HomeMy WebLinkAboutT15N R1W SEC 8 LT 41 W100' MUNICIPALITY OF ANCI4ORAGE
DEPARTMENT OF HEALTH 8l ENVIRONMENTAL PROTECTION
ENVIRONIV1ENTAL ENGINEERING DIVISION
825 L Street- Anchorage, A~aska 99501 Telephone 264-4720
GALD C IPTrON
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/oR WELl_ INSPECTION REPORT
NO. OF 8EDRODMS
DISTANCE TO: ~
Manufacturer i) ~l'ea ~
IF HOMEMADE;
DISTANCE TO: Well
Dweltb)~
'er PERMIT NO.
DISTANCE TO:
of lines
rench width
to finish grade /~// h~ches
Type of crib
DISTANCE TO:
Crib depth
Building foundation
Nearest lot line
DISTANCE TO: Buildh19 foundation
OTI4 E R
Sewer line
Septic tank
ot line
Absorption area(s]
INSTALLER
REMARKS
o~PpF
· 3/78)
OAT E~, -- LEGAL
";:~ ~-~ --- :-'5 I T E:
PERMIT NO. < ,'-::iE~;23::1. >
FtPPL I CFtI'.,IT MFITT IE DO'T'LE:S
LOCFITION N. E,'IRI-':HklO0[:, LOOF' ROFI[:,
Ir...EI.]FiL. l~J. SN R±H SEC 8 L.C.'IT 4Z
TYPE OF SOIL. FtDSiORPTION 'Z,'t'STEH IS;
hlR;KIMUH NLIHBER OF BEI)F.'.OOH5 =
TRENL]:FI
.:,LIIL F.,~ IIN~ (S;L.] Fl, Ef ....... .:[~:F~
THE LENGTH DIMENS'.;ION I'-: TFIE LENGTH ,'IN FEE'T) OF THE 1RE~_.H ~E' I}RFIINF:'iELD.
THE DEPTH OF FI I'F..'EN_.H OR PIT I.:, THE [. I--,FFINF_.E DETH[~EN THE -,IJF~.FHC. E FF THE
Gl:?' NP FIN[) TFIE EUFILI'I OF THE E,.,_.FI H] ILN (iN FEtzl..,.
THERE IS NO '--.
THE GRRVEL DEPTH "-THE MINIMI_IH DEF'TH OF bF:.P,EL BEI"HEEI'.,I THE OLll"FFfl_L
FIN[:, THE E, Dl'l'_fl OF THE E,.,L.H,,HTI..N ,::IN FEE]').
PERMIT RF'F'L]'':RNT HI'-]z THE RE-F_hLfE, ZLZT.. TO ZNFORM ".-":
F,ILIME:EF.t OF F..L_,I[.ENL. Ez, THR]" THE HELL !.,.I]LL :'-"' -
[:'EF'FIRTMENT HILL. E,E _,IJE, JEC7 TO F E__-,EL.I_I1 1uN.
HINIMUH [. I._, FHNL. E DETb. IEEN F~ HELL FII'.,IC, FIN¥ UH _ I I E..?,EHFtl3E E .[_.,F 3:.,HL ", ....
::LOO FEET F-R Fi ..I MTE HELL I'/F.' .J~3 TO 2Fff;I FEET FROM FI F I,LI_. HELL DEF'E. NDIFI]
F'CN THE T¥F:'E OF F'UE-'~LIIZ: NELL. '
MINIMUM [:,IN~,TFiNE:E FF.'qH FI Fk.I~,kTE HELL l"O R PRIVFITE $EI4ER LINE I:rS ~t.5 FEET FIND
OTHER F.:EQUIREHENT$ MR~r' FIPPL~. SF'ECIFICRTION$ FIND I:::CIN!STRUC:TII]N DIFtGRFIHS FIRE
F/","FIILRE~LE TO INSLIRE F'RIL]F'ER INSTFIL. LFITION.
F" E~: F-.", P'I ]: T' E_ .- -. F ~. R E ...... F~ E ~Z:: ~_" I'"1 .E_',: E ~::." L-~"- :_1 ..... ~L .........
I CERTIF'~.' ]}iRT
::L: I FIM FFIMILIRR HITH I'HE REQI_IIREMENT'.:i; FOR ON-BITE _,EIIER.:, FIN[:, HELL.:, -,-' ,--"
FI3RTFI "' ' ,Il. -' , ,z: ..:,,- .:. - E,N ]"FIE H~t~IL. IFFILI'F'~' OF RNCHORFIGE.
..... I HILL I[L_TRL. L THE -,N:,TEH IN H_.L.U~.DRNF:E HITH THE :':F[,E':.
~:: I UNDERSTFIN[) ]"FIFIT THE ON-C;tTE SEHE:R '~"~"" ,
..... ~:,IEH MFI'T' REQUIRE ENLRR3EHENT IF THE
L.E=,I[.EF,IL..E I=, REMOI}EL. EI} TO INCLI_[',E MORE THRN ]:
.... I L~NE [., ...............
HFFLIL..HHI ~'IM[ FIE 81J"r'LE::,
J
-,:,UE[. EffT~ ..... ~i f~ '~
........................................................... DH E 4.:-_~.J.~..~,2
MUNICIPALITY OF ANCHORAGF
Department -: Health and Environmenta. ?rotection
825 ,4 ,~treet, Anchorage, AK. 99501
264-4720
HANDWRITTEN PERMIT * * *
ON-SITE SEWER PERMIT-
Location:
Legal Description:_~ LI [ ~. ~ ~f~ / ~3 Lot Size:
Type of Soil Absorption System Is:
Trench: ~ DrainfcLeld: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq. ft/br) /
The Required Size of the Soil ~sorption System Is:
DEPTH ~ LENGTH 30 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 minim~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
REQUIRED SEPTIC(HOLDING) TANK SIZE = /GC~ ¢~ GALLONS
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.
· * * TWO(2) INSPECTIONS ARE REQUIRED ~
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 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a prJ. vate 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 31, 1 9 g 1 * * *
I certify that:
(1) I a~ familiar with the requirements for on-site sewers and
(2)
(3)
Signed:
wells as
set forth by the Municipality of Anchorage.
I will ,~mstall the system in accordance with codes.
I un~,~r.s~/~hd th~e on--site sewer system may require enlargement if
thc~res~/enc~/~modeled to include more that 3'bedrooms.
,~/~/~~--~/ Issued by:
~i~ant ~ ' &/ C3 '
~/ / Date:
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTIVlENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
LEG^'-DESOR,PT,ON: '7'" "// j'""-~_2' ?/J ,
I SLOPE
2
3-
10
11
12
15
16
17
18
19-
20-
SOILS LOG
[] PERCOLATION
TEST
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
I
Gross Net Depth to Net
Reading Date Time Time Water Drop
P -~RCOLATION RATE minutes/inch
PERFORMED BY:
~ETWE EN FT AND
.. ,.. .,,,,77.,,////
FT
72-008 (0/79)