Loading...
HomeMy WebLinkAboutNORTH BIRCHWOOD TR 1 SENIOR CITIZEN CENTEROnsite File North Birchwood Tr1 Senior Citizen Center PID# 051-143-27 Formerly T15N R1W Sec 9 Lt 21 ' 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 ~ 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~ GAAB-HD-I G'~' "TER ANCHORAGE AREA DI:rARTMENT OF ENVIRONMENTAL 0UALI'i 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM __ ADDRESS ~/~6'~'~'.-?,~f~ ., LOCATIONO~b ~Jr<'~Vk I'lCU1 'e ~i~C~,~?¢~ ~oC~ LEGAL DESCRIPTION SEPTIC TANK: 5'fl~ STOIC. c,{C~' 17tiOi.~; DISTANCE FROM WELL ~0' MATERIAl %'F~ LIQUID CAPACITY J~)~O GALLONS. INSIDE LENGTH_ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS. ~ OUTSIDE DIAMETER LINING MATERIAL ~¥'l I"J LJ'j OR WIDTH JJ DISTANCE FROM WELL_ TOTAL EFFECTIVE ABSORPTION AREA WALL AREA) LENGTH. j jl., DEPTH BUILDING FOUNDATION .~)~('~ ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA , FOUNDATION DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE · NEAREST LOT LINE_ TRENCH WIDTH TOTAL LENGTH · OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILF IN. ABOVE TILE WELL: TYPE 4[¥t l Jewel' DEPTH /l/)~ NEAREST LOT LINE ~'~ J ~'1 , SEWER LINE DISTANCE FROM ~ i WATER · BUILDING FOUNDATION. SAMPLE SEPTIC ~j.~l SEEPAGE ~ I . TANK , SYSTEM 1~ ~ , CESSPOOL , NEAREST OTHER , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED,,// (/ G.A.A.B.