HomeMy WebLinkAboutT14N R1E SEC 33 Tract A SE 4 SE 4
~' -~ '1
' 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~
MAIL,NG ADDRESS
LOCATION
Well Absor tion
I D'STA=TO, j
~ ~t~c~) IF HOMEMADE:
DISTANCE TO: Well Dwelling
Manufacturer Well . / ~ F~nd~
DISTANCE TO: ~ /~ ~ I
j No. of line¥ j Leng~ch ¢~ J Total~ oCb~
I Top of ti'e to*4s*r'¢ ~.,// IMateri.' ben.arb ti'e
Width Liqu d depth
PERMIT NO.
Material
Neare~t~e/~
Trench ' th
inches
Liquid capacity in gallons
Total effective absorption area
Nearest lot line
Septic tank
Distance to lot line
QTHER
PIPE MATERIALS
REMARKS
3 (Rev. 3/78)
PERHIT NO.
DE'PFIRTP'IENT HEP~[..TH !::iND EN',/iRONHENTIaL ROTECT][ON
825 '"L" STREET., RNCHORRGE., RK. 99501
2e;4-472C~
RPPL i CRNT
LEGBL
RONRLD KF~RF'ENKO
TLI.4NR1E S. 3:2: 'TRR SE4SE4
SRB tg~F:; ER
E.R. 99577
L 0"1" SIZE
694-2L:)7S!
999D~9 ~.;(;:¢JF[RE FEET
T'¢F'E OF SOIL RBSORPT!ON SUSTEH IS: DR[~INFIELD
HFI;:.::II','ILIH NLiHBER OF' BEDROOMS
:E;OIL. RRTING <Sg[ FT,,"BF'.)= 150
THE REQUIRED SIZE OF' THE SOiL FIF_.~SORF'TION '_::'¢S]"EM iS:
'THE LENGTH DIMENS_T. ON IS THE LENGTH ,::IN FEET) OF' THE TRENCH, OR [:,RFiIP,IF:[EL.D.
THE DEF'TH OF FI TRENCH OR PIT IS THE D]:STFtNCE BETWEEN THE SURF'F. IC:E OF THE
Cff~:OUN[:, PIN[:` THE BOTTOM OF THE EXCF¢,,.-'FCrlON (If-,! FEET).
THE GRR',,,'EL DEPTH IS THE MINIMUH DEPTH ElF GRF. P,,'EL EfETt-qEEN "FHE OUTFRLL F':[F'E
RF,ID THE BOTTOM OF THE EXCRVR'TLrON ,::ZN FEET::,.
PERMIT RPPLICFiNT HI:iS ']"FIE: REBPO.NSIBZLZT¥ "FO IIqFORM THIS DEF'RRTMENT DURING THE
iNSTRLLFFFiON INSPECTIONS 01:: Ri'.,lU,' I,.!ELL2; RD.TRCENT 'TO THIS PROPERT'¢ RND THE
NUHBER OF RES![.',ENCErE; THRT THE HELL HILL SER',,,'E.
E:RCKFILLING OF F:!!",!Y ':'.;"r'STEI'4, H!THOUT F'ZNF~L. INSPEC:T!ON RNI} FIPF'RO',,,'RL 8"? THIS
DE'PFIR-FHEF,iT I,.!ZLL 8E SUE:JECT TO PROSECLITION.
MiI',!IMUM [:,ISTRNC:E BETHEEN Fi HELL FIND F.!N'¢ ON-SITE SEHFIGE DiSPOSR[... SYSTEM ZS
:~.8~ FEET FOR R PRZ'¢F~TE !,JELL OR ::[50 TO 2¢E~ FEET FROM R PLIBLZC HELL DEPEN[:,ZNG
UPON THE T'.?PE OF PUBLIC HEL.L.
H:~N!i',ILII','] DZSTRNCE FROId Fi PRZ~,,'~'!'E 14ELL TO R PRZVRTE SENER LINE IS 25 FEET
TO R C:OHh'iUNZTY SEHER LiNE IS 75 FEET.
OTHER RE6!UZF:EMEN-FS MW'r' RPPL'?'. SPECZFZCFITZONS FIND CONSTRUCTZON E:,ZF~GR~M2; RF'.E
t:]VRIL. REC_E ]'0 INSURE F'ROPEER iNSTlaLI._FITZCd'4.
I CERTIF'¢ "f'FIR'T
t: I F!i"'! FI::fi"IiLIF:iF,: HITH THE REQUIREMENTS [:"OR ON-SiTE SEHERS RND HELLS FIS SET
FORTH B'.¢ THE HUN!E::[PRLIT'¢ OF RNCHORRGE.
2: i i.4ZLL_ INS'FRLL THE S'¢S]"EM IN RC:CORC, RNCE 1.4ITH THE CODES:
3: I UNDERS'FFiND 'I'HFIT THE ON-SITE SEHER SYSTEM F"IR'T' RE*]:~UiRE ENLRRGEMENT ZF THE
RESIDENCE :[S REh'iODELEB, 1"0 INCI...UD, E h'!ORE THRN 3 BEDROOMS.
flF F'L ! CfiNT ROF,!~:, KF!RF'ENKO
MUNICIPALITY OF ANCHORAGE
[] PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
4
5
6
7
8
9-
10-
11
13-
14-
15-
16-
17-
18-
20-
COMMENTS
DATE PERFORMED:
SLOPE SITE PLAN
WAS GROUND WATER ~' SE
ENCOUNTERED?
o
P
DEPTH?IFYES'ATWHAT / t 1~ 1, E'
Gross Net Depth to Net
Reading Date Time Time Water Drop
/
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch)
I FT