HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 75
MUNICIPALITY OF ANCHORAGE
~ ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING
DIVISION
825 L Street - Anchorage, Alaska 99{501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME -- PH~N E
m~ Z Manufacturer ~~ Material ~ ~/ N°' of compartments
~ ~ Liq. ca~c~ i~l~n, IF H OME~ DE: inside length WidtB Liquid deptb
TO:Wel~Wel Dwelling PERMIT NO.
O ~ ~ Manufacturer , Material Liquid capacity in gallons
~ Well ~/~ Foundation j X / Nearest lot line J/ , PERMIT NO.
~ DISTANCE TO:
No. oflines / kenflthofead]linej ~ Totallen~thofline~ TrenchmMth Distanc~betmeenlines
m~ Congth ~ ~met~r Depth ~[8~11 ~O.
m Well Building foundation Nearest lot line
~ DISTANCE TO:
m BuildMg foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS~ ~ ~
SO~LTESTRAT~NG ¢/ ~ ~
INSTAELER
REMARKS ri- o~~
J 13 (Rev. 3/78)
PERMIT NO~
RPPLICRNT
LOCRTION
L. EGRL
ANDERSON BROS. BOX 694 E. R.
CROOKED TREE
LOT 75 BLK i VALLI VUE SUB
TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH
MR'XIMLIM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR)= 125
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
F_::, E F' -F ~-! == L=~ !_E~-~,3T H = Z-: :--=: ~3RR%."EL B.'EPTH== 5
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF' THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET 14IDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
PERMIT 8F'PLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTBLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY FIND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
BRCKFILLING OF RNY S'.?STEM WITHOUT FINRL INSPECTION RND RPPRO'¢RL BY THIS
DEPRRTMENT WILL BE SLIBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN ~ WELL RND RNY ON-SITE SEWBGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVRTE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC NELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO ~ PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY RPPLH. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILBBLE TO INSURE PROPER INSTRLLBTION.
F'EF:~-'I I T E ::-::F-:" :~ F-:ES [:,ECEI-flBEF-. -----~:1..
I CERTIFY THRT
±: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SENERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF ~NCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTBND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
S I G NED: _.(~_?_~_ _~_ __~_ _¢_ _~_ _ _. ~ ....................
RPPLICRNT RNDERSON BROS.
I _,_,UE[,, B __.[:,RTE .....
V4. 0
' MUNICIPALITY OF ANCHORAGE: :;: : '
ROE TION : [] PERCOLATION;;
DEPARTMENT OF HEALTH AND ENVIRONMENTAL P T C ~ TEST
825 L, Street, Anchorage, Alaska 99501 2644720
SO LS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
1
2
SLOPE
3
13-
---14-
15-
16
17
18
19
20
WAS GRO .D WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEE~ FT AND , FT ,
72-008 (6/79)
Time ~" Time , ,,Tie
Date Date Date
r
Inspector Inspector t
Comments Conditional Approval
(:~) Ap?fora:! Cedrooms
Date Sewer Installed Permit No. Septic Tank Size J
~_ ~ { Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner co''°-5,''5''''''-'/'~"~" '-' '"'~-//'~"- ~ '~"~ "~ '"' Phone
Mailing Address
Buyer ~) , /~
~/..~_ . /]~$,~i~ JJt~ (i ~
Address
Lendinflldstitution .f"~f,~5 ~ W /~ /'~ ~/~t',-' ,~ f~/~-,,,E#~Wf.t~' /~-g,,5~/~,.~C~'~' Phone
Address F~3 ,,~ 0/~
Realty C0. &Agent /9'~'r--~ ~ ~-o' ~'~,/'~/,, ~-/~'/~-~ ~'~/ . , Phone
Address ~,~ z) O
Legal Description /-- 7
Street Location
Type p~f Residence
~ Single Family
[] Multiple Family No, of Bedrooms
[] Other
Water Supply
~cndividual V'~- 4.4./ O/~--/~ ATTACH WELL LOG, A well log is required for all wells drilled since June
ommunity ~'/V'5 7' ~'-/']'~ 1975. For wells drilled prior to that date, give well depth (attach log if
[] Public Utility available.}
Sewafle~Disposal
[~TIndividual Year Individual Installed:
U] Public Utility When Connected to Public Utility:_
[] Holding Tank
NO~E THE NSPECT ON FEE MUST AccoMPANy EACH REQUEST BEFORE pROcESsING CAN BE iNITiATED~
~, ,/~' .." / / ~7 ~ S S ~~~--~ VICINITY MAP '
~ _ ~ / ~ ' ~ ~/ ' _ ~, P~ AREA
$1~ PLAN ~__~ ....
SCALE I"=~O' ~ TYPICAL SECTION
DTI0021
37
~'~' "~ J~ VALI- ~E ~TATES
,. _ov. ......-
---' "'"~ WATER RESERVOIR
~ PLAN "