HomeMy WebLinkAboutSTOCKHAUSEN LT 8 LESS S PTN
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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
LEGAL DESCRIPTI~QN
'?
LOCATION
Manufacturer Material
_iq. c IF HOMEMADE: Inside length Width ~/
Dwelling
NO. OF BED~OM~
No, of compartm ts
Liquid depth
Well PERMIT NO.
DISTANCE TO:
Manufacturer I Material
DISTANCE TO:
Length of gach Ii e
t
No. of lines
Top of tile to finish
Foundation
Total length/g! li~es
Material beneZ tile
Width Depth
Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
Class Depth Driller
DISTANCE TO: Building foundation Sewer line
OTHER
Length
REMAR' ~ I ¢
INearest lot lin~.~ ~,~ ~
Trench ~]& inches
Liquid capacity in gallons
PBRM,TNO.
PERMIT NO,
Total effective absorption area
Nearest lot line
Septic tank
Distance to lot line
~sRo rMit~o~ea (s)
APPROV DATE
78)
LEGAL
HF F L :1 ..H~
LOCRT I OH
LEGRL
E'v'ERETT C. CRLk:iNS
L8 ^STA i:KHOI_ISEN
BOX 683: E.R. 694-2.:990
LOT SIZE ,=,c,~ ~=g_i'4RE FEET
I=,. TRENL. H
T'¢RE OF SOIL RE,_,u~.Ft tChl :~,YSTEM
NUMBER OF BEDROOMS = 4
SOIL RRTING (SQ FT, E,R. - __"i._
':;"~' OF THE _,uIL HBz, uRFTIuN SYSTEH I=,.
THE REQUIRED _I~-E '~- - '-'" ' - '
~._.,=_ ijF-.fl .¢ EL C"EF'TH== 7
[:.5Z F' ]- H== 1i
THE LENGTH DINENSION IS THE LENGTH (IN FEET:) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF B TRENCH OR PiT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RN[) THE BOTTOM OF THE EXCR',?BTION (IN FEET).
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRW~,'EL DEPTH IS THE MINIMUM DEPTH OF GRB',,,'EL BETWEEN THE OUTFBLL PIPE
FIND THE BOTTOM OF THE EXCRVRTION (IN FEET).
E:Eg-"Lt ~1REtZ:. SEP-¢" I C TRl~4k: :S ][ ZE= 125E~ GRLLC~fP~'---~
PERI"ilT HFFLI_.HNT HRS THE RE_,F_N_,IE, ILITV TO INFORM :"HIS DEPBRTMENT DIIRINI3 THE
IN=,THL. LdT.~Cr.~ INSPECTIONS OF RNY HELL=, RDJBCENT TO THIS PROF'ERT'Y RND THE
NUNBER OF RESIDENCES THRT THE HELL HILL .=,ER,E.
]-lP.iC, ( 2 ::, I I'-~'_-]PEE:T T ~]~'-~'_R RF.:E F.:E g;!Ul Z ~:E[-~
BBCKFZLLtNG OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROMRL BY THIS
DEPRRTI'iENT WILL BE SUBJECT TO PROSECUTION.
i',IINIMUM DISTRNCE BETWEEN ~ WELL RND BNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
200 FEET FOR R PR!VR]"E WELL OR %50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
MINIMUM DISTRNCE FROM B PRIVRTE HELL TO R PRIVRTE SEWER LINE IS 25 FEET
TO ~ CCMMLNITY SEWER LINE IS 75 FEET. .
WELL LOGS BRE REQUIRE[:, RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~:8 DR9S
OF THE WELL COHPLETION.
OTHER REQUZREHENT5 I"iW¢ BPPLY. SPECIFICRTIONS RN[:, C:ONSTRUCTION DIRGRRI"iS RRE
RVFIZLRBLE TO iNSURE PROPER INSTRLLRTION.
I CERTIFY THRT
i: I BM FRMILIRR WITH THE REQtJIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET
FORTH BY THE HUNICIPBLITY OF BNCHORRGE.
;2:: i WILL INSTRLL THE SYSTEW IN RCCORDRNCE WITH THE CODES.
3:: t UNDERSTRND THRT THE ON-SITE SEWER,SYSTEM MBY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELE[:, TO INC:LUDE MORE THRN 4 8EDRO01"iS.
S l GNED: _%~~-.}~=~~ ......... RPPLZCRNT EVERETT C. CRLKINS
O & E ENGINEERING & DEVELOFMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
Legal Description:
Name:
Mailing Address: Z~o ~"
Earl Ellis
SOIL LOG 688-2280
~("~0/~{,_.(---~R (_-)C~ 'T'/~/~/ Tel. No. ~ ~' ~'/- °'~ ~' q~
Depth (feet)
0
4
6__
7__
8__
9__
10
11__
12
13__
14__
15
Soil Characteristics
PLOT PLAN
16m
Ground Water Encountered:
Proposed Installation:
Comments:
Yes No t'/ If yes, what
Seepage Pit Drain Field
PERC. TEST
Performed by: Date'
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