Loading...
HomeMy WebLinkAboutTRAILS END BLK 8 LT 3Lo- .--,~, MUNICIPALITY OF ANCHORAGE ' _ ~' e ' " ' "P DEl ,TMENT OF HEALTH AND HUMAN SER~.'~'-%S Environmental Health Division · . 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ...~e DISTANCES 'P~ C'J?"~-Ft ~ ~ ~~ ~ SEPTIC ABSORPTION ~,e~ TANK FIELD WELL Township, Range. ~bon TANKS ~ SEPIIC ~ HOLDING TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~OTHER WELLS p~ ~ ~ PRIVATE ~ OTHER (Identify1 FTI FT REMARKS: 72-013 (3, 85J DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREE~ ANCHORAGE, AK 99501 264-4720 F'ERM I'1 NO: DATE I SSLtED: G60057 ~/~4/8~ APPLICAtil: ACREAGE SYSTEMS, INC ADDRESS: 601 E. /IDRIHERt] LIGHTS SUITE 165 A~ICHORAGE~ AK 99503 276-6552 CON]ACT' PHONE: LEGAL DESCRIP: LOT SIZE: PlAX BEDROOMS: SUBDIVISION: TRAILS END LOT: 5 SECTION: 24 TOWNSHIP: 12N RANGE: 5W 24700 (SQ. FT. OR ACRES) BLOCK. 8 Listed below are the options available to you in designing your septic. system. Choose the option that best [its your site. I~ED DEPTH TO PIPE BQT]ON (FT.) 5.5 GRAVEL DEPTH (Fl.) 0.5 TOIAL DEPTH (FI.) 4.0 GRAVEL WIDTH (FT.) 20,O GRAVEL LENGItt CFl.) 58.0 GRAVEL VOLUME (CU.YDS.) 28.2 TANK SIZE (GALS) 1,250.0 SOIt. RATING (SQ. FT. /BR) 125 *'* DEF']H TO F'IF'E BOT'~OM < 4.0 FT. MAY REQUIRE A LIFT STATION *~ TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: i. I am ~amiliar with the requir~ments ~or on-site sewers and we]is as set [c~tth by the Municipality o[ Anchorage (MOA) and the State o~ Alaska. 2. I will install [he system in accordance with all MOA codes and begulations, and in compliance with the design criteria o~ this permit. 3. I will 'adhere to all MOA and State ~ Alaska requirements lop the' set back distances irom any existing w~l]~ wastewater disposal system op public s~w~rage syste~m on this or any adjacent, or nearby lot. 4. I understand that this permit is valid ~or a maximum o~ 4 bedrooms and any enlargement will ~equire an additional permit. IF A LIFI STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1)~AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED AF'PLICA~I]': ISSUED BY ACREAGE SYSTEMS, DATE: DATE: PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: I 2 3 4 5 6 7 8 9 10 12 13 14 15 16- 17 18 19- 20- Township, Range. Section: SLOPE SITE PLAN I IIIIII1.11 I Itl I I~-~_1 I-~-I I,I II1~1 I//I I I III ~11 il ~L~o~ ~t I' I I~1111 I I I I I I,~1 I<~1 II ILJ~I~I I ~111 I ~11 ~11 tll TI I ~-I PI Itl Itl Itl ITl WAS GROUND WATER ENCOUNTERED? /'JO IF YES, AT WHAT ~ E 8epth to Water After ~llonitoring? Oate: Reading Date Gross Net Der)th to Net Time Time Water Drop PERCOLATION RATE (m,nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN PERFORMED BY; ~C ~ ACCORDA~C~ ~H ALL S~A~E A~D UU~C~PAL GU~DEU~ES ~N E~E( 72-008 (Rev. 4/65) FT AND FT ~CERTIFY THAT TH~S TEST WAS PERFORMED IN ,ONTH,SDAT,.DAT . I I I r' Z /69'-- N SEWER SYSTEM LOCATION PLAN