HomeMy WebLinkAboutSHENANDOAH HILLS LT 8Shenandoah
Hills
Lot 8
#015-212-45
f \MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
'ENVIRONMENTAL ENGINEERING DIVISION'~ ~
825L Street-. Anchorage, Alaska 99501 : Telephone 264-4720
ON-SITE sEWAGE DISPbSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ~DRESS ~,~
LEGAL DESCRIPTION
.. I
~ Uateri~. ~(~ ~' No. of compa~ment~
~Z Manufacturer .~~~ ~ Inside len~/ Width Liquid depth
Liq. capacity in gallons
~ OO~ IF HOME,DE:
~OZ~ ~ DISTANCE TO: Well ~ .~ ~ Dwelling :r~ PERMIT NO.
O Z ~ Manufacturer ' Material Liquid capacity in gallons
~" = DISTANCE TO: Well I ~O Foundation 30~ Nearest lot lint~o~. PERMIT NO.~
~ ,o. of lines Length of eac~n~ Total length of lin~ Trench wi~ Distance between
inches
Om ~ Top of tile to finish grade ~ Material beneath tile ~0 inches~' Total effective ~on°n area
Length ~L~ Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter . . Crib depth Total effective absorption area
m Well ~ Building foundation Nearest lot line
m DISTANCE TO:
~ Class[ n~ [~ Dep~ ~ ~ Driller ~ Distance to~ ~O PERMIT NO.~ ~ O~~
~ Building foundation Sewer line Septic tank Absorption area(s)
SOl L TEST RATING :, ,, ,
, t '/ --
PPROVE~ ~~ , :.' , DATE LEGAL [ '.
72-013 (Rev. 3/78~
· PERMIT NO. ( 78023:g )
RPPL I CRNT $ I M SCHNELL'
LOCRTI ON S~E[:~RNC, ORH ~L
LEGRL
r'-"'", / .,
DEP~RTMENT OF HERLTH RNI') ENVIF:ONMENTRL PROTECTION
825 "U" STREET, RNCHOF.:RGE., RK.
264-4728 LO/L..
U--m I"-,I--S I Ti SEI4ER PERI-'1 -r .T.
L,9 8.1 SHEr.,IRNDORH S,,'D
BOX 4-2472
LOT SIZE
24~ 7499
57200 SQURRE FEET
TYPE OF SOIL RBSORE:TION SVSTEM IS · TRENCH :~,.,:.;~¢
MRXIMUM NLIMBER OF BEDROOMS =_'~: SOIL RRTING (St2. F--T,.-'E:R',.. = 150
THE REC!UIRED SIZE OF THE SOIL~,RBSORPTION SYSTEM IS'
RP/PLICRNT
THIS DEPRRTMENT DURI'NE~'THE
: F'ERMIT HRS THE 'RESPONSIBILITY TO INFORM
INSTRLL~TION INSPECTIONS OF~RN~' HELLS'fl~JRE:ENT TO THIS PROPERTY RND THE'
NUME:ER'OF' RESIDENCES JHRT THE:'HELL HILL SERVE.
BRCKFILLING OF RNY SYSTEM HiTHOUT FINRL INSPECTION RNB RPPROVRL BY THIS
DEpRRTMENT HILL BE SUBJECT ;TO PROSECUTION.
MINIMUM DISTRNCE ~ETHEEN R 14ELL-.RND RNY ON-SITE SEi4RGE DISPOSRL SYSTEM
iOO FEET FOR
15~¢ TO 20~ FEET FROM R PUBLIc NELL DEPENDING UPON THE TYPE OF PUBLIC HELL
NELL LOGS RRE REQdlRED RND i~dUST eE RETURNED TO THE DEPRRTMENT HITHIN ge DRYS
OF THE HELL COMPLETION.
OTHER REC!UZREMENTS MRY RPPEY. ~ SPECIFICRTIONS 'RND CONSTRUCTION DIRGRRt,IS RRE
RVRILRBLE TO INSURE PROPER ~iNSTRLLflTION.
F'ERr4 I T
I C~RTIFY THRT
l' ! RM FRMILIRR HITH THE REQUIREMENTS FOR ON-SITE SENERS RND 14ELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2' I NILL INSTRLL THE SYSTEM ~IN RCCORDRNCE 14ITH THE CODES.
2:' I UNDERSTRND THRT THE ON=SITE SEHER SYSTEM MRY RE6~UIRE ENLRRGEMENT IF THE
RESIDENCE I~MODELED TO If~CLUDE MORE THRN ~ BEDROOMS.
~L] CRNT J I M ¢CHNELL
ISSUED BY___~
[:-,EPTH= :1.2 LEI'-.IGTH= 2'...
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TF.'.ENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR.PiIT IS THE D ISTRNCE BETHEEN THE SURFRCE OF THE
GF.'.OUND RND THE BOTTOM OF THE EXCR',/RTION (IN FEET).
THERE IS NO SET 14IDTH FOR .TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR\,'EL 8ETHEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
E:E:2LI I RE.D SEPT I