HomeMy WebLinkAboutDELUCIA LT 25
GRE IER ANCHORAGE AREA BOk LIGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska g9503
NAME
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LEGAL DESCRIPTION Z ¢;~' ")-~ '~,,~,,, q',,ti. (,,..
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH_
MANUFACTURER
INSIDE WIDTH
~ ~ NUMBER OF
MATERIAL L{ ~,/.~ COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY
GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION
DISTANCE BETWEEN LINES
NEAREST LOT LINE _.
TRENCH WIDTH.--
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
SQ. FT.
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
IN. ABOVE TILE_ __ IN.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED -
CONST RUCTION
NEAREST NEAREST
LOT LINE-- SEWER LINE__
OTHER SOURCES
__ DISAPPROVED --
DEPTH
SEPTIC SEEPAGE
TANK __ SYSTEM
DISTANCE FROM:
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: --
LOT SLOPE:
REMARKS:
DATE
APPROVED
G.A.A.B.
Form EQ-032
F4PF'L [ f::F'll",l'" 1`'!'-,-'RO1`',~ ~M', . ~ .....................
LC.CFI T' I Ot",1 I"lf-II",tTGOI"IEE?~' iFF O1_t.7 GL_ENN Hi4"r'
LE(:i~L L25 C, EE!_I. jC:!F! SUE:E:, I..O'F ?'
_ .:,'r.s, lE.t' IS' F'I-F
T"r'F'E F!F E;OiL RSSORSTION '-~ "-
1'1I;::1','.,: i MUM I'.,II_IME~EE'. OF E',EE:,RuOM'.~ = 2.: E O '[ L RF-FF ! NG, ,( S(7! F' T -'"E:
Tt"~E REL:.!U '[ REE:, '..'5_, I ZE OF 'T'HE :':-.O ~ L FtE:':SEfl~'.F'T ! O1',,t ,"-,¢.::'-"r-:'r.', 'r E:
~-". E:'
THE L. ENGI'H [:,]MENStOt',I IS: THF t Et4]T~4 ,"IN ~EE'''r' re: :c~FH
t'iC.
'f'HEi C, EF'TH OF ~ TE'EI'-,IC:H OR PET Z:5 THE E:,'r~'T'FIN'"E .c, r.: '-r l m:' -- N THE
~3[;;:(]I_iN[:, i;:11`',iC, THE EOTT]M OF THE E:-;C'FP,'FFF!]tN ,::IN FEET':,.
I' '" '- ~ '~q !' i--iE
'THE .~[,H,EL E:,EF'TH TS THE htIWIt,!llM DEF'T~.. Ap' .~-:'r- ,, u_ F:ETI.,tEEN
RN[:' T'HE EOTTOM OF THE E':.:CR'v'f~T.T:N ,: TN FEE"":'
-, ,,'"'rcq'I INL=;F'ECT l (iN f)f'4D F~F'PF:OVFtL~
E:RCKF'ILI...ING OF RN'T' bT=,.=' ![,itTHCILtT F'Ii'-4FflL. '
E)EF:'FtRq"t',IENT I.,.tlLL E:E '-:;IJEL.TECT' TO
. ,i"4 'r (.]N-"':~'; ii. TEl ::E:fEidf)('.]E D T c:;PO
I'lf.N!l"jJl4 PIg.;T'Fi.N[:E E~E'FWEE]"4 FI WELL I:::I1`'~E" ~ .... '
_ FF.T ,HIRE WELL iF.' :::'E',::.:i FEET FFJR Ft PUEq_IC !'~:'1 ! .....
:LOE:.~ FEET F 'iF.' F~ --'"~ ':' ' .......
i,.!I'ELL I_Cu;SE; RIq:E F:EQI. jIF:E[:' F~N[', .MIJ?,T BE F'.ETUI;tNE£, TO THE CEF'F4RTHENT
OF THE WELL. COMPLETIO1`-4.
'.E]::'E(.'.: FI C¢!T '[ Of'iL--., fiND C 3f.i'3TRI !CT t I.']N [:, 161GF'f:IMCJ RRE P',,,'t~ i !...F!ETL_E 'T('.I ! NE;t..iRE
~' '-,i E: T f~ L. L f:~-f' I C 1'-4
~'--::-' E-t Et b'l ][ "F' '%-" ~,'=1 L ']; [:" F' E':l i::;~: ('Z~ f.,,,i EE "-r'" EE:.': t:;~ E~: IF::" ,~':'. (..} I!'"t ';E ::7:: ':':::: *: :'-::.
I CE;F:]' I F"r' 'I"HPIT
i' I qf'i F'RHILi~fR WITH THE REQL!IR:EMENT:E; FOE:
F'OF~;]'H E:'¢ THE f,iLiN~I,...~FHLI T r AF flNCHORFIGE.
,-* ~-- ~-. f,
. , .... N RCCORE"i~f',ICE HiTH
2 .!; i'.i:LL ii",!ST~LL T~4E ::,TZ.T_H ~':'
.]:: T t.N[:FR:, R~'~,.: THFtT THE ON-SiTE :::Et,fER S'¢'.~;TE}i I"iFt'Y ;'E';'~ ~;'P: F'~-t~ ~::::' '~:: r,'ir:'hci' .
'~F'F'L ~' f'~'.~'RON Gff,,,'I N '
l~ ~/:- ~ . . . . , -..~-.'Er ,
¢ /
GREATER ANCtlOt<ACL ?,!!LA UOROL
'OepartmenC of [nvironw, ent. a] (!ualiLy
3330 "C" SEreet
Anchorage, Al aska U951')3
St)ll,S 1,0(; -- PEROI,AT!ON Ti{ST
Performed for
Legal Desc ri p~i-oh ·
This form reports' Soils log ~ Percolation ~est
Depth
Feet
i
3-i
5-
6-
7-
8-
ilo
!
10-
11 -
12-
13-
Wag §round water encountered?
If yes, at wi)at depth?
Reading
Date Gross Time
Net Time
Depth to Water tier Uro?
Percolation rate minute.
-Proposed installation' Seepage Pit
brain Field
Depth to'-b~-Ft~-m-b-f-'.it or tre;,cr,_J -iT_ili717;7.7'7'
[)upt)~ of Inlet .............. . .
EQ-(140
t}EF'J-gFi:?MEH '! HEiF!i.. 'r!.-.i ,qt'-~,[:, ENV i ~-:ONI,!Et'.iTFi,. [;;:C;'i t:~C '? i'
~1:5'3 ~:'~ E:. !i_I[C:'OF:' F;'!]' .. rql'-,!C !-.-!(}I;::F.!GE~. fqJ-:".
7'629.2: ::,
M'¢F:(:N r'-, i
.... ~n ',' :[ I"--I
.f
FQR Fl F'RI',,,'FITE t.4ELL OR L-'-::¢2.~Et FEET FOF.': R F'UE&.IC HELL.
FIRE F.:EL-q!LiIF.:E:E:, FIN[:, hiU::_::'f E'.E F~:ETLfRNE[:, TO THE [:,EF'FtF:THEN]
i C:EF.:T I F'-r' THFIT
::L I FIH FF41'iIL_IRR HITH THE: REt.]:!IjtREMENT'-:-:;
_.I F'ML I T ~ (iF FINE H¢~RRGE
F'C,R !"l-i E:"r' THE: I'"ILI['.~. ~ ..... ' - -.
2: 1' ,..4~LL ~.':-,'r~¢. THE.., ~-..TEr,!
DAILY DI]ILLIN$ RFPOI]T
DISTRICT
SLOPE TEST IACCIDENT -
BIT AND COREHEAD RECORD / MUD RECORD
HOURS RUN [ MTL ADDED
REMARKS:
PRES. HRS.
SLOPE TEST ~
BIT AND COREHEAD RECORD MUD RECORD
RUN NO TIME RECORD DRI_~ STEM RECORD
SIZE ' ' - DRILL NC;
.. SIZE D P
~ WTR LOSS.C- Z OTHER
SERIAL NO
JTS D P FT
REMARKS
FROM 'FO FORMATI
SLOFE TEST ACCIDEN'
GIVE NAME
ROTA~. WE GHT PUMP ~E
__ bPEED ON BiT PRES. HRS
EM
+
DEG OFF
BIT AND COREHEAO REL. ORD MUD RFJORD
RLJF,~ tqO TIN E RECORD DR ~ STEM RECORD
'l
...... .... ' MTL ADDI'D ' REMX~RKS)
TOOL
APPLIC NT FILLS OUT UPPER HAL-' ONLY
; " ~ ? "Zip Code
Realty'Co.& A~nt~ ;~ ...... ~ ~ ........ Phone
Address . Zip Code
Legal Descript~n
Type of Resi~nce
~ingle Family
~ Multiple Family No. of Bedroo~
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal
~ Individual Year Individual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
,', J u 2 ? !982
¢' RECEIVED
('~ ) APPROVED BEDROOMS*CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) CONDmON~ A~PROVAL'
Soils Rating Date ~wer Installed Well To Absorption Area
J ~ O
72-023 (3/82)
CHEMICAL & GE ',OGICAL LABORATORIES ~ ALASKA, INC.
TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
I.D. NO.
Water System Name Phone No.
Mailing Address
Zip Code
City
SAMPLE DATE:
Day
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
State
Year
[] Treated Water
[] Untreated Water
SAMPLE
NO.
I
I
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
I-] Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ref. No. Result* Analyst
I
I CT-]
I
*No of colonies/100 mi or No of Positive portions
READ INSTRUCTIONS
BEFORE
COLLECTING SAM PLE
06-1220 (b)
Rev, 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source ..
Date Received., Time Received 13.m. Lab. No,
Presumptive ],Omi 1Omi ~,Oml lOml 1Omi :[.Omi 0.1mi
24 Hours
48 Hours
Confirmatory
24 Hours
48 Hours
EMB
Multiple Tube Report:
Membrane Filter: Direct Count
Verification: LTB
Final Membrane Filter Results
Reported BY
Broth 24 hours: Broth 48 hourS:
1Omi Tubes Positive/Total ],Omi Portions
Collform/t00ml
BGB
Coliform/], 00mi
Date
Time: a.m.
I~omo
EXCAVATION
ROBERT A. SHAFER
WORK
S,~pt:nber,'~ e ~ · 9, 1.982
CIVIL ENGINEER
694-2979
Myron Gaven
Si'k 1 Box 1236
Chugiak, Alaska
99567
Deal- lVir. Gaven,
![eference: Lot 25: DeLucia Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The septic tank was
pumped and verified to have a capacity of 1000 gallons. The
absorption trench was tested by a continuous flow of water over
a period of 48 hours without any adverse effect on the system.
It can be concluded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failure.
}f we may be of further service, please do not hesitate to call.
$inCe~re~y, .,,
/// 0'"": ?
.. ; ,/
_.._ 1/.~:, ,4/t'/, t ,,
cc: First National i~e~k of Eagle
~,.iunicipality ,of Anchorage
Department of Health and 'Enviro~wnental i:'rot, ecti<)n
SRB 196X EAGLE RIVER, ALASKA
C~V~L ENGINEER
EAGLE. RIVER, /~t4l 99577
pHoNE: 694-2979
ADDRESS:
TO'f AL
September 1, 19g2
~[yron D. Gavin
~:~_ar Route 1 Box 1236
Chugi~k, AK 99567
Subject: Lot 25 Delucia ~ub.
ApDroval for the individual sewer and water facilities cannot
be granted until the following items have been com~lete~]:
"review.A well log submitted to this office for our files and ~ /~?f
~t~J ~e water analysis report needs to be submitted to this ~3_.~[~
~ [~ office from the Chem Lab, 5633 B Gtreet, for our review.
septic tank oumped with a receipt submitted to this
deDartment.
An adequacy test needs to be performed on the exis'ting
leaching area. ~3is test will. determine if the system is
adequate accordin? to National Standards. A listing of
private firms performing the test is enclosed. This re?orr
needs to be submitted to this office for our review.
?lease notify this Department for a reln~.ectlon when t~%e
noted c]iscrepancies have been corrected. If there are any
furt]~er <[uestions, ?lease c~.{ll this office at 264-4720.
Sincerely,
Cory l;illis,
cw3o/?/~
Enclosure