HomeMy WebLinkAboutFERGUSON LT 4
MUNICIPALITY OF ANCHORAGE
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
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
DISTANCE TO: Well i
u_ ,, ___ _ I10
~- z Manufacturer
r~ I- ILiq, capacity in gallons
I /~) IF HOMEMADE:
D,STANOETO, Wa,,
~:~ I DISTANCE TO: Well
i No. of,,,,es
ILength of each line
I
/- I DISTANCE TO:
~ J Class Depth
~l DISTANCE TO: Building foundation
Absorption area i Dwelling /
/5
Material
Width
Material
PHONE 1 [~.NEW
lng
PERMIT NO.
~08~
No, of comp~3~ments
~7~ 7 7
Liquid depth~
PERMIT NO.
Foundatio~. / Nearest lot line
Total length of lines Trench width
! '~,~2 inches
inches
Liquid capacity in gallons
PERMIT N
Distance between lines
absorption area
Cribdepth
Building foundation
Driller
Sewer line
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Septic tank Absorption area(s)
OTHER
PiPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVE
172-01S~(Rev. 3/78)
DATE/ LEGAL
PERMIT NO.
~4LI~-J I Iii FtLIT'T' OF i=l~JCH ,RIRGF
DEPARTMENT Or HEALTH AND ENVIRONMENTAL PROTECTION
825 'L~ STREET, ANCHORAGE, AK. 99501
264-4?20
ID~--SITE SELWER PERPIIT
820896 )
RPF'LICANT
LOCATION
LEGAL
BILL'T' MARTIN
L4 FERGUSON S?D
PO BO× :~g~_,. _ 99577
LOT SIZE
694-4217
999999 _,QUARE FEET
TYF'E OF SOIL ABSORPTION SYSTEM IS: TRENCH
THE REQUIRED SIZE OF THE SOIL ABSORPTIONs'_T_,TEM 'c IS:
DEF'TH= 9 LE~'-~GTH= 2.0 G R F~'..-' E L DEPTI I=
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 8ND 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 EXCRVATION (IN FEET).
REC!LI I RE[~ SEPT I C TR~-~( S I ZE= itOOO m]RLLCm~-~S
PERMIT APPLICANT HAS THE RE_PON=,IBILITY 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.
TP. IO ( 2 > INSPECT I raINS ARE RE~LI I RE[-',
BR_.~.FILLING OF RNY SYSTEM WITHOUT FINRL IN=.PECTION AND RPPROVRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWRGE DISPOSRL 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 A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRAMS ARE
AVAILABLE TO INSURE PROPER INSTRLLATION.
P~R~IIT E×PIRES DECEMBER --<l.. 1982
I CERTIFY THAT
l: I AM FRMILIRR WITH THE REQUIREMENTS FOR LN-:,ITE SEWERS RND WELLS RS :,ET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
-: I WILL INSTALL THE _,~:,TEM IN RCCORDRNCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED ,TO ............... T~ .... ~ ~ .... ~'~
SIGNED: APPLICANT BILLY ,ART~/ ~ ~~ ~
OErE
Russell Oyster
694 2774
Soils 8 Foundations
Performed for:
Legal DescriPtion:
Depth (feet)
0 ....
?
GE-TECHNICAL Er DEVL .OPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or688.2280
SOIL LOG
Name: Mr. Gordon Ferguson
Mailing Address: Box 480 Star Route
Lot 4 Sec 20, SW~, SW ~, SW ~, T15N, RiW
CO.
£#d EtI/~
688-2280
Land Development
Tel. No. 688-2895
Eagle River, Alaska 99577
Soil
GM - Silty Sandy Gravel. Roots and organics in
top 12 inches. Frozen.
225 sq. ft./Br.
GW - Sandy Gravel. Very clean and fairly well graded.
Very drywith no signs of frost.
85 sq. ft./Br.
]] .........
GP - Sandy Gravel. Poorly graded with more sands
than the above soils.
125 sq. ft./Br.
SP - Sand with occasional gravels. Alternating
layers of coarse to medium to fine sands.
very clean.
Bvttom of pit.
Ground Water Encountered: Yes No
Proposed Installation: Seepage Pit
Comments: Pit measured approximately 3' x 10' in
i.i , pit logg~Kt the same. ,
k~er formed by:
150 sq. ft./Br.
- Z
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