HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 22
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAl_ PROTECTION
ENVIRONMENTAL ENGINEERING DIVISIQN
825 LStreet-Anchorage, Alaska 99501 Telephone264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Inside length
Dwelling
Dwelling
Material.-
Width
DISTANCE TO: L,
Manufacturer
Lin. capacity in gallons
Top of tire to finish grade f
DISTANCE TO' Building f~tion
t Material
Foundation ! Nearest lot line
Total length of lines
Material bel oath til_
Depth
!NO, OFBEDROOMS
OTFIER
PIPE MATERIALS
SOIL TEST RATI N~G
____
INSTALLER
REMARKS
PERMIT N O~ ~O ~,,~.~
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO,
Sewer line
· ¢-/_cd
Septic tank
Absorption ama(s)
APPROVED
DATE
LEGAL
PERMIT NO.
BPP[.IC:FINT JR'¢EN ROSE
I_OCRT I ON
LEGRL L22 B? KRSILOF HILLS
[:,EPFIRTMENT OF HERLTH FIN[:, ENVIRONMENTBL PROTECTION
825 '"L" STREET., RNCHORFIGE., FIK. 99502.
264-4720
( 8208~.']0 )
i20C'~ E [)IRMOND .~P~iO 99504
T'T'F'E OF snIL FIBSORPTION '- ....
-- ",'r-,TEl1 IS: DRBINFIEL[:,
'"- ,
]:44-8866
LOT SIZE ~¢:~L~gS' S6!IJARE FEET
I IR:.:IMLIM NUMBER OF BE[:,ROOMS = ::"; BOIL. R. FITING (B_q FT,.'BR)=' " ' ±60
]"HE REL.-.qJIRED..,':IZE OF THE__~]IL RBSORPTION =, r_,TEM¢" 'c "IS:
[:. E F' IF H = 7 L E I'..! ~3 "1- H == -~:] ¢:--; ~3 F.: R %.' tEL [:) E F' If' t-I :=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
'['HE [:,EPTH OF R TRENCH OR PI]' IS THE DISTFINC:E BETWEEN THE SURFRC:E OF THE
GROUND RND THE BOTTOM OF THE E?-',CR',/RTION <IN FEET.':,.
qr- H E -r" ~:~: E I'-,,I C H !.....I .iq[ ["-",, T I---I ][ S r5. ("'].~ ~%-~ ¢..Es F E E '*'ii"' ..
THE GRRVEL r.',EPTH IS THE MINIMUM DEPTH OF GRR'v'EL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCR',,,'RTION ,:..'IN FEET).
!;.: E,2.!L! .I RE~--, --~.EF'T I C: -'Fl:'tl'~l[::: .S I ZE= :.t.~-3 ~.~ E~
PERMIT FtPPLICRNT HRS THE F..L=,FLIN=,IBILI TO INFCF.'M THIS DEPFIRTMENT E:,LRING THE
INSTRLLRTION IN_FEUTIONS OF RNa' WELLS R[:,JRCENT TO TFIIS HRJFEF..]~r RND THE
NUMBER OF RESIDENCES THFIT THE ~ELL WILL SER'v'E.
-[' IL-.fl CN ":'- .=-"---" .':. :~ ff-.I ~ P EE u-: 'T I Cfi r-.! ::~; F4 F-: E R E C--! L! :E E: E: [:',
BHL.},.FILLING OF AN'.¢ '-'"- - ,-,
~',,_-,TEM wI'rHOLr'r FINFIL IN=,FEL. FION RND RF'PRO'¢FIL BY 'THIS
DEPFIRTMENT WILL BE SUBJEC:T TO FRJ.:.EL.U[IUN.'~'-' .... · ' ' -
MINIMUM [:'ISTFINCE BETWEEN FI WELL RND FIN"r' ON-SITE SEI4FIGE DISPOSRL S'¢STEM IS
2..00 FEET FOR FI PRI'v'RTE WELL OR t58 TO 288 FEET FROM R F'UBLIC [,4ELL [:'EPENDING
UPON THE TYPE OF PUBLIO WELL
MINIMUM DISTRNCE FROM FI PRI'¢RTE WELL TO FI PRI',,"RTE SEP~EF.'. LINE IS 25 FEET FIND
TO R COMMUNIT'-r' SEWER LINE IS 75 FEET.
OTHER RE~}.UIREMENTS MR"r' RPF'L"r'. SPECIFICFITIONS FIN[''' C:ONSTRUCTION [:'IRGRRMS RR.E
R","'FIILFIBLE TO INSURE PROPER INSTFILLFITION.
PEF..':I'"I I T' E,---,F ][ F.'E$ £::,ECEI"IE:EE: _:-:.1_.. :,.t 2a.~_]=:;;~
I C:ERTIF"r' THRT
±: IRM FRMILIFIR 1.4ITH THE REE!UIREMENTS FOR ON-BITE SEWERS FIND I.'.IELLS RS SET
FORTH B'¢ THE MLINICIPFILIT'¢ OF' RNCHORRGE.
2: I WILL INSTRLL THE S'¢STEM IN RCCORDRNCE WITH THE CODE2;.
2:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY RE6~UIRE ENLRRGEMENT IF' TFIE
RESIDENCE IS REMODELED TO INCLUDE MORE THBN 3: BEDROOMS.
.....................
RPPLICFINT JFI'./EN ROSE
B ¢_ ~ . _ ~ z~
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
,_EGAL DESOR,PT,ON: K~ ~ / !~ ±
~4
5
6
8
9
10
11
12
13
14
15
16
17
18
19
2O
IF YES, AT WHAT
DEPTH?
PERFORMED BY: (T: ~--, c~, ~,/?
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
ff'l~z.O P--~.~. Ih'Z, 5,; ~ -'O, ,( ~f·
Z. i/,':~ I ~ ,~ , ~ ? ~ ,
~.~ ¢ ll,'~' --. 0,5¢
'~ /l,'ff4 lo O,_gE ~ I_'~
rt. !(;_¢~ I0 ~, 3_5 O, /1
+ fi~ 0 il ,, .5~'~ O, 6'5
.q Iz I~5 I0 o, .5'2 O., !~
PERCOLATION RATE ~'~¢' (~ _(minutes/inch)
j TESTR,N.ETW.EN
CERTIFIED BY: DATE:
72-008 (6/79)
DEPFIR]"I'"IENT OF' HEFILTH RN[:' EN'v'~ I:;.:Oi"~MEI"4"f'F~I~. PROTECT :[ ON
:j~:.~:~'i~l..":Jl C ,"E;"FF.':EET.,
2;::'4-,¢1.56%
IL,,..ll
F:'EI;?.i't I "1' [.,ICI. ,:: ;:" (ii; E~ l~h'.:.i: .':,
?R","EN Fi O.'.E;E:, 2;.'..:.'O(~ F;FIIRE:RNk:E; E;'f' O
LOE:FI'f'].' O1'4 I-::.'RS I LI:)F Bt..',,,'[::,
LEGF:IL I._;:':':.';:2 E:'~:' KRS I L. OF' I--I
I...Cr'l' S :[ ;J:.'E ,1.?'O45
f"l 11'41 I'II. Ji't [;:, ] S I"f-'II'.,ICE F'F.'.OI','I HELL TO Rl",l'.r' SEP'f'I C ]"FINK,-"F'I::IC'KFIEiE PL..FIN'f' OR E;EI :[ L FIB'DORP'I";[ ON
~:J;"¢STEft :1::!i; t.(:E~;') F'T FOR FI PI:i!IVRTEI41EI....L F:Ii".,!D 201.E~ FT F'OI:;.: FI F'LIE,'L. IC HE:LL.
I.,.tEL, L. L..0G'.".:; MUST E:E RETLIF.:NE[:, TO THE [:,EPRRTi'tEI",Ff' I.,.ITTHZI'.,I ~:0 DR"r'% OF' THE: HELL.
COI'tF:'LE"I Z ON.
E;I::'IEC I F Z E:I::IT ~ ONE; I;:IN[:' CONE;'FF~:'.UC'T'I ON D Z RGF.'.flf'I'..:.; FIREE' "El'v'FI ]: L..FIBL..E 'FEi ;I; NE;LIRE PROPER
:1.' I",IE;T FtL LFtT _T ON.
:~ CERTIF"r' TI"'IFIT ]~ FIM FFIf"IILZRR HITH THE RE~4UZ~iEf"IENT.S FOR Oi",I-E;Z]"E E;E!.,-IERE; RN[:' HELLS
FI'E; '.51ETF'ORTH B"r' THE MUI"t]'C:IJF'FIL:[T*r' OF RNCHORFIGE Iql'4E:' I.,.I.'[I..L. INE;TFILL ZN RCCORDRNCE
THANK YOU V~"RY MUCH. '"t..~ ~ -"-.-.-~
~ , ~ ~r..~.,CLAUS OF' RAMPART DRILLING WORKS .