HomeMy WebLinkAboutEKLUTNA HEIGHTS BLK 1 LT 6A
oGRE r,i::R ANCHORAGE AREA BOb.,,dGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTIONREPORT ON-SITE SEWAGE DISPOSALSYSTEM
LOCAT,ON LEGALDESCR,PT'ON /
SEPTIC TANK:
DISTANCE ~/ ~
FROM W E L'L~j
INSIDE LENGTH
MANUFACTURER -/~-~__
iNSIDE WIDTH
MATERIAL COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY/I--~"~GALLONS.
TILE DRAIN FIELD:
/ _ TOTAL LENGTH ...~/ /
DISTANCE FROM WELL/~7 /'/~/ FOUNDATION k'~C-]/-~NEAREST LOT LINE_ ,.~-- / j' -' OF LINES
NUMBER OF LINES / DISTANCE BETWEEN LINES ,/V//~ _TRENCH WlDTH'~'IN. TOTAL EFFECTIVE
ABSORPTION AREA /~'/~¢~ ~ SQ. FT. LENGTH OF EACH LINE ~--"/ /
DEPTH OF FILTER /
DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERiAL BENEATH TILE_~'~ ,¢~i~ABOVETILE ~'~ IN.
TYPE
BUILDING
FOUNDATION
CESSPOO[
APPROVED
CONSTRUCTION
NEAREST
LOT LINE_
, OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE__
DEPTH
SEPTIC SEEPAGE
, TANK__ SYSTEM.
REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: ~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-032
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'1"HIE I...E:NGTH E:, ]: P1E:N:~5 :[ ON ]:S THE( I....ENGTH '::IN I:::'EE'T') OF THE 'T'I~:ENE~H OR I'.)RR:ENF':EEI....t%
THE: DEF'TH OF F:I TRENCH [3R F'ZT ZS THE D ZSTFINCE BETP]E:EN THE SURF'FIOE OF:' THE
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OF THE NIEL..L. COI"II:::'t....ET]:ON.
:i!!;I:'E~C :[ F' :t: C:FIT :[ C~NS I::fN[:' CON:i.:.';TF.:LIC:T I ON D I f::IGF.'.I:~P1S RRE R',,"F:I I L..RBL. E TC)
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F'ORTH E~'T' THE P1UI'.,IZC:ZF'FILZT'T' OF RNCHORRGE.
2: ]: NIL.L. :I:NSTRLI.... TH[ii: S'¢STEf'I ZN RC:CORDIRNE:E 1.4ITH THE COD!ES.
2:: ]: I..J!'.41)ERSTF~ND THRT THE ON-SITE SEI,JER S'T'STEP1 t'1R'¢ REI;:¢.JlI:~:E EI'.,tL...t::tRGEP1ENT :[1:::' THE
I;;'.E% I [)ENCEE ;[ S REP1OI:)EI....ED TO Z NCLUDE P1ORE THRN 4 E:EI::,F~'.OOP1S.
2204 Cleveland Anchorage, Alaska 99503
Performed For, ~,~L ~a~co~b Date Performed ~o/~ ~./¢7~.
Le.al ~escrintion: Lot~B16ck mOSubdivt~ton ~Lm~ ~/~ff~
This Form Renorts Soils Lon h~ ' Percolation' Test
nenth
Feet
Soil'Characteristics
12
14
6"--
20 ~
Was}~¢°und Water Encountered?
I~ ves.~.A.t what Denth?
Percolation Rate Plinute
Prnposed Installation: SeenaQe Pit ~ Drain Field
+0-~%.)~'~'~L',' Deothllo_ Bottom Of ~it Or,Trench
Denth
of
Inlet
Test Performed By ~ ~~ ,, _ Data CertifiedDate:BY:~
J · 2 I
Readinq ' Date Grnss Time Net Time ·De·nth t~) H 0 Net Dron'
1
I ,
06-1220(a) Rev. 1973
DATE
ALA~ DEPARTMENT OF HEALTH AND SOCIAL S!'~CES -~
DIVISION OF PUBLIC HEALTH Lab No. . ..,
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICA~'~' WATER ANALYSIS OmCE
INDIVIDUAL ~[~]~
SEMI-PUBLIC E CHLORINE RESIDUAL PPM
REPORT RESULTS TO
ADDRESS /
CITY /'
ADDRESS
OF SOURCE
ZIP CODE
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
DATE COLLECTED ,,/x
/ e- TIME COLLECTED / ....
Sample Collected From ~l~lt~hen Tap
[] Other (List)
Well -- Dug Driven ~'Drilled
SOURCE: ~ Spring ~ Cisterr ~ Other
Dug Well or Cistern Construction:
Walls-- [~ Wood E Concrete [] Metal
Top -- [] Wood ~ ~ Concrete [] Metal
[] Bathroom Tap [] Basement Tap
[] Bored
F~ Tile B~k or
Open Top [] Concrete.
LOCATION:
[] In Basement [] Basement Offsel [] Under House
% ln'Yarc~ [] Other .
uilding Sewer Septic · .~._.
DISTANCE TO: or Other Drainage Pipe ./~'~.~, Feet. Tank ..-~_. c_~ Fqef,
Tile Seepage Cess-
Field Feet. Pit Feet. Pool- Feet. Privy .__F~et.
Other Possible
Sources of Contamination
MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Fibre [] Asbestos
Cement
[] Plastic Joint Material - Type
GENERAL: Does Water Become Muddy or Discolored? [~'es [] No
When? ~.;~' ." .~' /'
Diameter of Well 0 Depth ~:~;.~ F~et.
Well Casing / ,, .;~ ~..
Length
Water
~ Of Well ~ Other
PURPOSE OF EXAMINATION: Illness Suspected? ~ Yes
[] 'Yes [] No"'Signature
Analysis shows Ibis Water SAMPLE to be:
E~ Satisfactory
[] - Unsatisfactory
[] Questionable
[] Sample too long in translt~ sample should not be over 48
hours old at examination to indicate tellable results. Please
send new sample.
[] Bottle broken in transit, please send new sample.
SANITARIAN'S REMARKS
Bathroom Tap ~
. ."... ~ ~ ~
-in B~ement [] Room
READ I.N§TRUCTIOJ'qS
· . ON
REVERSE SIDE -
.... BEFORE . Lactos~?th, 24 hrs..'
~.. ~- '~- Coliform Derislty._
MF R~sul~s: '
' - ': ' ' J - 'Thl~¢6alysi~ indlL~lt~i-Collfor~
iIN-ATION: Illness -Suspected? Yes
off $~pp y? · [~es. [~ N~ Repairs to System?' ,r-J
o~122o (b) 'B-ACT~ERIOLO_GIC~L WATER ANAL¥SI$'RECE)RD' _
Re,z }~97-3 -- =.- -. ' '.~ -~
'EMB ' - AOAR
,~ i,, ' ~., hrs.
wfd to detefldne ir the ~eudnd~ o~ the lot wes suitebl~ b~ u ~ ~
'~=u~ ~.NO. .:22
TRACT DESCRIPTION
A tract of land situate in Lot 6A, Block. 1 of EKLUTNA HEIGHTS
SUBDIVISION, according to Plat 69-19 in the Anchorage Recording
District, State of Alaska, more particularly described as
follows;
Beginning at the Northeast corner, of said Lot 6A; thence S. 0~
33'49" E. along the East line of said Lot 6A a distance of 131.97
feet; thence S. 89°26,35', W. along the South line of Lot 6A a
distance of 240.14 feet; thence N. 21o32,01', E. 14.2.4.2 feet;
thence N. 89°26,31', E. along the Northerly. line of said Lot 6A
a distance of 186.56 feet to the point of beginning
Containing ~28,156 square feet, more or less.
\
\
\
\ 640
OWNER OF RECORD'
MELVIN ARTHUR 8~
EMILY HALCOMB
AREA REQUIRED FOR HIGHWAy
AREA REMAIN
EXISTING R/W
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