HomeMy WebLinkAboutT12N R3W SEC 33 LT 206
PERMIT
DEFRF..TMENT7, 'HEALTH AND EN',,.'IRONMENTRL . ~TECTION
025 "L'. STREET, ANCHORAGE., AK. 99bgi
264-4720
C,~-~--S I TE '_SE~-.~ER PE~:~'-I I T
( 8Z.':00G~ )
RPPL I CANT
LOCRT I ON
LEGAL
RK. [EFT. FISH & GRME ...-_._'. F..R=,FBERRT RD
F _ TTEF. MRR:,H
LAT 206 SWt/'4 :,Eu ..s.~ TZ2N R~W LOT :,I~E
344-054±
999999 SQUARE FEET
T'?'PE OF _.UIL ABSORPTION .~T=,TEM IS: PIT
.... -- '=' 'l~,~:j, :,OIL RATING
MRXIMIJM NLIMEER OF BE~E. uUM_, = · ~ '-
THE REQLIIRE[:, SI2E OF THE :,uIL RBSORPTION _~_TEil
(SQ FT/BR..', = '900
C"EF'TH= ! LE~'-~GTH= I ,-]R~-]"..-"EL [:"EF'TH= ~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF EACH SIDE FOR R SEEPAGE PIT.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCR'¢RTION (IN FEET).
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF' THE EXCAVATION (IN FEET).
RE_F_N_IBILITT TO INFORM THIS DEPRRTMENT DURING THE
F'ERMIT RPPLICRNT HRS THE ' ~, 'A:~ , " . .
IN:TMLLHTIuN INSPECTIONS OF RNV WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
~ .~
T[~,] ,.. 2 ::. I ~ISPECT I Oi%i_ RF."E F~'E ~--! Ll I F-:E C.
BACKFILLING OF RNV SVSTEM WITHOUT FINAL INSPECTION AND RPPREVRL B'¢ THIS
[:'EPRRTMENT WILL BE _~UBJEuT Ti] PROSEE:UT][ON.
MINIMUM DISTANCE BETWEEN R WELL AND RNV ON-SITE SEWAGE DISPOSAL SYSTEM IS
±00 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TVPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRV RPPL~. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
I CERTIFV THAT
±: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH 8~ THE MUNICIPRLIT~ OF ANCHORAGE.
2: I WILL INSTALL THE SVSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
S I GNED: ...................................... =-
RF'F'LI,]:RNT RI':::. DEPT. FISH & GRME-~,I/Io.~IoI-"
I=,_sUED I:,v £ATF .I_X ,-- 2g
V4. 0
~_~UNICIPALITY OF ANCHORAGE ~,,
Department/ '~ Health and Environmenta? ?rotection
Permit ~ ~Q~
Location:
Legal Description:
825 '~ Street, Anchorage, AK. ~9501
264-4720
~ ~ ~ HANDWRITTEN PERMIT ~ ~ ~
WE~kJ~----A'N~D-/OR ON-SITE~WER PERMIT
~+ '~C ~Mailing Address:~JA ,
Phone Number:
Type of Soil ~bsorption System Is:
Trench: ~ Drainfield: Seepage Be~: ~ Holding Tank
The Required Size of the Soil Absorption System Is:
DEPTH ~-- .LENGTH GN~DnE'P-TH 'WTDTH
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 excavation(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 SE~T~(HOLDING) TANK SIZE = ~ ~ GALLONS ~ ~
Per~it 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 g 2 * * *
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 b~-~oo/ns·
Signe~:
Ap~l~c ant I-t~ (UN,,.
SWP/024 (1/81)
Issued by:
Date:
POU~It 6 050
ANCttORAGE '~ / ' ~''
/ ,,~.~ ~,- 995()? 0650
(907) 26i 41~ !
<Permit ~: 820619
January 31, 1983
TO: Permit Applicant
Subject: T12N R3W Section 33 Lot 206
A permit issued by this department for
and/or on-site sewer system has expired as
1982.
an individual well
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 inspecqed 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. Pratt, ReS.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
of December 31,