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AS -BUILT
I hereby certify that I have surveyed the following described
property: Lo t�.
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5� rsar [r link hl-Az ""g<
Anchdr ge Recording precinct, Alaska, and that the improve-
ments ituated thereon are within the property lines and do
not overlap or encroach on the property lying adjacent there-
-fi"+,°�",i'w " +'•?� to, that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are nc
roadways, transmission lines or other visible easements or
01 /yw 1 said property except as indicated hereon.
��"Ly°� °' "^ r°• bated at Eagle River, Alaska
this zbday of - ege�7`l� 14
P , a -/ ROBERT C. JOHNSSON %° r
/ SCALE: Jr Registered Land Surveyor No. 990-LS
.i•;'. _� l„ �4.0 Box 456, Eagle River, Alaska
Phone (907) 604-2546
i~ 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
TPHONE ~;J'~N EW
MAILING ADDRESS
LEGAL DESCRIPTION
L
LOCATION ' NO. OF BEUROOM~
'
DISTANCE TO: I
~ Manufacturer Material~ ~' J Nc. of compartments
I
, ~iq. capacity in gallons h~side length Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~ - ~ Manufacturer Material ~iquid capacity in gallons
Well Foundation
DISTANCE TO:
~ ~°'°flines ~ Lenotl~.achline._ ~ T°tal~l"nfl~h°flines Tren~[~tb~ ~ inchos DistanceBet~eenlines,~[
~ Top of ti~finish ~rade ' Materia} beneath tile Total effective absorotio~.area
Length Width Depth PERMIT NO.
~ Type of crib Crib diameter Crib depth Total effective absorption are:
~ Well Building foundation Nearost lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
~OIL TEST RATING
/~
INSTALLER
REMARKS
APPROVED , ~%'~¢~,.~ ~,~'..... DATE LEGAL
..... ~ .~ , ' ~, ~, ~>.~
72-013 (Rev. 3/78)
MUNICIPALITY OF ANCHORAGE
Department ~ Health and EnvironmentaC 'rotection
825 ~ Street, Anchorage, AK. 99501
264-4720
Z * * * HANDWRITTEN PERMIT * * *
Permit ~
-- W,~k--A4%D~-~;;R/ON-SITE SEWER PERMIT
!
Location: Phone Number:
Legal Description: ~T J ~/~ ~ ,~~f~t Size:
Type of Soil Absorption System Is:
~ Drainfield: Seepage Bed: Holding Tank:
Trench:
Maximum Number of Bedrooms: ,~~oil Rating(sq.ft/br)
The Required Size of 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(~eL-B-bN~) TANK SIZE = ~O 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 co~nunity 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 require enlar,gement if
the r~sidenc~ ~s remedied t~o ~qlude more that/~/
SOl LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
/C/Zoo/(
6
10
11
14
15
16
17
18
19
2O
SLOPE
SITE PLAN
L
ENCOUNTERED? , 0
P
IF YES, AT WHAT ('~i E
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
;:~ ?' '~i;;: ::: ,,,:'; PERCOLATION RATE
.... L ) ,~ TEST RUN BETWEEN--, FT AND /---~ FT
COMMENTS ¢ ~;0 ,¢)~( /~,,IZ '~Z F~C ~,/,/~
(minutes/inch)
72-008 (6/79)
CONS~ RUCTING ENGINEER~, INC.
CIVIL ENGINEERING AND LAND SURVEYING
SRA 8oxl~
ANCHORAGE ALASNA 99.507
1907 344.0817
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