HomeMy WebLinkAboutT12N R2W SEC 6 Parcel 1-B
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl_TH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEEFIING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl_ INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAl_ DESCRIPTION
LOCATIONri 2 Well~
I /~' y('~ ' I IF HOMEMADE:
ANCETO: I
~O~ Manufacturer
NC ETO:
~.~ N;~ofline~ . L-engthofe''~chlit'
~- ~ Top of tde to finish grade
~ DISTANCE 'FO: Well
IAbsorption area
Inside length
Dwelling
Foundation
Ne~ot line.~ /
Trench width
Total length of lines
Material beneath tile ~/~
Depth
[] UPGRADE
NO, OFBEDROOMS
PERMIT NO.
__._ ~D~,/~# /
Liquid depth
PERMIT NO.
Iiquid 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-'~'7
Sewer line Septic tank Absorption a~ea(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED " DATE LEGAL
72-013 ~¢~ev, 3~78) --
PERM:II NO.
DEF'FtRTMENT NEFILTH Bi'..ID Ei'4VIF::Oi'4MEI',ITRL .OTbL. TICN '(]~,/,--,,.,, /~¢-l.~ ~,~L)
,:..=5 ::.T~.EET, FINI_.HI_IRRGE., FIK. L~L~-JOi
264-4728 LIe/? ]~ .
Oi%~--L-~ I -Fi: SE-._-I,.IEF~' F'ER:ffl ][ ]- ~- ....
880182. )
FIPPLICRNT
LOCRT I ON
L. EGRL
NEHETON EXC.
STUCKFIGRIN HTS.
Ti2N RRW SEC:. 6 PRR.~iB
52]:7 E.
22ND RVE
LOT SIZE
~00000 SQURRE FEET
TYPE OF SOIL FIBSORPTION SYSTEM IS: TRENCH
I"IRXII'"IUM NUMBER OF BEDROOMS
SOIL RRTING <SQ FT/BR)= 85
THE REQUIRED SIZE[ ElF THE SOIL RB':;ORP'f'ION SYSTEM IS:
Ii:. E: P' -F 1,4 == 8 L. El'-.IG °F Ft == g2 ~3 R I:i',,,' I.~ L [)EPTH= 4.
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
]"FIE DEPTH OF Fi TRENCH OR PIT IS THE DISTBNOE BETWEEN THE SURFFiCE OF THE
GROUND FiND THE BOTTOM OF THE E,'z, CBVRTION (IN FEET).
THERE IS NO SET NIDTH FOR 'FRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVE:L BETWEEN THF OUTFRLL PIPE
RI'4D THE BOTTOM OF THE EXCRVRTION (IN FEET).
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM TFIIS DEPRRTMENT DURING THE
INS'FFtLLFITION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPER'FY RND THE
NUMBER OF RESIDENCES THFIT THE HELL WILL SERVE.
T~.~iO ( 2 > I: l"t Sr.F"Ei:] T :E C.,N_S RRE RE,~U I REE)
8RCKFILLING OF' FIN¥ SYSTEM NITHOUT FINFIL INSPECTIBN FIND RPPROVRL IBY THIS
DEPFIRTMENT NIL. I_ BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN B WELL FIND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
2.08 FEE]" FOR Fi PRIVFITE NELL OR '.L50 TO 2¢0 FEET FROM R PUBLIC NELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
HINIIdUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
'1"0 Fi COMMUNIT~ SEI4ER LINE IS 75 PEET.
OTHER REQUIREMENTS NRY RPPL'¢. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
FIVRILRBLE TO INSURE PROPER INSTR[.LRTION.
I CERTIFY THRT
:~: I RM FFIMILIRR NITH THE REQUIREMENTS FOR ON-SITE SENERS RND NELLS RS SET
FORTH BY THE MUNICIPRLITY OF FINCHORFIGE.
2: I MILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3:: I UNDERSTRND THRT TFIE ON-SITE SENER SYSTEM I'~FIY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODEl_ED TO INCLUDE MORE TFIRN ..% BEDROOMS.
V4. 0
DEPAflTMENT:QF HEALTH AND ENVIRONMENTAL:PROTE~ ON 'TEs~ ' ~ '};?:
SOILS LOG -PERCOLA~ION TEST ="
(FEET]
I
2
3
4
7
8
9
12
14
20-
SLOE
SiTE PLAN
WAS GROUND WATER
: ' .r?~_._.~: ~ .......... f---~ . ;._,.....~ .
D I Gross Net
PERCOLATION RATE
(minutes/inch)
COMMENTS
PERFORMED BY:
TEST RUN BETWEI~N
.~ FT AND ~ FT
CERTIFIED'i~¥~ DATE:,,... ) Z-///~ / ,~,', '
72-008 (7/76)