HomeMy WebLinkAboutMARIANN LT 73B
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
~'~ ~.~' [] UPGRADE
DISTANCE TO:
Liq.
Inside length
IF HOMEMADE:
Width
NO. OF BEDROOMS~
No. of compartrr~nts ~
Liquid depth
DISTANCE TO:
Manufacturer
DISTANCE TO:
We"/?6 '2
No. of lines /
Top of tile to fJ~h~h,~rada/--
Length Width
Type of crib Crib d~ter ,A/,~
~ ~rF
Well' [ ~ -
DISTANCE TO:
Building foundation
DISTAI~ICE TO:
Dwelling PERMIT NO.
I Material Liquid capacity in gallons
Foundation [--~ Nearest I t line
Total Ij~t~of~r~ Trench width I Distance b~t~e~l~
~' ~ ~'~ I inches ITotall ~'/~'llL'effectiv~absorption area
D/~th ~/~. O'~-. ;/~ inches iPERMiTNO.I
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATJ/'~G
'
INS~LER
REMARKS
72-013 (5~ev. 3/~)~)
~} ~-ian Gray
P. O o }3ox
}:]a:::ie P, iver~ Alaska 99577
'Ja~JsC'£:: -~Ns-DtllJ. tS for Lot 73, Peters Cr. ee~ aF~d k.O'c.k-'~*~, 13iOCk
~iOi~!]ta~u Vailev
The as-Dull, ts su!}~aitted on November 2, 19{}3, cannot be accepted
until your installer has obtained¢.~;,..¢,.,.~ '~ ....... ~_,~.~,1-4-- department an
excavator's license. 2%11 on-site sewer systems must be
installed by a licensed excavator.
If you have any questions ;"]~* .... - "* this
S i P,c e l"e ly ~
1.,.I I DTH =
LENGTH =
TOTFiL [:,EF'TH =
GRFi'v'EL [:,EF']-H =
GF.'.RVEL VOLUHE =
TRNi-::: SIZE ='
~-'.~ ~._~ ~-.~ I. C: I Ii..-- Fll L_ i mi- "-~" L--" P- F~ ~'-.li C: H L, F.' F-~ C~ F_
[:,EPFIRTMENT OF HEFlLTH FIND ENVIRONMENTFIL PROTECTION
825 '"L'" STREET, FINCHORFIGE.. FlK
;-±.'54-4?2Et : FINCHORFIGE 694-:-2~t3:i : EFlGLE RIVER
F' E F: r-t t T
S I GNED:
FtPPL I C:HNT
I SSI. JED
F'ERHIT NCL
--,-,,-,,, ' F'HONE: 694-29?9
FIF'PI_ICFtNT: BRIFIN
.
FIE:,E)RESS: F'0 E I-I:,.:: -"-"'
EFIGL. E RIVER., FIK L~ .......
LEGFtL [i, ESCRIF'TION - 'E, UE~E'I',,'tSII3N: F'ETEF.:$ CREEK BLOF:K: ~.--1 LC. iT: 72:
LOT STZE ~Zt SCL FT. TOi.,~NSHIF': C-t F..HN.~E. let SECTION:
MFI::-::tHUH NUHBER OF E:EE;,F.':OOMS = 5 'SnIL R~"FING : 2~C'~ ±9? ;;-'~ "S-T-'. FT. ,. 6F...
i...tSTEE:, E~ELoP. I FIRE THE: F~PTIONS FI',/FtILFIE:LE TO 'T'OI_I Ihl [:,EStGNING 'T'OLIR SEF'TtF:
S%'STEi'I. CHOOSE THE OF'TiFtN THFtT E,m_-,T FiTS 'T'OI_R SITE.
TF-:EIh~C_':H ['::,ES I ~:~ ~'-.~ O~
;2. 5 FT.
±E~Et ~Z~ FT. ! NOTE ! - '::'?-~, FT. RE~!UIF.'.ES T[40 TRENCHE':;
'SL E~FT.
5. ~.'-~ FT.
~E~. '~.C:ll. ~' 'c
±., 5~.3~3. E~ GBLLONS (TI.,.IO COMPFlRTMENT TBNK)
i.,.II[:,TH = ~'-"-'o. t.3.FT.
LENGTH = 56. ID FT.
TOTFtL [:,EF'TH = 5. C~ FT.
mF.H~EL [:,EPTH = m FT.
GRB'v'EL ',.,'3LUME = 58. FJ C:U. 'T'[:,S.
TFtNK SIZE = :~., 51Z1E~. ~3 GFILLONS ,::TPJ. CI' COMPFtRTMENT TFtNK)
P.iIE:,TH = 5. ~3 F'T.
LENEiTH = fL:l/?. FJ FT..~ NI3TE ' ' ...-'~, ._ FT. REC-.PJIRES TP~O TRENCHES
TOTFtL [:,EF'TH = 7. ~."l FT.
GRB',,,'EL DEPTH = ..%. E~ FT.
totEM EL ',,~O[_IJME = ,._.,_, CI_I. ?[:'S.
TFlNK S t ZE = ±., 5C~EL IZ~]FtLLONS "T.WO ]:OMF'F~RTMENT TFtNK ::,
i CEF.:TiF%' THFIT:
~.. i ~t'"1 FFIHILiF~R [,~ITH THE .REC!UIREHENTS FCtR ON-SITE SEWERS FIN[:, MELLS F~S SET
F]F.:TH E:%' THE HUNICIPFILIT'=~ OF FIN]:HOF.'FIGE FIN[:, THE STFlTE OF FILFISKFI.
2. i WILL TNSTFIL. L THE, SYSTEM IN FiCCOR[:,FINE:E P.IITH THE CODES FIN[:, HFt',,,'E RECEI'~,'E[:'
FI COPV OF TFIE CI3[:,E SUMMFIR'T' FIN[:' [:,IFICiRFIM FITTFIL-:HHENTS [4HICH IS PFlRT OF THIS
PER M i T.
]:. i LIN[:,ERSTFiN[:' THFIT 'THE ON-SITE SEWER S'T'STEM MFI'T' REC.!UIRE ENLFIF.'.GEMENT iF THE
RES I[:,ENE:E IS F.:EMO[:,ELE[:' TO INCLLI[:,E MOF-'.E THFI?',I 5 E:E[:,RCIOMS.
F'ERHIT FIF'PLICFINT HFIS THE RESPONSIE:ILtfi"=' TO INFCtRM F'ERS-HNEL [:,I_IF. tING
THE iNSTFILLBTION INSF'ECTiONS OF FIN'T' [,JELL'-:: FI[:,JFICENT TCI 'THIS F'F.'._FERTT FIN[:'
THE NUME:EF'. OF F.'.ESI[:,ENCE':]; THFtT THE WELL [qILL SER"E.
iF Fl LIFT STFI-FI]N IS INSTFILLE[:,., FIN ELE]TR-ICFIL F'ERMIT FIN[:, INSPEI]:TION MUST
- '' I-I
E:E OE~TFlINED. FlS-BUILTS CFlNNOT BE HFFF.._ E[ P.IITHOUT FIN ELEE:TF.'.IF:FIL INSPECTION
REF'OF.'.T. THE ELECTRIC:FlL I.,]ORK MUST'E:E [:,ONE B%' Fl LICENSE[:, ELECTF.'.ICiFIN.
BF.. I FIN Ci F.'. FI'T' //?
O c
~' I x [] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTIVIENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
PERFORMED EOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10-
11
SLOPE
WAS GROUND WATER
ENCOUNTERED?
0
P
E
DATE PERFORMED:
12
13-
IF YES, AT WHAT
DEPTH?
14-
15-
16-
17
18
19-
20-
COMMENTS
PERFORMED BY:
72-008 (6/79)
PERCOLATION
TEST
/o
SITE PLAN
Gross Net Depth to Net
Reading Date
Time Time Water Drop
I I,~.-/z__~ ~:¢5£ ~ /1/~ ....