HomeMy WebLinkAboutSHAWN LT 2Onsite File
HAWN
Lot 2
I [IT, 13 i get
IOTA
Formerly T15N Sec 8 R1 W Lot 8
I
/ MUNICIPALITY OF A* NCHORAGE
/ ! DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON -SITE SEW DISPOSAL_ SYSTEM AND/OR WELL INSPECTION REPORT
NAME
1��Cl)e
P ONE
"—
W
,
❑ UPGRADE
_;�"k
MAILING ADDRES C `
LEGAL DESCRIPTION
' S�c'�'
LOCATION
NO. OF BEDROOMS /
U
_ Y
DISTANCE TO:
Well f
'�
Absorption areV
�
Dwelling `
/L�'`?
/C✓�,
PER T c� C-J
ZL V
a Z
a
Manufacturer
Ma r
No. of compartts
w F-
V
G�
�
Li a city irlgallons
IF HOMEMADE:
Inside length
Width
Liquid depth
z
DISTANCE TO:
Well
Dwelling
PERMIT NO.
2 z Fa
Manufacturer
Material
Liquid capacity in gallons
W 2
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
J LL z
Z w
No. of lines
Length of lin
Total length of lines
Trench width
Distance between lines
F
inches
To of tile to finish grade
p g
Material beneath the
Total effective absorption area
0
inches
Length 3
Width (
Depth
PE N
a
Type of crib .
Crib diameter
Crib depth
�—
Total effective absorption
w
w V
DISTANCE TO:
Well / (�-
! ��
Buildin oundat' Q/
��i`
Nearest lot lin s 7�
J
C,Y�Is ��j•. C
(J[/�
Dep i
ril
Distance to lot line
PERMIT NO.
J
w
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
,c.
L
PIPE MATERIALS
i.
G�Z
SOIL TEST RATING'
C
INSTALL
REMARKS
1
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44
to
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DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE, AK 99501
264-4720
01:1 r-4 I-F E= K L4 K F,---' Fz"E----F;-:-'I--1 I-F
PERMIT NO. ( 820963 )
APPLICANT ROBERT POOLE BOX 994 WHSILLR 99687 376-5472
LOCATION
LEGAL T15NR1W S8 L8 LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRHINFIELD i
MAXIMUM NUMBER OF BEDROOMS = G. SOIL RATING (SQ FT/BR)= 100
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
CA E07 10* IF 1-1= to L_ E0 V4 CA IF VA= ::L �F-_"F!'%-"EE L_ �EE F=' -A= :JL
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND qND THE BOTTOM OF THE EXCAVATION (IN FEET)
14,9110-14-1 1 Wx 7; �E: E-= -IF'
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
���U I F-'Eo E> cy Eo FF='-T-' I C:- ���1-7- '—=. I a" Em= AL .7!5 C-i i�3 n L_ L_ CH r-4:H;
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- --- --- IF L,l CA .1 so :1 �������I Cl rA �_=- 1=1 FZ Em IFT Em CA Li 3- FQ E= E>
BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON -SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F" EE F A-1 I IF F_- I F"F= "S E> EE CT Em VII E3 E= FR -L^ AL CA E3:2:
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON -SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
]: I UNDERSTAND THAT THE ON -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE I BEDROOMS
SIGNED _________-___
HPPLICHNT RO
ISSUED SYS2 �,-!j V 4. CJ
�.J\ SOILS LOG
MUNICIPALITY OF ANCHORAGE /
a.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: A �� I l F' L0oc4) DATE PERFORMED: (�4—
�' I
LEGAL DESCRIPTION:
DEPTH SLOPE SITE PLAN
/� 1 /
(FEET) I i .4:
5
6
8 �
�.
11
12
13
14
K�
15
16 rya %a,
Y Y�vrn ii f' aL �Ye
18 nber! A. Sf ❑ f�ar(�,
�c�•1�t �qi.. P 1T
19.E
20
COMMENTS
WAS GROUND WATER S
ENCOUNTERED? i L
O—
P — - -
IF YES, AT WHAT / E
DEPTH? (rl
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
i
PERCOLATION RATE /I (minutes/inch)
TEST RUN BETWEEN FT FT
PERFORMED BY: CERTIFIED
-77
DAT
72-008 (6/79)
fhr
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
Plans for the construction of
in
by
public water system located
Alaska, submitted in accordance with 18 AAC 80.100
been reviewed and are
❑ approved.
❑ conditionally approved (see attached conditions).
TITLE DATE
If construction has not started within two years of the approval date, this certificate is void and new
plans and specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no. Approved by Date
or descriptive reference)
The "APPROVAL TO OPERATE" section must be completed before any water is made available to
the public.
APPROVAL TO OPERATE
The construction of the public
water system was completed on (date). The system is hereby
granted interim approval to operate for 90 days following the cpmpletion date.
BY TITLE DATE
As -built plans submitted during the interim approval period, or an inspection by the Department has
confirmed the system was constructed according to the approved plans. The system is hereby granted
final approval to operate.
TITLE
DATE