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HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 44I'.O'l" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENV)RONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~DN~ ~NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION, , ~~~¢ ~. NO, OF BEDROOMS PERMIT NO. Well Absorption area ~ - Dwelling Manufacturer ~¢'F~ ~ Material Inside length Dwelling Liq. capacity in gallons IF HOMEMADE: Liquid depth Well PERMIT NO. DISTANCE TO: DISTANCE TO: Well ~,//~ ,~ No, of l ine~ Length o~a~. i~e Top of tile to finish grade Width Crib diameter I Material Foundati~/,,~ '~ Nearest lot line 3'0 ' :~ Total le~J~_oJ_ lines ~ Trench width~) inches Material beneath tile Depth Crib depth Type of crib Well Building foundation DISTANCE TO: Class Depth Driller DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS SOIL TEST RATING ¢5- INSTALLER REMARKS Liquid capacity in gallons PERMIT O. Dist a nc ~?,~7~n lines Total effective absorption area PERMIT NO, Tote] effective absorption oreo ~;--~'a~--- Absorption area(s) Nearest lot line Distance to lot line PERMIT NO. DATE LEGAL PERMIT NO, DEPARTMENT OF HFALI'H AND ENVIRONMENTAL PROTECTION 825 'L' STREET~ ANCHORAGE~ AK. 99501 264-4720 790~0~ > APPL I CANT LOCA"E'I ON LEGAL HOWARD M. ERICKSON HOME!:";TEAD RD L44 [.::;1. WYNTER F'K SR BOX 90~0 LOT SIZE 688-92@0 40000 SOURRE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SO FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I5;: DEf~TH= ;1_:1. 1_ E ~'-.~ m.l]i l- IH =: ...g ;?_.: El RIFt',,.' E I_ DEE P']F I-.11= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD, THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN F"EET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MIN:IMUM DEPTH OF GRAVEL BETWEEN THE OU]'FALL PIPE AND THE BOTTOM OF THE E~CAVATION (IN FEET). PE':RMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS ~ ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL. WILL SERVE. BACKFILLING OF RNV SYSTEM WITHOUT FINIAL INSPECTION AND APPROVAL BY THIS DEPARTMENT HILl_ BE SUBJECT TO F'ROSECUTION. MINIML~I DISTANCE BETWEEN A IdELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVATE WELL; OR i50 TO 200 FEET FROM R PUBLIC WELL. DE. PENDING UPON THE'. TVPE OF F'UBLIC NELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE RVRIL,.ABLE TO INSURE PROPER INSTALLATION. PIE-EM ][ T E:~,I:~ ! RES E:"E(DEMBEIR ~?-~L.- 2L~'97S" I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SE:HERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE, 2: I WILL INSTALL. THE SYSTEM IN ACCORDANCE NITW THE CODES. ~:. I UNDERSTAND THAT ~HE ON-S~FE SEWE. R SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODE~ TO INtel, DE ~ T~/ ~ BEDROOMS. APPLICANT HOWARD M, ERICKSON ISSUED BY - DATE V~. 2 O 8- E GEOT~CHNICAL 8. DEVELOr'MENT CO. Russell OyAtc~r 694-27'14 Soils I~' Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 588-2280 E#~I EIh~ s_.oLk~! ~.~o Land Dovelopment Ground Water Encountered: Yes_...... No Proposed Installation: Seepage Pit._..__ D~ain Perfomed b : - ' ~--~ '