HomeMy WebLinkAboutABBOTT LOOP MANOR BLK 2 LT 5
( ' MUNICIPALITY OF ANCHORAGE ! 1 -~,',,~*.'~.u~
. DEPT. OF It:ALT;I
e ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~IRONMENTAL
~*. ENVIRONMENTAL ENGINEERING DIVISION
· '" 825 L Street- Anchorage, Alaska 99501 Telephone 2~720 J U N g 4 19~0
ON~ITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION~EPORT
NAME P~EI V ~EW
EEGAE DESCRIPTION
~.~,~?~,o= I~''' MY I /~' ~'"'~r~' e
Liq. capaciw in gallons Inside length Width Liquid depth
[~ ~ IF HOME.DE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Z ~ M~nufacturer Matedal Liquid ca.city in ~llons
Well Foundebon Nearest lot hne~ PERMIT
~/~ inches
~k Top of tile to finish grade ~ Material beneath tile Total elf~ti~
O .~ b inch~
Length W~dth ~pth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total ef f~ti~ a~orptlon area
~ Well I ~uildlng f~ndation Nearest lot Jlne
~ DISTANCE TO:
~ Class Depth Driller D~stance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Se~r llne Septic tank Absorption area(s)
OTHER
PiPE MATERIA~ ~
SOIL TEST RATING
/~
INSTALLER
~'o~ ·
REMARKS
~,.. ~,~ .
,..P .: _ -.. ,,
APPROVED . . DATE LEGAL
72-013 (Rev. 3/78)
PE~IT NO.
MU~I¢IPALITY OF ANCHORAGE
DEPARTMENT~HEALTH AND EN¥IRONMENTAL/-'~OTECTION
825 '~ STREET, ANCHORRGE~ AK.
2¢4-4?20
ON--SITE SEWER PERMIT
800190 >
APPLICANT
LOCATION
LEGRL
GARY KOSTEN ??30 ADOBE DR
SAME
L~$ B2 ' ABBOTT:' I~OOP. MI:INOR_ S~"D ·
LOT SIZE
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
344-0739
18000 SQUARE FEET
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ FT/BR)=
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= :L:L LEt~GTH= 42 GRAVEL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R 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 MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
REQUIRED SEPTIC TANK SIZE= "~ 250 GALLOI'-IS
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.
TI*lO (2) I t~ISPECT IONS ARE REQU 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
i00 FEET FOR R PRIVATE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES DECEMBER ~..- :L~SO
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED INCLUDE MORE THAN 4 BEDROOMS.
ISSUED BY ................... ~__DRTE ..... V4.0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, A~as~ 9g,502 276-222!
SOILS LOG -- PERCOLATION TEST
PERCOLATION
TEST
SLOPE SITE PLAN
~o:
11-
12-
13
'I
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
E
Gross Net Depth to Net
Reading Date Time Time Water Drop
q /~ 5'. ?Y
g ro
7 t /o ~. ~
14
15 CI~.
16
17
18
19
20 ..~ *,
PERCOLATION RATE mnutes/ nchl
'
TEST RUN BETWEEN t
-'T~...-":;~._'~,~' ~
/ .~ .
72.008 (71761
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