HomeMy WebLinkAboutPETERS CREEK BLK 1 LT 5114
LOCATION ! J/ ' _ ~ I
· ~L. Absorpti rea/'
Io o,s~A~C~O: I' /Oo :~ _
I ~ I u
~ -- ~ DISTANCE/VV~TO' IWell -- / / ] Dwelling
~[~' ~.n~,.~,~.r ' ' k~'/',~ '
= WeU /~ Foun '
~= ~,S~A~C.~O: //~ ~ ~ --
~[~ No. oflines / Length~lin'~
~ Top of tile to finish~e / ~ IMaterialbenoathtile
~ ~ Typ. of ~rib Crib dia~r /~ Crib depth
DISTANu~/u: ,
~ Class ~ [z ~ ~e~ ~ ~ Driller
~ DISTANCE TO Building foundation Sewer line
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
IPHONE
~;~N EW
[] UPGRADE
NO. OF BEDRQOMS
No. of compartments
Width Liquid depth
PERMIT NO.
Material
Near.~ot lin,~
ITren .~~ih /( inches
c.~6 /'f inches
Liquid capacity in gallons
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
(Rev. 3~78)
457
INICIPALITY OF
ENVIROi 4M~i' ~;'A.. [,
PERMIT NO.
DEPRRTMENT HERLTH RND ENVIRONMENTRL .ROTECTION
825 'L' STREET, RNCHORRGE, BK. 9D501
2~4-4720
~;r-8~'__-~TE -_~.E~.~E~. F'EP-.~'I ~'T
( 82ii58 )
RPPLICRNT
LOCRTION
LEGRL.
SOUTH FORK CONST
L5B1 PETERS CREEK S/D
LOT SIZE
999999 SQURRE FEET
TYPE OF SOIL RBSORPTION SYSTEM IS: DRRINFIELD
MRXIMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR)= ±00
THE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS:
DEF'TH= 5. 5 LE~4GTH= ]-'5 ~] RR'..-' E L DEF"TH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR F'IT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THE TREr-JC:H i.4I[)TH IS 5. LZ~Z~L~ FEET.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
BflCKFILLING OF tiNY SYSTEM WITHOUT FINflL INSPECTION fiND RPPROVflL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVRTE WELL OR ~50 TO 208 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRL. L THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3.: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR'T' REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS.
S I GNE[:, ' _ .................... ~_
RF'F'LICRNT SOLI~ORK CONST ~~~
ISSUED BT HTE ..... V4. 0
SOILS LOG
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
- 6
7
8
9
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
826 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE
[] PERCOLATION
TEST
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
Robert A.
No. 1457-E
PERCOLATION RATE
TEST RUN BETWEEN
FT AND
ERT FlED ///~ /~/~
(minutes/inch)
~ FT
DATE:
