HomeMy WebLinkAboutHENRY D HETT BLK 1 LT 3 E2
% .... MUNICIPALITY OF ANCHORAGE .,~
DEPARTMIENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONIVlENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
MAILING ADDRESS p. O,
LEGAL DESCRIPTION
[~NEW
[] UPGRADE
DISTANCE TO: 1'7
Liq. in gallons IF HOMEMADE:
Well
DISTANCE TO:
mufacturer
LOCATION
DISTANCE TO:
No. of lines Length of each Ii,ge
I I ~2
of tile to finish grade f
4
Length Width
Type of crib :rib diameter
Jell
DISTANCE TO:
Class
DISTANCE TO:
OTHER
Depth
Building foundation
Absorption area D w.~lj,n g
Inside length Width
Dwelling
NO. OFBEDROOMS
PERMIT NO.
No. of coJ~artments
Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
Foundation/ ~ Nearest lot line
Total length qf. lines Trench widt~
'.'2~ ~1'~ ' ?¢~' inches
Material b6n~ tile ~
Depth
Crib depth
PERIVJJ T NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest lot line //',q
Distance to lot line PERMITNO,~ ~ ~:~C~.~. ~.~
Septic tank ] Absorption area(s)
'-'~ P E ~MATER IA LS
SOIL TEST RATING
REMARKS
APPROVED
¢. ~o ,....."t!
DATE
LEGAL
72-013 (Rev. 3/78)
PERMIT NO. ,8]::1..0::1..]:
RPPL I CRNT: .:rRV NHRLE'¢ '
RDE:,F.:ESS: F'O BOX 770S]:6
ERGL. E Rt',/EF:., RI-.':.' 99'577
LEGRL [:,E:E;CRiF'TIE$I - SUE:DI'v'tSION: HENRY C, HET'T.
LOT E, iZE 0 :E;C..,. FT. TO!4NSHZF': C1
i"~RXIHLiH NLINBER OF BE:[)F..'OOH:~; = Z';. '.'50IL RRTING =
DEPFIRTMENT OF HERL."FH FIN[:, Et'.,IV!RONMENTFIL PROTEC:T!ON
825 "L" :E.;TREET., Fti'-,iCHORF!GE:., FIK 9950±
;;.':g4-4720 : FINC:HORRGE 694-2±]:::L- : E,FIGLE RI',/ER
F' E: F: [--1 Z
L.I:..:;,TE[:, E:EL. Oi.,.i FiRE THE OP'T.I3N'9 Fi'v'F:tI.'L. FIE:LE TO '¢OU IN [:,ESlGNIN] 'T']It. II:,? SEPTIC
'E,¥:..E, TEM. 3HOO::-.,E THE OPT I-H THFIT DEST F'.T. TS '-/] .P SITE.
T ~-: E .~-f C:: ~-~] E:. E] :.:5 .'E. L--.'~ iP-4!
P.II[:,TH = 2. !"] FT.
LENGTH = :i. 9. 0 FT.
TOTF!.L. DEPTH = ±% Ei FT.
GRFI',,,'EL DEPTH = 7. 0
GRFP,,'EL VOLUME = %]:. :1. CU. VDS.
TFINK 'SIZE = ::1..., 000. 0 GRt.~L..ONS
i.4ZBTH = ::L4. 0 FT.
0' F'T.
0 FT.
5 FT.
CIJ. '.FDa5.
GFILL. OIqS
% [.E: L.
E~ FI'.
0 FI".
4 CU. VL')S.
LENGTH = ;.:::8.
TOTFIL. [:,EPTH = El.
GRFI',,,'EL DEF'TH = 0.
GRFF,,'EL VOL. UHE = :1.4. 5
T!.,.JO COi-"!F'RRTHENT TIq. NK )
"Ft40 CC$IF:'FtF4:THEt'.,IT TRNK)
E::. EC 2:E; :Z L~
TFII'.,!K SIZE = ±., E00. E~
.,J]'F,TH = 5. 0
LENGTH = 30.
TOTFIL DEF:'TH = 7.
GR.A:',/EL [:,EPTH = 3.
GRF-!',,,'EL VOL. IJHE = ::Lg.
'FRNK S I 2E = ':l.,, Et00.
GRLLOt'.,I:5 ,:: TI.,.tO COMF'Fff;.:THENT TFINK ::,
I :EF.'T!F'¢ THRT:
% Z Rf"l FRHIL.!RR I.,.IITH THE F.:E6¢JIREMENT'S F'OR Eft,I-.SITE ::_--,EI.,-!EF.% FINE:, !,J. ELL. S FIS SET
FOF.:TH E','.r' THE HUIqICIF'FtLI]-'-/ OF FtlqCHOF.:FIC'iE FIND THE STFFTE OF RLF:ISKR.
2. I 14ILL II'.,ISTFtLL THE SVSTEH IN RCCOF-.:[)FtNCE k!tTH THE CODES RNL':, 1-4,_ F.'EF'E~'VEr,
.:, t ltlHF4-r FII'-,I[:, D.T. RGF.:FIH FITTRCHHENTS t.,.!HZCH ]:S PFIRT OF 'FHI~
Fl [:FIF"¢ E)F THE CO[:,E '- ..... "'
F'EF.:M ..T.T.
~:.' Z LIN[.:,ER:~]TFIND THFIT THE ON-SITE L:;Et.,.IER S"r'L:;TEM I"IRV F.'EL.3_IF.:E ENLRF.:GEMEi'4T IF THE.
F.:E::-.,iDE:i"~iCE .~S F.:EHOB, EL. EB' TO ]:NCLI...t[:,E i'iOF.:E THFtN ~: BEE:,ROOH$.
F'ERHIT F~F'F'L:'[E:RNT HRS THE F..E.:,FUi',L:,.[E, ZL~
THE ZNSTFILL. RT.TON IN:SPEll"IONS OF' RN'¢ I.,.tELLS RE:,JRCEIqT TO TFIZ2; F'ROF'EF.:T"/ RND
THE N.HEER OF RE:'SI[:,ENCE::J; THFtT THE NEL..L I.,.iZLL SEF.:',/E.
iF la LIFT STRTiON IS iN:STFiLLEE:'., F~i"~ EL.E'-:TF'iC:RL F'ERMZ]" Rh![:, INSF'ECTION i'"tUST
E:E: OE:TRINE[:,. R:F.;-E:IJ!I_TS CRNNOT E:E FIPF'F.:O',,,'Et} i,.!I]"HOUT RN ELECTRZC:FIL INSF'ECTiOiq
REF'CiRT. THE EL. ECTRICRL, [,-IOF.:K HJ'E;T E:E E:,ONE E:"? tq LiCE]qSE[:, ELEE:TF.:ICIFIN.
F'EF:HIT NO.
:F..:;F2P '" L."' :gTREE'F., Fti',!i3FILqF:'.RGE., Flk:. 9950::L
254-472 ;3
~Z~ ~'-,tt .... 5'; Z "T",~
,' 82.:088.5 ',
,/
FiF'F'LICFflNT ..TFI'T' HHFILEV F'. O.
L.EGRL L. OT :2 E:LI<: --.': HENF.-'.¥ r:,. HET'T SUE:
E:OX ';:'70 .::3:6 ER 3LE R I ', 'EF.: 6'94.-"2 El:l El
LF'tT :,.'[ZE ,--3,a,:4,:m.q,:~ Lz, C!UFIRE FEET
-f"'~-'F OF qFlIL RE:SEd~:F'TI-fl'4 S'T'S"['EH IE;: TF.:ENCH
HR;:-:: I HUH NUHBER QF BEDF.: 3F$'I~:"; = Z.:
=,TZ,~ Eli =' ,
]-HE F.:EC¢..IIF:ED E;IZE OF' THE ':50IL FIE:SORF'
E:. E F' T I~-i] == "_'L :.1_ L E lt'-4t C~i T' ~-.-11 =: :.t '_'5" E_--~ F: Fa ",,,' EEL. E::,.E~- F" -IF !14 = 7
THE LENGTH C, II"'IENSIFd"4 IS; THE LENGTH ,::IN FEET::, OF THE TRENF;H OF.: DF.:FIZ[NFIEL. D.
'THE E:,EPTH LqF Fl TRENCH OF.: PIT '.r. F5 "I"HE E:,IL:,TFiNCE BETHEEN THE '_-qUF.:FFiCE OF "I'HE
BF.'DUNE:, FIN[> THE E:([iTTOH f_lF THE E::.:;CFtVFYi-ILqN ,::iN FEET;,.
THERE t':; NO :.::";ET NIDTH FLqF.: TRENC:HE$.
aF..H,EL BETI.4EEN THE OUTFFIL. L PIPE
THE GRFf,,,'EL DEPTH I':q THE HINIHUH E:,EF'TH OF
FINE:, THE E:L3TTLqt'"t OF THE E;:-;L[I H FIUI'4 (tt'.~l FEET;,.
F'ERi'"IZT RF'F'LICFINT HFtE; THE F:ESF'ONSZBIL. IT'¢ Tn INFOF:H THI:5 E:,EF'FtF.:Th'IENT E:,I_IF.:ING THE
INSTFILLFITIF$4 :[N'_-FPECTION5 OF RNh.' [,.IELL:5 FIE:,"..TRCENT TO THI:5 F'F:EIF'EF.:T'¢ FIND THE
NUHBER LqF RESIDENCES THFIT THE HEL. L i,.!ILL
E:F~E. KFiLLING OF FIF,i'T' S¥STEr't I.,.IITH".)IIT FINRL IN:SF'ECTION FINE:, FIF'F'F.:O',,,'FIL B'T' THIS
DEF'RF:THENT ~'~ I L.L E:E '2;1_ E ~TECT TO F'F.'L- SECLIT I Fdq.
HII",IIf'tUt"! E:'ILSTFINCE E:EZTI.'tEEI',I FI. ['.IEL~L. FINE:' FtNh"
t88 FEET FOF: R F'F.:I',,,'FITE 1.4ELL OR ±SR TO 2{"t0 FEET FRL-$1 R. F'LtBLiC HELL. E:'EF'ENC'II',IG
UF'Oi"~ THE T'gF'E OF F'UE:L. IE: HELL.
t'"IINZHUH E:,i:STFINCE FROH FI F'F;:I',,,'FITE NELL T3 F! F'F-:IVRTE:: 5E.L,.iEF: LiNE iS '25 FEET FIND
TO Ft f':OHHLINIT'T' SEI.'.tEF: L. INE I9 75 FEET.
OTHER REC!UIREh'IEI",IT5 HRV FIF'F'L'9. 9F'ECIFICRTIoNs RI"4[:' Z:ON'STF-:LICTION E:'IFIGF.'.Flhl'.5 FIF.:E
RVFiILRBLE TLq INSUF.:E F'F:OF'EF: ZN'E',TRLL. FITIESL
I ~.EN. FIF * THRT
t: I Rt'I FRI'"tlLIRF I.,.IITH THE F:EC!I.JIF:EHENT$ FOR Efi",t-:5ITE SEP.IEF.:$ FIN[:' F.IEL[_S RS SET
FOF.:TH E"¢ THE I"IUNI_IF'HLIt~ EJF RNCHOF'-"FtGE.
;2. I [,JILt- INSTFILt_ THE ,_"',~:,]EIt IN FtF:F:FF.'F:'RNE:E HITH 'THE F:OE:'Eg.
Z: i UN[::,ERSTFtNE:' THRT 'THE ON-9ITE :E;EHEF: S"r%TEH HFiV F.:EL.-:!UIRE ENLFIF.:GEHENT IF "I'HE
F.:EgI[.'EhiCE I:5 F-.':EHEtDEL. E[:' TO INCLU[:'E HORE THFiN 3: BEE:'F:F'HDH:5.
S &S EI~tGIt~..EER$~ INC
7125 Old Seward Hwy. Anchorage, Alaska 99502
349-6561
SOILS LOG
[] PERCOLATION
TEST
SOILS LOG -- pEHCOI_ATION TESl
I
2
3
4
5
6
7
8
9
10
11
12
13
14
15
t6
18
19
20
SLOPE
ENCOUNTEREO?
IF YES. AT VW{AI
DEPTH)
K
/'JO7- 'T~
I
--T 15..... L_
[ Oep[h ~o
Reading
MUiICIPALITY OF.,
DEPT. OF
lime [ ~;me.
TEST RUN 0ETWEEN
, FT ANO
~NCNORA~ .....
LT! I ~:
ROYEC~TION _
RECEIVED
PEP, FORMED BY: CERTIFIED BY: DATE:
October 24~ 19B3
~5 & S Nngineers~
7125 Old [Jeward ].Jighway
Anchorage, AK . 99502
...... , ..... -'] ~ Block i, ~enry D. [{ett On-site As-built
SUDJE,~k. E/2, Lot 3,
'3.'ne as-built s~blt]itted for the above location cannot be accept
until a new soils log giving the correct legal (k~ot L1 b.3 as
~ ~ , ~ ' ~, Also
submitted u-30-~3) has peen rece~veo~ by this <"'"~.
,:%,~ all as-builts with t~le actual date of installation.
please "~ ·
Sincerely,
Cory Willis, R.S.
Actin{~ e~ ...... r & Water
Program Hanager