HomeMy WebLinkAboutWERRE LT 4 WERRE
~..~.) MUNICIPALITY OF ANCHORAGE ,~=~i'
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
,/
LOCATION
Well J Absorf~tion area · Dwelling
D,STANCETO /SO I '(.,
Manufacturer Materi
~Liq, Inside length Wi~
Dwelling
PHONE [~EW
[] UPGRADE
Material
Well Foundation Nearest lot line
DISTANCE TO: Length of each llne Trench width
No. of lines Total length of lines
NO. OF BEDROOMS~
Liquid depth
IF HOMEMADE:
Well PERMIT NO,
DISTANCE TO:
Liquid capacity in gallons
inches
Top of tile to finish grade '"~O ~ Material beneath tile
Length ~,2 I ~, Depth ~J
PERMIT NO.
Distance between lines
Total effective absorption area
rib diame~te.~r Crib c~pth.~ Total effective absorption area /~) ~,*~ ~_
Building foundation Nearest lot line
DISTANCE TO:
Class ~1 Driller Distance to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
'NSTALLE; /F
72-013 (Rev. 3/7~' ~
Permit ~ ~(~r~
Applicant:
Location:
Legal Description:
MUNICIPALITY OF ANCHORAGE ~rotectlon~U~
Department. f Health and Environmenta?
825 ~/ Street, Anchorage, AK. ~501
264-4720
* * * HANDWRITTEN PERMIT
--Wf=~/~R ON-SITE SEWER PERMIT
Phone Nu~er:
Seepage Bed: ~ Holding Tank:
Soil Rating(sq.ft/br)
Type of Soil Absorption System Is:
Trench: Drainfield:
Maximum Number of Bedrooms: 5
The Required Size of
DEPTH ~ LENGTH ~'
the Soil Absorption System Is: '
The length dimension is the length(in feet) of the trench or drainfield. The
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 minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HCLLD~LNG) TANK SIZE = ~00~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution. ~
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days Of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation. ~
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
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~tha~_ A~3 bedrooms.
Signe~: ' __ ~ Issued by.
Applicant
SWP~024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: .~'~.\11~; ~.~ ~1 t('!~.~(~'-~'"~"~
LEGAL DESCRIPTION:
1
10
11
12
13
14
15
16
17
18-
19-
20~
SLOPE
SITE PLAN
S
PERCOLATION RATE ~.~;~t j~'~ ~'~/1'~ (minutes/inch)
TEST RUN BETWEEN } -- FT AND tl/'~,-- FT
PERFORMED BY: S ~e_¢~%~ CERTIFIEDBY:~~~ DATE:
~' (~'.~:C~] V ~ Gross Net Depth to Net
Reading Date Time Time Water Drop
I~ " ~h t,S~ ~,S,,,',, '~-