The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 8 LT 184Lo 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 NAME PHONE [~L.N E W MAILING ADDRESS LEGAL DESCRIPTION /6 q- f5 iz-l LEGATION NO. OF BED~OO~ / I Well / J Absorption area , Dwelling , PERMIT NO. ~ ~ DISTANCE TO:I C~-, '~ Z~ ~Z Manufacturer m . Mated ~ No. ofcompartme~ Liq. capacity in gallons Inside le~b, Width Liquid depth / .~_,%~ IF HOMEMADE: ~O~ DISTANCE TO: Woll ~ D~elling PER~IT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well ~ Foundation Nearest lot line PERMIT NO, ~ ~ DISTANCE TO: ~ ~ ~ No. of lines Length of each lin~ Total length of lines Trench width Distance between lines ~-~ inches ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area ~ inches ~ ~ P~RMIT ~O. m Length ~C~)I Width ~C)/ Dept '~ O ~ / ~C~-~ ~'~ ~[g$* ~ Typeofcrib Crib diameter Cribdepth Total effective absorption area ~ m DISTANCE TO: Well //O (% Building foundatis~ ~ ~ Nearest lot line .~ Class F~[ 5~5V~/~ 'Driller Distance ,o lot line P E.MIT NO. ~ m DISTANCE TO: Bui}d~ng foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS INSTALLER REMARKS~ ~ ~ ~ APPR ED DAT~ LEGAL ~ ~ ~ 72-013/Rev. 3/78) Department 825 Permit ~ Applicant:~_~ Location: ~-~ ~~ON-SITE SEWER PERMIT Mailing Address:~_~O'~m~ Phone Number: &~/--~O~ MUNICIPALITY OF ANCHORAGE //~u f Health and Environments Protection ~ Street, Anchorage, AK. J9501 264-4720 * * HANDWRITTEN PERMIT * * * Legal Description: ~4. Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: ~ Lot Size: t/~ Seepage Bed: ~ Holding Tank: Soil Rating(sq.ft/br) ~0 ~,~ Required Size of the Soil Absorption System Is: DEPTH ,~ LENGTH ~")-- GRAVEL DEPTH ~' WIDTH The 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 departmeni 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. are (2) (3) Other requirements may apply. Specifications and construction diagrams available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 $ 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. I will install the system in accordance with codes. I understand that the on-site sewer system may require enlargement if Signe~: the residence i~/remodeled to f f include more that/~ bedrooms/~-~A I ssu ed by: SWP/024 (1/81) <Permit ~: 820703 January 31, 1983 TO: Permit Applicant Subject: T15N R1W SecLion 8 LoL ]_84 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 ' -~ an,. to close the permit. If a privaLe 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/057 PI, LI .. L. 0 C F::! F I 01",t L E: *"!i I I I~:. r' F SO :[ L. FHi.:.':S;OF'J:::'T I CiNz,'"' '"z ........ FEll '::: ':l FIF;~:E FEET THE LENGTH DIHENSION IS 'T'HE L. ENG'T'FI '.'.':[h,I FEE'T) OF 1"HE ]"FRENCH OR DI:;~:F:IINF'IELE:,. ]'HE I}EF'TH OF' FI TRENC:H OR P~'T IS THE g, ZS'T'F~NCEE BETP~EEN ]"HE t~2;URF'I::~C;E OF' THE (]E:[)I...II'..~D FIND 'I"HE BO't-'T'OM OF THE E~'~CFI'v'RTIOF~ ':;]:1",1 FEE'F). 'THE (]it:RFIVEL DEF'TH IS FHE HINIMUH [:.'EF'TH OF GRF:P,,'EL BETF.IEEI'.,I THE OLI'TFF:ILL PIPE FIND T'HE BOTTOH OF TFIE EF':E:R',/FI]"ION <tN FEET). F'EF;;ff'! ! 'F FIF'F:'L. I '" FfI",FI" F.IFIS; 'T*F'IE.. F~:ES;F'ONS:, I E: I L. :£ '1"¥ Tr' ]: NF'ORM "'! ~1.[.:,. .... .'E'"".:.F 'fiR" ..... I ME i'. T 1::,t~1,~;~: I J",![!i THE .[I,: f'-t.J..J--I .... ",E;F:'EC'I"'['£N'::~ CiD FIN':.' HELL.:':fl; F~[:,..:rF~CENT TO "FHZ:S F:'Fi:OPEIE:T".r' F~I'.~[:, THE Nt..JHtE:tlii:F~: OF:' RE. ,II..I:.t.P...[:..: 'l'HFll" THF HELL HIL. L ':': ....... ...... LR, E.. tLII HITHCILH" r:'IHi:rtL ZIq.:,FEL. I .[UI'.J ["1,1[.' I}E!]:::'FIF;~TME]'.,IT H :[ L.L E:E ':' ':' ' :: .._UE,.]E.....T TO F'Fh]SE:L' : II I.[.:, I:::I F:' F' R 0 'v' FI I.... [.. h'l I f",! I P1U H [:, I :S]"FINC:E D'JE'THEEN FI HELL FIN[) F:IN~? ON-.'.S I 'l"E :T:,EI41::IGE [:, ::Leu;!:~ FEET I::'0,~;;: FI F'RI',,,'IaTE HEL. L. OR t50 TO 200 FEET FROM FI PUBLIC HEL. L.. t}EF:'ENDING UF'ClN T'HE T¥1::'E OF F:'I.]E:L:[C I.,.IEL. t .... h'! I FI I HUH D I STFINCE F'ROId FI F'R I',,,'FITE HELL TO !::I PR I',,,'F]TE :.SEHER L. 'T'(} t:::1 C:OPIMUNiTY E;EHER L.!NE :[.'2; ?5 FEET. HF?]LL LCu:3S FIRE REQLIZF-:ED FIND MU'ST BE F'.E"I'I.~II:~:I'.,]EE:, '1"0 TFIE E:'EPFIF:N"HENT HI]"HIN 20 OF' THE HELL. COHF'LE'T'~:CIN. O'FHE!:;i: F;'.E:[~!U t REHENTS h'lFl"r' t:::IPPL"r'. :SPEC :[ F I CF~'I"]: L")NE; F:Ii",I[:, CON:STRI. JCT I OI",! E:' I FIGRI::!M:S F:I',,~F~ILF::tE:LE TO !NSLIRE PRCIF::'ER IN~.:-:,TFIL..L..FITI(]N. I J..: F'0F,'"FH E:"r' THE!: MLtNICIF:'F:IL..IT'~.' OF F!NCHORFtGE. 2.: I HIL. I_ INSTFIL. L. THE :SY:F.;'I"EM IN F:IC:CC~R[:,Ftt'.,IC:E H!TH THE CODES;. ]i:: I LiN[)ERtE:TF!NE:, THF:IT THE ON-:~:;Z'TE :SEI.,.IE,~'. S¥fS'T'EM I','IF:I¥ REQUIRE REE:fli; :[ C, EI'.,IC:E I::~; REHI])E)EL. EB, '1"O INCLUDE MORE 'TI...IFII'.,I 4 E:EDF':C~OMS;. L- ~ .... E ~ ~t E.. E... !1 ... Z2!i:: ::]I .......... [~ ............. ::::, ~:x:.. C E R T :[ F ¥ T H t::t T I FIh't f III. LIHE HITH THE RE[;!UIREMENTS F'"tF' Cd'..!-..5;ITE S[.:],.IER:i!i; F~I'.,!E:, HEL. I...':.:i; ::' ['--':-~f".i't[[ l:lt:,i--,I..l,::l~.!r FC',~% fH;-: F,,F':;F'CI!-~5.rS.rL[I'? I0 LI%C-:L'c~Jt fill'J, [:,C;:'H,w)/'I'FJ]'.Ir f:4JR[l'.)tl PERFORMED FOR: LEGAL DESCRIPTION: 1 2 4 6- 7- 8- 10- 12 13 14 15 16 17 18 19 ~.~-q MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION X PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 LI8¢z $ec $ Z-/d-/f T ~/o ~ /~ B~ /~o~'. SOILS LOG - PERCOLATION TEST SLOPE WASGROUNDWATER ~/~/D ~ ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? SITE PLAN k'~l~leadlng Date Gross Net Depth to Net · Time Time Water Drop