HomeMy WebLinkAboutT15N R1W SEC 8 LT 24TS50
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6.01.
Lot
ILA
f'-'% MUNICIPALITY OF ANCHORAGE ~I
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
NAME
LEGAL DESCRIPTION
PHONE
~EW
[] UPGRADE
NO, OF BEDROOMS
PERMIT NO.~i
No, of compartments
Li~quid depth ~
LOCATION
DISTANCE TO:
IF HOMEMADE: I Inside I~/~
Well I Dwelling
Manufacturer
Material beneath tile
Dwelling
WcLth
Material
Nearest lot line
I Trench wid~ inches
inches
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
P depth Total effecti~ absorption area
Building foundation Nearest lot llne
Driller Distance to lot line
Sewer line Septic tank
OTHER
REMARKS
;..~UNICIPALITY OF ANCHORAGE...
Department f Health and Environmentar'Protection
825 ' 2 Street, Anchorage, AK. ~9501
"" ~ HANDWRITTEN PERMIT e e"
Per i .,~,~,~ .WJSLL AND/OR ON-SIT~ ~EWER PERMITO __ [ ..~ --
Location: Phone Number, 1t~"~'/-/j'- Z~7/
Legal Description: ~gX~r2¢,F8 7/J~/~Lot Size: -'
Type of Soil ~sorp[ion System Is:
Trench: ~ Drainfield: _Seepage Bed~ Holding Tank: ~
Max~ N~er of Bedrooms: ~ Soil Rating(sq.ft/br)
/
The Required Size of the Soil ~sorption System Is:
DE~TH 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 m~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
. e REQU[RED SEPT'C(HO~[NS) TANK S'ZE = /0~0 GALLONS
Pe~it applicant has the responsibility to info~ this department during the
installation inspections of any wells adjacent to this property and the n~er
of residences that the well will serve.
' ' ~ TWO(2) INSPECTIONS ARE REQU[RED e ~ ~
Backfill~g of any system without final
will be subject to prosecution.
inspection.and approval by this departmen
Minimum distance between a well and any on-site sewage disposal system is 100 fez
for a private well or 150 to 200 feet from a public well depending upon the type
of 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 department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * ' PERMIT EXPIRES DECEMBER 31j 1 9 8 3 ' "'
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will~nstall ~he.system in accordance with codes. ~
(3) I ~nd%r~tand~t/~he on-site ~ewer system may require enlargement if
the re~i~en¢~//~s//remodeled to include more that 3 bedxooms. ·
~pplicant / Date: ~/ ~~ ~'/
SWP/024(1/S1)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3-
4-
5-
6-
7-
8-
9-
10
11-
12-
13,,
14-
15-
16
17
18
19
2O
COMMENTS
PERFORMED BY:
72°006 (6~9)
~3~0l LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 I... Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
PERCOLATION
TEST
SLOPE
SITE PLAN
~ //'-'"~"~ .~ ,g~f'/~Z~ ~'~ WAS GROUND WATER ~
~.~ ~ J~,, L ENCOUNTERED? 0 SI.
0
IF YES, AT WHAT
DEPTH?
Reading Data Gross Net Depth to Net
Time Time Water Drop
'~ PERCOLATION RATE
TEST RUN BETWEEN
FT I
{minutes/inch)
FT
,-~
· DATE:
GRE/'""~'ER ANCHORAGE AREA BOF~"/'GH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAT,ON/. ~ ,"/,'£~. ~ (~,,~4~,,,~0o ~.oOe..LEGAL DESCR,PT,ON ~ov ~
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
NUMBER
OF
COMPARTMENTS
INSIDE WIDTH LIQUrD DEPTH LIQUID CAPACITY/~C~GALLONS.
TILE DRAIN FIELD: ~',~/~,'~"~ ,..~'&)5/'''~//¢/-) /~? /~ ~' ~OO~,
~ ¢ ~ TOTAL LENGTH
DISTANCE FRO~ WELL /¢~ FOUNDATION ~ NEAREST LOT LI.~ ~ OF LINES
NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDT~ IN. TOTAL EFFECTIVE
ABSORPTION AREA ~ S~. FT. LENGTH OF EACH LINE
~ DEPTH OF FILTER ~ ~
DEPTH: TOP OFTILE TO FINISH GRADE ~ MATERIAL BENEATH TILE ~ IN. ABOVE TILE ~/ IN.
WELL: ., ~j.
TYPE 12/2/7/~/9 CONSTRUCTIONS' T/d,u04~O, ,. DEPTH DISTANCE
BUILDING j.~', NEAREST /2~ NEAREST ~/~'//~1 SEPTIC,~,,~9.-~' SEEPAGE I O'
FOUNDATION LOT LINE SEWER LINE . TANK ,,-- ~' , SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM .,,
/31,e~//~o,~/2 Z.,~o/~
bY`A\
/'do,eT-/1.
G.A.A.B.
Form PW-O27
GREt :R ANCHORAGE AREA EOF¢ ?CH
DEPARTMENT OF ENVIRONMENTAL (;~UALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4§61
/0-,,~ 3- 75'
pERF4[T NO,
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
,',NANCEDT"RO'G" , TO"E'NSTA'-LE':'B¥
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 2:4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /OOO TYPE SEEPAGE AREA SIZE ~/~ ~1~~'' ~'~'x~ TYPE ~
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL -
SEPTIC TANK -. SEEPAGE PIT DRAIN FIELDl
TO NEAREST LOT L[NE. ~ P ~
WELL TO SEPTIC TANK ~ ~Jk~A'~ ~~2~&~
.__ //~;)0 / , ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPT]C TANK SEEPAGE PIT
DRAIN FIELD
DRAIN FIELD
SEPTIC TANK, ~ SEEPAGE PIT
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETer CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT
F~TTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
DIAGRAM OF SYSTEM
[ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE.
.A',E IO /7- APPL.CA.T'S
' O ~- E GEO~CHNICAL 8- DEVEL~-'~PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694 2774
Soils ~t Foundations
Perfomed for:
SOIL LOq,
Name: ~ ~.~'-¥~0 %~
Mailtng Address: ~ ~--------------------~ ~
Lega~ Description: ~ ~' ~ ~ ~ ~ ~
Sol] ~haff~ctertsttcs
0
1
Ear/EII/s
688-2280
Land Development
4
13
15
16
Ground Water Encountered:
Proposed Installation:
Comments:
P~rformed by:
Yes ~/No If yes, whet depth \\~
Date: ~c;<: ~,