HomeMy WebLinkAboutWHITE BIRCH LT 2
NAME
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOM~ ~
~ Manufacturer ~me~ Mater ~ t No m
~ ,Liq. ohs ¢~:,F HOMEMADE: Inside length Width 7~ Liquid depth
PERMIT NO.
DISTANCE TO:
~anufaoturer Maferial Liquid capacity in aallons
DEPT. OF ~ ,..I i ~
--" ENVIRONMENTAL p;,<3 FECTION
~, MUNICIPALITY OF ~.~j
ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION AuG ~ lga0
ENVIRONMENTAL ENGINEERING DIVISION '
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL ,NSPECTI~I~hV E D
PHONE
Foundation
DISTANCE TO: ~
No, of lines Length of ¢.Acl Total dth
,~ inches
, of tile to finish grade ~area
Length Width Depth PERMIT NO.
Type of crib
Well
DISTANCE TO:
Class
Building foundation
I BuilCng~g~nd~tior~ I Sewer line
OTHER
DISTANCE TO:
PIPE MATERIALS
SOIL TEST RATI
INSTALLER
REMARKS
DATE LEGAL
Total effective absorption area
Nearest lot line
Septic tank Absorption area(s)
Distance to lot line PERMIT NO.
PERMIT NO. (
RPPLICBNT
LOCBTIO~
LEGAL
VBTES CONST.
WHITE BIRCH RD.
LOT 2 WHITE BIRCH SUB
BOX 544 CHUGIRK
LOT SIZE
50000 SQU~RE FEET
TYPE OF SOIL 88SORPTION SYSTEM IS: TRENCH
MR)<IMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR)= ~00
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
[)EPTH= 9 LENGTI-~= --~- ~'] La F.:iR ~' E L [:.EPTH= 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF B TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF THE
GROUND ~ND THE BOTTOM OF THE EXCBVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRBVEL DEPTN IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFFILL PIPE
RND THE BOTTOM OF THE E~-,',CRVRTION (IN FEET).
F:EL*'i'~.Li :[ F.:E[:, SEF"T T C TFII'-.~N-::: S I ZE= :t C-~-3~-3 13RLL~31'-.IS
PERMIT RF'F'LICRNT HR5 TWE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DIIRING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
........... Tl...lr) (-2) I f~]pE~]:TZOf-~'_-] I-IRE REr~lJ I E:E~.
BBCKFILLING OF BNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVBL BY THIS
DEPBRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
LIPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILBBLE TO INSURE PROPER INSTRLLRTION.
F"EF::P1 I T E~:[-=' I F-:E$ DEL-:-EI'-IE:ER _'3~'_:L. 1'...:~- 8 C~
I CERTIFY THRT
t: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
S 10NED: --
~[ITE_ buNz. T.
RF~'LICFINT "= '~ -'- ~
I==,LED BY _ V4. 0
· ,' SOILS LOG
.EREO. EO .OR
LEGAL DESCRIPTION;
1
3
5
6
7
8
~-~ 9
CONTRACT NG i ii ] S & ASSOC.
ENG NE~I~G AND S~RVE¥1NG
212 E. INTE~TIONAL AIRPORT ROAD
ANC~G E, ALASK~ 99502
DATE P~RFORMED;
SLOPE
,
--!'-'!
PERCOLATION
TEST
SiTE PLAN
~
10-
11
13
14
15
16
17
18
.o 201
COMMENTS
WAS GROUND WATER S ~_ _ ,~
ENCOUNTERED?
IF YES, AT WHAT ...... ' '
Gross I Net Depth to Net
Reading Date TimeI Time Water Drop
PERCOLATION RATE (minutes/inch)
TES3~ RUN BETWEEN ,. FT AND , FT
liI:'PL- J. Ii:PIN ik'lJ"~l",tl::l F:'I IP'P
L.L::.IJHL EL:Ii 2: !4H1' t P.i EJlFi:Ii:H
I"l].l'.~il"ll_Jf"J [)151f"IP,IL::I~ E:EI!.,JEiEN FI HELL lIND HN"r' ON-5t
~1~:[ I-f_:.~li i-'LI[~', f:l P'N:i['¢HIE I-,JEI_L ON'. :::~:.~e:~ FEiEt I-UR R PUE:L:[C HEL.L.
14_PJ_.L.I._ULJ~, HI~'.E N:I::.b!I_IZIRIr~U, i'~r.,ll2 J',lljs't IJ[c N'.EIIji-~'.NED
UP till::. HEll.. i..:Cii','II--'LL-~]LCtJ'.~.
L.IIi-tI.:N: I'~:EIj~ULI~:~b-["IEi"~ I 9, I"lt:l'~r' P:IF'I:'L."r'. ~;l-:'l::lli:]]';'lli:l-I i']iCII",IS tRi",IIl:'
H',,,'Hi[L. HBLE '1 (J ]li"45L.ll&.'[:. t"N'.LIPEI-.' ];N'_:,THLLI":II j.I.iIN.
I L.L::.P.:I -P¥ 'IHHI 'l" ..... "'"' "'
H:, _E.I
HELL:, '
--.E!- JE -.:., F'I N 12' - "
t_lj ,~--.:, ]. J
"1: J. HlVj PHf'tiiL. J[HP.: I-'.j~['JH "t'HE NiE(::!I..tJ]t~:i"iI"IE:Ni'-:; I-LI~.
P-_h: I J-I ~,,"r' II"JE J'"II...INIC:i[PI';IL1'i'~) CII'-' FINC:I-'IIiII~:F:II.]E.
;~:_': J: PJ.(l_..J... .LiN.r:, HLL. II"JE: ._,T_,I[..J't ~[J",J IzJ":t'"I~:[qRNIDE J4]:tH 'IHE ~:~L:'I:'.:;.
'_-ii~]l'.tEl.); HFPt_.]:C:HN I l~ll'.,h'.,ll.:l I:4:t._tFI:;'
WELL CONSTRUCTION LOG
Drilling Co.
Well owner
Well location: (address & I~gal description)
Depth of well__ft. Casin~: depths, ft. diam. 0 in.
Static water I,vel it. (above, below) lend surfaco. Date
Finieh of wel~: (epen-end, screen, perfor~, open-hole, other)
Well yield tested by (pumpi~E, bail,nE. ~ir) at Gel/min.
for hours with ft. of drawdowa fram static level.
USUS no. ? '
OCT 2 6 1977
RECEIVED
Date well completed
9-
Nearest community
Chug!ak.
Location sketWh or remarks
Depth below land Give description of strata penetrated
surface in feet (size of material, color, hardness of drillinG, and water content)
grave£y bl~owrl ~ill
silCy~ ~:x'uw,~r!2 brown till