HomeMy WebLinkAboutBRUIN PARK FIRST ADDITION BLK 6 LT 300o
NAME
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
IPHONE
%,-t4.- t-'l/d/=,
E~NEW
[] UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
DISTANCE TO: i'N~r~ (") '~¢"
Manufacturer ~ 'C~-R-~~'
in gallons iF HOMEMADE:
Well
DISTANCE TO:
Manufacturer
DISTANCE TO: Well
No. of lines ~" Length of each line
,1.~5
Type of crib
of tile to finish i~e
Length Width
Crib diameter
DISTANCE TO:
)epth
Building foundation
DISTANCE TO:
IAbsorption area
Inside length
Dwelling
IDwelling
Materia~F_~C~,
Width
NO. OF BEDROOMS
PERMIT NO. ~
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Material
Foundation Nearest lot line. PERMIT NO.
Total ,en)t~[~l~pes Trench wid~th~..~ inches Distance~e~l~ .
Material beneath tile
inches
Depth
Crib depth
Building foundation
Driller
Sewer line
Totat effect, iveabsorp_tion area
PERMIT NO~
Total effective absorption area
Nearest lot line
IPERMIT NO.
Absorption area(s)
Distance to lot line
Septic tank
OTHER
PiPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/78)
DATE LEGAL
PERMIT NO.
I C: I F" F-ti_ I T'*T" C,F: FI I'-,I E: H E, E:F4,]iF2C
DEPRRTMENT 0 '~ERLTH FIND EN',,,'IRONMENTFtL F Cf'ECTION
825 '"L" STREET., RNCHORFtGE., RK.
RF'PL I CRNT
LOCRTION
LEGRL
ROBERT R F'ILTER
L].': B6 BRUIN PRRK
SF.:R BOX l'?BtB
LOT SIZE
X44-7~.46
22000 SQURRE FEET
TYPE OF SOIL RBSORPTION SYSTEM IS: DRRINFIELD
MRXIMUM NtJME:ER OF BEDROOMS = 4
SOIL RRTING (SQ FT,."BR)= 255
'THE REQUIRE[,', SIZE OF THE SOIL FtBSORPTION SYSTEM IS:
[:, E:~ F' T H =: ;-3 L E: f-~ ~'3 'T H == 2L 2 2: ~':J f~: R '...' E L [:, E F' T 14 =-= 4
THE LENGTH DIMENSION IS THE LENGTH (IN FEET:.', OF THE TRENCH OR DRRINFIEL[:,.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCR',,,'RTION (IN FEET).
T'HE T'F:Ei'-.I,-:H I,..-! I [:_-, TH I '_--% 5. ~_--.~,-}E-,~-Z'~ F'E£E'T.
THE GRRVEL. DEPTH IS THE MINIMUM DEPTH OF GRR',,,'EL BETWEEN THE OU"I"FRLL PIPE
RND 'THE BOTTOM OF THE EXCR',,,'RTION (IN FEET).
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM 'THIS DEF'RRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RN"r' WELLS RDJRCENT TO THIS;. PROPERT"r' RNB THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
.......... T 1.,..ii ,:, ( 2 ::' I ~-~ :_---. F' E C: T' I C, [-~ '_~ R F:-: E F-: E ,'.%" L! I I~.:: E-: [:,
BRCKF'ILLING OF RN'¢ S¥STEt'I HITHOt.IT FINRL INSPECTION RN[:, RPPRO',,,'RL B'T' THIS
DEPRRTMENT HILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R HELL FtND RN'¢ ON-SITE SEt4RGE DISF'OSRL SYSTEM :IS
100 F'EET FOR R PR I ',,,'RTE HELL. OR :t50 TO 2¢'~'~ FEET FROM ~ PUBLIC HELL DEPEN[:'ING
UPON THE TYPE OF PUBLIC HELL.
MINIMUM DISTRNCE FROM R PRIVFtTE HE:LL TO B PRIV8TE SEWER LINE IS 25 FEET RND
TO R COMMUNIT'¢ SEHER LINE IS 75 FEET.
OTHER REQUIREMENTS MR9 RPPLY, SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE
R'v'RILRBLE TO INSURE PROPER INSTFtLLRTION.
F:" E2 F..: fd I 'T E :=~=:F' I RE_"_=, [:,EC:F--f'IE:ER 2-: 2L...
I CERTIF'¢ THRT
2.: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWER':; RN[:, WELLS RS SET
FORTH B'¢ THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: I HILL INSTRLL THE SYSTEM IN RCCORDFINCE WITH THE CODES.
" - .. I'l c ' '-- , ' ' ' '1
<' I I INE:,ERqTRN[, THRT THE ..N-~ITE :,EHEF. S'T'STEM P18Y REQUIRE ENL. HR=EI'IENF IF TFIE
[)ENCE IS REF10[:,ELE[:, ~.U[:,E MORE THRN 4 BEDROOMS.
2:I,3NED'_._~~~Rf FILTER ~% /~g
~'"~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
LEGAL DESCRIPTION: ~-'~- ~
SLOPE
1
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
WAS GROUND WATER ~S
ENCOUNTERED? '~' -~3 O~
0',%T- P
E
IF YES, AT WHAT
DEPTH? ~.t~ /
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ (minutes/inch)
tEST RUN~ETWEEN ~/.0 FTAND .//'$~ ~t
72-008 (6/79)
