HomeMy WebLinkAboutLAKE O THE HILLS EAST BLK 1 LT 2/
015
,,.._/ 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
MAILING ADDRESS
LEGAL DESCRIPTION
f Well
Absorption area/
M a nD 'u;aTctuNr ~rETO: I ~ O ~//~ D "/~f Dwelling
(~ ~' eel- Meterial~'fe~/
Liq. capacity in gallons ]
~ ~-~ ~ ,u.we~w~u=: Inside length
DISTANCE TO: [ Well Dwelling
PHONE
NO. OF BEDROOMS
2
No. of compartments
Liquid depth
PERMIT NO.
Manufacturer Material Liquid capacity in gallons
Nearest lot,line,~ ~ i
Trench width~inches
Foundation /2
Total length of
PERMIT N 0~,~ ~0..~ 2
Distance between lines
Well
DISTANCE TO:
No. of lines 2 ] Length of'eocene,
Top of tile to finish grade
Material beneath tile CF inches Total effective absorption area
Length
Type of crib
Width
Crib diameter
Well
Depth
Crib depth
Building foundation
PERMIT NO,
Total bffective absorption area
Nearest lot line
DISTANCE TO:
Depth Driller Distance to lot line PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
DISTANCE TO:
[] NEW
[] UPGRADE
OTHER
PIPE MATERIALS
SOl L TEST RATI N G
INSTALLER
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
F'ERMIT NO.
[:,EF'RF.:TMENT OF HEFtLTH RN[:, EN, IF_NMEN'~HL PF.:OTECTION
8'25 "L'" STREET. RNCH]RFtGE, RK. 5~'950~
264-4720
RPF'L I CRNT
LOCRT I ON
LEGRL
"l .... .~ '--' ~' ~ R',,,'E q'~SA4
NEW-f'ON E,..,_.H,HTING INC ...... E 22 .......
L2B:iL LFIKE OF THE HILLS ERST LOT SIZE
TN'F'E OF SOIL RE:SORF'TION S'T":;TEM IS' TF.:ENC:H
MRXIMUM NLIMBEF.: OF EEDF.'OOM'5 = 6
?. '2.9. '9 7. ?. '2'~ SC!URRE FEET
SOIL RRTiNR ,.':SQ FT,-."E:R)= :_--:5
THE F.:EC!UIREr:, SIZE OF THE SOiL RE:SORF'TION SYSTEM IS'
[:.EF'TH= 1t LE f-~GTH= _---=: .----' ,3 F.: F-1%-" E I-_ [:. E F" T'H:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SLIRFRCE OF THE
GROUND RND THE BOTTOM OF 'THE EXCRVRTtON (IN FEET).
THERE tS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS TNE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F'ERMIT RPPLICRN'r HRS THE F.:ESF'ONSIBILIT'¢ T3 INFORM THIS [:,EF'RF.:TMENT DLIRING THE:
tNSTRL. LRTION INSPECTIONS OF RN'¢ WELLS RDJRCENT TO THIS F'RJ.'EF.T~ RND THE
NUMBER OF RESIDENCES THFIT THE WELL WILL SERVE.
L" ~-.! .----.
E:RC:KFILLING OF RN'¢ '-']'¢:5TEtl WITHOUT FINRL INSF'EC]-ION RND RPF'RO',,,'RL B'¢ THIS
DEPRRTMENT WI LL BE SUBJ'BC:T TO PR'_"BE-:UT I C N
MINIMUM DISTRNC:E BETWEEN R WELL RND RN'¢ ON-SITE SEWRGE DISPOSFtL S'~'STEI',I IS
'1E~0 FEET FOR FI PRI',,,'FITE WELL OR ±50 TO 2C~0 FEET FROM FI PUBLIC WELL DEF'EN[:,ING
UPON THE T'¢PE OF PUBLIC WELL.
MINIMUM DiSTFtNCE FROM R PRt',,,'FITE WELL TO Ft PRI',,,'FITE SEWER LINE iS 25 FEET FIND
TO R COMMLINIT'T' SEWER LINE IS 75 FEET.
OTHER REL.]UIREI"'IENTS MR'¢ RF'F'L'¢, SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVFIILRBLE TO INSURE PROPER INSTRLLFITION.
I C:ERTIF'¢ THRT
SL: I RM FFIMILIFIR WITH THE REL.]UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'¢ THE MUNICIPFtLIT'¢ OF RNCHORFtGE.
2: t WILL INSTFILL THE Sk'STEM IN FICCOR[:,FfNCE WITH THE CODES.
_--::: I UNDERSTRND THFIT THE ON-SITE SEWER S'¢STEM I:IB'¢ RE6IUIRE ENLFIF.'.GEMENT IF THE
RESIDENCE IS REMODELED TO I NCLLIDE MORE THF!N 6 BEDROOMS.
: :~ , / '-'i ,~: .....
sI,: N. Er:,_ .....
FIF'PL I CFINT~I"'IF/b~TFd"4, E;:-::CR'.,.'FIT I NG I I'..IR
U
/!
PROJECT Lake 0' The Hills
CLIENT H.T. Newton
W.O. 0716
TEST HOLE NO. 2
ELEV. TOP OF HOLE 823
DATE February 6, 1981
Organic Material
Moist, Brown, Silty Sandy Gravel, GM
Cobblel~s and Boulders
Layers of Sand and/or Silt
Bottom of-Hole
Water T
Pe~ula~°n Ral/ce~.l min' each
Ti me De p ~h~c~-Wa~t~'~
8:08 6'7¼"
8:18
8: 28 7 ' 2¼"
8:38 7'5"
8:48 7'7½"
8:58 7'9½"
UNV~IN m SCHEBEN e KDRYNTA m HUETTL
25qB A STREET
ANCHORAGE. AK. 9950:] 27~-~1~'~S
1
G'
~£oLK
Zoi-q F_ I
ZoP-I ~ II
ZoH~ III
LAKE O' THE HILLS EAST SUBD.
q~---6T I-IOLLF_ L. Om_.~-I-~C;T-q jq-Al'-I' .
~ UNWIN 'SCHEBEN · I~ R~NTA
