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HomeMy WebLinkAboutEARLES LT 2 GREA' R ANCHORAGE AREA BORe Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL DESCRIPTION___E~-(!% ~' J'{'~ J¢'J~ ~]- SEPTIC TANK: DISTANCE FROM WELL_ [ INSIDE LENGTH NUMBER OF MANUFACTURER_ ;)f414(~'¢'J~--MATERIAL ~-~L~¢//~>/4'(~%- COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY._/O(.iC~ GALLONS. DISTANCE FROM WELL NUMBER OF LINES__ J' _ FOUNDATION DISTANCE BETWEEN LINES ABSORPTION AREA~-- !?/'";'~/~ SQ. FT. DEPTH: TOP OF TILE TO FINISH GRADE. ~ TOTAL LENGTH NEAREST LOT LINE ..::Z OF LINES__ - TRENCH WIDTH~ IN. TOTAL EFFECTIVE / / LENGTH OF EACH LINE ~"%~:'~' ~/'?~ DEPTH OF FILTER t MATERIAL BENEATH TILE (¢'__1~i. ABOVE TILE .~/ IN. WELL: BUILDING FOUNDATION__ , CESSPOOl APPROVED CONSTRUCTION . ~-fi~t) [) ~I'L: :'4 ~, 2'~ NEAREST NEAREST LOT LINE SEWER LINE__ DEPTH __DISTANCE FROM: SEPTIC .- ~ SEEPAGE , TANK i'O')_, SYSTEM / OTHER SOURCES DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: (:6~9:1 i.~'UI~_ __ LOT SLOPE: _ i.'t0¢'i*'4. REMARKS: DIAGRAM OF SYSTEM Form EQ-032 SEWAGE D~$POSAL SYSTEM -- APPL~CATIOH AND PERMIT &~ -~f PHONE TYPE AND size OF FACILITY TO BE SERVED SO,L TEST RES.LTS / ~ "~ ~' ~' 7~ COMPLETION DATE ANTICIPATED - 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· !~/..¢~ ~.~.. ' , · , . . MInimUM DISTANCES, REQUIREMENTS /-- DIAGRAM OF SYST~ ~,, :~ :> ..~-~--~-K :..' FOUNDATION TO SEEPAGE 7r'"~ SEPTIC TANK TO SEE:PC'~E'~P+'~-AAG~¢~ WELL TO SEPTIC TANK DRAIN FIELD--- /:>0 " ALSO CONSIDER AREA WELLS. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRFATER ANCHORAGE AI:~,:A BORO/J~]H Depai. .~.nt' of Envir'ormen'lai q/~al'Jt;y 3330 "C' Street Anchorage~ Alaska 99503 ?erformed for '.% Lc!ia l Description: Date performed This forin reports: r] epth Soils log 8- g- l0- II -- i2- 13- ',.!as ground water encountered? Pefco at,on test If yes, at what depth? Reading Date / GrOss Time Net Time Depth to H20 Nei; Drop r~-W DRILLING, Inc. P.O. Box4-1224 · 1310C International Airport Road (907) 274-461 ] ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Use of WeD Location (address of: Township, Range, Section, if known; or distance main road Size of easing __ Depth of Hole. Static water level ft. (above) Screen ( ); Perforated ( feet Cased to feet (below) land surface. Finish of well (check one) open end ( ). Describe screen or perforation Well pumping test at ___gallons per (hour) of drawdown from static level. Date of completion (minute) for hours with WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ); ft. TO TO TO TO TO TO TO TO_ TO_ .TO TO_ TO_ __TO_ TO_ TO 2 -- STATE