HomeMy WebLinkAboutWYNTER PARK #1 BLK 2 LT 2
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
P H O N E ~FFJ~CE W
~ Absorption area Dwelling
DISTANCE TO: I I /O
Manufacturer ~ ~
Well Dwelling
DISTANCE TO:
Manufacturer Material Liquid capacity in gallons
Well Foundation Nearest lot line PERMIT NO,
DISTANCE TO: Length of each line Trench width
No. of lines Total length of lines Distance between lines
inches
Top of tile to finish grade Material beneatb tile Total effective absorption area
inches
Width Depth
Length~ ~ ( ,~
DISTANCE TO:
Crib diameter
DISTANCE TO:
Depth
Building foundation
Crib depth
Driller
Sewer line
Total effective absorption
Nearest lot line
Distance to lot line
Septic tank
OTHER
PIPE MATERIALS~
SOIL TEST RATING
,NSTALLE. [OeO
72-013' (Rev~3//78)
NO. OF BEDROOMS
PERMIT NO.
No. o~_~mpar rments
Liquid deptb
PERMIT NO.
Ih"t L.# Ii',~ :7[ u:Z: ]~Z IF~;", ,1L. ZE 'IF "",'~
BEPFIRTMENT OF HE;FILTH RNC, EN',,.'~RONMENI'FIL F'R'.OI~;{CTION
S25 '"L..'" STREET., FINCHORRGE,
264-4720
(7904.::1.:B)
FIPPL I E:FINT
[..OCRT I ON
L. EISFIL
I::' i O LENZI
F'Flt;:F'-': ['.,1:;~:
LOT 2 BLK 2 P.I'¢N:IZTEF.'. F'f:iRI':::
E;RR 5075 CHU['ilFIK
L.OT :5IZE
T'¢I::'E OF SOIl_. F:IBSOF~:f3T]:ON 5'¢~5TE1'1 :(S: 'FRENCH
NUMBER OF BEE:'RCiOMS =
SOIL i';;:FITIi".!6 ,::Si:..'! FT/BF,')= J..OO
TIdE REQUIRE[:' '."SIZE: OF' ll'lE 2;OIL RE:?.,ORFq'ION S"¢STEM I."~;:
THE: LENGTH [:,Ii'"IENSION I~:; THE LENGTI4 ,::IN FEET) OF THE: TRENCH OR
"rl4E DEPTH OF FI 'TRIENCH OR PIT' I$ THE L':,ISTRNCE BETI.,.IEEN THE SURFF~CE OF THE;
(3[~'.CILIND FIND THE BO'I'TOi'q OF 'rilE: E',:.ICIqg'FtT I Of.,I ( I I'.,I FEEET ).
TI"IE:[~'.E ]:E; NO SET 1.4IE:'TI~I FO[;..' TRENCHES.
THE diI',;:FIVEI.. £)EPT'H I?, THE MINIMUM C, EF'TFI O1::: GRF:I'v'EI... E:ETI, IEEN THE OI..ITFFIL. L. F'IF'E
FIN[:' THE E~OTTOM OF THE E',qC:FI'v'FF['ION (Zi"~ FEET).
F'EI:;~:t'IlI' FIPFi..ICRNT HRS TI4E F;:ESF'OI"g.'SIBZLIT'¢ 'fEi INFORi"I THIZ [:'EPRP.'Fi"IE:i",Ff DI..IRIN(3
iI",I::;TRL. LRTI[)N INSPECTIONS OF' RN"/ WEi...t_S FID.TRCENT TO THIS F'I:~rOF:'ERT'¢ Ffi",ID THF:
NLIf'IE:EE: OF I;::E$I[)ENCE:S THRT TI4E I,.IELL I.,.IZLL. SIEF.:VE.
E:RCI<F :[ LL Z NG OF FIi"',I"r' SYSI"i:':M 141 THOUT F' I NRL :[ N2;F'ECT I ON RN[:' FIPF'ROVFIL. 13'¢ TH I S
DEI':'RRTi'qENT I,.ItLL BE '.SUI3¢ECT TO F:'ROSECLrFION.
MINIMUi'.'I [:,I.:STFINCE E:ETI.4EEN FI klELL.. FIND, RNY ON-SI'FE SEPlFIC~iE C, ISF'OSF:IL S"r'STEM
';I.00 FEET FOR FI F'F;'.I',/FITIE I.,.IEL. L.~
1'.2;~(::.1-I"1.'} ;..';..'{:'.1¢ FEET FROM FI F'UE:I..]:C 14EL. I.. DEPEN[)ING t.ff:'ON THE T'YPE OF PLIE','L. IC NELL.
OTHER F..'Eg!UlrdEi'flFZNTS r4Fl"r' Ft,°F'L.'¢. SSF'EC:IFICF:I'FION~:; RND CONSTRLIE:TION
I:'IYFIILFI[3L.IE TO INSURE PR'.OPER ];NSTFt[.Lf':ITION.
J: C:ER. TiF".~~ THFfT'
:[.: I FIM I:::RMILIFIR'. b.lI"i'H THE RE:QUtREI"IE~'.,ITS FOR OI'.4-E;):TE: SE:P~EI;;:S I:IN[) 1.4EI..LL:.!; FIS SET
F;'OFUI'H E:'~.' 1"HE I"IUNIC?ZF'FIL. IT'¢ O1::: Ri',ICHCff;:FIGE.
:;~:: I I.,IILL. INSTF'ILJ~ TI4E SYSTEM IN RCCOi'?.DRNCE WITH THE COl)ES.
2;: Z UN['.,EI:;:STFIN[;, THFFr THE ON-SITE: SEI'.IEIr;', S'¢S'T'EM MR",-' REQU:I;I;::E ENLFIP. diEMENT IF THE
F'.ESI[)EI",K:::E[ ]:.'."; R:Ef' IDEt..ED TO tI',ICLI. JDE: f"IORE THI::tN ~: E:[~:DI~'.OOMS.
SIGNED:
RF'F'L i CFINI' L Ei".I;:-" I
ISSUED V:~:. 2
O & E ENGINEERING & DEVELOP.,,ENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 658-2280
Performed for: Name~ ~.~/,~, ~_~ E'/v",~, / Tel. No. ~
Legal Description: Z~ ~ ~c/~ ~? ~F~T~ ~ ~" J'
Depth (feet)
Soil Characteristics
0
1
4 __
5__
6__
7__
9
10__
11__
12
13--
14__
15__
16__
PLOT PLAN
~1o ~,~'~
PERC, TEST
Ground Water Encountered: Yes.__ No J If yes, what depth
Proposed Installation: Seepage Pit J Drain Field
Comments:
Performed by: Date: