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.
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