HomeMy WebLinkAboutT12N R3W SEC 33 LT 118Permit
Applicant:
Location:
MUNICIPALITY OF ANCHORAGE
f Health and Environments4
Street, Anchorage, AK.
Department
825
264-4720
* * ~iHANDWRITTEN~ PERMIT ~ ~ ~
~ ON-SITE SEWER PERMIT
~' ~ ~ Mailing Address: ~¢;~! ~/~
Phone Number: ~- 3 ~
Protection ~OL
5Ol
Legal Description: ~/~ ~ SRe~3 2~7;~ Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: ¢/ Holding Tank:
Maximum Number of Bedrooms:
soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH ~.~' .
LENeTH ¢¢¢'¢¢ ~°¢
GRAVEL DEPTH .~ WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavationi(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
~ * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS ~ ~
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
~ ~ ~ TWO(2) INSPECTIONS ARE REQUIRED ~ ~ *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
· * * PERMIT EXPIRES DECEMBER 31, 1 9 8 B * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
to include more that 3 bedrooms.
th~resj%d,ence is remodeled
Date:
Signe~:
SWP/024(1/81)
"In the event that s llft station Is Installed an
electrical lpermit and inspection must be
obtained. As-builts cannot be approved un-
til the electrical inspection is received in this
office, Th~ electrical work must be per-
formed by a licensed electrician."
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION 'rEST
SOILS LOC'
d)L '-
1
3
13-
14-
15-
16
17
18
19
20
COMMENTS
SLOPE
PERFORMED BY:
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
s
O
P
E
IF YES, AT WHAT
DEPTH?
,,
Gross Net Depth to Net
Reading Date
Time Time Water Drop
72-008 (6/79)