HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 3 LT 6015 '5o 7...,--01
~ MUNICIPALITY OF ANCHORAGE
,/,~,~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
t ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE ~ []NEW
MAILING ADDRESS
LEGAL. DESCRIPTION
~ Well ~ Absorption area Dwelling PERMIT NO,
LiB, capacit~in ~allons Inside length Width Liquid depth
~) O~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
No, of lines_ Length of each f ne Total length o Trench width :m~ lines
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter ~. Crib depth Total effective absorption area
m DISTANCE TO: Well ~[di~ Nearest lot line
~ Class Depth 'Driller Distance to lot line PERMIT NO,
~ ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
O T FI E R
72-013 (~v, 3/78)
t F L.[ ....
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hE,.....F..I I I _.11 S"r'STli!:M IS:
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'FHE L.JENGTH I:::,IMEf',f~;ION ].:!;; 'r'HE L. Er.,IGI'I~I ,::I1'.,I F'E!:E'r:) OF -I'HE 'T'?.E:NC:H O1:;?. [::,I:;i:F:IINF:'IIZL..[).
T'FII:E t?,E:I:::"I"H O1:::' F:I -I"i',::[.~:NC;..I CIF?. F'IT :1::i!; 'T'FIE E:,I:~i;TFII'qI:'::!E E',ETI-,.IE:EJ',I THE SUF?.F'FIC:E OF' 'T'HE
GROUND F:fF,I[:, 'THE E',OT'TOH OF' 'I"HE E;:-~X?F:IVFIT:[OIq ,:::[l'q FEE:T:).
TFIEI:R[!~: IS NO '_:.F,E'T HI[)TH FOR TREI'.,E:I. IES.
'T'HIE C. iF?.FI',,,'EL. DE::I:::'-FIq I:5 THE I','IIN]:MLIH D[}:F'I'H OF: GI'i:[::I',,,'EI.. BETHIEEI'.,I 'THE OI...ITI::'I::IL.I_ I:::'IF'E
FIN[) T'I.IF: BOI"'I"OM OF' THE [.}:::-::CFIVFITIOI'.,I (I1'.,I I:::'[!:[.::'1"::,.
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[. I.FI- F.TIII:.I tl [::,IJF~:IN": THE
TI.]I:!F, F'[a:Ol::'[~:ll:;i:"l'"r' I:::1¥',11:) '1"1'~11.~:
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MiNIHUM [::'I!i~;T'FII",IC:E BE:THE[F:I',I t:::l I.,IEZL.I... FII",I[) FIN'¢ OI",I-SZTE .'L':EHFIGE [:)ISPO:E;FII._ S'¢:'5'FEM :[:L:;
;:1..i;~11;i) [::fillET I::'()[;~: FI P!,%['v'FITE HELL.
UF:'ON 'rile T'./P[!: O1::' F'L.II'~:LIC NELL.
MINZMIJM [::, ]: '.i~;'I"I::II'.,IC[E I'::'F~'.OM I::1 F',q:):VI::ITE I.,J[:~LL TO I:::1 F:'I:~:I',,,'FITE :E;EHEI:,;: I_INE ]25 25 I::'E]!ii:'T l::ll'.,ll)
TO F:i COMHI.JI'qlT'.r' :i;EHE:I:;;: LII'..IE I~.:J '?5 F:[i~:ET.
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FIVI::I];LF:IE:L.E -['O ]:I'.,I::!;I...I[;~:E PRCIPE[(: II",I:5-FFII...LFI'['ION.
I i]:EF?.TIr::".¢ I'HFFI'
:1.: I FIM F::[::If"I:t:t....:[FII:::: I.,I:[TH THE: RIZ[;!U]:f;~:EMEiI",IT:B FOR OI",I-.SITE SEJ4E!:FL'.E; F:II'.,IE:, I,~t~i:I...L:E; F:lt[!i; SET
F'OF?.TH B"/ 'I"HE MUBIICIPFIL. I'I"'¢ ElF' FINC:HCIRI::IC'ilE.
;T::: I HII_L IN':'-]'['FII.J_. THE '.E;'f:"/TEM IN I::IC:C:O[;:DFINCE I4ITH THE COI:::,E:'~;.
]:: Z IJBI[)EF?.SI"FIN[) THFIT THE ON..'.:i!;I'I'E: :~';E'_'I,.I[.::F4'. '.!.:,'¢:E;TEM MF'I"r' I:;?.I!EC4t.I :[ [;?.E [ii:N[.F]Fi:G,~}JI'"IEI",IT' IF: THE
I';?.rztE;IE:,IZi',IC:E :['.!ii; F:'.E:MCff_')E:LE[:, TO INC:I_UDE MOF?.rz THFIN 4
Applicant:
Location:
Legal Description: L~,~ ~/~,~
Type of Soil Absorption System Is:
Trench: ~'-~Drainfield:
Maximum Number of Bedrooms: ~_
-/
MUNICIPALITY OF ANCHORAGE
Department f Health and Environmenta Protection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * * ,_L.,L~--O~
--~-l~g::;~ ON-SITE SEWER PERMIT
f~/~ ~C~S~/~/ Mailing Address:
Seepage Bed~ Holding Tank:
soil Rating(sq.ft/br) ~d~ /-~~_,
The RequJ. red Size of the Soil Absorption System Is:
DEPTH /~')! LENGTH ,,~¢P' 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(HOLDING) TANK SIZE = 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
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 $ 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
I will install the system in accordance with codes.
I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more tha~ 3 bedrooms/ _
ssue
(2)
(3)
Applicant
are
QGRE"TER ANCHORAGE AREA B0"'r"IUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
FROM WEL_L~MANUFACTURER MATERIAL c~/~'~' c' / COMPARTMENTS
- /O~
INSIDE LENGTH INSIDE WlD-rH -- , LIQUID DEPTH "~ LIQUID CAPACITY (') GALLONS.
SEEPAGE PIT:
NUMBER OF P,TS__I .. D,AMETER
BUILDING FOUNDATION ~O,
NEAREST LOT LINE
ADDITIONAL ABSORPTION
/ /
LENGTH DEPTH / ~¢' ~
-/J WFLLdO'*''" tlz.¢
DEPTH _ DISTANCE FROM:
TOTAL EFFECT,VE ~ ~/./
ABSORPTION AREA (WALL AREA) SQ. FT.
WELL: / .C~14,
BUILDING
FOUNDATION
CESSPOOL
APPROVED
__CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
._REMARKS
DEl)TH .. DISTANCE FROM:
SEPTIC SEEPAGE
TANN , SYSTEM
DISTANCES:
INSTALLE~) BY: '~//~?L/~/~/~ '
REMARKS:
Forr~ No, EQ-031
DIAGRAM OF SYSTEM
GREATER ANCHORAGE: AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PEP, Mrr
INSTALLATION Of: SEPTIC TANK
TYPE AND SI~E OF FACILITY TO BE SERVED
~ ~EEPAGE PIT. DRAIN FIELD
NOTE: THIS PERMIT IS NOT VALID WITHOUT 8OIL
~EPTIC TANK SIZE I 0OO s~¢L- _____ Type~;~" ~ (~)I~"~AGE AREA SIZE -- ---- Type
FOUNDATION TO SEPTIC 'rANK
FOUNDATION TO SEEPAGE PiT
DIAGRAM Of SYSTEI~I
DED6RIBED SySTEm '$]N ACCO"DANCE WITH SAID CODE' /~ ~1.
'ion: LOt :> Block. ...... ~ 'Subdivision SkZ l~ch Sub.