HomeMy WebLinkAboutTIMBERLUX #2 BLK I LT 90
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19001,
GRED, C 'R ANCHORAGE AREA BOk,,jGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME OIL! J" r -
t- C> MAILING ADDRESS J PHONE 3 4,4, !S 7 E, �
LOCATION LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE NUMBER OF
FROMi) MANUFACTURER -S,1 11S -J-- MATERIALCOMPARTMENTS
A
INSIDE LENGTH INSIDE WIDTH-- LIQUID DEPTH LIQUID CAPACITY f21-S-(:6ALLONS.
T4trii-DRAIN FIELD: i
7124 TOTAL LENGTH
DISTANCE FROOWELL FOUNDATION NEAREST LOT LINE OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTAOL—�' IN. TOTAL EFFECTIVE
ABSORPTION AREA (-\j _SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE—aIN. ABOVE TILE�� IN.
pq�j
WELL ot
TYPES i C CONSTRUCTION DEPTH —DISTANCE FROM:
BUILDING NEAREST
FOUNDATION—, LOT LINE
CESSPOOL —, OTHER SOURCES
APPROVED --- DISAPPROVED
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ -032
NEAREST SEPTIC
SEWER LINE—, TANK -
REMARKS
So ;A- 03 W T
SEEPAGE
SYSTEM_
DIAGRAMOF SYSTEM
`�� -
DATE -7/ Z 61) IPPROVED
Ck -1
G.A.A.B.
GARY PLAYER VENTURES
CONSULTING GEOLOGIST
SOX 476-M, STAR ROUTE A ANCHORAGE, ALASKA 99507 • PHONE 344-7071
SOILS LOG
Performed for ' z
Dated 1 1
Location
I
2
4
6
8
w
10
12
a
Q 14
16
18
20
Soil Type Water Level
Remarks
C.7
�-o
-�'V\ cam,:;
Total Depth of Excavation
Material at Total Depth
Groundwater Bedrock
( ) Not Reached 'WNot Reached
i
Depth, if Reached Depth, if Reached
Classification Method
Visual
( } Sieve Analysis
Gary F. Player, Consulting Geologist
GREv __-R ANCHORAGE AREA BOk JG�
%
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME M.,'\ILING ADDRFSS PI IONE
LOCATION
�'LEGAL DESCRIPTION
SEPTIC TANK:
DISTA NCE NUMBER OF
FROM \�E'L'L MANUFACTURER MATERIAL
"--COMPARTMENTS—
INSIDE LENGTH INSIDE WIDTH 2
_IQUID DEPTH LIQUID CAPACITYJ__�� GALLONS.
TILE. -DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM'WELL FOUNDATION_ NEAREST LOT LINE� j --.--.--OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES
T RE N C H WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DLPTH Of I_ILTLR
DEPTH: TOP OF TILE TO FINISH GRADE __MAIERIAL BENEATH TILE ABOVE TILE - – ----- I N.
WELL:
I ------ ----
TYPE ---! �\' �_ – CONSI-RUCTION __—DEPTH -----------DISTANCE �ROM:
BUILDING NEAREST
FOUNDATION—_ LOT LINE
CESSPOOL---------, OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH
PIPE MATERIAL:
LOT SLOPE:
REMARKS: .2
Z,
it
F.,n, EQ -032 141" 1-1
NEAREST
SEWER LINE
') I
A
J
REMARKS
SEPTIC SEEPAGE
TANK SYSTEM_
DIAGRAM OF SYSTEM
check 4c�l v\-1
-.7L_ e%__"__ 4t
Lcl-
77'—f�
DATE— —'7'P'ROVED
G. A. B.
c— S' L ..' I -
MIN
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Mum
MUNICIPALITY OF ANCHORAGE
Department of Health and Environmental Protection
825 L Street, Anchorage, Alaska 99501
264-4720
e uest for Approval of Individual Sewer and Water Facilities
1. Property Owner:
' I V
Mailing Address: ' :zj
2. Name of Buyer: &-?t" , Xe 5 -
Mailing Address:
Phone:
3. Lending Institution:
Mailing Address: Phone:
4. Realtor/Agent: <"F/I/
Mailing Address: 1-7,11 C
Phone: 72
5. Legal Description: �c,7_2
Street Location: /
'Ahl'/" Z7
6. Single Family Residence: (L-)- Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
M
7. Water Supply:., *Individual Well (H- Public/Community System ( )
If Individual Well, well depth 23c-'
If Community System, name of system
8. Sewage Disposal System: *"On-site System ( t)- Public System ( )
If On-site System, date of installation: 7.- 77
*NOTE: A well log is required on ALL wells drilled since 6/75.
**If on-site sewer system is over two(2) years old, an adequacy
.test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77
