HomeMy WebLinkAboutHOMESTEAD HILLS BLK 1 LT 9
. ~, MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 2114-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE ~6OG [~'~N EW
~ '~(~-~/~ _ ~-- ~ UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO, OF BEDROOMS
~~ Well Absorption ar~ Dwelling/~/ PERMIT NO,
~ ~ DISTANCE TO: I /0 --
~ Z Manufacturer __ Material = ~ No. of compartments
~ Liq. ca~¢gallonsl IF HOMEMADE: Inside length Width Liquid depth
~ ~ Well Dwelling PERMIT NO,
DISTANCE
TO:
O z < Manufacturer Material Liquid capacity in gallons
~ Well Foundation Nearest~ PER~T~O. --0
Length of e~ch lin~ I Total lengt~ of lines Trenc~idt~t Distanc~etween lines
~ -- ~ Top of tile to finish grade f Material beneath tile f Total area
~ q ¢ inches ,
Length ~ Width Depth PERMIT NO.
< ~ Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
m 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 I~ ~ ~ ~- ~--'
SOIL TEST RATING ~ ~
INSTALLER ~ ~
REMARKS
APPROVED DATE LEGAL
PERMI]" NO.
t::t F' P L I C: I::l N T
L 0 C: Fi T I 0 N
L.E(Z~iFIL.
CHRRLE:S NORTON
TRFtPL I NE
EEL F.IOMES;]"EFIE:, H I L.L.E: '.S,,."D
2] E O 'T]JL I I< [:,R
LO"r SIZE
25 :.~ EtE ':j f:.l. I::IF.'E FEE:]"
"["t'F'E Cfi:: "_SOIL I=IEv..'];ORE:T]:C~N S"r'ff;TEM IS: "rF..EI"'" ~r'_.FI
MI:IF~;Ih'IIJM NUMBER OF E:E[:,ROOMS .... 4 SOIL RFITING ,:::Si:..'.! F f,.'E,f ....... 25EI
THE: REQU]:RE[:, SiZE OF ]"HE' SOIL F~Ec:;f]RF'TIF~N .: r:,rE, tl IS
TI..~E L. ENGTH DIMENSION l":T:, ']'PIE LENGTH (IN FEE:]') OF ]"HE TRENCH OR DRRINFIEL. D.
THE DEPTFI OF R TRENCH OR PIT I~; THE DI'.::.']TFINCE BETI4EEN THE SURFF:ICE (]iF' THE
GROLIND RND THE BOTTOM OF THE EXCFI'v'FtTION (IN FEET).
THERE IS NO SET HIDTH FOR TRENC:HES.
'THE GRF~',,,'EL. DEPTH IS THE MINIMLIM DEPTH OF GRRVEL. BETHEEN THE OUTF:I:::ILL. P IF:'E
FIN[:, THE BOTTOM OF' THE EXCRVRTION ,.'.'IN FEET).
F' Ii.:,.' R M I ] ...... ' '" ......... " ..... t" '9 -
HFFLI..FINT HFr.Z THE F:E:,F_N=,]BILI TO INFORM TH:IS DEPRRTMENT I", F:ING THE
I N:STF~L. LFIT I ON I hlS;PEC:T I C NS; OF FIN"," P.IEL. LS RDJFICENT ]"O TH T :S PROPEI:;'T'9 I:::IND THE
I"4LMBEF' OF:' RE...IE[:.N..E: THFIT THE HEL. L HIL. L, zE.R,.E.
Mi'NIMUM [:,t:STRNCE BETHEEN R HELL RND FIN90I',t-LSITE SEFIRGE DISF'OSFtL :']!;'.r'S'TEM IS
±E~O F:'EE:T F'OR FI PRIVRTE: FIEL. L.~ OR
:1.50 TO 'Z.::OE~ FEET FROM FI PUBLIC HELL DEPENDING UF"ON THE TVF'E OF: PUE',LIC HELL.
OTHER REQUIREMENTS 1"1R'9 RPPL"r'. SPEC:IFICRTIONS FIN[:' C:ONS;TRLtCTION [)IFtGRRM':S FIRE
t:IMf:IZ L.RBL. E TO INSURE PROF'ER INSTF:ILLRTI ON.
I CEF.'.'T'I F'9 THFIT
1: I RM FRMIL. IRR HI]"H "FHE REQUIREMENTS FOR ON-SITE SEEHERS RND P.IEL. L:S RS :E;ET
FORTH B'9 THE MLINICIF'FILIT'9 OF RNCHORRGE.
2: I HIL. L INSTIRL. L. TFIE SYSTEM IN RCCOR[:,RNCE HITH THE CODES.
]:: I UNDERS;TRND THFIT THE ON-SITE SEHER SMSTEM MFCr' REQUIRE ENLRRGEMENT IF I-FIE
RES;IDENCE IS REMODELED TO INCLUDEE MORE THtRN 4 BEDROOMS.
M.D.G.
SOILS LOG
EN{,~INEERINb
"PERC. TEST
[] soils log
J~[ percolation test
performed for:
le~
I
2.
5-
6-
7-
8-
9
I0
II
12
15
15
16,
I
18'
19-
-- ZOo
ground water
depth
~ I~..?+~
read,nodate a.fime n.time d.fowater'net drop
20- perc: rote ,..~_.,:?v~r~)n./in.
performed by: ~.~/~ _ cerhfled b~~e~
T!