HomeMy WebLinkAboutEARL RAY BLK 3 LT 21
GREA FR ANCHORAGE AREA BOR ,dGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION C }t¢ (2 ~ 4J~¢ ~: /~/~r '~/ % LEGAL DESCRIPTION ~,~'JTP [' ,<:~//¢C" ,t/"' -~ LG~4//p 505
SEPTIC TANK:
FROM WELL ~,
INSIDE LENGTH
MANUFACTURER ~t/~-¢¥°/~". MATERIAL ~-~ / COMPARTMENTsNUMBEROF ~
INSIDE WIDTH LIQUID DEPTH ,.LIQUID CAPACITY/~ ~ GALLONS.
SEEPAGE PiT:
NUMBER OF PITS I DIAMETER __OR WIDTH 3,
LINING MATERIALL~/~~'¢'/ CRIB SIZE: DIAMETER
BUILDING FOUNDATION , . NEAREST LOT LINE .
ADDITIONAL ABSORPTION
LENGTH ~'~7 DEPTH J ~
DEPTH ? DISTANCE FROM: WELL /*-¢-C)
TOTAL EFFECTIVE ~
ABSORPTION AREA (WALL AREA) ~ SQ. FT,
WELL:
TYPE
BUILDING
FOUNDATION --
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE~
REMARKS.
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK __ SYSTEM
DISTANCES:.
INSTALLED BY:
PIPE MATERIAL:
REMARKS:
DIAGRAM OF SYSTEM
APPROVED
).A.A.B.
NFl .~r !'-:~:E!'[:::L.t
,'O ~ E GEO.~CHNICAL 8 DEVEE~-'PMENT CO,
Box 90, Davis St., Eagle River, Alaska 99577
, 694-2774 or 688-2280
Russell Oyster
694-2774 SOIL LOG
Soils ~t Foundations
Perfomed for: Name~
Mailing Address:
Legal Description: ,,
Earl Ellis
688-2280
Land Development
Depth (feet}
Soll Charactertstlc~
Tel. No.
10
11, , ,
12
13
1~,,
Ground Water Encountered: Yes~
Proposed Installation: Seepage Pit__
Comments:
No__ If yes, what depth
Drain Field
Performed by: Date:
· erlifiei Drilling
by
A & [, DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPH DN E 694-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION'S.. o)~L.~tk~'z ~' ~'~0~_
DEPTH OF WELL _ ] ~:-c[ '
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. _ c~ [
GALS. PER aR _ <jr. J;O
KIND OF CASING _ ~_4g~__
KIND OF FORMATION:
f'~ to ~ rd)
From ~_~Z_~Ft. --Ft.~CdCq
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From ~
to--Ft.
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From__
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From__ Ft. to _Ft._
From_ Ft. to__ --Ft.
From Ft. to Ft.
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From__Ft. to _Ft.
From Ft. to Ft.
From__ Ft. to Ft
MISCL. INFORMATION:
Ft. to__ Ft.
Ft. to Ft.
_Ft. to_ _Ft.
Ft. to Ft
From__ FI. to Ft
_Ft. to Ft.
Ft. to _Ft.
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From_ Ft. to Ft.
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