HomeMy WebLinkAboutSUETAWN ESTATE LT 9 - ~.; MUNICIPALITY OF ANCHORAGE '~..,)
?~EPA~TIV]ENT 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
LEGAL DES~IP~N '~ ~ / /
LOCATION NO. OF BEDROOMS~
Z Ma.u factura~ ~' ~: NO. of comp~nt,
L~I~ IF HOME.DE: Inside length Width Liquid depth
~ : "o. of lines ~Dn~ Trenc~i~.L. ~ Distanc
~ ~ Top of ~ tofinls~ade~ ~ ~ /~O~¢~,V~ 'Z~- " ~zt~a} b~ tile:~ Z~ inches Total ef~ective~bsorptlon area
Length Width ~ 'Depth ~ PERMIT
~ ~ Type of crib Crib dia Crib depth Total effective absorption area
~ Well ~ Building foundation Nearest lot line
~ DISTANCE TO:
~ ~ Class ~ ~ ~ ..~/~ ~ Driller Distance to lot llne PERMIT NO.
~ DISTANCE TO: Building foundation Sewer llne Septic tank Absorption area(s)
OTHER
PIPEMATERIALS ~ ~
REMARKS / / ~ ~
lev. 3178)
MUNICIPALITY OF ANCHORAGE
Department(~ Health and Environmenta~ ?rotection
82~ ~ Street, Anchorage, AK. ~501 #~ ~/~
~ 264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~ WELL ANJl/,OR ON-SITE SE~ER PERMIT
Location: Phone Number: ~--~? ~
Legal Description: ~--~. ~"?'~..~'/'--~-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 LENGTH . 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 minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~3 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.
MiAimum 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 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 31~ 1 9 8 3 * * *
I certify that:'
(1) I am familiar with the requirements for on-site sewers and wells as
set fort~ the Municipality of Anchorage.
(2) I will/~nsF~l the s~tem in accordance with codes. ~
(3) I un~rst~A~hat ~/he on-site sewer system may r~quire enlargement if
the/res~,/~/~emodeled to- include more that/3/ bedrooms.
S igne~~4~/~//~ I ssu ed by.-~[~ ~,~-4~ ~'~
SW-P/024(1/81)
PERFORMED FOR'
~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMEHTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
Reading
PERCOLATION RATE
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9
10--
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14,
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17-
SLOPE
[] SOILS LOG
PERCOLATION
TEST
SI~' E PLAN
Date Gross Net De~wPt h t~-- Ne~--
~ a~t,r Drop
-/
/
· (minutes/inch}
//~..~ ~ .~.~.~.~.~.~.~.~.~T RtJ4~l BETWEEN ~ FT AND . FT
0
0
0
40:'
~ O. c~ rq