HomeMy WebLinkAboutILIAMNA ACRES TR 10B
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 LStreet - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE ~
Jg~'5 ~OFt 5q5 16l~ ,~UPGRADE
~AILINGADDRESS
LEGAL DESCRIPTION
LOCATION , NO. OF DEDROOM8
~ No, of compartments
~ Mana facturer ~D cq ¢-,~ Material
Uq. copaciW in ~allons Inside length Width ~iquid depth
~5 () ~- IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~_~O ~ ~ Manufacturer MateriaJ Liquid capacity in gallons
~ Well Foundation G 2~ PE~MIT~O,
~ DISTANCE TO: j ~0 Nearest lot line
-.Z~-~ ~Z- o No. of lines ~ t.ength of each line ~)[~ Total length of [ine~ Trench width Distance between lin~s
b.~ ~ ~ of tile to finish ~-~-' ~ D'¢ ~/~ ¢ ~)inches
Total effective absorptioo~rea
~'~o grade ~..¢ ¢t ~ Material beneath tile /¢ inches
'~ Length Width Depth PERMIT NO,
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
¢ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
DATE LEGAL
72-013
Permit ~
Location: ~e~-/~n~¥,- S~-]~/-~'~J c/~'~-O-~ .
Legal Description: I[//~ ~f~
Type of Soil ~sorption System Is:
Trench: Drainfield:
Maximum N~ber of Bedrooms: ~
MUNICIPALITY OF ANCHORAGE ~ ~/, ~_3-__
Department f Health and Environments Protection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
~/OR ON-SITE SEWER PERMIT
Mailing Address: d~ b~O~f~G'-~'~
Phone Number:
Lot Size:
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br) ~
The Required size of the Soil Absorption System Is:'
DEPTH ? LENGTH /.~ 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 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(HOL-~YI-NG) TANK SIZE = [.-~O O 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 departmen·
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee'
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 1 9 8 3 * * *
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
~sidence is re~ed to include more that ~-bedrooms.
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMFNT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR: ~~~J~~j,~r~
LEGAL DESCRIPTION:
2
3
§
6
7
8
SLOPE
DATE PERFORMED: ~,J~qQs+
TrocZ
SITE PLAN
10
11
12
13
14
15-
16
17
WAS GROUND WATER
ENCOUNTERED7
IF YES, AT WHAT
DEPTH?
G~oss Net Depth to Net
Reading Date Time Time Water Drop
/
20
COMMENTS
PERCOLATION RATE
TEST RUN
72-008 (6/79}
CERTIFIED BY: ''
"AND
:h)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
@
4
7
8
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20-
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
PERCOLATION RATE
._~drrrm TEST RU..ETWEEN
72-OO8 (6/79)
CERTIFIED BY:
i
P
E
Net
Drop