HomeMy WebLinkAboutMIDWAY Lot 1
MUNICIPALITY OF ANCHORAGE ,~...
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO _
ENVIRONMENTAL ENGINEERING DIVISION
82§LStreet-Anchorage, Alaska 99§01 Telephone264-4720 ~' <~I
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
MAILING ADDRESS
LO~TION ~-- ~ Nd. OF BEDROOM~
'~ Manufacturer~~f~ ~ / No ofco~tments
L iq~ ~ons IF HOMEMADE: Inside length Width Liquid depth
~ ~ DISTANCE TO: Well ~/~ /,~_~welling PERMITNO.
% -- ~ / g Material Liquid capacity in gallons
=!;~ No. oflines / Length~hli*~ 'Total~o~i~ Tren%i~ /, Distance~nes
~ inches
Length Width Depth PERMIT NO/
~ ~ Type of crib Crib ete Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ~s,~ t r-W,~ eL '~r' A Distance ,clot line PERMIT NO,
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
sol ~T .ATYN ~ ~ ~¢ ~
INSTAELER
REMARKS
DEF'FIRTHENT OF HEALTH AND EN'¢!RONMENTAL PROTECTION
:--:25 "L'" S]'REET., FINCHORAGE., AK
2~-'~720 : ANCHORFIGE ~94-'2±3:1 : EFIGLE R~',,,'ER
PERMIT NO. 8]~iF~08
FIPPLiCFINT: t4FILKER CONTRFICTING
F'HONE: 694-~:725
FiDDRESS: F'O E:O'X 1974 .~._ .l
EAGLE RI"/ER., AK
LEGFtL.' DESCRI PT ION
-
LOT SIZE 0 SQ. FT. TFIHNSHIP: - F-'.ANGE: - SEE:TION: -
MAXIMUM NUMBER OF BEDROOMS = 2: SOIL RATING = :150 ±50 t50 (SQ. FT. ,-'"BF.'.)
LISTED BELOH ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING "fOUR SEPTIC '
S~'STEM. CHOOSE THE OPTI~3N THAT BEST FIT:.--., "fOUR SITE.
'-IF E~-. E ["~4t "2:
!-,.I I DTH =
LENGTH =
TOTAL DEPTH =
GRFI',,,'EL DEPTH =
GRR',,,'EL VOLUME =
TANK SIZE =
IE:. E :-_-% Z C,~
2.5 F'T.
50. ~.~. FT.
8.5 FT.
4.5 F'"T. '
23:. i CU. ~"[."S.
:;L, 0E~0. 0 GALLONS i::T!.40 COMF'RRTMENT 'TRNI<)
E: E--= [:'
HIDTH =
LENGTH =
TOTAL DEPTH =
GRFI',,,'EL DEPTH =
GRA",,'EL :,,,'OLUME =
TANK SIZE = i., C.~00. 0 GFILLONS ,::THO COMF'FIRTMENT TANK)
::[.9. 0 FT.
38. 0 FT.
5.0 FT.
0.5 FT.
26. '7 CU. YDS.
!t-J] ~.. !L-.:. E - [:" F-: F~ Z l:-~. F .~ E L. [:, [:, E S Z C'~
.WIDTH. = 5. 0 FT.'
LENGTH = 5_-'.':. 0 FT.
TOTFIL DEPTH = 7. 0 FT.
GRAVEL DEPTH = 2-":. 0 FT..
GRAVEL VOLUME = 3:4..~. CLI. YDS.
TFINK SIZE = ::L, 000. 0 GALLONS (THO COMPARTMENT TFINK)
I CERTIF'?' TI-IRT:
!. I FIM FAMILIAR .WITH ]'HE F.:Eg!UIF.:EMENTS FOR ON-SiTE SEWERS AN[:, HELLS FIS SET
FORTH B",," THE MUNICIPRLIT'¢ OF FtNCHORFIGE AND THE STATE OF RLASKR.
2. I !.4ILL INSTFII...L THE S"r'STEM IN RCC:OR[:,RNCE HITH THE CODES AND HFI',,,'E RECEIVED
Fl C:OP"r' OF THE CODE SL.IMMFIR"r' FIND DIAGRAM AT-r'FICHMENTS 1.4HICH ZS PFIRT OF THIS
PERifiTT.
.7.-:,. i LINDEF.:STFiND THRT THE ON-SITE sE!.4ER :-,':TEll MFt'.¢ RE..':.LIF.'.E ENLFIF.:GEMENT IF THE
RESIDENCE IS REMO[:,ELED TO INCLUDE MORE THFII",I 3: BEDROOMS.
PERMIT APPLICANT HRS THE RESPONSIBILIT'-r' TO INFORM PERSONNEL [:,L.IRING
THE INL--,.,TFILLATION INSPECTIONS OF FIN"r' HELLS R[:'JRCENT TO THIS PROPEF.:T"r' BhID
THE NUMBER OF RESIDENCES THAT THE 1.4ELL WILL SERVE.
iF Ft LIF'T STFiTION IS INSTFiLLED, AN ELECTRICFiL PERMIT FiNE.', INSPECTION MUST
BE OBTFiINED. FIS-BLIIL..TS CANNOT' BE FiPPRO',,,'ED t.4tTHOUT FIN ELECTRIC:lUlL INSPECTION
REPORT. THE ELECTRICFIL FIORK MUST BE DONE B"r' FI LICENSEE:, ELECTRICIAN.
CONTF. N; '
I'--':SLIED B'¢:~ -'~--"~ "-¢ -- ~,~-, ~' ..~ .{~_ / ~~~- - DFtTE: ± 0,-'"2 C',.'"8 ]:
'' i
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAl- PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
/~ SOILS LOG
[] PERCOLATION
TEST
LEGAL DESCRIPTION:
DATE PERFORMED: ~,~////~,~j~)~
SiTE PLAN
10
11--
12
13
14-
15-
~6-
17
18
19
20
COMMENTS
E
IF YES, AT WHAT
DEPTH?
(;/4-
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERFORMED BY:,
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND __ FT
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
~---~.SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
SLOPE
~I I-T ~'
1
2
3
4
5
6
7
.8
9
10
11
12
13
14
DATE PERFORMED:
WAS GROUND WATER j~
ENCOUNTERED? 'l '0 ~
O
P
E
IF YES, AT WHAT
DEPTH?
SITE PLAN
COMMENTS
PERFORMED BY:
72-008 (6179)
PERCOLATION RATE d/,~ (minutes/inch)
Gross Net Depth to Net
Reading Date
Time Time Water Drop
/I
TEST RUN BETWEEN FT.,~) -- FT
/' /