HomeMy WebLinkAboutT15N R1W SEC 9 Lot 8
NAME ~
LEGAL DESCRIPTION
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
[~NEW
E~]UPGRADE
LOCATION
'Ye-t-. C/,,mc b~"h.~c~-~ O~d ~ New
DISTANCE TO: IWell /~-'~ [ Absorptio~n area
Dwelling
M~ial
Width
Manufacturer
Inside length
.o. o ) OOMS
PERMIT NO.
No, of mpartments
Liquid depth
iF HOMEMADE:
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Material Liquid capacity in gallons
Foundation PERMIT NO.
DISTANCE TO:
Material beneath tile
Trench wi~0 inches
No, of lines
Top of tile to finish grade
Length of e~.~ne
Width
:rib diameter
Depth
Crib depth
Building foundation
Length
Type of crib
Well
Distance between lines
Tot~/~/f[ec ire absorption area
PERMIT NO,
Total effective absorption area
Nearest lot line
DISTANCE TO:
Class Depth Driger Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE M AT/~?1~,/._/
SOIL TEST RATING
APPROVED~~X'''''~
72-013 (Rev, 3/78)
DATE
LEGAL
T/~A/~ P,t 14/, .Sc::ch'on q, 6~v't: lop ?
MUNICIPALITY OF ANCHORAGE
' Health'and Environmental ~rotection
Department .'
825 ._ Street, Anchorage, AK. 501
264-4720
~/ ' ' ' HANDWRITTEN PERMIT ' '
Permit ~ WELL AND/OR ON-SITE SEWER PERMIT
Applicant: ~ ~w<~/ Mailing Address:
!
Location: . !/Q~ C.~/~! ~, Phone Number:
Legal Description: ~/~-~l~z ~ ~' Lot Size:
Type of Soil Absorption System Is:
Trench: ~ Drainfield: Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq·ft/br) . ..
The Required Size of the Soil Absorption System Is:
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(HOLD:N6) TANK SIZE =
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 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.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9
I certify that:
(!) I am familiar with the requirements for on-site sewers and wells as
set~rth by the Municipality of Anchorage.
(2) I w~l~ install the system in accordance with codes.
(3) I ~n~rstan~qt~t the on-site sewer system may require enlargement if
· th~esiden~/~ remodeled to includeissuedmOr~ tha~3 ~oms~/l~
i ~ ~ ' ~'/' '--'~
/~pl cant // --
SWP/024 (1181)
& ENGIN£ERS, INC.
7125 OLD SEWARD HWY.
ANCHORAGE, ALASKA 9950:5
349 -6561
SOI~.S LOG PERCOLATION TEST
.... / - / - SLOPE / SITE PLAN
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