HomeMy WebLinkAboutFISCHER BLK 3 LT 1C
F.~,'UNICIPALITY OF ANClIORAGE,.--%
lief ~ and Environmental Prote' /on
Fburth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
It,,I__~.~2T_~.I_O._N._ REPORT ON-SITE, SEWAGE DISPOSAL SYSTEM
LOCA]IO~i /~ ~t LEGALU[.SCRIPTION___~~ /-~ %--3 'F, sak~ ~/~
MAJ%'U F AC'I' U R E R _%..O ~-.~.- ~-
. INSIgr V,,'IOTIt
LIQUID DEPTH
NUMDER OF
COMPARTMENTS
LIQUID CAPACITY/(9(~) GALLONS.
TILE DFtAIN FIELD:
DISTANCE f'I.JOM WELL
# of Lines
TO~', AL LENGTH
FOUNDATION ___NEAREST LOT LINE OF LINE /'/~!
DISTANCE BETWEEN LlrlES TRENCH W DTtI~~, IN. TOTAL EFFECTIVE
SQ. rT. LEITH OF [ACtl LINE
DEPTII or rlLTER
MATErnAL 8[NEATH TILE_~ I . ~. ABOVE TILE ~ IN.
SEEPAGE PIT:
Log Crib Rings
BUILDIrJG f'OL$:~DAT IO."~
DIAMETER __ OR WIDTtt LENGTH DEPTH
Crib Size: DIAMETER___IJEPI'It DISTANCE FROM: WELL
TOTAL ErFEcTIVE
NEAREST LOT LINE A[~SORPTION AREA (WALL AREA)
.SQ. FT.
ell
lass: Depth:
ell Distance To: Lot Line
ldg: Sewer Line:
ipe Materials:
~f Bedr?o~:_
n~taller. ~t~J.~
emarks:
API'IIOV[' D
"' '~ DEPHRTM?',IT OF""--k~HLTH HND.ENVI~ONMENTHL
· 8Z5 'L' :=,IREEI, HNL:HORHLiE, HK.
£.JEI_L FiND Or~--S I 1-E _'--~.E£-~I--2R PERM I/l; '. ~.- --
HHPL1UHNI E~LDEN.,P.EDERSON_ SRfl BOX I?iBX ~5E17 //~44-B638
L OCla~,1 ION 1u4 I Ii~ I {
LEGHL LIC Bg FISCHER SUBD LOT SIZE 50000 SQUBRE FEET
]'Y,~E OF SOIL BBSORBTION S¥S]EM IS: 1RENCH
MRXID1UP1 NUD1BER OF BEDROOMS
SOIL RHTING (SO FT/BR)= 125
IHE REQUIRED SIZE OF 1HE SOIL BBSORPTION SYSIEM IS:
DEP-rH= ~ LENBI-H= Z<E: ~RRVP----L DEP]-H---- ~
IHE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
1HE DEP1H OF R TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFRCE OF THE
GROUND BND 1HE BOTTOM OF THE EXCHVRTION (IN FEET).
'IHERE IS NO SET WIDI'H FOR TRENCHES.
IHE GRBVEL DEPTH IS ]HE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFflLL PIPE
BND THE BOTIOM OF THE EXCHVRTION (IN FEET).
. I~FjL~.I_I I R~--~ SEPI- I C 1-RNK $ I ZE= :l.;ia£aO m.~ FILLI3 r-~_.-Z.
PI:ICF(FImT~Z PLRr-II' m_-mpl- I mTN
H PHCKHGE PLHNT MHY BE INSTRLLED Rl' 1HE PERMIT1EE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER B CLHSS I OR II NSF HPPROYED PLRNT MRY BE INSTRLLED.
2. H CONTINUOUS MBINIENRNCE HGREEMENT IS REQUIRED. IF H MRINTENRNCE
HL~REEMENT IS NOT KEPT CURRENT YOU MRY BE REQUIRED TO ENLBRGE THE SOIL
HBSORPIION SYSIEM BND?OR YOU D1FIY BE SUBJECT lO PROSECUTION,
-ri-JO ( 2 > I N--'3PI='CI' I ON--~ ~:IRE R~----QU I RED
BHCKFILLING OF BNY SYSTEM WITHOUT FINRL INSPECTION 8ND RPPROVRL BY THIS
DEPHRID1EN1 HILL BE SUBJECT TO PROSECUTION
MINIMUM DISTHNCE BETWEEN R WELL AND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS
tklCl FEET FOR B PRIVRTE WELL OR 2U0 FEET FOR FI PUBLIC WELL.
WELL LOGS HRE REQUIRED BND MUST BE RETURNED TO THE DEPBRTMENT HI~HIN 30 DHYS
OF IBE WELL COMPLETION.
O'IHER REQUIREMENTS ~I~Y BPPL¥. SPECIFICBTIONS BND CONSTRUCTION DIBGRBMS 8RE
HVHILMBLE '10 INSURE PROPER INSTHLLRTION.
PERM1 T F--XPI RP--$ DEL~ErqBER ~_. '~ --q--?7
I CER11F¥ THHT
1: I HO1 FHMILIHR WI]H THE REQUIREMENTS FOR OH-BIlE SEWERS RND WELLS RS SET
FORIH BY THE MUNICIPHLITY OF 8NCHORRGE.
2: I WILL INSIHLL THE SYSTEM IN BCCORDHNCE W1TH THE CODES.
~: ! UNDERSIHND THRF ]HE ON-SITE SEWER SYSTEM ~IHY REQUIRE ENLBRGE~IENT IF THE
RES I DENCE
:SIGNED:__,
~SLIED B7
V~:. 0
2204 Cleveland ~chorage, Alaska 99503
Lena1 qescrt~tton: Lot~Bloc~ ~ ,Subdivision ~l~c~ ,,.
T~is form Renorts Soils Lon ~ Percolation Test_
.neath
Feet, . . Sotl Characteristics
8--
~as Ground ~ater Encountered?
l~ Yes, At what Depth?
I
Readtna Da.%e:. Grnss Time Net Time Depth to H20 Net Dro~
Percolation Rate Ulnute
Prnrosed lnsta'11atton: Seenaee Pit Dratn Field
, Dee? o(lnlet ~. _ ~. ~¥~Got¥om Of Ptt Or Trench
Test Performed By~%/~//~'~/'~ ~-- ~ata Certified 8~0~o~(~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~/
825 L $~. AnchMNe. Atlska egG01 'ML~,
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
IRECTIONS: Compete MI pert; o~ page 1. laeemltle~ e~lUee~ wilt net be prac~eed. P~eIM allow ten (10) days for proce~ing,
MAILING AOORE~
PROPERTY RESIDENT (If differem fro~t above)
MAILING ADDRESS
4. REALTOR~AGENT
MAILING ADDRESS /v //
3. LENDiNO INSTITUTION
,AOORES$
I PHONE
PHONE
PHONE
PHONE
PHONE
LEOAI. OES , k)N
~REET L~ATION
SINGLE FAMILY
~ MULTIPLE FAMILY
WATER IU~LY
~ INDIVIDUAL*
g PUBLIC UTI LITY
S~AGE DIS~L S~EM
~ INDIVIDUA~ON-SITE**
~ PUBLIC UTILITY
,,vltE u EDROOMS
One [~] Four [] Other__
Two I-'1 Five
.,.,.,.,.,.,.,.,.,.~ Three [] Six
· A'I-I'ACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attac~ log if available.)
*'If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCE$SING CAN BE INITIATED.
724)10(3/78)
THIS SIDE FOR OFFICIAL USE ONL .....
DATE RECE,VED
INSPECTION APPOINTMENTS (~Px, ~ ~L~ tq~:~
TIME TIME TIME
DATE DATE DATE
]NSPECTOR I NSPE CTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE r--I OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2. WATER SUPPLY PERMIT NUMBER
[] INDIVIOUAL 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 UTI LITY
Connection Verified
INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL A~ORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/H°lding Tank IAb~°rPfl°n Are~ IS~r Li~ I Na~t Lot Line
Al~orption Are~ to m~re~t Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
r--I CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
On-Site Sewer Study
by Robert Neale
10/21/74
Owner:
Location:
Legal:
Soil Sample:
Pederson Construction, 1801 East 53rd, Anchorage.
Spruce Circle and Klinger
Lot 3, Block 4, Fisbher Subdivision
Varied from 140 to 250
2' 1' to 3' is sand, gravel
4'
Conditions: . 6' _- _ _
,.__,
~) r6 lqo~'Water Table Probl em
1,000 ,gallon septic tank, concrete rings.
Appr.6.ved 10/17/74
cm ¢ '?";i
'"'/.'I ' ';':"'
Well Distance 100'
Good Gravel Backfill