HomeMy WebLinkAboutSUN VALLEY 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
NAME lPHONE [ ~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
~OCATION / NO, OF BEDROOMS
~ Manufacturer · Material - No, of compartments
~ Length Width Depth PEHMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ D~STANC6 TO W.U -~~ ~~-
~ Class Depth Driller Distanc~ Jot line /P~R~--
~ DISTANCE TO Building foundation Sewer line Septic tank Absorption re'aa(s)
OTHER
SOl L TEST RATING
REMARKS
('o,, h-,,
Q' of roll.
72-013 (Rev, 3/78)
DATE
LEGAL
PER~II T NO.
DEPFIRTMENT HEFIL. TH FIND ENVIRONMENTFIL .~:OTECTION
825 "L" STREEET., RNCHORRGE, RI(. ~950:t
264-4728
FIF'PLICFINT
LOCRTION
LEGRL
ED BERNRRD
LOT 5 BLK 2 SUN VRLI_E~'
1606
KEPNER DRIVE
LOT' SIZE
45560 SQURRE FEET
TYPE OF SOIL FIBSORPTION SYSTEM IS: TRENCH
MR~',;IMUM NLIMBER OF BEDROOMS
SOIl_ RRTING (SQ FTZBR)= ~:00
THE REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
[:) E F" -F H = '-~- IL.. E I'-~J ~3 T' k-# = ~L. ~-_-I E: ~]ii F~ R k.' IF_: [_ [) F] F' -r H == -'!-~;
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR [:,RFIINFIELD.
]'HE DEPTH OF FI TRENCH OR PIT' I~ ]'FIE DISTRNCE BETWEEN THE SLIRFRCE OF' THE
EiROUND RND THE BOTTOM OF THE E~-~CRVFtTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS ]'HE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTT'OM OF' THE EXCRVRTION ,.'.IN FEET).
RE~;!LI I: RE[:, '~,EPT IC]: 'T"I'--II~K L~-'; I ZEE== ~_ ~-Z~C-_~lEl N3¢~L. LBZ~N'-~;
PERMIT RPPLICFINT HRS THE RESPONSIE~ILIT'T' 'FO INFORM THIS DEF'RRTMENT DURING ]'HE
INS'I"RLLRTION INSPECTIONS OF FINer' WELLS FIDJRCENT TO THIS PROPERT"r' FIND THE
NLIMBER OF' RESIDENCES THF"IT THE WELL .WILL SERVE.
BRCKFILLING OF BN'¢ ~"r'STEM WITHOUT FINFIL IN~PE[.":TION FIND ~F'F'ROVRL B'¢ THIS
DEPFIRTMENT WILL Ei:E SUB.TECT TO PROSECUTION.
hllNIMUM DISTRNCE BETWEEN R WELL FtND RN'T' ON-SITE SEWREiE DISPOSRL S'¢S'I'EM IS
100 FEET FOR FI PRIVFITE WELL OR .',[50 TO ;~00 FEET FROM R PUBLIC WELL. DEPENDING
UPON 'THE T~r'PE OF F'LIE:LIC I.,.IELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO hi PRIVRTE SEWER L. INE IS 25 FEET RND
TO A COMMUNIT'T' SEWER. LINE I'=; 75 FEET.
OTHER REQUIREMENTS MRS' APPL~'. SF'ECIFICRTIONS FIND CONSTRLIC'fION DIRGRRMS RRE
RVFIILRBLE '1'0 INSURE PROPER IN':;TRLLRTION.
I CERTIFY THFIT
t: I RM FFIMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'¢ THE MLINICIPRLIT¥ OF RNCHORRGE.
2: I HILL INSTRLL THE S'¢$TEM IN FIE:COR[:,RNCE WITH "['FIE CODES.
~:: I UNDERSTFIND THRT THE OI",I-SITE D]EI.4ER S'¢S'rEM MFIV REC!UIRE ENLRRGEMENT' IF THE
RESIDENCE IS REf,1ODELED TO INCLUDE MORE THFIN 3: BEg, ROOMS.
V4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaske 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PEREOR~EO~OR: Ed Bernhard
LE~ALOESOR,P,,ON~ Lof J' ~/"~k, 2
2 ~ 85 ~f~edra~m
3
4
5
6
7
8
Valley
SLOPE
SITE PLAN
10
11
12
13
.14
'15
16
'17
18
19
20
COMMEN'rS /
PERFORMED BY:
72-008 (6/79)
S
WAS GROUND WATERYe~
ENCOUNTERED? . L -- '
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
Rot~
-- MUNICIPALITY OF ANCHORAGE
',. ~. DEPARTMENT OF FIF_ALTH AND ENVIRONMENT;IL PROTECTION !~' PERCOLATION
,~it ~i i TEST
SOILS LOG - PERCOLATION TEST
2
3
lO
11
12
13
14
15
1 p£u~.7L :
16
17
COMMEN rs
c;//.
PEH CD LA7 lob; HATE _,,~ _~'_ . (minutes/inch)
PERFORMED BY: ' ,¢1 , C[ HNFIED BY:
72-008 (G/79)