HomeMy WebLinkAboutSPRING FOREST SOUTH TR 1-D
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telepltone 264-4720
ON-SITE SEWAGE DiSPOSAl. SYSTEM AND/OR WEI.I. INSPECTION REPORT
-:GAL DESCRIPTION
PHONE / ~NEW
DISTANCE TO: [Well I Dwelling
Manufacturer
Material
Wld~h "~
Material
NO. OF BEDROOMS
P MIT4 NO. I ,
No, of compartments~.~,
Liquid capacity in gallons
Well Foundation Nearest lot line
DISTANCE TO:
No, of lines J~ Length of each lin~, Trench wi~ inches
Top of tile ~o finish g, ade <:~! Material beneath tile ¢¢ inches
Length Width Depth
DISTANCE TO:
Class
DISTANCE TO:
Depth Driller
Building foundation Sewer line
:tlve abs rpti ea
ITotal effective absorption area
Distance to lot line
Septic tank
REMARKS
OTHER
APPROVED
~'~.013 (Rev. 3/78)
DATE LEGAL
!907) 26{ 4! I ~
~Permit ti: 820285
January 31, 1983
TO: Permit Applicant
Subject: Tract 1-B Spring Forest South Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on.-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/O 57
~'ED FORSI &' ASSOCIAT"% INC.
124 East 7th
ANCHORAGE, ALASKA 99501
C^LOULATED BY I--r/--__ DATE
SCALE
TI[D FORSI & ASSOCIA1 , INC.
124 East 7th
ANCHORAGE, ALASKA 99501
SHEET NO OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE.
NOISJIAICIflDS IS]~JO-J DNRJd$ I
.
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