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Home My WebLink AboutHAMPTON HILLS BLK 2 LT 3 ANCHORAGE AREA BORf' Department of Environmental Quslity 3330 C Street Anchorage, AIssl<8 ggs03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL OESCR,PT,ON~O~?~*, 1311< --Z fo't3 SEPTIC TANK: DISTANCE NUMBER OF FROM WELL 1/'r' 'P"J' [ MANUFACTURER __fl P~ '~ J""' MATERIAL C~t'~ __COMPARTMENTS INSIDE LENGTH .INSIDE WIDTH LIQUID DEPTH ~ _ LIQUID CAPACITY/-~OGALLONS. DISTANCE FROM WELL NUMBER OF LINES. ABSORPTION AREA DE PTH: FOUNDATION ~"J~ I TOTAL LENGTH . _NEAREST LOT LINE .... OF LINES J DISTANCE BETWEEN LINES ~ TRENCH WIDTH ."~(O IN. TOTAL EFFECTIVE TOP OFTILE TO EINISH GRADEII--¢//~i DEPTI4 OF FILTER ~"/ MATERIAL BENEATH TILE ~ ~ ~. ABOVE TILE _ IN. BUILDING FOUNDATION CESSPOOL APPROVED . CONSTRUCTION ~¢~)U P NEAREST NEAREST LOT LINE SEWER LINE _ OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE , TANK SYSTEM DISTANCE FROM: DISTANCES: .. ~ /~' .. INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: ~ 0 Form EQ-032 DIAGRAM OF SYSTEM M-W DRILLING, Inc. P.O. Box4-1224 · 1310C International Airport Road (907) 274-461] ANCHORAGE, ALASKA 99509 Use of Well DRILLING LOG Well Owner_ Location (address of: Township, Range, Section, if known; or distance main road- Size of casing_ ,:,' Depth of Hole Static water level ~ '* .ft. (ab'09e) Screen ( ); Perforated ( !~.i, _feet Cased to_ t)). feet (below) land surface. Finish of well (check one) open end ( ). ); Describe screen or perforation Welt pumping test at_ ~;' gallons per of drawdown from static level. Date of completion --';~ 3' ~.; ,J (minute) for_ hours with WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ~TO_ .TO. !/; _TO_' "'" ~ .TO_ '::": '~; _TO- '% U _TO ':~L TO_ _TO~ _TO_ .TO_ _TO_ ~_TO__~ __TO. 2 -- STAT[': _.~..l~/f.%/~( ~/~"-~REA ~,ANCHORAGE AREA BOR '~1'~ ~~ / ~ DEPARTMENT OF ENVIRONMENTAL QUALITY ~/// / * 3330 "C" STREET ~NCHORAGE, ALASKA 99503 ~ . SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT z INSTALLATION LOCATION SEEPAGE INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF faCILitY TO BE serVED -- FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED j DRAIN FIELD . OTHER TO BE INSTALLED BY ~/~l~;6 NOTE~ THl~ ~ERMIT iS NOT VALIB WITHOUT ~OiL FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ALSO CONSIDER AREA WELLS. MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK /~' ', DRAIN FIELD To nearest LOT LINE. WELL TO SEPTIC TANK { ~ SEEPAGE~'~ SEEPAGE AREA SIZE TYPE WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD SEPTIC TANK, ///~'/ SEEPAGE PIT // ~/'~/ / .... DRAIN F]ELD / ~'~') TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INtO UNDiSTUrbed SOIL. 4 INCH DIAMETER CAST lEON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITted WITH A~RT[GHT REMOVABLE CAPS. CONFORM TO BOROUGH i~EGULATIONS REGARDING INS/~ALL, AtlON. I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF ~--O~DI~C~'NO"'2~'6~A~H~ TAE qREATER ANCtlORAGE AREA BOROUG" ,,artnlent of Environmental Qua 3330 "C'l Street Anchorage, Alaska 99503 SOILS LOG - I)}~;ROI,A'i'[ON TEST Performed for .,]~z K~_~U~,.6~/'-_/~[Z~_~= /~z,;~Z~ ~:~-, Date Performed ~ · -~: ............ ~-- ~.- ~ . , ~- , ~ ............. Lega~ DescmptTon~ -~]~¥ ~, ~4 ~.-,~.,:~ /~¢ ~ This form reports: Soils log ~ ~ Percolation ~est Depth Feet 10 -. 1'1 - 13~ 14.- /~, Was ground water encountered? ._.lC)_ ..... If yes, at what depth? Reading Date Gross l'ime Net Time Depth to Water Net Drop i'¥¢¥OlYt¥oh- 'T3'[-e ............ F,ii¥6¥e'. .......................................... ?-'-,--~=Z,-'~ ~ Pit ................... brain Field Proposed installation, .)ecPa.le ......................... :~cpth of Inlet ............... · Depth to bottom of pit or trench ............................. COI.IIIENTS: ............................................................................................. /--7 /~ /~ .f ................................................................... -~ ~. erl, lf~ .d by ........ o40 .( I I I I ,d LEGEND: Bross Cep Monument Iron Pipe Steel Pin Lot ~. Block ~ [] Survey Hub & Tack Anchorage Recording Precinct, Ala.~ka ' J-- . -6~166~ ..... ~,TE i-~-p ~:CTO R - - 1~~ ~:~"~'~'-~-'-- " ~" _ -~ ,V~ / ~-~o-~ . ~' " ---~~ / DEPT. OF HEAL/II ~ ~u.~..u** o~ ~.~Ho.~_~.° ~O~M~'*~ ~O~,O" DEPARTMENT OF HEALTH & ENVIRONMENTAL ' .~ ~s~,.~,...~,o,...,..~.~.~0~ SEPt 9 1980 ENVIRONMENTAL SANITATION DIVISION : ~,..,o.~,~.~o RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAOILITIE8 allow ten (10) days f~ ~ ~ '- ......... ~ ~t from above) PROPERTY ~lU~-, _ "~~ONE PHONE ,ON,.~. /Z,_/Z~ IDENCE [] One [] Four E~] '[~t, SINGLE FAMILY [] Two E~] Five ~ Three [] Six ~--~ MULTIPLE FAMILY I7.WATER SUPPLY * ATTACH WELL LOG. A well tog is required for all wells drilled ~ INDIVIDUAL* [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) Other SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON'SITE~ PUBLIC UTILITY .YEAR ON-SITE SYSTEM WAS INSTALLED. tNOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY 2. WATER SUPPLy [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL-- DATE DRILLED [] OTHER LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE E~]PUB LIC UTILITY Connection Verified [~]Septic Tank or []Holding Tank Size:~ If Tank is homemade SOILS RATING-- give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANcEs WELL TO: Area to nearest Lot Line PERMIT NUMBER Lot 5. COMMENTS -- __ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) ALASKA ~F1UII~OFlmI~Fll'^L COF1TI~OL $~ItUIC~$, IF1C. ~n~in¢¢rin§ ~, ~,uironm~nt`,l $1udics 1220 LUcsl 251h Aucnu¢ ', Anchor`,(F, Alas[,, 99503 ~' (907) 276-1361 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEAl FH AND ENVIF~ONMENTALPROTECTION September 29, 1980 Paul Witteman Box 3-3883 Anchorage, Alaska 99501 Subject: Lot 3 Block 2 Hampton Hi]_ls Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. /(2) / , , r,~/3 (3) The septic tank pumped with a receipt submitted to this department. An adequacy test be performed on the existing leaching area. This 'test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Rainier Mortgage 4797 Business Park Boulevard 99503 Jackie Luxmoore % Century 21 - Krenik Inc, Realtors 9101 Jewel Lake Road 99502