HomeMy WebLinkAboutMCKINLEY HEIGHTS BLK 1 LT 3
~'"~ 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
[] UPGRADE
LOCATION
V~/ffll / Absorption are~'
DISTANCE TO: ,/V /,~ ~/'O --
Man ufactu~ ~ ~/-
DSTANCETO I --/ /, I
Manufacturer tV--J~ Near~ot t~Material
I I Wel~/ / Found~iop
I DISTANCE TO: ] ' ~ /~
I NO. of I~es I Lengt~ of.each ,i~ Total ~.gth oz I~ I Tr~dth~,
Top of til~ f~!s~grade ~ Material bene~t~ti~
~ Length Width Depth
Type of crib ~~ ~
Class ~ ~h , Driller
~ I ~~ Buildin~u~dation Sewer line Septic tank
Width
inches
inches
NO. OFBEDROOM,~
No. Qf con~rtments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Total effec~tiv~ absorption area
PERMIT NO.
Total effective absorption area
Distance to lot line
PERMIT NO.
Absorpt on area(s)
OTHER
PIPE MATERIALS
REMARKS
PERM I T 1'40.
MILII',,I I C: _I~.-~,'-;L I TY OF FtI'4C:~'-'~RFIGE
DEPARTMENT~.... HEALTH AND ENVIRONMENTAL ,-~.0TECTION
825 'L' =,TREET., RNC. HORAGE, AK. '~'t~10'.1.
le,4-4r
K]i"-~--?~ I TE SEI-,,..IER PERI',~ I T
( 8.-'1:t.~,.., )
APPLICANT
LOCRTION
LEGAL
JAY WILLIAMS
L~ Bi MCKINLEY HTS
BOX 42 UHU~dA~H 9~5~,,'
,-- 7
LOT _,I~E
688-_?.2[99
...... '~ II '
999999 _Q_ARE FEET
TYPE OF SOIL ABSORPTION SYSTEM I$: TRENCH
MAXIMUM NUMBER OF BEDROOM'~_ = -*~'
..~LIL RATING <SQ FT?BR>= t.-'._
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EPTH= 7 LEI'46TH= 47 GRR"."EL DEPTH= 4
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 BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF ~HE EXCAVATION <IN FEET>.
RED S~PT T ,'-: T.'--;I'-.IK S 1' Z~: :'1[.81t::J£-! t];]LLC, I'-.IS
PERMIT APPLICANT HAS THE RE_,FONSIBILIT~ 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.
T&40 (:>) I ~SPECTIONS ARE ~E8LIIRED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL E:E ~UBJE~.T TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 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 R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
...-~- .dL_q. 8~
PERI'-1 I T E.s=';,F- I RES DECEI"IBER ._:-::L..
I CERTIFY THAT
t: I RM 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 THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
V4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
, DEPTH?
SITE PLAN
~' C
~' I
f.rv) ~N Sc'~ ~k.
14
15
16
17
18
19
2O
No.
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~//~ (minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED a~[~ ~JV~, A~SKA '995~ CERTIFIE
72-008 (6/79)