HomeMy WebLinkAboutT15N R1W SEC 9 LT 140,.o
Lo
-~ - MUNICIPALITY OF ANCHORAGE
(//~"~ ~'~.~_~ DEPARTMENT OF HEAl-TH & ENVl RONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
" 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ UPGRADE
LEGAL OESCRIPTION
LOCATION ~O. OF ~EDRQOMS
DISTANCE TO:
~ Manufacturer ~., ~ Mo~ ND. of compartments
~ DISTANCE TO: Well
~l~ Trench width Distance between lines
~ Top of tile to finish grade ~, "Mat~erialbel~eath tile ¢ inches Total?~¢v~bsorptionarea
Length Width Depth PERMIT NO.
~ N Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Cla~ ] .~ Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
SOIL TEST RATING
INSTALLER ~ ~ .... L
72-013 (Rev. 3/78)
DEPf4RTP'IE:NT HEFtLTH RND ENVI R: NMENTRI E:E"f'E': T I: N.. ':'""' L'" _, rKE. Eq., H~~..HL RR.~E, FIK. 9'Se50J.
T"r'F'[=' OF =,CIL FIBSOF~:F'TION :,~..,FEM l:,. DRRINFIELD
:,I,,_E THE ~..IL RL,=,URPFIJH :,~_,fEfl I.:,:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENC:H OR DRRINFIEL. D.
THE DEPTH OF:' R TRENCH OR PIT IS THE DIS'TRNCE E:ETNEEN THE SURFRCE OF' THE
GROLJND RND THE E,]rrTOM OF THE E,'..4E:R',/RTION ,:;IN FEET).
7' I-! F5 'T R E: I'-.~ [=: f-I I...-1 :[: E:. 1- H I :S
THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL 8ETNEEN 7'HE oU'rFRLL PIPE
RND THE BOTTOM OF THE EXCRVR]"ION (IN FEET).
PERMIT RPF'LICRNT HRS TF.tE RESPONSIBILIT~¢ TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RN'¢ NELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES TFIRT THE HELL NILL SERVE.
EfRCKFII..LING OF RN¥ SYSTEM NITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
t}EPRRTMEN't" I,.IILL BE SUE:JECT TO PROSECUTION.
MINIMUM DISTRNCE BETI4EEN R NELL Rf.,ID RN¥ ON-SITE SENRGE DISPOSRL S'¢STEM
2.98 FEET FOR R PRIVRTE NELL OR 15¢ TO 280 FEET FROM R PUBLIC HELL DEPEN[:,ING
LIPON I'HE ]"~'PE OF PUBLIC NELL.
MINIMUM DISTRNCE FROM R PRIVRTE NELL TO FI PRIVRTE 5EI4ER LINE IS 25 FEET RND
TO R COMMUNITY SEt,.IER LINE IS 75 FEET.
OTHER RE6!UIREMEN]"S MR¥ RPPL"r'. SPECIFICFITIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
IF- [£F. 14 :[ T' E. -,F ]:: I:~E-:S E:,E.,._.EI'IE. EI :. _~-=-:.IL.. ::IL .....::L
I C":ERTIF¥ TI-IRT
::L: I RM FRMILIRR WITH TFIE REL';!UIREMENTS FOR ON-SITE SEHERS RND NEL..LS RS SET
FORTFI BY TFIE MUNICIF'RLIT"r' OF RNC:HORRGE.
;L:': I P.IILL INSTFtLL THE S"r'STEM IN RCC:ORDRNCE 1.4ITH THE CODES.
~: I UNDERSTRND TFIRT TFIE ON-SITE SEt4ER S"¢STEM MR'¢ RE6PJIRE ENLRRGEMENT IF THE
'TA~¢ n
i:ESIE:'ENC~C I~REMOL:'EL~ 'TO INCLUE:'E MORE THRN :!'.:: E',EDR00MS.
,... ....
I :..:,t_IE [ [.;:~'_. ._DRI"E ...........
O & E ENG,NEERING & DEVELOt-MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Performed for: Name:
Mailing Address:
LegalDescription: ~o7' /z/O, ~'~'~. ~i ~-/~'"/~. ~'/ V~/,
Depth (feet)
Soil Characteristics
6__
7__
8~
9__
16__
PLOT PLAN
PERC, TEST
~- ,.~/.~///~'.
_~ ~_~ ~/~,~.
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments:
No ~ If yes, what depth
Drain Field__
Date:
January 4, 1982
Lynn Pryor
P.O. Box 8600
Anchorage, AK
99508
Permit ~ 810314
Subject: Lot 140 Sec 9 T15N R1W
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Program
Enclosure: Copy of Permit
PERMIT NO. (
RPPLICRNT L~'NN PR~'OR
LOCRTION N. BIRCHWOOD
LEGBL LOT ±40 SEC D T~.SN R~W
[)EPRRTHENT P'- HERL. TH RND ENVIRONMENTRL '"OTECTION
825 '%. STREET, RNCHOR~GE.. RK. D¢,.~:~%
264-4720
I.,~=l,_L_ F:"~:~'I I ~-
8~.0]:~4 ::,
LOT SIZE
PO BO~ 8600
108900 SQURRE FEET
,:'" . - ': ¢'-, "- .... :,T:,TEH I:
MINIMUM DI_,FRNCE BETWEEN R WELL RND FIN¥ uN--,ITE :,ELIRbE DISF'OC'Rt '"""-
'].00 FEET FU~.. R F'RI'¢RTE WELL OR :L..O TO 200 FEET FF.:EM R FUE, LIu WELL DEPENDING
UPON THE T'¢PE OF PUBLIC I.'.IELL
MINIMLIM B I_,IRNL. E FROM R PRIVFITE WELL TO
TO R COMMUN~T'¢ SEWER LINE IS 75 FEET.
WELL LOGS RRE REQIjIRED RND MUST BE RETURNED TO THE DEPRRTHENT WITHIN ;0 DR"r'S
OF' THE WELL COMPL. ETION.
I. FHEF. F. EI:.LIEEflEf4T- blR'¢ RPPL'¢. SPECIFICRTIONS RND L. Of~_,TRLfCTION DIRGRRtl.., RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
P ~_ f';'-":. I'-1 I 'T E:=-~F' I F4E~; D, ECEI"IBE:~: ~:-::]L..
I CERTIF'¥ THRT
:1.: I RM FRMILIRR WITH ]'HE RE~;!LIIR. EMENTS FIR LN-_ITE SEWERS RN[:, 14ELL=, RS
FORTH B'¢ THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: t WILL. INSTRLL THE S~'STEM IN RCCORDRNCE WITH THE CODES.
'¢4. 0