HomeMy WebLinkAboutT15N R1W SEC 18 LT 34
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
NAME
NO. OFBEDROOMS
DISTANCE TO: ¢~ ~ Materi~l ..~ ~
Manufacturer ~./~ Widt¢~ ~
Liq,DiSTANcEcapacity in TO:gall°ns WellF HOMEMADE: DwellinglnSlde length
PERMIT
No, of co~.~.tments
Liquid depth
PERMIT NO.
Manufacturer Liquid capacity in gallons
PERMIT NO.
Foundation
Total length of lines
__
Material beneath tile
Nearest lot line
Trench width
DISTANCE TO: We" ¢
NO. of lines / Length of~e
Width
Top of tile to finish grade
/
Distance between lines
Total effective absorption area
PERMIT NO.
Type of crib Crib diameter Crib depth ~ Total effective absorption area
Well Building foundation I Nearest lot line
DISTANCE TO:
Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
SOIL TEST RATING
INSTALLER
REMARKS
DATE LEGAL
..<"-
DEPARTMENT OF HEALTH AND ENVIRONMENTAL P'"h]TEC'T'ION
825 '"L ;i'~:TREET., ANCHORAGE, AK.
PERMIT NO. ( 8ZD~6~ )
RPPL I CRN'r
LC)CRT I ON
LEGRL
C:FIRRL, ES C. DAF(ER
MI 2 S. BIRCHWOOD LOOP
L,~4 S. ~L8 T15NR'l14
SRR 785 CHUGIRK
LOT SIZE
688-2278
108900 SQUARE FEET
T'¢PE OF SOIL.. ABSORPTION S?STEM IS: TRENCH
MFIXIMLIM NUMBER OF BEDROOMS
SOIL RATING (SQ FTdBR)= 210
THE REQUIRED SIZE OF THE SOIL ADSORPTION S"r'STEM IS:
I[.~:, E F" ]'" IF-I == 12 L. E I"...t 13 T I-q == 4- ~---J C~ Rt-':t V E L [:, E P' l'l--~ =: ."~."
THE: LENGI'FI DIMENSION IS THE LENGTH (IN FEET:..' OF THE TRENCH OR DRAINFIEL[:,.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROLJND AND THE BOTTOM OF THE E~(CRVR'f'ION (IN FEE]`).
THERE IS NO SET 1.4IDTH FOR TRENCHES.
THE GRAVEL DEPTH IS ']'HE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
FIND THE BOTTOM OF-'" THE ENCRVRTION (IN FEE']").
PERMIT APPLICANT FIRS ']`FIE RESPONSIBILITY 'TO INFORM ]"HIS DEPARTMENT [.',LIRING ]"HE;
INSTRLLRTION INSPECTIONS OF RN'¢ NELL':; ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THRT THE WELL. WILL SERVE.
............ T I-4 0 ( 2 ::, :I I'-,! S F" E C: ]- I C, ~4 S R F:: E R E IlL, L~ I R E
BACKFILL. ING OF FIN¥ S'.r'STEM WITHOUT FINAL INSPECTION AN[) FIPPROVAL D~.r' THIS
DEPI:~RTMENT WILL. BE SUBJECT TO PROSECLITION.
MINIMUM DISTANCE BETI4EEN A I,.IELL AND RN'r' ON-SITE SEWAGE DISPOSAL S¥s"rEM IS
100 FEET FOR R PRI'v'RTE WELL OR. 1~;~I TO 2~0 FEET FRCIM R PIJDLIC HELl_ DEPENDING
IJPON THE TYPE OF PUDLIC WELL
MINIMOM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEEET AND
TO R COMMUNIT'¢ SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRV APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'ER~""! I.' T' E]::'::P I f4: E.'~; [:,ECEI"'IE:ER ---~:1., 1.9,S' 1
I CERTIF"r' THAT
:1.: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SE]`
F'ORTH DY THE MUNICIPAL. IT'¢ OF ANCHORAGE.
2: I 14ILL INSTALL THE S"r'STEM IN ACCORDANCE WITH THE CODES.
2::: I t.INDERSTRND THAT ']'HE ON-SITE SEWER SVSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ]: BEDROOMS.
2;I GNED: ............................................................
RPF'L I C:RN'F I]:~S;,~ ,C:. BAKER
.., ..... ................. ........ .....
'44, 0
LOT E,[ZE
r~ENCH
'5OIL RlqT[NG (~Q
1'HE R~QU[R'EO ~[~ L~; I'H[ _~O[L RS?a3RPTIQN ~Y'$1TJI
THE L~}rH
OEP~r~J~r t~[LL e~ ~Ecr re Ps~-~aour[,~t
¥4. g
O & E EN(~.~iEERING & DEVELO, MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Performed for: Name: /~. ~.~J ~c E',5, ~- · ~'~/zc~/Z Tel. N0 ~-'- ''~ c77 ~
Mailing Address: ~.~7.~"~.,~ 7'S ~-, ~--4-J~"~'~', /~: '~'~'~'~' 7
LegalDescription: ~--¢,~r' "~4, ~-~--~--/~'! "~-7-~4. O-'~-~t'~?
Depth (feet)
0__
1__
6
8__
9__
10__
Soil Characteristics
PLOT PLAN
11__
12
13__
14__
15__
16__
Ground Water Encountered:
Proposed Installation:
Yes
Seepage Pit
," · ' ' "i::';, PERC. TEST
I
~ If yes, what depth
Drain Field
Comments:
Performed by:
En~!~ c...z,,t-.~
DeF,~'ctn:ent of - '." ........ ~-' -~' ,..y
3330 "'"' .... ~' ')'~
S ~e., Anchorage,
D~ke Received 1116/74
Time 6~ !nspec/:ion
11/7/74
D~F.~ of Tnso~ction
REQUEST FOR A?PROVAL OF
INDIVIDUAL SEWER & t.[A'FER FAC~LFFIES
FOR
VA
Approval requested by: ~niley'$ Realty
Mailing Address:
James Eychaner
Property Owner:
Phone:
Phone:
688-213Q
Mailing Address:
3. Legal Description: Lot 3~, Sec 18, T15ii
",id Ftrchwood Looo
4. Locationi
Type of facility to be inspected
Single
No. oF bedrooms
Well Data:
A. Type
Standard)
C. Construction
Sewage Disp~sat System:
A. Installed 1968 (Sept)
lle'
B. Depth
D. Bacterial Analysis
Unknown
B. Installer
~a~is.faci:ory
C. Septic Tank: I. Size
2. Manufacturer
D. Seepage Pit: 1. AbsorpCion Area
2. Naterial
E. Disposal Field: Total length of lines
Distances:
A. Well to:
Septic tank
78'
, Absorption area
I10'
, Sewer Lines
Nearest lot line
, Otimr conkami,:~,=n
B. Foundation to septic tank
C. A~sorption ~rea to ~ .... ~ lot li
Page 2 of two pages - Req st for Approval of Individual S ~r & Water Facilities
Legal Description Lot ~4~
Comments
Approv ~.~. Disapproved Date 11/18/74
Approval ,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)