'.,! [:,tFIGRF¢!S FIRE F.t'¢Fi Z i...P, BL.E TO i NE;URE PF.'OPER Z NSTI:ILL. FIT I ON. t CERTIFY TFIRT i: Z RI"1 FRHIL!RF..' HITH THE F:Eg!UIREHEHTS FOR O?4-'..'SITE SEHE:F:S RND !4ELLS RS SET FORTH B"r' THE f"tL!hl]:CiF'laLZ]"f OF' FiNE::HOF~RGE. 2: I H:[LL If'~STR[..L TFiE SYSTEH I~',! RC:CORDRNCE: !4ZTH THE CODES. ::: ! LlfqDERSTf~ND THRT THE OH'-'SZ'FE SEIqEER S'fSTEH HFIY REgLIIRE E~4LRRE~EMENT IF THE RESIDENCE IS REHODELEI} TO iNCLUDE HORE 'FHRf-~ :~: EE[)ROOhlS. /./ ¢¢/¢ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST OATE.ER.OR~ED: 5 °'P'5" ~2--- pf~EC©L iSIN ,S'e~bb~V'cJ Mer(dic~/ SLOPE SITE PLAN 10 12 15 17 18 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I 11;35 /o~ I, 9~ ~ 0,% PERCOLATION RATE '7 I ' '~ (~ (minutes/inch) FT AND 7 Y~' FT , 72-008 {6/79)