HomeMy WebLinkAboutT13N R4W SEC 36 SE4 NE4 NW4
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
NAME PHONE ~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
NO. OF BEDROOMS
~ ~ Manufacturer Material ( No. of compartments~
~ Liq. capacity in gallons Inside length Width Liquid depth
I,~ ~{9 IF HOME'DE: ~ ~
~ ~ ~ DISTANCE TO: Well Dwelling PERMIT
/ Well~ Foundation Nearest lot line ~ PERMIT NO.
Length of each J' e
Total length of lines
~Z~m ~ ~ No.o~nes, ~ t , ~I t ~ ~ TrenyhwJdth~ ~ Distance between line~,
~ Top of tile to finish grade ~ Material b~neat~tile ~ Total effective abs rption area
Length Width Depth PERMIT NO,
~ ~ Type/of~i~ ( Crib diameter / ~ / ~e
~ ~ /DISTANCE TO: Well/ Building foundation Nearest lot line
~ Class ~,.~,~ Depth Driller Distance to lot line PERMIT NO.
m Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
8OI L TEST RATI N6
INSTALLER
REMARKS
e ~ [ lC ~Td .,~.
j0i;>
aPPLICANT
LOCATION
LEGAL
PERMIT NO.
JOMAX CONST & ENG CO. 2204 CLEVELAND
WEST 48TH
SEi/4 NWl/4 NWl?4 S~.Ti~N R4W LOT SIZE
DEPARTMENT OF HEALTH aND ENVIRONMENTAL PROTECTIO~ 825 'L' STREET, ,,8NCHORAOE, AK. 99501
ON--SITE SEWEE: PERM
79B2<~9 )
95790 SQURRE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: DRRINFIELD
MRXIMUM NUMBER OF BEDROOMS = -~ SOIL RRTING (SD FT/BR)= t50
THE REQUIRED SIZE OF THE SOIL RBSORPTION"~-~"I IS:
r:.EPTH: 6 LE~{,3TH='- ~-~ ~RR'~'EL g. EPTH: 2
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE 80TTOM OF THE EXCAVATION (IN FEET).
-FH.~E TREr~ICH I.~J I [~,,TH I S 4. 888 F~--~T
THE DRAVEL DEPTH I5 THE ,MINIMUM DEPTH OF GRAVEL BETWEEN T~L.L PIPE
RND THE BOTTOM OF THE ED~,CAVATION (IN FEET). ~q[~~~~
~:EE~LIlREE~ ~qEPTIC TA~K SIZE: ~~ GRL_LC,;-~S
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.
TWC~ (2) I NSPEC:TI C,P~S REdE REE~IJ IRE[)
BACKFILLING OF RNY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL~ OR
150 TO ~00 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MaY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
aVaILABLE TO INSURE PROPER INSTALLATION.
F'ER~'~ I -F E×P I RES DECEI'~BER 27.-_t.. :1_'_:=).79
I CERTIFY THAT
±: I AM FAMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF aNCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UMDERSTaN[KTHAT THE ON-~ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENC~IS R~OD~I_ED TO IN~.LUDE MORE THAN ~ 8EDR. OOMS.
A~LIC:~ - F' 0~' . ' ::%
ISSUED B~ .......... DATE__ ',,,'~. 2
CONSTRUCTION TEST
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
Perfomned for JOMAX CONSTRUCTION AND ENGINEERING
Legal Description: Lot 'Block
This Fomn reports: SOILS TEST Yes
ADL 02846, Parcel C, SE 1/4,
Depth Soil Characteristics
Feet
20'
Date Performed
Subdivision
PERCOLATION TEST
NW 1/4, Sec. 36T13N R4W. S.M.
6/11/79
Brown Gra.v.elly Silt
%rown Sand with Occasional Gravel
Gray Sand
Bot'tom Test Hole
Was Ground Water Encountered Yes
If YES, What depth? 10'
Reading Date i Gross TJ~ne Net TLme Depth to H20 Net Drainage
Percolation Rate Minute
Proposed Installation: SEEPAGE PIT DRAIN FIELD
Depth of Inlet Depth to Bottom of Pit or Trench
CO~4ENTS: 150-sq. ft. Drainage Area Required per Bedroom.
from minus 2' to 10'.
Test Performed by
~avi~ ~aul~
Data Certified By: CONSTPJJCTION TEST LAB
Date : 6/28/79
4~
DT1002415