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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchora§e, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WFLL INSPECTION REPORT
NAME PHONE I []NEW
LEGAL DESCriPTION
NO. OF BEDROOMS
LOCATION
DISTANCE TO: [Well ~/))) C F~Absorption
area
re
Liq. ¢ )aeityL,~ inogallons IF HOMEMADE: / Inside length
DISTANCE TO: weii l Dwelling
Dwelling
t Materla~. ~
L~-~dth
PERMIT NO,
Liquid depth
PERMIT NO,
DISTANCE TO:
Top of tile to finish grade /~, /
Width
Crib diameter
Material
F ounqa~i~, ~Near?st I__._ot line
Total length of tines Trench/7/w~i~/l~
Depth
Crib depth
Building foundation
Length
Type of crib
PERMIT NOi
-Liquid capacity in g~llons
PERMIT NO.
Total effective absorption area
Nearest lot line
Well
DISTANCE TO:
Class Depth Driller Distanc0 to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SO'L TEST"AT'NOx ;-'
INSTALLER
REMARKS
APPROVED
DATE LEGAL
72-013 (Rev. 3/78)
MUNICIPALITY OF ANCHORAGE
Department ~ Hea[Lth and Environmenta' '~rotection
825 L Street, Anchorage, AK. ~9501
264-4720
* * * HANDWRITTEN PERMIT * * *
P. ermit ~ ~ ~%r~ ~ W'E4=-~ AND/OR ()N-SITE SEWER PERMIT
~ocation: ~p-~/~b¢~ ~-d~L~__~--~ Phone Number. _ ,~,%~_~--~a3~
I~gal Descr~ptio~:--~q ~, ~ ~>~ ~--- Lot Size: --
Type of Soil ~sorption System Is:
Trench: __.~-. Drainfield: Seepage Bed: Holding Tank:
~axim~ N~ber of Bedrooms: ~C~Soil Rating(sq.ft/br) ~
The Required ~ize ot ~he Soil ~sorption System Is:
DEPTH __,. , [-~ ,LENGTH ~O GRAVEL DEPTH., ;~,~ WIDTH /%'0 %~-¢-'
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 ~ ~h~ excavation(in feet).
* * R LLONS * *
Permit applic ~/~ Z~l~n~'ff ent during the
installation //,~ ~- y and the number
,ackfilling ¢ --' ! !'~i~ ,1 by this dep&rtment
Minimum dist~ ti system is 100 feet
f~r a privat ~ ~ %ding upon the type
of public we fivate sewer line
is 25 feet a Dgs are required
and must be e well completion.
Other requir n diagrams are
available tc
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by 'the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that .~3-J~e~,~uom~. )¢~-/3~'U¢'C__
~ Date: ~
O & E ENG,NEE!RING & DEVELO,
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
,vIENT CO.
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Performed for: Name:
Mailing Address:
Legal Description:_~",~iq<~£- ,~
.
Depth (feet)
Soil Characteristics
0
1__
9__
10__
11___
12 __ ,
14__
15____
PLOT PLAN
~/~
PERC. 'rEST
16__
Ground Water Encountered: Yes No
If yes, what depth
Proposed Installation: Seepage Pit
Drain Field
Comments:
Performed by: Oate:
GREATER Ai'ICHORAGE A]~;A BORO~H
104 West ~orthern L:I. ghts LouJ.evard
Anchorage, Alaska 99503
2171
Plat Status: Final
Date~ 11/4/70
BOROUGH~ Engineer
Public Works Department
Sand Lake Fire Department
School District
Street F~ames
Tax Assessor
Alask~ Department of High~.mys
All,aka Ra~ ].road
~mchorage Natnral Gas Corp.
Central Alaska Utilities
Chogach Electric Association
CITY OF BilChOIiAGII: Fire Harshal
Huaicipal Light & Power Departmen
Property 14~nagemm~t Officer
Public Works Depa):;:ment
Telephone Utility
Traffic F, ngineer
Water Utility
GAB Tale~ommunicatio~s~ Inca
Matanuska Electric Association
datanuska Telephone Association
Assistant Superintendent of I.Iai.Es
Pm~ Snbdiviaion / ~¥a~;l~o~U~x~!go~
· Description of Property:
See attached plat.
Ira Walker and Marswalk, Inc.
Gentlemen:
Petition has been received by the Greater Anehorsge Area Borough Plauning
and Zonlng Commission for the proposed_~ub.· &Vac. of s%b3ect property.
Attached is a copy of the proposed plat. Uil]. you pleaso submit your
comments in writing~ specifying any easements or other requirements that
your department or agency may need.
If we do not hear from you bv 1]./20/70 , we will a~,lst!me that
you do not wish to submit any eom!aents,
If yon have no further use for the attached print~ pleaoe return it with
your comments.
Planning Dapart~tent
Enclosnre