HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 3 LT 2A
/ ~ 7. CASING: ~ ThrMded
~. STATIC ~ATIK
~ , , ~ ~ ~.
PERMIT NO.
RPPLICRtJT
LOCATIOH
LEGAL
ROBERT WEBB ~168 CASSIUS COURT
EAST 66TH AVENUE
L 28 B ~ CAMPBELL HEIGHTS S?D LOT SIZE
274-51~8
8827 SQUARE FEET
MINIMUM DISTANCE BETNEEN A NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE NELL OR 150 TO 2~0 FEET FROM A PUBLIC NELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY ~EHER LINE I~ 75 FEET,
NELL LOGS ARE REQUIRED AND ~IUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE NELL CO~IPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER IIISTALLATION.
PEEI'"I I T EXP I RES DECEI"IBEI-~ ~.1. --I _c~. $-1
I CERTIFY THAT
l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE NITH THE CODES.
SIGNED:
APPLICR~IT ROBERT WEBB
ISSUED BY .............................. DATE.~~~;~J
V4, 0
I-OE Soil Rbsor?tior~ Bystem
irencb: . D~atnfleld: _ ~epage ~ed I _ Roldlnq ~an~:
~IH LfNGTH ~RA~L DEPTH ~IDIH --
i*len~¢h d~nsi~ is the len~h(~ [eet) O~ ~e tzench
~ of a ~ench or pit ~s t~e distance between the ~ur~ace of the ~ound and '
"~avel 8e~ is ~e ~ln~ dep~ of ~av,1 ~t~een
t, ~tt~ of ~e excavation(in feet),
,.
· REOUIRED SEPTIC(HO~I~) TAHK ~IZ~ ' ~ .
t ap~llc~t has ~e res~nslbl~tty to lnfo~ th~s de~nt during the
llat~ tns~ctt~s of any veils aflJacent to thzs pro~zty ~d the nu~r
· · t l~) INSPECTI~S ARE REQUIRED
I ~ ~ubtect to prosecution.
m~istance bet~en a ~ll and ~Y on-~ite sewage gts~a] syatem ~ 100 fee
or ~50 ~o 200 ~eet Ir~ a public well de~ing ~ the t~...
tr zequtze~nts ~Y app1I- _~tc~t~o~s and a~tzuctia diaqra~s are
liable to ~s~re p~o~z l~sta/lation-
· · e Pi~II EXPIRES DECidER $1;
~tify that:
(1)I ~ feiliar with ~e re~ire~nts for en-~ite
~t forth by the ~nicipllitg of ~cho:a9e-
I viii ~tall the ~st~ ~n accordance with c~es..
I ~stand that the on-s~te sewr ~yst~
(D) t~ ze,,Sence is ge~eled to n. · ~./~
. include ~re that I ~l~s.
Date. ~
'
,"'~NICIPALITY OF ANCHORAGE ~
Department o~ Health and Environmental ,rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * *'HANDWRITTEN PERMIT * *'*
WELL _~=0i4 ~-$~w~ ~ ~RM~
Mailing Address: ~ /
Lo~ation: E 6 (..~'~'(' /~~ Phone Number:' ~- 7'~/'.~f~ ~
Legal Description: L 2~ ~ ~~ ~,~/~.~.Lot Size. ~'[ Q'Z
Type of Soil Absorption.System Is:
}Trench: Drainfield: _.SeePgge Bed: __ Holding Tank:
Maximum Number. of Bedrooms: Soil Rating (sq. ft/br)
"The Required Size of the Soil Absorption System Is: v
DEPTH . LENGTH .. GRAVEL DEPTH WIDTH
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
~he bottom'of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE= .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'residencesthat the well will set.ye.
Ii* '* *.'TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of an~ System-withoUt final 'inspection and approval by. this dep~rtment
will be subject to prosecution;.
Minimum distance betwee'n'%'~ell and any on-site sewage disposal system is 100 feel
for a private well or 150-to '200 feet from a'public well depending upon the type
~f. 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 departmen~ within 30 days of th~ well..completion,~
Other requirements may applyJ ' Specification~ and construction diagrams are
available to insure.proper, installation. _
* * * PERMIT 'EXPIRES'DECEMBER 31, 1 9 8 1 ff * *'
I certify that:
(1) I am familiar with"the'requirements for on-site'sewers and ~ells. 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. that 3 bedrooms.
~Sign~:. ... Issued by: ,
App~ic~c m U~ /~/~ ' '
.. Date:
tSWP/024(1/81)
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR,
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P;,OIECTION
OEP^.TME.T OF .EA'T. & E.V'.ONME.T^L P.OTECTION
825LStr.t-Anchora~l. Alelk, 99501 0CT 1 5 1981
I ENVIRONMENTAL SANITATION DIVISION
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Compl'ete all parts o~t page 1. Incomplete reque~ will not be procured. Please allow ten I10) days for processing.
MAILING ADDRESS
PROPERTY RESIDENT (if different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
4. REALTOR/AGENT j PHONE
I
MAILfNG ADDRESS
LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OFgEDROOMS
~ One ~ Four
~ SINGLE FAMILY
~ Two ~ Five
~ MULTIPLE FAMILY ~ Three D Six
D Other
7. WATER SUPPLY
1~ INDIVIDUAL*
I'-I COMMUNITY
[] PUBLIC UTI LITY
SEWAGE DISPOSAL SYSTEM
I'-I INDIVIDUAL/ON-SITE**
~ PUBLIC UTILITY
· ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
YEAR ON*SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST. BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMRER OF BEDROOMS
[] SINGLE'FAMILY ' ~ .~ [] ONE [] THREE [] FIVE [] OTHER
[-I MULTIPLE FAMILY [] 'I~NO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
' Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: ' If Tank is homemade SOILS RATING
give d~men$[ons:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO= Septic/H°lding Tank IAbs°rPti°n Area ISewer Line INearest LOt Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~""~APPROVED FOR -~ . BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
t-'l DISAPPROVED
DATE
72.010(Rev. 6/79)