HomeMy WebLinkAboutW G PIPPEL BLK 4 LT 2 N2050
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i~ 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
PHONE L/~ ~]NEW
NAME ~'~ ~'~ ~,/~/~ ~(~)/~/ ~? ~- ~ ? ~ UPGRADE
MA~LING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Absorption area Dwellingi~) I
Manufacturer ~,4~ ~' ~-- ~. W dth ~'
Liq. cap city in gallons
/ ~) ~ IF HOMEMADE:
DISTANCE TO: We
Well
OISTANOE TO: ?
No. of lines Len§th of 0ach line
!
Top of tge to finish grad0 ~- t
Length
Width
PERMIT NO.
7?04.2
No. of compartments~.
Inside length Liquid depth
Dwelling PERMIT NO.
Foundation
t~0 '
Total len th of lines
Material beneath tile
Depth
Type of crib Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
Class Depth Driller
DISTANCE TO:
Sewer line
Material
Nearest
Trench will~ inches
inches
Building foundation
Liquid capacity in gallons
PERMIT NO.
Distance 'b e~e~, % e s
Total effective absorption area
Total effective absorption area
Nearest lot line
Septic tank Absorption area(s)
Distance to lot line PERMIT NO.
OTHER
PIPE MATERIALS
F, V, Er,
SOl L TEST RATING
INSTAIZLER.
REMARKS
;.-'
'% · NO. 1745-E
72-0~ (Rev. 3/781
DATE LEGAL
PER. MIT NO.
DEPRF. TMENI OF~*~ERLTH hIND ENVIRCINf'IENTFIL FI'~.~]E-.1 ION
...... , _,TF. EET., RNCHORFIGE., ElK. ':~'~.~0t
2:54- ~t. 720
F PL I _.FIHT
LOC:FIT 1 ON
LEGAL
I.,.IF]DE L. HHRLE_,
END _, FF. EET
LG'r 2 ELI-.. 4 N. G.
BO~: 2:22: EAGLE RIVER
PIPPEL .:,LIE, LOT
:17400 SQUARE FEET
TYPE OF ~.JIL RE,.:,URBFILN =,'~:,FEM TRENCH
MFI:4IMLIM NLIf,IBEF~: OF E:EDRO-M'g .... = -..
:,uIL RFITING (SQ FT?E:R)=,_,'='~o
THE REg!LIIRED SIZE OF THE SOIL HE_LRFTILN _',=TEM I_,:
THE LENGTH DIMENSION IS IHE LENGTH (IN FEET:) OF THE TRENCH OR DRBINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTFINCE BETHEEN THE SURFFICE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPIH IS THE MINIMUM DEPTH OF GRFIVEL BEIWEEN THE OUTFFILL PIPE:
FIND THE BOTTOM OF' THE EXCFIVFITION (IN FEET),
RE[-" _.EF ¥ ]: C: TR[-~-'- ?3 [ ZE2= ±~-"":'-~---4~'--~ L~LE_F~'H-~:::..
PERMIT HFFLI_.HNF H~- THE F..E=,PUN.:J. BILIT-r TO INFORM :HI_, [:,EPFIRTMENI DURING THE
INSTRLLFITION IN_FECTIUN-, BF FIN~¢ WELLS RDJRC:ENT TO THIS PR_FEB. F~ FIN[:, THE
NUMBE~.' OF RE.~I[.~ENL. E_,"-' .... c THFI]" IHE WELL WILL SERVE.
BFICKFILLING OF FINY _,t:TErl WITHCII_II FINAL INSPECTION RND FIPF'ROVRL B'T' IFil:.:;,
[:,EPFIRTMEWT WILL E,E _,UB.ZEL. T TO FE.C_EC.I_IFION.
MINIMUM DISTANCE BETWEEN R WELl_ AND FINY ON-SITE SEWFIGE DISPOSAL SYSTEM IS
±00 FEET FOR R PRIVFITE NELL; OR
±50 IO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC NELL.
OIHER REQUIREMENTS MFIY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS FIRE
FIVBILRBLE TO INSURE PROPER INSTFIL. LRTION,
F'EF."f"I I-r E::Z. F' I F-:ES [:.F£E:E f'IE:EF~: -~-:: J-..
I CERTIFY THRT
1: IRM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SIIE SEWERS FIND WELLS RS SET
FORTH BY THE MUNICIPFILITY OF FINCHORRGE.
2: I WILL. INSTFILL 7'HE SYSTEM IN ACCORDANCE WITH THE CODES.
2~.: I UNDERSTAND THAI THE ON-SITE SEWER SYSTEM MFIY REt.qUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THFIN ]: BEDROOMS,
' ..................
FIPF'L I CANT WR[:,E CHFIRLES
I L~SLIED lIE ',,,'.~. 2
O & E ENGINEERING & DEVELOF-C,/IENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
SOIL LOG
Name: ~-
Mailing Address:
Earl Ellis
688-2280
Tel. No
Legal Description: /(/'Z~ ~/~' / ,/~/~/ ~//~ ~/ o'T .~. .. .Z~ZO,~.I( ~ , W.G. ]121"¢:'P'E~L ~-~/S.
Depth (feet)
Soil Characteristics
0
1
5
6__
7__
8__
._.-.-.--9__
10
PLOT PLAN
12__
PERC. TEST
14__
15__
16__
Ground Water Encountered: Yes__ No ~ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by: ((-/~- _ ~, _