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Home My WebLink AboutPARKSIDE BLK 2 LT 7 ~,~. 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 '//"--- -- PHONE NAME LEGAL DESCRIPTION~ ~ . LOCATION NO. OF BEDROOMS ~ ~ Manufacturer ~< ~~ ~ ~ ~/ Mater~ ~ No. of compartments Uq. ca~ac~g~.~nsh in nall~ IF HOME~A~fi: Inside lenflth ~idth Uquid depth ~ ~ ~tg~NCE TO: Well ' ~... Dwelling ' ...... PERMIT NO ..... ..... ':' O Z ~ Manufactur~~ ~'~ ' ~ -- ~ ~erial ..Liquid ~A~i[y, Jo .gallons ~D DISTANCE TO: Well:~'~ ~ ~ Foundation ~ Nearest Iotlihe/o~ PERMITNO. ~~~Z No. of lines / Length of ea~ fl~ Total length~of ~l~es Trench ~)w~ inches Distance betwee~/~lines ~ ~ Top of tile to finish grade Material be~ath tile Total effec{ive~absorption'' area ~ inches ~ength Width . .' ~- Depth m ..~ . ~ PERMITNO. . Type of crib '" ~~ib~dFameter Crib dept~'~:~g~ Total effective absorption area ~ ~~"E TO: Well ~"'~ ~.+_~., ~.... . _~., B~i[~ng foundation 'Nearest.~ '-~: -let :linc. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) PIPE MATERIALS ~ ~ ~/~ SOIL TEST RATING INSTALLER REMARKS ~2~ DATE LEGAL RPPLICRNT LOCRTION LEGRL [:,EF'RRTMENT ~,~ ,, HEFILTH RND EN.'v'I RONMENTRL. ,_,,:OTECT II-IN 825 '"L'" STREET., RNCHORRGE., BK. 99501 5 E.~..,.~ ET.'.: F" EF-.'. f"l ]E *T HRMRNN CONST. PRRKSIDE CIRLE LOT ? BLK 2 PRRK$IDE PO BOX 6t7 E.R. LOT SIZE 4~560 SQURRE FEET TVPE OF SOIL RBSORPTION SVSTEM IS: DRRINFIELD MRXIMUM NUMBER OF BEDROOMS = 3 SOIL RHTING (SQ FT?BR)= t75 THE REQUIRED SIZE OF THE SOIL ~BS]RPTIZN SYSTEM IS: ~%3 THE LENGTFI DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFiEL[:,. THE DEPTH OF R TRENCH OR PIT IS THE DiSTFtNCE BETWEEN THE SURFRCE OF THE GROUND RN[:, THE BOTTOM OF THE ENCRVRTION (IN FEET). THE -FF-."E~"-~C:H tL-.~ .~. [:.TH .~ L=3 5. O~-i~}'C'~ FEE-C". THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRR',/EL BETWEEN ']'HE OUTFRLL PIF'E RN.D THE BOTTOM OF' THE EXCR',,,'RTION (IN FEE'r). PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE ' ..... I "- ' I~ - '- IN~THLLH]!LN INz, FE_.TIUN~ OF RN'T' WELLS RDJRCENT TO ]'FILS F'ROF'ERT¥ RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. BRCKFILLING OF RN"? S"r'$TEM HITHOUT FINRL INSPECTION RND RPPROVRL B'¢ 'THIS [:'EPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R HELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM tS t00 FEET FOR FI PRIVRTE WELL OR ±50 TO 2R0 FEET FROM R PUBL!C WELL DEPENDING UPON THE TYPE OF' PUBLIC WELL MINIMUM DISTFtNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET 8ND TO ~ COMMUNIT"r' SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MR"r' RPPL'¢. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE FtVRILt~BLE TO INSURE PROPER INST8LLRTION. RES [:' E E: E I"IE: E F-'." :~:t.., t :B.- :'~: ilL. I CERTIF"r' TFIRT · 1_: I RM FRMIL. IRR HI'TH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLIT'¢ OF RNCHORRGE. 2: I 14ILL INSTFILL THE B'¢S']-EM IN FICCORDRNCE WITH THE CODES. 2:: I UNDERSTRND THRT THE ON-SITE SEWER S'¢5TEM MR'¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMFIE:,ELE[:, TO INCLUDE MOR. E THRN 3: E:E[:,R. OOMS. SIGNED ~----------'-F RF'PLICRN~¢~NN CONST. ..,_ V4. 0 227 EAGLE STREET ANC,'-IORAGE~ ALASKA 99501 Th.ts Fo~ Reports a. So~.ls Log ~ ...~ ._ _: -~ercolat~on les~ . Depth ~ "' " · '.. ' Location Sketch' :' !::~~ .... i ' ~ ..... ~ .i':' Reading 'Da .. Gross Time Net Time Depth 'To h'et Drop' t. '"' i : ....... i'"- .... ~"~',~" .............. · . ~usea znsta~l~zo~: Seepage Pit Drain Field ~ep%h Of ~n~'~' D.~olb T© '~O'~t6L' 'o~= ~i~ Or · --: .......... ~_~. ~ ~z . - ..... '-. .... ~,..~ ~. ~_ ~ .~~:~ ....... . ........ Data Cer~if!ed'By:' ' f~/~/ ~ Z Y .... '-.?'.?,( 7-' :.nc; .:f";'.~%....~-~'- · '