HomeMy WebLinkAboutTURNAGAIN INDUSTRIAL PARK BLK 2 TR E
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTI~CTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
CO~TP~ U C'T'/ O A)
NAME
I~UPGRADE
MAILING ADDRESS
414o ~Ot~TH Po/M 7'
LEGAL DESCRIPTION
LOCATION
~ Liq. capacity in gallons
F HOME.DE:
~ ~ DISTANCE TO: Well
~-- ~ Manufacturor
~ ~ ~ ~o. o~ linos kon~th o~ each E o
~ Length Width
NO. OF BEDROOMS
Absorptlon5/area I DwellingitjO ~' /~J
Materialj~.~ '~
Nearest lot line
Trench width
Foundation
Total length of lines
Material beneath tile
inches
inches
Depth
PERMIT NO'.
No. of compartments
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
c, .,z'.¢' P.y,c,
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/7B)
DATE
LEGAL
MUNICIPALITY OF ANCHORAGE
Department/ f Health and Environmenta.' Protection
825 '<~' Street, Anchorage, AK. ~501
· 264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~ ~30~¢~ON-SITE SEWER PERMIT ¢¢2¢¢'Lx¢
Location: Phone Nu~er: - ) -
Legal Description~ % ./¢~¢¢ Lot Size:
Type:of Soil ~sorption System Is:
T~ench: Drainfield: ~_ Seepage Bed: __ Holding Tank:
Maxim~ N~ber of Bedrooms: soil Rating(sq.ft/br)
The Required Size of the Soil ~sorption System Is: ' /
The'length dimension is the length(in feet) of the trench or drai~field. 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 minim~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS * *
Permit applicant has the responsibilit~ to inform this department during the
installation inspections of any wells adjacent to this property and the n~er
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. Minim~ distance from a private well to a private sewer line
is 25~ feet and to a co.unity 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 ~1¢ 1 9 8 3 * * *
I certify that:
(!) I ~ f~iliar with the requirements for on-site sewers and wells as
set forth by the M~icipality of ~chorage.
(2) Z will 'install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
lh~ residence is remodeled to include more th~3 bedroo~
Q~i)caBt Date: .~ '
SWP/024(1/81)
( : , ~ SO~LSLOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [2]' PERCOLATION
TEST
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST ~1o/~
LEGAL
1
2
3-
4-
5-
6-
7
8
DATE PERFORMED:
SLOPE ~ITE PLAN~ -
10-
11
13
14
15-
16-
17-
18-
19-
20-
COMMENTS
PERFORMED BY: ~ ~"~.~.~. ~'~,.* ,. /5'~'/,
72-008 (6/79)
WAS GRqUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
q/I/.~5 i054S- ~o r.,'~ Io~O ,./Db'
~11~ t ~ ~ ~ I,
~ga 0
PERCOLATION RATE I /~ (minutes~i'~ch
TEST RUN BETWEEN Z~L FT AND ~ '~ FT
CERTIFIED BY:~ DATE: