HomeMy WebLinkAboutT15N R1W SEC 8 LT 200"Ti'5
Zoo
MAI LI~NG ADDRESS
LEGAL DESCRIPTION
LOCATID~
DISTANCE TO:
DISTANCE TO:
Manufacturer
,VlUNICIPALITY 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
PHONE
[] UPGRADE
Inside length
HOMEMADE:
Dwelling
DISTANCE TO: Length
No. of li nes ~:~e~h ~ ~
Top of tile to finish grade,~
Length
NO. OF BEDROOMS
Absorption area Dwelling PERMIT NO.
Material
,~,.~ ~.~/ No. of c;~..~artments
I Width Liquid depth
Type of crib
Foundatio~.~/ F~' Nearest lot line .
Total leng~obli~.~,~, Trench w dth inches
Material be-neath tile~.~
Depth
PERMIT NO.
Liquid capacity in gallons
Crib depth
PERMit NO~2 ~t,~,d~/,~,.~
Distance between lines
Total effec 've absorption area
PERMIT NO.
Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
~ I
APPROVED
f2-013 ((~v. 3/78)
DATE LEGAL
PER~'~'I T NO.
FIPPL I CF"'INI" ROBE:R"r REFIHER
LOCF:IT I ON 81RCHHOOD LOOP
L..EGFIL. I..2ElO TtSN R1H SEC 8
TYPE OF SOIL RE:SORBTION SYSTEM IS:
DEF'I::IF:~tTME]'.,IT ('F HEFILTH FIND E:I"~YZF, tONMENTFtL. FF.. I~E ' s , , .-
,:,,:..._, _,l' F..LE r., HrgE..HUkl- ..~IL. FIK. ,a,::,~, Fv:i / ~
'": ':' '"" '~'": :'
J ~'".1 -- .::,, .L '"'IF' EE ..... E. IL ..O E. IF.:".
GEN DEL EI:IGLE F.:~',/ER NONE
LO'r S:,IZE t000E~(~ Sg!LJRRE F'EET
I"RE NC:I..-I
MR,":,'IMUH NUMBER OF BEDROOMS = ].::
':_:;OIL RFITING ('..'il;Q FT,..'BR)= t85
"['HE RE6!UIRED SIZE; OF THE '.-'.;OIL, ABSORPTION SYSTEi'I I:~;:
-i"HE L. ENGTFI DIMEN5;ION IS 'I"HE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIIEL[).
THE DEPTH OF Fl TRENCH OR F'IT IS THE DISTRI"`ICE E:ETHEEN THE -SURFFICE OF' THE
GROLIND FIND THE BOTTOM (.'iF THE ENCRVRTIOi'.,I (IN FEET).
THERE I::3 NO SET HIDTH FOR TRENCHES.
THE:; GRFIVEL [:,EPTFI I:5 THE HINIMUM DEPTH OF:' GRRYEL BETHEEN THE OUTFRL.L F'IF:'E
FtN[:, ]"HE: BOTTOM OF "f'HE EXCRVFITION (IN FEET).
F:'ERMI'F FtF'PLICRNT HRS THE RESF'ONSIBIL. ITY TO INFORM THIS DEF'F~RTMENT DURING THE
I NSTF~I,,J...FI"rION INSPECTIONS OF F-tNY HELLS FIDJFICENT TO 'f'HI'.5 F:'ROF'ERTY FIN[) THE:
NUHBER OF REE-;IDENCES 'I'HFIT THE HELL HILL 'SERVE.
................. "FI.,.I(::~ ,:: ;:4~." .":, ][ I'-..II:SE;F.' [E C:'T" 3: ,2, I'..,,I:S-'.':; FIt';:-: :F.E I:;E". EE ~Z-'::~, L.I~ :E ~r:;;':~ EEIE:: ............................
D¢tCKFILLING OF:' ANY SYSTEM HITHOUT FINRL INSPECTION FtN[:' FIF'F:'ROVFtL. E:Y THIS
[~EF'RRI~'MENT HILL.. BEE S:,UBJECT TO PROSECUTION.
MINIMUM DIS:,TRNCE BETNEEN A HELL RND FINY ON-SITE %EI.4FIGE DI':::';POSI=IL SYS'T'E:H IS
t00 FEEl" FOR FI PRIVRTE 1.4ELL.~ OR
::1..58 l"O 28¢ FEET I::'F;.!OM I::1 PUBLIC HELL [:'EPENDING UPON THE I"YF'E OF F'UBLIC HELL.
.HELL I..06..c;. I::IRE REf.:~UIRE[:, Rt',ID i"IUST BE REI"UF..'NED TO THE DEPFIRTI"tE:NT HITHIN 2a',~t DFIYS
OF THE WELL COMPL..ETION.
O'rHER RE(.:.!UIREMENI"L:,., MFIY RPPLY. ':T, PECIFICI=ITIONS RND (]ONSTRUCTION DIRGRRMS FIRE.'
I::IYRIL..RSLE l"O INSURE PROPER INS"f'RLLRTION.
I CEERTIFY THFll"
1: I FIM I::'F:IHILIFIR WITH THE REQUIREMENTS FOR ON..-SITE' SEWERS 8ND WELL':]; RS :i.:.';E'T'
F:'ORTH BY THE MUNICIPFII..ITY OF RNCFIORRGE.
2: I HILL ~NSTI:::LLL THE !;TEM IN RC:COF.'.'DRNCE ,tqlTH THE CODIES.
:2:: I ON-S]:TE SE.HER SYSTEM rtRY F::EQLIIRE ENLFIRGEMEN]" If::' THE:
INCLLIDE HORE THRN ]: BE[:,ROOi',12!;,
REF~MER
O~EGEO 3HNICAL ~ DEVEL.. MENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
S01L LOG
per~o,~ed ~or: ,am.: ~:-~'~ ~,~,~ Tel. ,o.
Ru~se/; Oyster
6.~.774
Soils E Foundations
CO.
Earl Ellis
Land Development
Mailing Address: ~_.~4/_ ~-c/#~
Legal Description: ~.~- ~ct~c~ ~-c ~., ~/~ ~ ~{~. ~
Depth (feet) Sotl Characteristics
7
8
10
1]
12
13
14
16
Ground Water Encountered: Yes No ~ If yes, what ~ePth ,,.
Proposed Installation: Seepage Pit Drmtn Field
Comments:_ ~-~r',~ ~-~-~-~ :~ ~f~
Performed by: ~' Date'~-/'--~'?' /~, /~"~"
/ -
1975
MUNICIPALITY OF ANCI-IORAG~
ENVIRONM~ ? ], ~ T[ON
FEB 2 0 I~);~.
RECEIVED
112
1t6