HomeMy WebLinkAboutMCMAHON #2 BLK 10 LT 2
,,~'~UNICIPALITY OF ANCItORA(;E'~
Hca n and Environmental Prohe~ .on
Fourth Floor West
825 L Street
Anchor age ~ Alaska 99501
264-4720
............. INk'Ecl'ION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAML .__ _~__k.~,L~-_ _~.~-~'~_' ' ____ MAILING ADDRESS _~$~ ........................... ~K%T-~ PHONE
SEPTIC TANK:
131~ ]/,,[wC E /. ~ NUMBER OF
i I~Ol,~ ',vLt L ............... MAr~UFAC~UREI~ __~-~¢- MATERIAL ~_._~
TILE DRAIIXl FIELD:
, ~ Fr TOTAL LENGTH ~- k
¢¢ O~ Lih~S [ _O~__ DISTANCE-. BETWEEN L.INES _~_J~ ...... TRENC 4 WIDT~t~_~_ IN. TOTAL EFFECTIVE
[)EPTll OF FIt. TER
iS{ Pll(. 'iC, P Of IIt_L lO I U-HSII GRA[)[. MAIERIAL BENEATH TILE .~____IN. ABOVE TILE __.~ ,IN,
SEEPAGE Pit:
DI..:~MEYER ____ OR VIIDTH
LENGTH___, DEPTH
Log Crib Rings Crib Size: DI;\MEIER ...... DEPFH .... DISTANCE FROM: WELL
TOTAL EFFEC'FIVE
iRJlt_.)"'"~ (, F(')LINI3A [ ION __~ , MEAliEST LOT LINE _ __ AI3S()RPTION AREA (WALL AREA) .___.__SQ. FT.
ei. ass: Depth:
o~e!.l Distance To: Lot Line
~dg: Sewer Line:
of Bedrooms:
~ ¢
[~' "'" ' :" ~:::~ '-~" ~ ...... ' .....
.........................
i,;:i:.i"¢_4'i (%;:.. Di:4:FI ;i; i"&" ;i; ~::.~
THE SU~:F:'FIC:E Cfi:: 'THE;
" 'f'i'"~i5 ,m '""" ',:':,'~ ..........
]: E:f~:;i::;:T ); I:::'? '(i
~ir : :~ l':'iiq i:':'i'':lhi;i;l..;ilG? H~;*'i'i'i i''iiiE i;i::':';~;!Li.!;i:;;:i'!!;i''i~:'i''(T'L'; F()Fi: E!r.4-:E;:r"I'E Si.:;HEi:;?,S FiND i4iEi...L.S i;::i::~; SET
F'Cii:~:'i"H [:~'.¢ i'i4:,/~; i"iir.ii"4;i.C;[?l::ii_.;('i"¢ Ol'7
(l;';':';l i[':'i") i]~?¢_._ i}q:::l T'i':; ' ':'
Performed For
Le~al qescrt~tton: Lot lO Block 2
This ~orm Re~orts Sotls Lo~
2204 Cleveland Anchorage, Alaska 99503
Curt Hefty Date Performed 10-27-77
Subdivision McMahon Suhdiv~n~
Percolation Test
.neeth
Feet
4--
8-- -
12--
14--
16--
18--
20--
Soil Characteristics
6" Reddish Silt
Brown Sandy Silt
Sandy Gravel
Bottom of Test Hole
I !,
!
I .I
Was Ground Water Encountered? No
If Yes, At what Oenth?
Percolation Rate Utnute
Prnnosed Installation: Seenaoe Pit Drain Field
Oeoth of Inlet Oeoth ~o Bottom Of Pit Or Trench
CA~HENTS: 100 Sq. Ft.~rainaqe area required, per bedroom from minus 5' to 13.5'
Test Performed By ,~/~ _ Data Certified BY: CTL
~ ~ Date: 10-27-77
I
Readinq Date Grnss Time Net Time Depth to H20 Net Dron'
I
.~ MUNICIPALITY OF ANCHORAGE DEPT. O1- ! "'~T;! &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONJ~'VI~ON~qT/~,L
525 L Street - Anchorage, Alasl~a 99501 .....
ENVIRONMENTAL ENGINEERING DIVISION iviAY
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER'~AClLI
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above)
2, BUYER
PHONE
PHONE
MAI LING ADDRESS
3, LENDING INSTITUTION I PHONE
MAILING ADDRESS
4. REALTOR/AGENT
MAILING ADDRESS
5. LEGAL DESCRIPTION
PHONE
STR LET LOCATI ON
6. TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [] Five
~ Three [] Six
[] Other
7. WATER SUPPLY '~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975.'For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM ~' INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LiTY
**If individual/on-site, give installation date /'.
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78}
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I NSP ECTOR 1NSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [~] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~]INDIVIDUAL/ON -SITE DATE INSTALLED
E3 PUI3LIC UTILITY
Connection Varified
INSTALLER
[]Septic Tank or []Holding Tank
Size: _ ,] _/~('](~ If Tank is homemade SOILS RATING
give dimensions: _/
TYPE OF TANK MANUFACTURER./~'~'<'-'~"~, __.~.,.~
TOTALABSORPT,ON AREA MATER,AL
4. DISTANCES Septic/Holding Tanl~ Absorption Area ]Sewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR .~ ,: BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev. 3/78)