HomeMy WebLinkAboutT15N R1W SEC 30 LT 138
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Permit #
Applicant:
Location:
,~UNIClPALITY OF ANCHORAGE,._.
Department' ~ Health and Environmental %rotection
825 L Street, Anchorage, AK. ~9501
~ ¢7 264-4720
~ ~ * * * HANDWRITTEN PERMIT * * *
· WELL AND/-~B~ ON-SITE SEWER PERMIT
AdA/ ~7C~ Mailing Address:
Phone Number:
Legal Description: _~. rr /q~ ~¢L 50 -~7-~7v~/~)nOt Size:
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: ~ Holding Tank:
Maximum Number of Bedrooms: // Soil Rating(sq.ft/br) ~7.-
The Required Size of the Soil Absorption System Is:
DEPTH LENGTH ~/--~/ GRAVEL DEPTH ~ ~m WIDTH Z~--/
'~ ~ o~'~_~ . . . .
The length dimension is the length(in feet) of th~ trench or dra~nf~e~d 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(,~LD!N~) TANK SIZE = /~S-~ 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 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 EL 1 9 $ 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 understand that the on-site sewer system may require enlargement if
the residences/ remodeled to include more t~ 3~m~ /~/
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
DATE PERFORMED: ~ ~ (~3 ~-~7~
LEGAL DESCRIPTION:
(¢ ""
2
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
IF YES, AT WHAT
DEPTH?
COMMENTS
PERFORMEO BY:
(6/79)
Gross Net Depth to Net
Reading Date Time Time Water Drop
J J
'5 I(:)~¢ i~ '~ /~ ~ ~
PERCOLATION RATE / ~ (minutes/inch)
TEST RUN BETWEEN ~' , FT AND S~4 , FT
~ ~_~ '-/2,v s T~n ~- ~. e.¢-) ~ ./
DA T E'b. ~/Y.-~3