HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 2 LT 5
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
PHONE -~/F~57 'I;~f,~EW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Well ~ Absorption area / Dwellin~ PERMIT NO,
DISTANCE
TO:
~- ~ Manufacturer Materla] No, of compartments
Liq, capacity in gallons Insid~ length Width Liquid depth
~ ~ DISTANCE TO: Well r~/~welling PERMIT NO,
~--¢ Manufacturer//~ Mat"rial Liquid capacity in gallons
~ Well/t'~/~ .Foundation 40 /¢ Nearest]o,~i: ,, PERMIT NO.
~=~ ~ No. of lines / Length of eachr~oIh]e/ Total length~e~ Trench wi~ J._/~¢,//~ inches Distance between lines
~~ ~ Top of tile to finish grade ~ / Material beneath tile Totalef~t~
u~ Leng[h Width . , j Depth PERMITNO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
u~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ OlSTA~C~ TO: guildin~ foundation Semer line Septic tank Absorption
INSTALLEB
72-013 (Rev 78)
MUNICIPALITY OF ANCHORAGE
Department o~ '~ealth and Environmental F'~otection
825 L ~treet, Anchorage, AK. 9~ ~].
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit
, _WELL AND/OR ON-SITE SEWER PERMI'F~ 7
Applicant: ~.~.-1 ~/.~,~.._~ Mailing Address,/~ c~/
Location: ~//~ / ~/ Phone Number: _
Description: ~ ~-~Z /~/h~C~//~] LOt Size:
Legal
Type of Soil Absorption System Is:
/
Trench: / Drainfield: Seepage Bed: Holding
Tank:
Maximum Number of Bedrooms: ~-'~ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
LENGTH. ~'~'-'~3 ~RAVEL 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(HOLDING) TANK SIZE = ,//~/~YO. _ 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 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 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 31~ 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--~nstall the system in accordance with codes.
(3) I u~r~nd t~at the on-site sewer system may require enlargement if
t.~e r~i~"~nc~/is remodeled to include more that 3 bedrooms.
Signe~,,,'/~~///~/''' Issued by:
~plicant Date:
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTI:CTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED: ,~,'~¢K)? /2 / / ~ ~'~
LEGAL DESCRIPTION:
/ SLOPE
· "~' 'SITE PLAN
10
11
12
13-
14-
15-
16-
17
18
19-
2o-
COMMENTS ~ . //4 /
PERFORMED B'~
72-008 (6/79)
WAS GROUND WATER S
ENCOUNTERED? ~%~ OL
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE_
(minutes/inch)
rEST RUN BETWEEN FT/A~ID -- FT
.. "/ ?, /
./.