HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 11 LT 10 REM
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
NAME IPHONE /
LEGAL DESCRIPTION /
~ ~ Manufacturer ~'~
kiq. ca~ac~ i~allons Inside len~ ~idth kiquid dopth
Well ~ Dwelling PERMIT NO.
~ ~oll L ~ ~ ~ Foundation ~earestlotliae. P[BMIT~O.
~o. of li~ ~en~ of ~ach line Total length of lines Trench width
~ ~ ~ Top of ti]e to fi grade
Material beneath tile
Length Width Depth PERMIT NO.
~ DISTANCE TO: Well ~uildin~ foundation ~earest lot line
~ Cla~ ~, Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
REMARKS
APPB~VED .~ . DATE LEGAL
THE i..ENGT,~ E:, i H.E!',iS ! ON i' S THE LEN(3"i".b.i ( ! N FEE"!') O!::' 'T.HE TRENCH O!:;?. DF:Fi ,T. i'.,tF !'ISLE:,.
THE .C,E'PTH OF' Fi "Fi:;i:ENC;I.-! (;ii:;: PI'T !S THE D iSTFii',!CE F~E'T'!,!EEN THE :Si...!F:!:::'!;::ICt:'i!: (::iF:' "l'Hb':
G?.CKJN!) FIND "f'HE E;O"I'TO.b! OF THE E;:.:;C:F~,Vf::iTiCff.,i ,:: iN FEET).
THE!:;;:[-.': IS NO :SET H:f£;,TH FL")F.': TRENCHES.
Ti-iff 6i:;?.F!VEL DEF'TH ! S THE f"i:£ !'.,i :[ HUM DEPTH (31:: i::iF?.W,/EL EiE'I'HEEI',! THL~; CIIJTI:::F!L.L .P~[ F:'I.'!!:
f::iND THE BOTTOH (:)F' THE EX;.?,C:F:!'v'RT i (:ii'.,! ( I N F'iS[.:.':T ).
~,., ..: ......
!blii~;TFILM::Fi"~ON .................... "'.I':;pF ....... T'"'.I':; r'F: ,..q-",:,' [, i~::'L ...... ':: FiD.3'F!E:!ENT "!"n 't ,~-,,'.[ :::, i::'F:I:3F'EFCf".? f~!'.,![::, -rL~.:',,L...
i,,R.ihi,[.~E:iF;: r,*-. Fi:ES!'D,'"Eb!C:E:iii; THRT T --
..... -. , fib. ,.WLI H:[LL.
,, ., .... ~.,. r'l,..i-...,--.'r S:,ffHFP3E ..... :::,PLP.:,ML .:,'~.,:, ~::.. I'.":/;
,!.,..t' ........... ~, [:,iSTFINC:E iS',E"FP.!E~:I',!..~:::~ I~.~.~.[ F:iND ,-~.,~",1~,, ... ...... ,~. ' ....................... '--"-t
.... -'-,'~, r~',r"~ ....... F;'"I-'i~7' ~:;'[;:"i",.,h:"~'T'i~c !,IF i Ii'.:i~',7~ "t~,~!;.:I "i"f]t :.,:Lb'fI,TI F'::'rz'"r r-"'::-~t-,'i Fi :' :,I-
.~.,&:., ,' c ~:' , R . I...,..., , ....... t .r' FI.ELL -' F:'l:'f::'~..l[", T ~..h~
,_pt, .......· ,._.~'.~, -r, ','". ,...~,z.. '¥'.,.'F'F:'. ........... iL"iF Pi lFL 'i'C h.ii::l
HINIi"I !I"I i":,T"-:;"!"f:ii~.,!!"':i:::' FF:OM~:', F:'F:!'v'FtTE HF'LL TO ,~,, F:'F::[',.,'i::-t"i"~' 'Z'/-"-,,-'.,,.,".:~,."-'"" ,~ 'i'b!i:: ....... t5":; ;2!:5 F'EET FIb!E:,
Tf.) m C:OH!',iLiN.T.T,T~ cf:',
............ -. LINE:: *':: 7!5 FEET.
OTHFZF:: ~'Ff::,t TF;."F:i',!,L-bJT'::; !',!P:P.P PIP! ;.. SF'~(::!':;Tt(:::F!"f'l-d",ic:; Ri',!D ""?-I'X""i'.?i!F:T!ON DiF:iGF:FIHS ,::,c,~'
'::",., ~':' "~, .t ,...n"'"~: ~,...,~...,... ~:: ......... ~ ~ j ~ !".'/!;i_.F:i:Z F'F~:OF'EF: I ...." '::: ""Fq FI"F T C N
): C:EF'.TI'F'5'~ THF!T
F:ES i DFXNCE
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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
NAME
/AIb /~ E Vd
PHONE :~ ~"~ I~NEW
/~ g-~ - 2 ~ UP~RADB
MAILING ADDRESS
LEGAL DESCRIPTION
Lot' ~co.,. i1.,
LOCATI ONO~..)/~/ ~/'~ I:~"/~ ~
Well
I DISTANCE TO:
~ ~ I Manufacturer
Liq. capacity in gallons
m~
50~ DISTANCE TO: IwelllF HOMEmDE:
~ ~ ~ Manufacturer
~= t DISTANCE TO: , I /'O~'
m ~ ~ No. of Hnes , I Length of each I~ne
~ Top of tileto finish grad ~-~ ~
g ~ ~ Width
~ ~ I Type of crib -- ~
~ TO: Well
d JC,~s Depth
~ I DISTANCE TO: Building foundation
NO. OF BEDROOMS
Absorption area Dwelling PERMIT NO.
Material No. of compartments
Inside length Width Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation~ ~::~ /
Total length of lines
Material beneath tile
Material
Nearest ,o~,i~. ,
i Trench wid~,~/, inches
inches
Depth
PERMIT NO.
D i ' ta n e e b~Th " ' es
Total effectl've absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distancdto lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
PIPEMATERIALS~{~/~. :~,,~'~.',~. PIP~P' E4
SOl L TEST RATING
i/~.f- ~ ~ F r/~
INSTAELER
REMARKS
DATE LEGAL
PERMIT NO.
APPL I CANT
LOCAT I ON
LEGAL
I~llLi~q I C I~..F'FIL .~. 'T'f C~F fiI'-,IC.H~,~DRRw3E
DEPARTMENT ~ "HEALTH AND ENVIRONMENTAL' '9'rECTION
._o.25 "~ STREET, ANCHORAGE, AK.
264-472~3
~31'-.1~-S 3' TE SEI-IEF-' PEF~r"I T T
780388 >
ANDREW HERCHA BO~.. _?..64 SR EAGLE RIVER RK 9957 688-235?
DON CIRCLE
LIO Bti LRKE RIDGE TERRACE LOT _.I-E 3276E~ SQUARE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MAXIMLIM NUMBER OF BEDROOMS =..? SOIL RATING (SQ FT/BR>=
165
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:.EPTH= 10 LEflGTH= 42 t]Ri]'-/E I ,. [:,EPTH= ~
THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCRVRTION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
RE~LI I RED SEPT I
PERMIT APPLICANT HR--. THE RE=.PON_4BILITt TO INFORM THIS DEF'RRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS F'ROF'ERTY AND THE
NLIMBER OF RESIDENCES THAT THE WELL WILL _ERvE.
BACKFILLING OF ANV SYSTEM WITHOUT FINAL INSPECTION AN[:, APPROVAL. BY THIS
DEPARTMENT WILL BE SUB.~ECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND RN¥ ON-SITE SEWRGE DISPOSAL SYSTEM IS
i00 FEET FOR 8 PRIVATE WELb OR
i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL..
OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E>~P I F.:ES DE[':E~'IE:ER
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WiLL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
APPLICANT ANDREW HERCHR
-. --O Er E GEO'I ECHNICAL 8-
DEVELOPMENT
Box 90, Davis St., Eagle River, Ataska 99.577
694-2774 or 688-2280
Russell Oyster
694-2774 S0][L L0~
Soils ~t Foundations
Performed fo?:
Legal Description: £~C,-T~ /.~_~ v.:?z-~z./<__ //
CO.
Earl Ellis
688-2280
Land Developrr~nt
So.$~_l.]_J;h~ara_.q_cteristic~.
Ground Water Encountered: Yes No
Proposed Installation: Seepage Pit
Comments :. '-
~ If yes, what d~th~
Orein Field