HomeMy WebLinkAboutT13N R1E SEC 5 NW4NW4NE4NE4
Jj.~ ?--'~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~I~NICrP^LITY OF AN,CHOP, AGE
'~ ENVIRONMENTAL ENGINEERING DIVISION DEPT, OF HEALTH &
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720ENVIRONMENTAL PEOTECTION
ON;SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
NAME PHO~'E'n"~" ~' ~ NEW
LEGAL DESCRIPTION
LOCATION
Well
DISTANCE TO: I /~ g)
Manufact.rer
~ F- lLiq. capacity in gallons IF HOMEMADE:
I Abs°rpti°li~a /
Well
Inside length
Dwelling
NO. OF BEDROOMS
PERMIT NO,
NO. of compartments
Liquid depth
PERMIT NO,
Manufacturer Material Liquid capacity in gallons
DISTANCE TO:
Foundation~ ,~ Nearest lot lin~ ~ /'
TotalJength oflines Trench width
?ge / i.~) inches
Material beneath tile ~--qinches
Depth
No. of lines ~ Length of each ]i~_~ /
Top of tile to finish grade ~ /
Width
Length
PERMIT NO.
Distance between lines~
Total effec ive absorpti n area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line
Buildlng foundation Sewer line Septic tank
PIPE MATERIALS
INSTALLER
REMARKS
DATE
72-013 (Rev, 3/78)
LEGAL
NAME
MAILING ADDRESS ~O,
LEGAL DESCRIPTION
LOCATION
Well
DISTANCE TO:
I-;ZO~ Manufacturer ~..~ j~. j~
~ I- lLiq. capacity in gallons
' ' MU~CIPALITY OF ANCHORAGE
NICIPALII¥ OF ANCHORAGE
DEPAR,TMEN_.~#'HEALTH & ENVIRONMENTAL PROTECTI~ '
~VIRON- MENTAL ENgINEERINg DIVISION D~PT. OF HEALTH &
825 L Street- Anchorage, Al~sk~ 99501 Telephone 264-4720ENVIRONMENTAL PROTECTION
ON-81TE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
Well
'2d /
Top of tile to finish grade
Length Width
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
DISTANCE TO: Building foundation
Absorption area
,,5-
JInside length
Width
IF HOMEMADE:
Well I Dwelling PERMIT NO.
DISTANCE
TO:
Manufacturer Liquid capacity in gallons
DISTANCE TO:
Material
Fou n dation?,.~__,~ Nearest lot li~ ~ /
Total length of lines Trench width
Mated~l beneath
EM inches
Depth
Crib depth
Building foundation
Driller
Sewer line
OTHER
PIPE MATERIALS
SOIL TEST RATING
NO. OF BEDROOMS
PERMIT NO,
Liquid depth
PERMIT NO,
Distance between
Total effec ire absorpti n area
PERMIT NO.
Total effective absorption area
Nearest lot line
Septic tank Absorption area(s)
Distance to lot line PERMIT NO,
DATE
72-013 (Rev, 3/78)
LEGAL
I-~.ILII'-.t 1- L--: T Pt-:IL T T'-r" L--IF F'IN~--:HFJRR _~/E
r)EPRRTMENT OF HEALTH FIND ENVIRONMENTFIL PR_ITECTIuN
,-~._ L STREET., RNBHORFtGE., AK
264-4720
PERMIT NO:
DRTE I _,z.,UED.
APPLICFINT:
RE)DRESS:
· oNTACT PHONE:
LEGAL E:,ESCRIP:
LOT SIZE:
LOT .LO_.BT I UN:
i"IRX BEDI;;:IJOM_, :'
O~'-.l--S I TE
05,--".:L'.l./84
JAMES P LEONARD
P 0 BOX 771084
EAGLE RIVER, RK
694-24E1
SUBDIVISION: NR
SECTION: 5
2.58
NWl/4.,
--'SEI.-~ER PERI~I ~ T
LOT: Nfl BLOCK: Nfl
TOWNSHIP: :t_~N RFINGE:
,::SQ. F:T. OR ACRES)
NH:l,."4, NE'I/4., NEi,,'4
LISTED BELOW ARE
SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE.
T,~-'-~ B E E)
DEPTH TO PIPE BOTTOM (FT) / ,4. 0 -?-o 4. O
GRAVEL DEPTH (FT.) :/ ~% ~ ~ & o 0. 5
GRAVEL WIDTH (FT.) t ~ 5 -
GRAVEL LEWGTH (FT.) .GO. ~, ~. o / 41. 0
GRR',.,'EL VOLLIME ~OL YDS. ) , ZO. 5 ~ / ~Z. 4
~' ~ ~ . .i~- ~ [ ..... - ..
THE OFTIJN.:, AVAILABLE TO YOLI IN DESIGNING YOUR SEPTIC
I CERTIFY THAT:
I. I BM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOR) AND THE STATE OF ALASKA.
2. I WILL INSTALL THE S~STEM IN ACCORDANCE WITH RLL MOA BODES AND REGULBTIONS,
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET B8CK
DISTANCES FROM ANY EXISTING WELL~ WASTEWATER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT.
4. I UNDERSTAND THaT THIS PERMIT IS VALID FOR B MAXIMUM OF ~ BEDROOMS 8ND
ANY ENL8RGEMENT WILL REQUIRE 8N ADDITIONAL PERMIT.
IF B LIFT STATION IS INSTALLED IN AN AREA COVERED BY I"lOA BUILDING BODES.,
THEN (.1'). FIN ELECTRICFIL F'ER. MIT FIND INSPECTION NUST BE OBTFIINEDJ ~,~..-,'""' AS-BI_lILTS
WILL NOT BE APPROVED WITHOUT FiN ELECTRICAL INSPECTION REPORT.~ FiND (..~) THE
ELE~TRICFiL H~'-,",' 5 LIuENSE[: ELELmTF..IUIMN.
MUNICIPALITY OF ANCHORAGE
PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
TEST
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10-
11
13-
14-
15-
16-
17-
18-
20'
COMMENTS
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER
E.COU~TE~ED? /d~ S~
IF YES, ATWHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
z ,, 7//°?
~ >~"" PERCOLATION RATE
(minutes/inch)FT
~.~ ~ £; ~ F'ALI ]"Y OF- A~C;HOR~GE
DEPARTMENT OF HEALTN AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE~ AK 99501
264-4720
[] ~.~ '--'.S ][ ]-E ~ELL F:~ER~'4 I T
='ERM I'l' NO: 850399
DATE ISSUED: 07/08/85
APPLICANT: JAMES P AND NAOMI R LEONARD
ADDRESS: BOX 771084
EAGLE RIVER, AK: 99577
CON'T'ACT I~HONE: 694-243~
L. EGAL DESCRIP: SUBDIVISION:' NA LOT: NA
SECTION: 5 TOWNSHIP: 15N RANGE: 1E
LOT SIZE: 2.5A (SQ. FT. OR ACRES)'
_I]T LOCATION: NW1/4,NW1/4,NE1/4, NE1/4
BLOCK: NA
I cePti~v that:
1. [ am ~amiliar with the requirements £or on-site sewers and wells as set
~or{h by the Municipality of Anchorage (MOA) and the State of A~aska.
2. I wzll instmll the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State ef Alaska requirements fo~ the set back
distances from any existing well, wastewater disposal system or public
sewerage svstem on this or any adjacent or nearby lot.
J~M~ F~ AND NAOMI R LEONARD. '
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