HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 2 LT 10
~' MUNICIPALITY OF ANCHORAGE t 'l
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
LOCATION
DISTANCE ,O:
Manufacturer
/
DUPGRADE
IND. OF 8EDROOI~.~
No. ol~,~l~mpartments
IF HOMEMADE: Insldelength..__~ Width .---- Liquid denth
Well Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation Nearest lot hnl O
inch~
DISTANCE TO:
Well
DISTANCE TO: e
No. of lines Length of e~7~.~ine
Top of tile to finish grade
I'~ inches
Depth PERMIT NO.
Tota
DISTANCE TO:
DISTANCE TO:
Well Building foundation Nearest lot line
Depth Driller
PERMIT NO.
Absorpt on area(s) (0~)
OTHER
PIPE MATE
Sewer line Septic tank
INSTALLER
REMARKS .
OVED
724)13
DATE LEGAL
PERMIT NO.
APPL I CANT
LOCATION
LEGAL
DEPARTMENT OF HEAL.?H AND ENVIRONMENTAL P uTECTION
HERMAN WRRRICK BOX ~-418~
1/2 MI. DERRMOUND ROAD
Lie B2 FLAT TOP VIEW LOT SIZE 14eoe SQUARE FEET
: TYPE OF SOIL f~BSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RflTING (SQ FT?BR)= 125
THE REQUIRED SIZE OF THE SOIL flBSORPTIO~.~YSTEM IS:
DEPTH= ~ LENGTH= ~2 GRAVEL
DEPTH= 8
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
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 ~0 SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
REQUIRED SEPTIC TRNK SIZE= '1250 GALLON5
PERMIT APPLICANT HAS THE RESPONSIBILIT~ TO I~IFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
'NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
------ TWO (2) I N~PECT I Obis ARE REI~U I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL; OR
150 TO ~00 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERMIT EXPIRES DECEMBER ~i.- '1 ~78
I CERTIFY THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
~': I WILL INSTALL THE SVSTEM IN'ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTE~ MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
~ I GNED: ..............
RPP~NT HERM~ W~RRICK
',~SSUED BV___~~__-~-~ ...................
GARY PLAYER VENTURES
CONSULTING GEOLOGIST
SOILS LOG
Performed for L I ¥\ { -~"/~ Date
0
2
16
18
2O
Soil Type Wa~er Level Remarks
Total Depth of Excavation
Croundwater
Material at Total Depth
Bedrock
(~ Not Reached
Depth, if Reached
~ Not Reached
Depth, if Reached
Classification }lethod
(x0 Visual
( ) Sieve Analysis
()
r, Consulting Ceologist