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Home My WebLink AboutNORTH WOODS UNIT 3 BLK 13 LT 1 i ; 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 LEGAL DESCRIPTION ' LOCATION'~~ {' ~ ¢ ,~ NO'OF BEDROOMS~ ~ ~ Manufacturer No. of compart~nts Liq, c~p~allons Inside length Width I.~ IF HOMEMADE: Liquid depth ~ ~ DISTANC~TO: Well Dwelling PERMIT NO, O~ ~ , Manufacturer $ --~ Material Liquid capacity in gallons ~ DISTANCE TO: W"l~Abl~¢ I F°undati°n Nearest lot line PEnN,tim~ N--~'Z~$~ No. oflin~ Length of ,~ne Total length oflines Trench width inches Distance between ~ / ~ ~ Top of tile to finish grade Material beneath tile ¢ Total effective ~bn area O ~ inches Length Width Depth ~ PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth ~ Total effective absorption area ~ DISTANCE TO; Well Building foundation Nearest Jot line ~ Class Depth Driller Distance to lot line ' PERMIT NO, ~ Building foundation ~ DISTANCE TO: Sewer line Septic tank Absorption area(s) OTHER PIPE MATER, S, ~ * SOIL TEST RATING ~ ¢ I INSTALLER- APPROVED ~ DATE LEGAL PermSt ~' Applicant: Location: Department of Health and Environmental Protection 825 .~ Street, Anchorage, AK. ~501 264-4720 * * * HANDWRITTEN PERMIT * * * !NF-k.k AND/OR ON-SITE SEWER PERMIT ~ /'~ ~.../~ ~, ~.~.~' Mailing Address: r ~. /j..~ ~.~. Phone Number: ~ .~ Legal Description: Z~/ ~ /~ "~~,~ Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed~ Maximum Number of Bedrooms: DEPTH Lot Size: ~-~ Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: LENGTH /~ $~ 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 = /~9OO GALLONS * * ?ermit applicant has the responsibility to inform this department during the [nstallation inspections of any wells adjacent to this property and the number )f residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department ¢ill be subject to prosecution. ~inimum distance between a well and any on-site sewage disposal system is 100 feet ~or a private well or 150 to 200 feet from a public well depending Upon the type )f public well. Minimum distance from a private well to a private sewer line Ls 25 feet and to a community sewer line is 75 feet. Well logs are required ~nd must be returned to this department within 30 days of the well completion. )ther requirements may apply. Specifications and construction diagrams are [vailable to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as 'set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signe~: ~ ~ ~ ~ ~]~-% Issued by: A plica% Date: :-"i~/IUNICIPALITY OF ANCHORAGE D,.,~,~rtment of Health & Environmental Protectiu- On-site Sewer/Well Permit Application Nameo, App,,oant TYPE OF PEfl~IT: Sewer Up~rade Well Only Combined (Sewer & Well) PERMIT# Day Phone ZipCode ,P,~ ~. ~c,. Number of Bedrooms I plan to have the necessary inspections conducted by; Municipal Inspectors (Included in the Permit Fee) ~ Approved Engineering Firm (Permit Fee is Waived) FOR DEPARTMENTAL USE ONLY Soil Rating ,~.~ ].,~, ,.~ TYPE OFSYSTEM: Pit Drainfield Seepage Bed Mound System Total Depth Gravel Depth Width For upgrade only: Add to length and/or add gallon tank. Trench Handwritten 72-012(6182) Fee Collected Receipt # Gross Net Depth to Net Reading Date Time Time Water Drop 2 ~ //:~..n _¢~/,'z,. /o~" i~" ~ ~ /z :~ ~ ~ ~,,+ //Yz" '~" 14 15 16- 17- 18- ~, 19 20 PERCOLATION RATE /9,, 2 (minutes/inch) ~ ,~-- / *~/,'~,/~, TEST RUN BETWEEN ~ FT AND ~ , FT COMMENTS~ ~ ~r ~ ~-~ ~ ~ ~~ E~C~o~~~ ~x~'~ ~ 72-008 (6/79) 12 IF YES. AT WHAT DEPTH? , , x~"MUNICIPALITY OF ANCHORAGE D,.~artment of Health & Environmental Protectlu. On-site Sewer/Well Permit Application Name of Applicant ',. ~)~o,,3 ,~. ~-~J:~;,_~ ~.0/'~,~'/. Mailing Address ~ O. ,~}X ,~/~~/'~2 TYPE OF PERMIT: Numbe~ of Bedrooms / Sewer Only Sewer Upgrade Well Only PERMIT if Day Phone Zip Code I plan to have the necessary inspections conducted by: Municipal Inspectors (Included in the Permit Fee) ~ Approved Engineering Firm (Permit Fee is Waived) Combined (Sewer & Well) FOR DEPARTMENTAL USE ONLY Soil Rating ,~ ~ Total Depth For upgrade only: Add 72-012 (6/82) TYPE OF SYSTEM: Seepage Bed Gravel Depth to length and/or add Pit Drainfield Mound System Width gallon tank. Fee Collected Trench Handwritten Receipt if ' · f"~kl [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTIVIENT OF HEALTH AND ENVIRONIVIENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Z~'7-- Yj ,~Z~C,/-~ /'..~ ,~ 1 2 ~3 4 5 6 ~/7 8 ~0 ~3 14 17, 18- 20 SLOPE WAS GROUND WATER ,.)__ S ENCOUNTERED? ~'..K L O P IFYES, ATWHAT 0C~__ ~.//0/~ E DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop .2 ,-- //: ~ ,q ..e~ ,,,¢,,~ /0 ~ " i ~ " ,-/ ,-- /z;/z ? oo7~_ " PERCOLATION RATE /¢- 2 (minutes/inch) TEST RUN BETWEEN '~ FT AND ~ FT ~/4~.= ~ ,,