HomeMy WebLinkAboutKNOX Parcel AA
37/C7
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
PHONE [~NEW
NAME
MAILIN~ ADDRESS~
LEGAL DESCRIPTION
LOCATION
£ ¢~f'Absorption
area
DISTANCE TO:
Liq. ~a~i,~a,I o., IF HOME.DE: inside length
Manufacturer
' Well
DISTANCE TO:I
[ NO. of lines ~ I Len.th of ~cl)J~
Top o' tilO t~nish ~ralde
Dwelling ¢%' I~i¢~ ~O,
Material No. o~mpar tments
Width Liquid depth
PERMIT NO.
DISTANCE TO:
~ [Class Depth
DISTANCE TO:
OTHER
Material Liquid capacity in gallons
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
Nearest lot line NO,
tthinches Distance ¢b~t~een lines
Depth ..
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller
) to lot line I PERMIT NO.
I Absorption area(s)
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENViRONMeNtAL PROTECTION
JUL 9 19 zt
APPROVED
DATE
LEGAL
F:'ERI'41 'T' NO:
DATIE I S~StJED,',
APPI..,. I CANT:
ADDRES!.:~ ~
COIxlTACT F'NONE:
LEGAL DESCRIP
L..OT SIZE:
LOT LOCATION:
PlA X BEDROOM!.~;
DEF'ARTMENT OF'" HEALTH AND ENVIRONMENTAL F'RO]'EGTIOI~I
1~125 L STREET, ANCI40RAGE, AP':; 99t501
264-4.720
E.} Ih4 .... '.~ ][ 'If"' IF%- ~7~ IE W E:'IR ~.~.: W IE L I[ .... IP tFZ F~,". ~,1t Z ]-
84()535
07/()2/R4
CI4ARI_OTTE REINDI_
SR BOX 8164
CHUGIAK, Al.,:: 99567
.];49-6561
SUBDIVISION: KNOX
SECTI[)Iq: 35 TOWNSHIF': 16N
6, 2'IA (Iii(:',!. FT .. OR ACRES )
OFF EI<L,.LITNA ROAD
I_OT: PARC A
RANGE::
BI_OEK: NA
List. e:d be].ow ape the options available 'L~ you in designing your sept,:i.c:
system. Choose 'Lhe op'Lion that best £:i. ts y~ur' sitE.
DEF:'TI4 TO PIPE BOTTOM (FT.) 4..0 4.0 4,0
GRAVIEL. DEPTH (F:T.) 4, 5 O. ',5 3,5
T[ITAI_ DIEF'TH (F"F.) Ill. 5 4. ~:!i '7 ,, 5
GRAVEL WIDTFt (FT.) 2.5 2.2.0 5.0
GRAVEL I_ENGTH (FT,,) 68.0 42.0 66.0
GRAVEl_ VOL.UME (CU.YDS.) 3~.4 34.,2 48,,B
TANK SIZE (BALS) ~,250.0 ~.}~ t.250.0 ~'* 1,250.0 .~'~'
8011.,,. I:~A'~:I:NG (SQ.F]'. /BR) 152 152
'~* TANK MUST HAVE A'r' I_ErAST TWO CC)MF:'AR:I"MENTS
I cert. ify 'Lhat."
;I,.I am ('amil:i.a~' wi"Lh the [,equirements~ fol* c)n,-site !sewers and wells.as s(~t
FoPth by 'Lhe Hunicipal:i. ty of Anchorage (IdOA) and 'Ll-~e Sta'Le of Alaska.
2. I will instal], the systeill in accor'dar')c:e w:L'Lh all Hi]A codes and, r, egti].at:i, or]!~,
arid iri compliance with ti~e design ceiter, ia of' this per, mit,,
3. I will adher'e to all HO~ and Sta'Le of' Alaska'r'equ:i.r'ements For the-set back
distances fr'om any existing ~el]., wastewa'Lee disposal system or' public
sewepage system on th:i.s on any adjacent oP near'by lot.
4. I understarld 'Lhat 'Lhis per'mit is w'..~lid for' a maximum of 4 bedr'ooms and
any enlar, gement will r'eqt..tir'~::~ an addi'Lior~al per, mit.
IF A L. IFT ~]"ATION IS INSTAI_I....ED IN AN AREA COVE;RED BY MOA BUILDING C(]DE!:3.~
TI-,IEN (1) AN IEL..E]C, TRICAL. PIEIRIdIT AND INSPEC,]"ION MUST BE OB'T'AINED; (2) AS-BLJILTS
WILL..IqOT BE AF'F:'ROVIED WITHOUT AN EI_IECTRICAL INSIZ'E[;'I"IOI~I REF'ORT~ AND (3) 'T'HE~
IEI.,.IEC:;TR:I:CAL. WORK IdUST BE DON[~ BY A LICEIxlSIED ELECTRIE;IAN,
S ]. bNE. D
APPI,,..ICANT: 'CHA~GTTE REINDL ~ ~2
7125 Ol D SEWARI} HIGHWAY
ANCHORAGE. ALASKA 99592
(907) 349,6561
P i!!! R C '() L A'i" ! 0 N
SOH I OG
LEGAL DESCRIPTION:
SLOPE
SITE PLAN
O
P
12- E
[F YES, AT WHAT ~ ...... .
DEPTH?
.:' Net
'. Drop
Gross Net Depth to
Reading Date Time Time Water
.
~M%J'".....'" ~t;¢ r ;:-1''~ -[ 'r .....
', ........ 4
L.
DEPT~'- PERCOLATION RATE .......... (minules/Inoh)
(FEET)
TEST RUN BETWEEN FT AND FT
m
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