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HomeMy WebLinkAboutLot 02 ' II /-""~UNICIPALITY OF ANCHORAGE~'h /~/© / ~ !rotection ,/ Department! '~ Health and Environmenta~ 825 L Street, Anchorage, AK. ~9501 264-4720 Permit # ~/ 0~ * * * HANDWRITTEN PERMIT * * * C~C~¥ ,~ON-SITE SEWER PERMIT ~/// 5ocation: Phone Nu~er: ~/[~ ~g 77 5egal Description: ,~ ~/ ~c f- ~/~/- //~ Lot Size: Type of Soil ~sorption System Is: Trench: ~ Dr~infield: Seepage Bed~ __~olding Tank: ~m~m ~r o~ ~rooms: ~ So~ ~a~n~(s~.~t/b=) The Required Size of the Soil ~sorption System Is: ~ · WIDTH DEPTH /~ LENGTH GRAVEL DEPTH ~ ~ ~ The length dimension is the le~gth(i~ feet) of the trench or drainfield. The depth of ~ 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 minima depth of gr~vel between the outf~ll ~ipe ~nd the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~ GALLONS Pe~it applicant has the responsibility to inform this department during the inst~llation inspections of any wells adjacent to this property and the n~ber 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. ~inimA distance between a well and any on-site sewage dispossl system is 100 feet for ~ private well or 150 to 200 feet from a p~blic well depending upon the type of public well. Minima distance from ~ private well to ~ private sewer line is 25 feet and to a co--unity sewer line is 75 feet. ~ell logs ~re required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications a~d constr~ction diagrams are available to insure proper installation. · * * PERMIT EXPIRES DECEMBER 31~ 1 9 ~ 3 * * * I certify that: I a faili~r wit~ the requirements for on-site sewers a~d wells as set forth by the Municipality of Anchorage. (2) I will inst~ll the syste~ in accordance with codes. (3) I understand that the on-site sewer system may require enl~emen~ if the idence is odeled to include more th~ bedroo~ SigneR: ~pplicant ~ ItEMICAL & GEOLOGICAL LABORATORIES O~ ALASKA, INC. TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BYiWATER SUPPLIER ~V*TER SYSTEM: I I Ii I I I J <', See . on back J ~__.,.)~ ,I.D. NO. '-~ ' Water System Name I Phone No. f'~'t"~---~'~'~'~r'~'C"-~'~'~'~'~'~'~'~'~ ' ~ sta~. zi~ c~ Mo. Day Year SAMPLE TYPE: [~Routine [] Check Sample (for routine sample with lab ref. no, [] Special Purpose SAMPLE NO. LOCATION I~-~ ''''~''~''~&' -~' ~ureated Water ntreated Water Time Collected Collected I- TO BE COMPLETED BY LABORATORY atlysis shows this Water SAMPLE to be: isfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: [] Fermentation Tube ~: Membrane Filter Lab Ref. No. Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 0s4220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter:. Direct Count Verification: LTB. BGB Final Membrane Filter Results ~epoded By ~'~ ) 0 _ ~-~L-,'~ ~r~ .~ ^ ~Date-; Time: TNTC = Too Numerous To Count CoilformllOOml Coilformll00ml SO/L$ 6~£0_ -- 8~29 Z .Q "' Pt,,','. O' E£ci/, I1' ~Pv6~ y ,fA,vi, d _.] / / I (V07-¢-; ,4LL /'¢]ttTE~/,'1£$ 7-0 ~- ~q~ IYOT'E$ : IS To III6~