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Home My WebLink AboutBIRCHWOOD SOUTH BLK 1 LT 3B000 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL_ PROTECTION ENVIRONIVlENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING A,~_.? R ESS IPHONE ~L ["~N EW ~ ~ .~':~ [] UPGRADE LEGAL DESCRIPTION LOCATION NO. OF BEDRO.OMS Well ~.~ I Absorption area Dwelling ~ PERMIT NO rg ~ DISTANCE TO: /Vc~, ~ I ~ ~ / 7 '~ ~ , ~'~., ~ Z I Manufacturer ~ Material , No, of comp~ment;- ~ [Liq. capacity in gallon~ . ........... I Inside length Width ..... ' ' I , TANC TO I We" ~ q~~~o n s ~ I ~ ~~st I~t linel I PERMIT NO. ~[ I ~s~,c,~o: I ~o~ I W5 )5 _ .I ~1~. ~ Im ~Z I No, o~ines ~[Length~ ~/°fe~chljne Total~length~ of/lines_ ~ ~'~¢T~o""h":!dth ~~'Di'Distance~.~ ~b tweenlines ~ I Top of tile to finish grade I Material beneath tile ~ ~ ITota eff~tv~absorptionarea < ~ [ Type of crib Crib diameter t Crib depth T~al efta ~ DISTANCE TO:_ ~ing foundation -- ~~-- ~ ICl~s ~pth ~ .......... ~uildin~ found~ ' ~ Septic tank ABsorption area s DISTANCE TQL__ OTHER PIPE MATERIALS SOILTESTRATING ' I~o ~_.~. INSTALLER 7 ' O,~, ~ ,,;i__~ REMARKS 72-013 (Rev. 3/78) DATE LEGAL Permit % Applicant: Location: MUNICIPALITY OF ANCHORAGE Department : Health and Environmental 'rotection 825 ~ Street, Anchorage, AK. ~3501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND,/OR ON-SITE SEWER PERMIT CORRECTED LEGAL DESCRIPTION Phone Number: ~ au PsR '£H~ SO~L$ ~T: LOT 3B ~rchwood'South Subdivision Legal Description:. '~ ' Lot Size: Type of Soil Absorption System Is: Trench: Drainfield:~~.~ Maximum Number of Bedrooms: The Required Size of DEPTH ,~3 LENGTH Seepage Bed: ~___ Holding Tank: Soil Rating(sq.ft/br) the Soil Absorption System Is: . GRAVEL DEPTH ~ ~' WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(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). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~-~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may ~quire enlargement if the residence is ~mo~e~l~ed to include more tha~ 3/' bedrooms. Applicant '~'-/Date: ~/.~- ~b/~3"~//~) SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE Department -- Health and Environmental ~rotection 825 _ Street, Anchorage, AK. ~3501 264-4720 * * * HANDWRITTEN PERMIT * * * ...... ,.,~ ON-SITE SEWER PERMIT Location: Phone Number: 6 Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: ~--'"~Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required S, ize of the Soil Absorption m I.s_:. DEPTH ~_._ LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or d The depth of a trench or pit is the distance between the surface_ ~f_ th~ ground and the bottom of the excavation(in feet). There,~-~et widt~ ~or/trenches. depth ff_~ h~ Pipe and The gravel depth is the minimum/' of gr~el ~ en~ t the bottom of the excavat feet) * * REQUIRED SEPTIC(HOLDiNG) TA~ ~'~ NS * * to info Permit applicant has the respon~ib~i.li/~ :m .~.~department during the .~,~ ~/~lsadj property and the number installation inspections of any s acent of residences that the well will erve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is' 25 feet and to a community sewer line is 75 feet. Well logs are required and.must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I ~m familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may~quire enlargement if the residence is remodeled to include more tha~ B bedrooms. Applicant -~Date: Z ~/~' ~//~-~ SWP/024(1/81) 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: LEGAL DESCRIPTION: DATE PERFORMED: SLOPE SITE PLAN 2 -~3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER rjr.- S ENCOUNTERED? ~'~O L O IF YES; AT ~ DEPTH? · ~ E Gross Net Depth to Net Reading Date Time T i m~-~.~,~ i~/V~, t~er D rap ~-..' ~ - , , t. · .... 7'" ........ , Lawrence ¢..[oc~yor; ~, ~ * ~325 PERCOLATION RATE (minutes/inch) · TEST RUN BETWEEN FT AND ~ FT / ' PERFORMED BY: DATE: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82'5 'L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMEO FOR: "-F~IA~~?' ~JGIMEF~;~IN~ DATE PERFORMED: I I - .-~ - ~-- LEGAL DESCRIPTION: '~ I T~ C t'-lr ~%/091~ SLOPE ~C),,~"r-~ ~i~-~l~V,'~o~,/ . i~L-c~IQ I b-pT' '~' ~;ITE PLAN ) 'x 3 ~'~ ~ 4 5 6 ~os 5~ - 7 ~~ - .'~.'; ~.' ',L-;' - _,'.~S GROUND WATER DEPTH? 13 14 15 16 17 18 19 2O 'TOTAL. DEPTH ~.0' COMM E NTS~_~__t - M L( ;T" ~ Li)T Z. ± s! L O P E Gross Net Depth to Net Reading ' Date Time Time L/c,~H.) Water Drop 3 3 Z:~3 2:s~ 3o 1~37,s4~,'/4 I I & & 3:?.4 ~:c~. 30 ~0 8S'/~ 4E~ 4 ~ PERCOLATION RATE TEST RUN BETWEEN ~J, 6 /' 40 (minuteilinch) 6.~ FT AND '7.~ : FT / 3,g A~I~ 4,O z- ~: ~;'% ~ "~ SOILS LOG .~-<-. ti'~6 MUNICIPALITY OF ANCHORAGE ' "~~;] ' 825 L Street Anchorage Aaska 99501 264~720 TEST PERFORMED FOR: ~ lAD [~IN~E~IN~ DATE PERFORMED: I I - ~ - ~ LEGAL DESCRIPTION: .~::~O"r'~ .~'u~V,%,o~/ . ~.oc. 1¢, I) LoT' ~' SLOPE .~ITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 DEPTH --( E ~T)- 41 Ii It ti GROUND WATER S ~ICOUNTERED? NO 0L , P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time C~ N.) Water Drop 3 3 Z:z3 z:~ 3~ ~3~, 4~Y4 )o 4:z~ ~o ~4% 5 Y~ 20 ' - -) PERCOLATION RATE 8. ~o / 40 ~/ (minutes/inch) TEST RUN BETWEEN ~'~ FT AND '7."~ FT ~.~ A~D 4.0 COMMENTS ~__1.~,~.~_ ~ ~'~O~t ~ ~.~ ~ I'~ ~ ~ ~ ~, ,- ~ /~f.,,~ERTI~IED B~~~~ DATE:~ 72-008 (6/79) ' ' ~ ~,,~', /,~ PERFORMED BY: W~'~