HomeMy WebLinkAboutT15N R1W SEC 5 LT 5LOT-
E'EF'FII-~:TMENT OF HEF!L. TN
11 ...... ENV I R.L]NMENTFIL PROTEI--:T I ON
..... '= ' -': :" 9'9581
':'":'5 "L '" _,TREE F., RNCI-tORRGE., FIK
~ ~ ~.g~ : I,h...~L .lIME ~9,~.-213:i : ERGLE RZ'v'ER
PERMIT NO.
RPPL I CRNT: qFfl ITH F_h'~ I- _ JN=,] F. PHONE:
I-,[.,~. ,...E ........ _, ,..: _, ENG '" G
~ ff,lL.l I,.., ..J tl .... ,, ...... ~_.L_,, ,
' ,--' 1TM ..... ~ ~ ..... : I-I' ' DLOCK: NR LOT:
LEGFIL EE=,LD. IFTI ..... L,~,DI,.I_,I_N. NFl
,=' ~ f_iN RFtNGE: tH SECTION:
LOT _,I~ El '-- - '- ' ' ~
=,:.. FT. TuWN=HtF: , . -
t._,b ,": ~ FT, /E:R..'
MR::-:: l MUM NUMBER '-'~ '- .... '~ "~ TM "
.... BEC, ROOMS = 3: =,OIL RRTING = i~.- iDEl
LISTED ~,EL..,hc"- P ~ I..[:q' THE OPTIONS. RVFIILRBLE TQ YOU IN DESIGNING VOUR '-=,EFTI_,' 'P
=,r.:,TEI,. CHOOSE THE L,, ] I_,,~ Till:IT ~,E=,T FIT_, '.r'CllJR _,ITE.
klIDTN = 2. 5 FT.
LENGTH =
TOTFtL DEPTN =
GRR',.,'EL. DEF'TI~ =
GROVEL VOLUME =
TF. IN'K SIZE = ±.,
klIDTH = 5. 0 FT.
LENGTI-] = 79. ~E~ FT. ~ NOTE
TOTRL DEPT}I = 4. ~3 FT. ~ NOTE
GRRVEL DEPTI..-I = 1. 0 FT. ! NOTE
GRR',.'EL VOLUME =
TRNK SIZE = 1., C~OS. (~ GRLLONS ,::TWO
._,i'lFI ff~.Ti' ~NT THNI...
EJ FT.
38. E1 FT.
4.0 FT.
~:. 5 FT. ! ,NOTE ' -' MR"/ REQUIRE LIFT STRTION
2G. 7 CU..YDS.
GRLLONS <TI40 COMF'RRTMENT TFINK)
I EL.E:, [:.E~; I ~]P-~
}75 FT. REQUIRES THO TRENCHES
REQUIRES INSULRTION
MRV REQUIRE LIFT STRTION
COMPFIRTMENT TRNK)
I CERTIF"r' THRT:
:L. i I--'ll'¢t FRMILIOR HITH TNE REQUIREMENTS FOR ON-'SITE SEHERS RND HELLS RS SET
F:'ORTI'I E:"*" THE MUNICIPRLIT'¢ OF RNCHORFtGE RND TNE STRTE OF RL.I'rtSKR.
2. I HILL IF,ISTIqLL TNE SVSTEM IN RCCORDFINCE HITN TIIE CODES RND I-'lOVE RECEIVE[:'
F:I COP"/ OF THE C:ODE SUMMRR'/ FtI"gD DIRGRRM RTTF:ICNt'"IENTS Nt4ICN IS PORT OF THIS
PERM ~ T.
Z<. I ,UNDERSTRND TNRT THE ON"'SI'I'E SEHER S~"STEf"I MR"r' REL.]UIRE ENLRRGEMENT IF. TNE
RESIDENCE IS REMODELED TO INCLUDE'MORE THRN 3: BE[:,ROOM'."7,.
PERMIT RPPLICRNT HRS THE RESPONSIE:ILITV TO INFORM PERSONNEL DURING
THE INSTRLLRTION INSPECTIONS OF' RN"r' NELLS RD..TRCENT TO THIS F'ROF'ERT"r' FIN[)
TNE NUME:ER OF RE:~,i[:,ENE:ES TI-IRT ]'PIE t4ELL HILL SERVE.
IF'.R LIFf' STRTtON IS INSTFILLED., RN ELECTRICRL PERMIT RND INSPECTIQN MUST
BE; ODTRiNE[:,. IqS--BUILTS CRNNOT DE RPPROVE[:, HITHOUT RN ELECTRICRL. INSPECTION
REPORT. THE ELECTRICRL 1.40RK MUST BE [..,ONE D"/ R LICENSE[:' ELEC:TRICIRN.
RPF'L I CRNT:
IS'51JE[: ..... E,,:
SQUTt'I [.,_l[.:.k.L.L,N.z,.F~.
[:,FITE:
MUNICIPALITY OF ANCHORAGE
// Department,~'~ Health and Environmenta]--%rotection
/' ~ ~ '. 825 ,~ Street, Anchorage, AK. ~J501 ~
~4~ ¥ * * * HANDWRITTEN PERMIT * * *
~/~ ~/ 264-4720
Permit
WELL AND/OR ON-SITE SEWER PERMIT J .
Applicant: ~TO · 7 ,lf
Location: ~ Phone Number:
sgal oeseription: ZaC/ Size:
Type of Soil Absorption System Is:
Tank:
Trench: Drainfield:~2 .-- Seepage Bed: Holding /~__--~Z--~
Maximum Number of Bedrooms: ~-~ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH /0 LENGTH . GRAVEL DEPTH ' WIDTH ~"
The length dimension is 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 t he excavation(in f est).
· * 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 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 p~ivate 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°
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 und~n~ that the on-site sewer system may require enla~gsment if
i~led to include more tha~3_AedrTsZ~~
Signe~: Issued by:
SWP/024(1/81)
PERFORMED FOR: '~-
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE
10-
11
DATE PERFORMED:
IF YES, AT WHAT
DEPTH?
13-
SOILS LOG
[] PERCOLATION
TEST
SITE PLAN
14-
15-
16
17
18-
19-
20
COMMENTS
72-008 (6/79)
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFIED
(minutes/inch)
, FT AND , FT
DATE: