HomeMy WebLinkAboutT15N R1W SEC 4 LT 28
\ 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
LEGAL DESCRIPTION
~W pT~ Absor,ti~ ~ Dwelllng ¢ ~
~ ~ Manufacturer
~. ~~ Materia~ ~ No. of compartments
~ ~ Liq. capacity ~ gallons Inside length Width Liquid depth
/~ IF HOMEMADE:
. ~ Well Dwelling PERMIT NO,
~Oz DISTANCE TO:
O ~ ~ Manufacturer Material Liquid capacity in gallons
O Well Foundation Nearest.~ol t line PERMIT NO.
=~ ~ DISTANCE TO:
~m~ "o, of lines Length of >h ~e Total length of lines Trench~t~ Distance betweW~e:
Z.
~ ~ ~ Top of tile to finish grade ' Material beneath tile
= h ~ 1~ inches
area
Length Width Depth PERMIT NO.~~
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Depth Driller Distance to lot line PERMIT NO,
DISTANCE TO: Buildin~ foundation Sewer line Septic tank Absorption area(s)
OTHER
P~PE MATERIALS ~~/'~
SOIL TEST RATING ~
~NSTALLER
APPROVED DATE LEGAL
113 {Rev. 3/7R)
PERMIT NO~
BPPLIC:~NT THOMBD D. MC GUINN
LOCBTION OBERG FIELD
LEGFIL T±SN R1W SECTION 4 LOT 28
F'O BOX FI-2 99567
LOT SIZE
TYPE OF SOIL FIBSORPTION SYSTEM IS: TRENCH
MRXIblUM NUMBER OF BEDROOMS = 4
SOIL RRTING (SQ FT?BR)= 85
THE RE]:!_IF.:E[, qlTF uF THE _,OIL HE,_,uF. FTION _,-r_,TEN
THE LENGTH DIMENSION IS THE LENGTH (~N FEET) OF "['HE TRENCH OR DRFIINFIELD.
THE DEPTH OF ~ TRENCH OR PIT IS THE DISTF~NCE BETWEEN THE SLIRFFICE OF THE
GROIJND RND THE BOTTOM OF THE E::.::CFIVBTION (:IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRFtVEL DEPTH IS THE MINIMUM DEPTFI OF GRFIMEL BETWEEN THE OUTFFtLL PIPE
FIND THE BOTTOM OF THE EXCFI',,,'FITION (IN FEE']').
F-:EC--.~LI I F-:E[:, :.---_.EI::'T Z C T'r41'-aK s I ZE= :-'L~Z:25~-']'~
PERMIT RPF'LICRNT NBS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTFILLFITION INSPECTIONS OF RNY WELLS F~DJRCENT TO THIS PROPERTY RND TNE
NUMBER OF RESIDENCE':; THRT THE WELL 14ILL SERVE.
T I~C~ (2)
BRCKFtLLtNG OF FINY SYSTEM WITHOUT FINFIL INSPECTION RND FIPPRO9RL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTFINCE BETWEEN R WELL AND FINY ON-SITE SEI.qFIGE DI'_-qPOSRL SYSTEM IS
±00 FEET FOR FI PRI',/RTE WELL OR t50 TO 200 FEET FROM B PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTFINCE FROM FI PRI',,,'FITE WELL TO FI PRIVBTE SEWER LINE IS 25 FEET FIND
TO R COMMUNITY SEWER LINE IS 7'5 FEET.
OTHER REQLIIR. EMENTS MR'9 RF'F'LY. _,FEuIFIuHTIUN_, FINE:, I..LINz.,TF..I_IE.T.u[t DIRGRRMS FiRE
R',,,'RIL. RBt_E TO INSURE PROPER INSTRLLRTION.
I CERTIFY THFIT
±: I FIM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS FIS :BET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCE:ORDRNCE WITH THE CODES.
3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE TH8N 4 BEDROOMS.
SIGNED: ...............................................
FIPPLIC~NT THOMFID D. MC GUINN
ISSUED 8~ ................................. DFITE ................ V4.0
~Tpe o~ Soll Absorption Sy~te~
' .:;t~ ~tt~ of th~ excavation(In fe~t). ~era is ~ set w%dt~
"~ REQU[R~ S~TIC(~[~) TANK SIZE - ~LLONS · · '-
De.it a~p~oamt has the ~es~ns~ilit~ to in~o~ th[~ 4epart~n~ du~%~g ~e .~
:.:.. ~illimg.of any system wit~t fiaal fns~tion an4 ~pcoval by thf~
~ a ~%vake ~Ll or 150 to 200 . · -- - at~-~r
a~Ll~le to in~r~ prOOf ~tallat~O~-
I ~-f~ilia~ with the r~ire~ts ~Oc on-~it~ se~rS and ~11~ a~;
s~ forth by t~ ~i~ality OE ~horag~.
swp/02 i (k/si)
~NICIPALITY OF ANCHORAGE
Department os Health and Environmental ~rctectlon
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT
~ °~!O~&~ WELL AND/OR. ON-SITE SEWER ~'ERMIT . ..
' '' dress:
Loc~tion: [~llf 2 I G/f~n ~ ' ~ '
Legat Description: ~,,~ ~ '~ /~J S, ~' C2P Lot Size:
Type of Soil Absorption System Is.:
Trench: Drainfield: ,~'
Maximum Number.of.Bedrooms: ~
The Required Size of
Seepage BedJ Holding Tank:
soil Rating(sq.ft/br) .
the Soil Absorption System Is:
DEPTH ('/'' LENGTH '~'~ GRAVEL DEPTH m ' WIDTH
The length dimension is the length(in feet) of ~he 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 SEPTIC(HOLDING) TANK SIZE = /~00 EALLONS
Permit applicant has the responsibility to inform this dep.artment during ~he
installation .inspections o.f any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSP=CTION ARE REQUIRED * * *
~ S
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 ~eet 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 ~o a community sewer line is 75 feet. Well. logs .are required
and-must be returned ~o this dep-artment-'~ithin 30 days Of the well completion.
Ot~er re'quirements may apply'. Specifications and construction .diagrams are
a~ailabl'e to insure proper installation.
~ * * PERMIT 'EXPIRES DECEMBER 31, 1 9 o 1
Z certify that:
I 'am familiar with the requirements for on-sit'e sewers and wells as
set forth by t~he Municip'al'ity 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
the residence~is remodeled to include more that 3 bedrooms.
Applicant
Date: ,~
SWP/024(1/81)
!
O & E EN(c,,NEERING & DEVELOrMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
SOIL LOG
Name: ./~/~ ""/~ ~/J/~" ~-)J
Mailing Address~-~ ~
Legal Description:
Earl Ellis
688-2280
Tel. No ~ ~~'
Depth (feet)
0__
1__
2__
3__
m
8__
9__
10
11__
Soil Characteristics
PLOT PLAN
12__
13__
PERC. TEST
14 __ ~;~
15__
16__
Ground Water Encountered:
Yes If yes, what depth ~-~
Proposed Installation: Seepage Pit Drain Field__
Comments:
Performed by.~~
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