HomeMy WebLinkAboutTROLL KNOLL BLK 2 LT 3
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To: DHHS Date: 12, June 1999
We hereby notify DHH$ a.s required by permit of the intent to terralitt the
following property.
Lot: 3
Block: 2
Subdivision: Troll Knoll
RECEIVED
JUN ] 4 1999
Municipality o! Anchorage
Oept. Health & Human Services
Address: 20454 Leprechaun, Chugiak
Engineer Consulted: Yes_X_
lx~D
lq'om
Jerry Leach
Alaska Drain.field Restoration
President
NAME
MAILING ADDR E(~..
LEGAL DESCRIPTION
LOCATION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
IPRONE
~ I IL_ ('~,C~-~- t ~c.~.~,~ ~.~-~-~'~. - 3~.~ J-'IUPGRAOE
0_5 D,STANCETO= ~*'~,~f.-c~ IAbs°rPt'°n'"'~''
Liq,/~7_.~capacity in gallons I IF HOMEMADE; I Inside length
Material beneath tile
Depth
Well nd ion
DISTANCE TO:
Cla~,,(~ ~j~j ~pthl Dritler
DISTANCE TO: Building foundation S~r line
Length of ea,,J1 Uoe d
Top of tile to finish grade
Length Width
NO. OF BEDROOMS
o.,,,ng S-~ PERM,TN°.
Width Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
~'~ inches To tel ·, ,active ab~_~r~ ~.
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
OTHER
PiPE MATERIALS
SOIL TEST RATING
'NSTALLEC
REMARKS
DATE LEGAL
· , ,--~- MUNICIPALITY OF ANCHORAGE
., Department~'~f Health and Environmenta~'?rotection
~ 825 '_ Street, Anchorage, AK. .9501
264-4720
'~ fi'_~ # # * HANDWRITTEN PERMIT * ~ ~
Permit #~"/~ WELL AND/OR ON-SITE SEWER PERMIT
Applicant: ~0~_C .~/~B~7T.~'o~ Mailing Address'~~
Legal Description: Z.F ~ ~//~ // Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: ~_ Seepage Bed~ Holding
Tank~
Maximum Number of Bedrooms:
~%~ Soil Rating (sq. ft/br)
The Required Size of the Soil Absorption System Is: ·
DEPTH k~' /' LENGTH ~-"-~ / ~'-~'/
. GRAVEL DEPTH WIDTH
The length dimension is the l~ngth(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 minimum, depth of gravel between the outfall pipe and
the bottom of the excavation(in feet),.
' # REQUIRED SEPTIC(HOLDING) TANK SIZE =/z~)z~(~ 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 departme=
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fe~
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 1'9 8 3 ' "'
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set for~by the Municipality of Anchorage. '
(2) I will~i~tall the ~stem ~n accordance with codes. ~
(3) I qnaer${aDd thatz~Whe on-site sewer system may require enlargement if
. th~ res/~e~ce X~/x~modeled to include more that 3 bedrooms.
Signed 1~/_ ~/~//~/ Issued by ~~o~
· ~cant Date: v ~,/~'~C.,--t,/~lo..~% (~
SWP/024(1/81)
PERFORMED FOR:
LEGAL DESCRIPTION:
2 ''''''/
CL
12-
13,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
nm SOILS LOG- PERCOLATION TEST
SLOPE SITE PLAN
ROUND,
AT WHAT
DEPTH?
[] SOILS LOG
[] PERCOLATION
TEST
Gross Net Depth to Net
Reading Date Time Time Water Drop
16-
17-
18-
19-
20-
COMME.TS ~'/
PERCOLATION RATE
/~C£ TE~T,~UN
/~J/ ~/~ (minutes/inch)
BETWEEN FT AND FT
APPLIC..NT FILLS OUT UPPER HAL. !ONLY
~Singfe Family
Water Supply
z~p code '7 ? ~'~ ?
Zip Co<le
zip ~,
Phone
Phone
ATTACH WELL LOG. A well log Is required for afl wells drlled since June 1975.
For wells drilled prior to that date. give well depth (attach log If available).
Year Individual Installed: ./-.7 ~/_~
When Connected to Public Utility:
Sewer Disposal
[;~'"l"ndlvld ual
n Public Utility
r-I Holding Tank
NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE P~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
I
Inspector Inspector Inspector Inspector
Field Notes:
MUNICIPALITY OF ANCHORAGE
DEPT. OF H~;',LT!I ,",
ENVIRO;%,'4ZNTAL PC. OT~.CIION
fJOV 2 g 19~3
RECEI.V_ED
(~') APPROVED BEDROOMS ) DISAPF~OVED
*CONDITIONS OF APPROVAL
Soils Rating I Date ~ewer Installed
I
JWell To Absorption Area
Well Io Tank
Well Log Received
Septic Ta~k Size