HomeMy WebLinkAboutT12N R3W SEC 22 LT 10B
LEGAL DESCRIPTION
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONIVIEN'I'AL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION .,~,!
I
o ~ DISTANCE TO:
Liq. capa?~ ~g~bns
DISTANCE TO:
Manufacturer
DISTANCE TO:
No. of lines J~
PHONE ,~NEW
I F HOMEMADE: inside length
Well Dwelling
Material
Total len fl¢lin~[rs Tren%,~v~lt h inches
Top of tile to finish grade
Length
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
Building foundation
DISTANCE TO:
Material beneath tile
inches
Depth
No. of com~a~ments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Distance be~ines
Total effective
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot llne PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
SOl L TEST RATING
REMARKS
DATE LEGAL
NELL
PERMIT NO. ( ?98391 )
APPLICANT ROBERT G I ROLIX
LOCATION
LEGAL L10B GOV L::E1 S22 T::L2N R3W
TYPE OF SOIL RBSORB'rlON SYSTEM
MRXIMUM NUMBER OF BEDROOMS = 4
I C: .1: F.-IL ! TY' C~F FINC:HC .;~.'IF! G E
DEPFIRTMENT OF HEFILTH FIND ENVIRONi'"IENTAL PROTECTION
825 "L' STREET., RNCHORFIGE, AK. 995~Zlt
264-4728
C~f-l--':5 I TE SEI-4EF-"
IS: T~ EN_.H
LOT
FEET I
THE REQLIFEC =.I~.E OF THE :,LIL RBSORPTIO['~ SYSTEM
[:,EPTH= ::1_2 I__ EtqL.~TH= 48 GF]. F1S.'EL [:"EF'TP~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFFICE OF THE
GROUND AND THE BOTTOM OF THE E~CFIVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
¢ 'THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRL.L PIPE
' AND THE BOTTOM OF THE EXCAVATION (IN FEET).
PERMIT RPPLICRNT HAS TME RESPOi'.~SIBILITY -FO INFORM THIS DEPARTMENT [,LRING TIE
INSTFILLRTION IN=F EC. TION_ OF FtNY ~,ELLS AEI'RCENT TO THIS PROPERTY AND TME
N.MBER OF RESIDENCES THFtT THE WELL 14ILL _EF./E.
MINIMUM DISTFINCE BET~,~EEN R WELL AND ANY ON-SITE SEWAGE DISPOSFIL SYSTEM IS
iEIO FEET FOR FI PRIVATE WELL; OR
150 TO 2~.~0 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
NELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPFIRTMENT WITHIN ~0 DAb'S
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICFITIONS AN[) CONSTRUCTION DIAGRAMS FIRE
R'¢AILABLE TO INSURE PROPER INSTALLATION.
F"EF:r-1 I 'T E::<P I RES DEC:.Ef-IE:ER
I CERTIFY THRT
t: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPRLIT9 OF RNCHORFIGE.
2: I WILL INSTFILL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTFIND THRT ]'HE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
FIPPLICFINT ROBERT GIROUM
-.-... ,.,.,
i~..,IJE[~ E,Y .................. . ........
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6650, Anchorage, Alaska 99502 276-222'~
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED
3
5
6
7
8
lo
SLOPE
10-
11
13
WAS GROUND WATER
ENCOUNTERED?
14
15
16
17
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
g~oo . qo 9o 7~ q
90 0"{~ ~ £ ~. /~ t/~.. (minutes/inch)
PERCOLATION RATE
~ TEST RUN BETWEEN ~ FT AND ~ 0 FT ~
. - ~ ~ ,. // -- _
PERFO~EDBY: ~~ S-~~ CERTIFIED BY: 0 ~ ~ DATE:
72 006 (7/76)