HomeMy WebLinkAboutMCCABE WEST LT 4
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
I NEW
LEGAL DESCRIPTION
LOCATION
NO. OFBEDROOMS
Wel Absorption area t Dwelling
DISTANCE TO: ~/O O f "~ Material ~,
Manufacturer I/'~-''C::)- [/- ~.~ ..~
Liq. cap:~y~)~ons IF HOMEMADE: Insidelength . Width
PERMITNO'o~ ~-~)O30 ~)
of compartments
Liquid.depth
DISTANCI
Well
Dwelling
TNO.
Well
DISTANCE TO:
No. of lines~ of each line
Top of tile to finish grade _ 4-
Length
Foundation~ ~) Nearest Iot¢linel(~) PERMIT NO. ~
Trench width between Pines
Material beneath tile B ~-es ~=~] ~ 'ption area
Depth
diameter
DISTANCE TO:
Depth
DISTANCE TO: Building foundation
OTHER
Driller Distance to lot line
PIPE MATERIALS
SOl L TEST RATING
Sewer line Septic tank
INSTALLER
REMARKS
APPROVED
72-013 (Rev.~l/78)
DATE LEGAL
area
PERMIT NO. 0¢:* ..~ C) ,,.~ O
PERMIT NO.
8PPLICBNT
LOCBTION
LEGBL
[:EPRRTf'IENT C HERLTH RND ENvlRONflENTRL , .OTEC:TIOf~,~h,,_ ,,,t~/
~:o~ -* " ~ - F' ' '-~ / 'q~-' ~ ~ '
_,~._ L _TREET., MN_.HURHUE, RH: ....... ~1 cI .-~
STEVEN MINRTANI 18e2 CLEVELRND RYE. 56~.-64t6
LOT 4 MCCRBE SUB NEST
LOT SIZE 999999 SQURRE FEET
TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH
MRXIMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR)= ±70
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
[:.FF'TH-- ::L ;:' L F t'-.i,-~ T H -.-~ 2_~-': ;;' G t:~: ;'"~ "-.-' F L [:,EF'TH= E:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
iNSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPBRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVBTE HELL OR t50 TO 200 FEET FROM R PUBLIC NELL DEPENDING
UPON THE TYPE OF PUBLIC NELL.
MINIMUM DISTRNCE FROM R PRIVRTE NELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SENER LINE IS 75 FEET.
WELL LOGS RRE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 50 DRYS
OF THE NELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
I CERTIF'¢ THRT
t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3:,: I UNDERSTRN~, THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IE THE
.~.ESIDENCE,..-Z~_-__.-~MODELEE:, TO I I':.,IC:LUDE MORE THRN _: BEE:ROOML--,. ,r-'-.
RF'F'L I CRNT STEVEN MINRTRNI
I'.=]SUE[:, B' _ .... DRT __ /~ /(-~ ~ 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 ~,ITE PLAN
1
2
3
5
6
7
8
9
,1 0
11
13
17
18
2O
WAS GROUND WATER
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?..
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATiON RATE'~)~' 1~],~ ...~'~ (m.nu,es',nch) /70
TEST ~UN BETWEEN ~5 FT AND ~"~ FT
COMMENTS
]~OX ~.~1~9, STAR gO~'TE A ANCHORAGE, ALASKA 99502
SlX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED AT THE RATE OF ~'23' 00 PER FOOT. 5(~.~_6/~ 76
/Pc..5~e:~ /:;~ru:.~.~a~nX~ 7302 C~et~ed~d A~e, P ~ /~cA 995'0~
PROPERTY OWNER
LOCATION Of WELL SITE
WELL LOG:
Cvs.'>. ~ : .' 9 t: . t..b L L n T : ,"Z3. O0 p..e.;z. . ~¢ o o.t X 30 2:e e..t : ?,1840. O0
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~71~/~.0. O0
THANK YOU VERY MUCH.
BERNIE CLAUS OF rAMPART DrILLINg WORKS
DATE q~f~.e. 1~.¢:.h.~ '°°~ ' ~
SERVICE CHARGEOF 1~% PER MONTH WILL BE ASSESSED ON PAST DUEAGOOUNTS.