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HomeMy WebLinkAboutT15N R1W SEC 5 LT 102Sgc o-C '4UNICIPALITY OF ANCHORAGE Heal ~ &nd Environmental Protec on ~ Fourth Floor West ~ 825 L Street Anchorage, Alaska 99501 264-4720 INSPECT ON,REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,O, $ce~ .~ iLEG^~_DESCR,PT,ON L_lO~. ~-~ ~ TIs-~ SEPTIC TANK: DISTANCE "J OO ~ FROM WELL MANUFACTURER INSIDE LENGTH _. INSIDE WID]!H ] LIQUID DEPTH NUMBER OF ~_.. COMPARTMENTS _ LIQUID CAPACITY J(~OOGALLONB. TILE DRAIN FIELD:"'~J~F b~'~'~' ~ ~ TOTAL LENGTH ,~C/ ~ J _ ~ of Lines ~ DISTANCE BETWEEN LINES ~[_~_____TRENClt WIDTH%G IN, TOTAL EFFECTIVE ABSORPTION AREA ...... S~, FT. LENGTH OF EACH LIN~ I~ ~1 DEPTH OF FILTER OL-P'ilh TOP GE TILE '1'O F:~NISH GRADE I~ MATERIAL B[NEATH 'riLE '~ ~ _IN. ABOVE TILE '~ IN. SEEPAGE PIT: DIAMETER OR WIDTH ___, LENG FH__, DEPTI4 Log Crib Rings Crib Size: DIAMETER .... DEPTH.___ DISTANCE FROM: WELL .... TOTAL EFFECTIVE BDILDING FOUNDATION__.. NEAREST LOT LINE___ ABSORPTION AREA (WALL AREA}I SQ. FT. Well ,,,~-,-_\ Class: Sv,.c,'- Depth: Well Distance To: Lot Line Bldg: ~© ~ Sewer Line: Pipe Materials: # of Bedrooms: Installer: ~ ~v~ Remarks: _.~ J j I'}EF'FIRThlENT C., -.IEFILTH F:IN[;, lEi'g,,,' Z ROI'.4MEN"I"FIL I 'ITEC:T Z ON 825 "L'" STREET., I::INC:HC'IRFIGE, FII<. F'ERklZ]' NO. ~:: '776:L4. ) ~O1~4;~~'a',~ ................ ¢-N ,' L. HLI .a .[ H~',. FIF'PI... I CFIi'.,IT HFli"IF]NN COI~;]" E:, I...OCFIT t ON SCENIC LEGRL L::l.l~2. SEC 5 T:tSN R::t.14 '- '~'' ,:[.k~b, MB~El '.SQI...IRRE FEE"I" LOT .=, Z,:,E. ' ...."-" T'¢F'E OF z, DIL. HE,_,.~F..E, FZ..i'4 z~z, TEM ,l._,: TFJEN ,H ,z,. , z' _,OIfL F. HF]N.~ ,:":,~) FT/BR)= J ...... MFIXIML.IM iqlJi'ILEF:. OF E:E[~F.:OOiq-c; TM - ...... THE REtP. UIRED SIZE OF THE '..SOIl.. FIE:SORPTION SYSTEM IS: THE LENGTH DZi"IENSZON I~ THE ,LENGTH (ZN FEET) O1"- THE TRENCH OR [:,RRZNF'IfELJ}. THE DEPTH OF FI TRENCH OR P~T ~'.~."; THE DISTRNCE BIETWEEN THE SURFRCE OF THE GF;?,OUN[) AND THE BOTTOM OF THE E::'::CRVFITION (IN FEET). THERE IS NO SET WI[."TH FOI';.'. TRE:I',ICHES. THE GRFIVEL DEPTH IS ]"HE MINIMUM DEPTH OF GF.'.FIVEL BETI,.IEEN THE OUTFRLL PIF'E FIN() THE BOTTOH OF THE.{ E',:'.','CRVFITION '.';IN FEET). FI PFIE:KFIGE F'I...FINT 1"1F1'¢ BE INSTFILI...ED FIT THE PERMTTTEE'"S OPT]:ON SUB..TECT TO "I']-.IE t. EITHER FI CLFISS I OR Z Z NSF flPPROVED PLFINT MFI¥ BE INSTFILL. E[:,. 2. R COI'.,I'If'IfNUCdJ::.'; i',IFIZNTENFtNCE RGREEI'4ENT ZS REQUIF.'ED. ZF 8 MFIINTENFINCE FIGREE}'IENT ZS NOT KEPT CURRENT YOU I"lFi~r' BE REg!UIRED TO ENLFIRGE THE SOZL I:tB'.~OF..'PTIfEIN SMS'I"EM FIN[)/~OR '~.'Ol.J MR'T' BE: SUB..]'ECT TO F'F~:O.?.,ECUT);f)N. 'TI.-II,:I ,:: ;~ :) ][ II-.lt_:..F E ....I ~ I_l~'.!l ......RFZE; F..' E" 6: ! LIt ][ E,H..k.I:-[[ I. ]l",l..~ I}1:: Fii'.,l~~ ::'r: I"E.i't NITHOIJT FTNRI... IN:.,PEE. TI..I~ FINE:, 1"'3PPROVFII.- E,,r THIS E)EF'FtRTi"IENT NIL. L.. E,E %.E.TE'":T TO FF:.U.:)EL.I.JTIL~'I. MINIfMUM [:,ISTFINCE 13E"I'WEEN Ft NELl. FtI'4D RN"r' ON-SITE SEI.,.IFIGE DISF'OSFIL SYSTEM IS ¢1..1~3~) FEET FOR FI PRI',/RTE !.,.IEI_..L OR 2ElIZ.~ FEE;T FOR R PUBLIC WE[.[... 1.41ELL. LOGS ;::IRE REE,~UIRED FIN(:, MUST E:E RETURNED TO TFIf:'; DEF'FIRTMENT NITHIf. N 3:¢3 I],R"r'S OF THE !.4ELL COh'IPI..ETION. OTHEF:: REg!LIIREMENTS FIFI'¢ FIPF'L~r'. SF'EI]:IF'IE:RTIEINS RND CONSTRIJIZ:TION D:[FIC'iRFII'I'.':!; FIRE FI',,,'FIII_..FIE:I...E TO INSURE PROPER INSTFILLFITtON. I CERTIF"r' THFIT t: I FIM FFIMILIfFIR WITH ]'FLEE REgfUIREMENTS FOR ON-SITE SE.:.!.4ERS RNI} WEI.J.~S FIS SET FORTH B"¢ ]"HE MIJNICIPFILIT"r' OF Fff.~CI'.'IORR(~iE. 2: I .klIL. l.~ INSTFIL. I._ THE'." SYSTEM Ii"',l FICCORDFINCE 1.4ITH THE (;ODES· .-,.":: I UN[':,EI;.'.:.:.';TRND THRT THE: ON-SITE SEWER S"r'STEM I"1R'¢ REL.]UII;::E Ei",II...FIRGEi"IENT IF THE RESIDEI",I]E IS; REi"lO[:,EI...EI} TO INCLU[:'E MORE THFIN =, I I.~NE[ ................................. .... ~....!'.]:'. -' .... - · ]:].S ' SOILS LOG PERFORMED FOR: MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST Pouch 6-650, Anchqrage, Alaska 99502 276-2221 SOIL~ LOG - PERCOLATION TEST · . ~4~J~ . DATE PERFORMED: ~sc.,.~,o~:~ /.~ /o%S~ '~ /~-~5~. '~ SLOPE SITE PLAN 13- 14- 15- 16 17 18 19 2O COMMENTS PERFORMED BY: 1 6 7 8 ,9 10 11 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop minutes/inch) -- FT  ERCOLATION RATE ~EST RUN BE WE N -- FTAND M CERT, ,EO"Y: / 72-008 (7/76) I