HomeMy WebLinkAboutSUE TAWN ESTATE #2 BLK 3 LT 10
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 18, 1995
John C. Herron
Holly A. Hobby
PO Box 670327
Chugiak, Alaska
99567
Subject: Lot 10 Block 3 Sue Tawn Estates Subdivision #2
Permit ~SW940294, PID ~051-511-36
The subject permit, issued August 16, 1994 by this office
single family well and/or on-site wastewater system, has
expired as of August 16, 1995.
for a
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sa~mr~rely' ~
On-site Services
enc:
Copy of Permit
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW940294
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:HERRON JOHN C &
OWNER ADDRESS:P.O. BOX 670327
CHUGIAK, AK 99567
DATE ISSUED: 8/16/94
EXPIRATION DATE: 8/16/95
PARCEL ID:05151136
LEGAL DESCRIPTION: SUETAWN ESTATE ~2 BLK
10
3 LT
LOT SIZE: 63020 (SQ. FT.)
~ER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 ~ 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISI~ /
ISSUED BY: ~-
IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER,
PRIOR TO CONSTRUCTION TO VERIFY PROPOSED BUILDING
GRADE RELATIVE TO FINISHED GRADE AND UTILITY
CONNECTIONS. AND TO.DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
NOTE:ELEVATIONS ARE ASSUMED DATUM.
PROPOSED CONSTRUCTION PLAN SEWARD & ASSOCIATRS LAND
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE SCALE:
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBIL TY OF THE
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB; · ~,'~ '.. LS~.6918 ..' ~'
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN,
ARY LINES.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Program
343-4744
SITE PLAN REOUIREMENTS FOR WELL PERMIT APPLICATIONS
Well permit applications must be accompanied by a readable,
accurately scaled site plan showing the location of the proposed
well.' While the site plan need not be prepared by an engineer
or land~s~rveyor, it should accurately show the following
/F. LO~-/ation of all property lines, rights-of-way and utility or
~..rainage easements.
~////Location of all structures and foundations. 3. Location of any buried fuel tanks.
4/~.Location of existing or proposed wastewater disposal
facilities (on-site or public sewer). If the protective
well radius of the proposed well extends beyond lot lines,
the location of any wastewater systems on adjacent lots must
also be shown.
/ Location of the proposed well and 100 foot protective
well
radius.
An example site plan is attached.
eriifiei) Drilling
by
OOC Co. dba
SULLIVAN WATER WELLS
OWNER OF LAND
ADD~ESS fl c,
LEGAL DESCRIPTION
P.O. BOX670272, CHUGIAK, ALASKA99567 · TELEPHONE688-2759
/
DEl'TH OF WELL /~--'~ J
' W
STATtC LEYELOF ATER F'F,
DRAW DOWN FT.
DATE - Started
PERMIT NUMBER
//co
~/,¢ ~ALS. PER"R / ~o ~
Ended
~ %C~4-\('~'~),°~ ~L/~/ -- KIND OF CASING 6 ~ ~
KIND OF FORMATION:
From O Ft. to~'~ Ft.
From ~ Ft. to g~ Ft.
From ~' Ft. to ~ ~ Ft.
From .~..~ rt. to4<} Ft.
Fmni Ft. to Ft.
From 4~r Ft.,o 4g F,.
From~CCF,.~o ~'~ F~.
From ~:~ Ft. to]~l Ft.
From t~ ~ Ft.,o
Ft.
From Ft. to Ft.
From Ft. to Ft.
From -- Ft. to Ft
From Ft. to Ft
From -- Ft. to Ft.
From __ Ft. to Ft.
From __ Ft. to__.Ft.
From .Ft. to Ft.
From Ft. to_~.Ft.
2 S~tP 1 b D95
From~Ft to .. '
From Ft. t* -~ HC~l~.h ~. Ch,man Services
From Ft. to Ft
From Ft. to. Ft
From Ft. to Ft.
From Ft. to Ft
From Ft. to Ft
From Ft. to Ft.
From__Ft. to Ft.
From Ft. to Ft.
MISCL. iNFORMATION:
RECEIVED
SEP 1 5 1995
rvtu.,c,.~aMy ui Anchorage
Dept. Health & Human Services
~ MUNICIPALITY OF ANCHORAGE
D~,~..~RTMENT OF HEALTH AND HUMAN SE~..J~ES
Environmenlal Health Division
' ' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
M'--/~ ~"'¢:=~"T1;Z'~""~'"~ ~ FRO~~ SEPTIC ADSORPTION
~d~ress TANK FIELD WELL
Phonels) PermU No. No of Bedrooms W~LL
~ - ~ l~ LOT LINE
LEGAL DESCRIPTION
~ ~ ~ FOUNDATION ~'~
AS-B UILT DIAGRAM (Show location of well, septic system, property hnes, ~oundahon,
TANKS N
~ SEPTIC ~ HOLDING
TYPE OF SYSTEM
CTRENCH ~ BED ~ W'DRAIN ~OTHER ~from ~'' ~.
original grade ~, ~ FT ~, ~ FT ~'~~ ~ ~
/
WELLS
~ PRIVATE ~ OTHER (Identifv)
~: ~=w~:r.3 ~ A~EA .,~.~'2';' cedily t~l I~pspection was pe~ all [~ ~ ~/ /~ ~ .- .,,'
Municipal and Slate ~i~ines i,Jl[ec[ p. this date: ~~ ~ --
' ./
72-013 (3/85)
PERMIT NO: B50633 /
DATE ISSUED,", 09/.];0/85
F:" EEl Fq:~ ["-11 Z
APPI_ I CANT.' JOHN HEF(RON
ADDRESS: P.O. BOX 670327
CHLJGIAK, Al< 99567
COI'4TACT PHONE: 6S8-4762
LEGAL DESCRIP: SUBDIVISION,". SUE FAWN 'EST qDD ~2 LOT: ]0
SECTiGN.' 11.5 TOWNSHIP: 15N RANGE'.' 1W
L_OT SIZE: 1.4lA (SQ F:'I". OR ACRES~
?lAX BEDROOMS: 2
E L 3C~ .... ~,
Listed below ape the c~p'L:Lons available to you in dE)sign].r]g septic
s'vs'Lem. Choose the optien, tha'l: t]est fits ye]ur si'Le.
DEr. F'TH r0 FiFEE EOT TOll (1,'.1 .) ..:,,,5 .~.~. 3.0 ~..~-
GRAVEL. DEF:'TH (FT.) O. 5 ].. 0
TOTAL DEF'TH (F:'T.) q.,,O 4.0
GI:~AVEL WIDTH (Is.T" ) 17.0 5,,(") ~
GRAVEL LENGTH (F'T.) 3.3. (') 65.0
bKAvEL VOL. UME (CLJ YD,=.) 2'.8 I8. 1
FANK oIZb. (GALS) 1,0()0.0 ~-.~ 1,00C.: ~
SOIL RATING (SQ.F'I'. /BR) .8.z, 183
~-~- DE;F'TH TO ::'IF'E BOTTOM ~'. ~,'~,, d'=' :rT. :~E3LIIRES INSUI_ATION.
.... ' ""' ,.~ 1 A] tON
~-~ DEF'TH I-0 :'IF'E: BOTTOFt ::: 4..0 FT. MAY REQUIr~E A LIFT r,'- '
m~ FANK MU,~I HAVE A'f L.EAST TWO COMPARTMENTS
cer'L i £y that'.'
I. I am Familzar with the r'equirements Fop on-site sewers and wells as set
forth by the Municipality oF Anchorage (MOA) and the State oF Alaska.
2. I will tnsta].l 'Lhe system in acc:)rdmqce ~,~itb all MOA codee and r'egula'Lic~ns:,
arid ].n compl:i, anc:se with the des~ign criteria o[ this permit.
3. I will adhere 'ko all MO~4 and State o~ Alasl<a requzrement, s ~or the set back
distances ;pom any existing well, wastewater disposal system of public
sewer'age system en t. his or any adjac:ent er' near, by ~ot.
4. I understand that this permit is valid For a max:Lmum o¢ 2 bedrooms arid
any enlargement will requzpe an additional permit.
IF A
]-HEN
WILL
ELECTRICAL
SIGNED
.qF'PL. I CAN T ~
1. S.~LIE. D BY
LIF'T .~IAFIL)N ]:s IIqSI"AL.[ED__ IN AN AREA COVERED BY MOP- BUlL. DING ..ODEo'=',
(1) AN E_E:CTRICAL F'ERMIT AND IIxlSPECTIOI~ MUST BE OBTAINED; (2) AS-BUII_.TS
NOT BE qPF:'ROVED WI'THOUT AN ELECTRICAl Il Ic~PE.C]].Ohx"' .... ' ' ' REPORI"; AND (3) THIE
WO~'::: IvlLIST BE ~OIqE BY A LICENE~ED ELE:CTF;:ICIAIxl.
,~.JN HE::RFROIq ~ ' .........
DEI='ARTMt~,, .~:: HIEAL. TH AND .ENV II:!!ONMEN~L PROTECTI ON
8,2~ L S'TREE]', ANCHORAGE, AK 99501
~64.-4
PERM I 'F NO: 8,J .. 6,. ,o
DATE ISSUED: 09/;~;0/85
APPLICANT: JOHN H ERF;.'O N %~ '
ADDRESS: F'.I3,, BOX 670.327
CI-,kJG I AK, AK 99,567
L, CN1ACT FHCqE. c)88 4.76,=
L.E.,~AL DE, oCF*,[t. ,~Ut. DI /ISIUN. oLIE. I~4WN E,~
SEC"FZON: ~.5 "FOWNSHIF'¢~lSN RA~E: 1W ~
LOT SIZE: · 1.zI. 1A (SQ.FT. OR ACRES) ~ ~ / -
l....i.,,ted bc.~?, al (~. tl",(~ c3ption~ ay, ~e 'LQ y~u in c~gn~g/your septic
DEF1H fO I--IFE EOFFOM (FF.)
GRAVEL BEF'TH (FT.) ~ 0.5 x 1~0
'TG-F~L DEF'T'H (F'T.) ~ ~ ~.0
GRAVEL W I DI"H (lZ']''. ) ~ 1~:.. 0 5.0
E'FiAVEL L. ENbFFH (F:'T.) ~ ~23.0 .3.3. C
-'- /' 9.2
(.RALEL VOLLJME (CU.YDS.)
1,000 .. 0
T'ANK GIZE (GAl..iS) .
SOIL RATINS (S~]~.FT. /BR) 83
~ DEFTH TO FyFE B(]TTOM '::: :]:,.[~' FT. REQLIIRES INSULAtiON
~ DEFTH TO--P~FE BO]"TOM < 4.~ F'T. MAY REQUIRE A~_IF'T'/' STATION
.~. ]"AlqK MUST H VE AT LEAST 0 COMF:'ARTMENTS /
1. I am familiar w~h 'f..he?~equitemerrL!-2/~cJr on-si{.e sev.;epE and wells as set
foPth by the Mun~ty of ~ncho~ge (MOA) and the State of' Alaska.
2. I will. instaiI tine .~;yst~m iF ac:cgfdance with ail MOA cod,.,s and I'egulations,
per'm:Lt.
and zn with the~e2.,i;~,n crite~ ia et this
3. t wi].], adhere to all MOA ¢~cl~tate-- ~' of Alaska requzrements fcir the sec bac:k
di.~tance., f~em any 6>,i.~t:i.r~E1].,' ~,ast~z~ater
....... disposal system on pub].ic
sewerage system on this eP any adjacent er neapby lc3{.
4. I Ltrlders'l:.and that this permit is valid For m maximum of I bedrooms and
Brly BF)].~]I"gEU~(]FI% t4i]] r6eqLtire an additJ, onal pePlDit.
[Fr r~: .IF'T =]ATICN :IS INS]-AI_I...ED IN AN AREA COVERED BY MOA BUILDING C£.~DI=.~,
c~-.
'['HEN (~.) AN IE:I_.E[:TRI[]AL F'ERMI]' AND INSF'ECTION MUST BE OB:1AINED; (2) A~) ~LI.III...]._
W]:L.L NOT BE APPROVED WITI-IOUT AN ELECTRICAL INSF'ECTION REF'ORT; AND (:3) THE
ELEE.]TI:~ICAL WORK IdLJST BE DONE ~ A LICENSED EL. EC-FRiCIAN.
AF:'F'L. ZCANT~ JOHN HERRON
I ,z,.z. UED E,~ -, .:. .......................................................
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG b PERCOLATION TEST
(ENGINEER'S SEAL)
DATE PERFOI
LEGAL DESCRIPTION: ~ tO
1
2
3
4
5
6
7
8
9
Township, Range,
~--/'~,J~ ~-~"r: '¢~- SLOPE
10
WASGROUND WATER
ENCOUNTERED7
11
12
13
14¸
15-
16-
17-
18-
19-
20-
PLAN
S
L
IF YES, AT WHAT O
DEPTH? p
E
Oeplh to Water After
Monitori~lD? Dale:
Gross Net Depth to Net
Reading Date
Time Time Water Drop
'!
PERCOLATION RATE I (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN FT AND FT
72-008 (Rev. 4/85)
PERMIT NO.
APPLICANT JOHN C HERRON
LOCATION
LEGAL Lt0 82 SUETAWN ~2
TYPE OF SOIL ABSORPTION SYSTEM IS:
LOT 'SIZE '999'~9'9 SQURRE FEET
i~.
TREN_.H
MAXIMUM NLMBER OF BE[.RuuM_, = _-< SOIL RATING (_~Q FT, EF .... 175
THE REQUIRED sIzE I_-IF THE SOIL HB_,ORFTIuN- "=' ' - _~.=,TEfl'q' '-IS:
DEPTH= 1 '------; LE[-~CiTH= Z:: ~_--I ~3 F-: R %," E L [:,EPTH--- L-~-
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 E×CAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
RND THE BOTTOM OF THE EXCAVRTION (IN FEET).
t:;~: E ~].,LI 'r RE[:. SEF"T ][ ,]: T F~f"-.i ~-::] S I: ZE= 10£10 ,SF'~L L C,~'-~JS
F'ERMIT RPF'LIC:RNT HR'-.-] THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DLIRING THE
INSTRLLRTION IN_FECTIuN.:, OF RNY WELLS RDJRCENT TO THIS FF._FERT¢ RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL _ER,,E.~ ",'
Tl---~,:, .:' -~.-: ::. Z t'.t_.F EL-T 'f ,_-i~'-.tS FiRE F~:EQLI
BRC:KFILLING OF ANY '--'"-- ', '-- ' -' - - ' ' 'A'.'- ,"
_,'r_,TEI1 WITHQUT FINRL IN_.FEuTIuN RND HFFR_,IfiL E.~ THIs
DEF'RRTMENT WILL BE _,UBJEL. T TO FRU=.EuUTIOI'L
MINIIdUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS
±00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
tdINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS RRE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F'EF-:i-.-I "ir T E.--.F :I F-:ES [:.EC:E~'-IBEF-: 2=:1..
I
±:
FORTH BY THE MUNICIPRLITY OF RNCHORAGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDBNCE WITH THE CODES.
~:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
SIGNE[:,:RESIDENC:!_~~ ~}" "~/~~---' IS REMOD~ED TC~ INC:LIjDE MORE THBN ...... ~ E:E[:,R?OMS. '
......... .................. .... v4. ,a
CERTIFY THRT
IRM FRMILIAR WITH THE REQUIREMENTS FOR ON-SITE'--'_,EWER_,, ":' RND HELL:,'- H--,-'- SET
i
POUCH 6
~:~,Z :~,--''~.3E z z:~,<A 99502 0650
(907 284 4!11
<Permit #: 821183
January 31, 1983
TO: Permit Applicant
Subject: Lot 10 Block 3 Suetawn Estates Subdivision #2
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have.them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
eric: Copy of Permit
SWP/057
~.~EL~-- AN[)
PERMIT NO. ( 82118~ )
APPLICANT JOHN C HERRON
LOCATION
LEGAL
E:,EPRETMEN~,~~HERLTH RNP EN',/Z RONMENTR~OTECT [ ON
~ ' 025 ~L" STREET., RNCHORRGE, RK. ~50~
264-4720
PO BOX ~27 CHUGIAK 99567 2?9-4908
B~LiO SUETANN ESTATES ~2 LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ~ SOIL RATING <SQ FT?BR)= ±?5
THE REQUIRED _,I-E OF THE _,uIL BBSORF'TION SYSTEM IS:
[)EF'TH= 13 LE~-IGTH= ---~2~ GRR%."EL [)EF'TH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH IR DRAINFIELD.
THE DEPTH OF B 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 ~M~EL BETNEEN THE OUTFAL'L PIPE
AND THE BOTTOM OF THE EMCAVRTION (IN FEET).
~:E~L! I RE[) _~.EF'T I m]: TR~'-~b:] '_--5 I ZE= -1 00~ ~]RLLC~'-~S
PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE NELL WILL SERVE.
Tl-~O ¢]21) I P~SF'ECTI~D[-&~~- ARE RE]Z~'LiI
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
±00 FEET FOR R PRIVATE NELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC NELL.
MINIMUM DIST8NCE FROM A PRIVATE WELL TO B PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED 8ND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'EF-:~'-I I T E;~(P I RES [)EF_:EMBEF-' 7~1.- :_1_.9:~: 2
I CERTIFY THAT
l: I BM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
MUNICIPALITY OF ANCHORAGE L~/'PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
825 L. Street, Anchorage. Alaska 99501 264-4'/20
SOILS LOG - PERCOLATION TEST
.... SLOI~E - SFTE PLAN
5
6
7~
8-
9-
10-
11
13-
14-
15-
16-
17
18-
19-
20
COMMENTS
72-008 (6/79)
WAS GROUND WATER /~O I~
ENCOUNTERED? O
P
E
IF YES. AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
g i~oq:~o I1:~ ~Z'~ ~Y~"
7 ~ t~¢/,'~ /s.'~ ~" /V~"
PERCOLATION RATE ) ~, ~ (minutes/inch)
ESTR N"ETWEE ¢ TAND