HomeMy WebLinkAboutEKLUTNA HEIGHTS BLK 1 LT 9A W PTN REMGREA,r:R ANCHORAGE AREA BOR,..~GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME,X/~;~f' I"~'/~"~'~'~', CK ) MAILING ADDRESS /'~o~'~/O C~ u.~.J,~/~-. PHONE
SEPTIC TANK:
DISTANCE
FROM WELL -/g'~
INSIDE LENGTH
~' , NUMBER OF
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ~O--,:~-~ GALLONS.
SEEPAGE PIT:
, ,/
NUMBER OF PITS ] DIAMETER _OR WIDTH__
LINING MATERIAL ~"~/~lk'~' / CRIB SIZE: DIAMETER
BU,LD,NG FOUNDAT,ON </?. NEAREST LOT L,Ne / ¥.
ADDITIONAL ABSORPTION
DEPTH ~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK __ SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:_
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
PE:RMIT NO.
FIPPLICFINT ~IGE P. ItERZE:IC:K.I_
L.OCFIT 101",1 THUNDERB I RE:, ST
LEGRL L. 98 Bit EKLLITNF~ HGT'.-]
DEPBRTMENT OF HEF~LTFI RN[:, EN'v'IRONMENTFIL. PROTECTION
825 '"L..'" STREET, F~NCHORRGE., F]K. 995~.~:1..
279-251::1.
#..,.# EFZ b. L_ R ~"',1E::. ,2-~ lP,t ---. :E; ][ -f' E: :E'; E: [-.., E:-'; E~: F:" EE tF~: I'-", ][ 'T'
( 772:1.7 )
E:CI::.:: 6;~3 C:HIJI:31
LOT SIZE ']!0586 .S(.:.!I...IRF.:E F'EET
"I"'¢F'E OF 'SO I L. RBSORDT I ON 'Z,'¢STEM I S: TRENCH
MRXIMUM NUMBER OF BEDROOMS = 7' SOIL.. RFITING (SQ FT,.."BR)= 85
THE RE6!UIRED SIZE OF THE SOIL FIBSORPTION :b]'¢S]"EM IS:
r_;, E: F" ]'- Fi = ::L ~ b. ES l"..~ ,.~ ""r ,":: ,~ ---=.-. .'ijEi [.::-~ ,."3 F-_' R "./E t. ..... !.]) E; F" 'T H ==
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF' "rile ]"RE:NCH OR DRF~INFIELD.
THE [:,EPTH OF Ft TRENCH OR PI]' IS THE [:,ISTRNCE BETWEEN ]"HE: S.;IJRFRCE OF ]"HE
GROUND RN[:, THE BOTTOM OF THE ENCRVRTION (IN FEE:T).
THERE IS NO S;ET HI[:,TH FOR TRENCHES.
THE GRRVEL DEF'TH IS THE MINIMUM DEPTH OF'GRFt',,,'EL 8ETWE:EN ]"HE OUTFFILL. PIF'E
RND THE BOTTOM OF THE ENCRVRTION (IN FEE'1").
-lt""~-qtC) ( ;=-~J ]:,, :[ i"-~ S"; F" E] ,Z": T ]E CiI"-~J S-."; RF-'".EE F.-: E,;., Li
BRCKFILLING OF RN"r' S"r'STEM WITHOUT FINRL. IN2:;F'ECTION RND RPPF.'.O","RL. B"? THIS
[:,EPF~RTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DI"STFtNC:E BETI4EEN R WELL' RN[:, FIH"r' ON-SITE SEWRGE DISPOSRL S'¢S]"EM IS
f00 FEET FOR'R PRIVRTE HELL. OR 200 FE:E:T FOR Ft PUBLIC' WELL
'HELL LOGS IBRE REQUIRED RN[::' MUST BE RETURNED TO THE DEPRRTMEN]" 14I'T'HIN ..']]:R [:,l"~"r'S
OF THE WELL. COMPLETION.
SF'ECIFIC:RTIONS IRN[:' COI'45';TRUCTIOH DISGRRMS RRE RVR]:L. RBI...E TO INSURE PROF'E:R
I NSTRLtd"Y'I" I ON.
F' E B~:_" f""# ][ 'T" "-.-" F~ £._ :E E:" F' E] ~.'. C~ ["'-~ E£< "'ir" E ~ F-.". F' ~-'.". (.'::" ]""1 ][ ~:_..T..S; "..J E:
I CER]"IF9 THRT
±: I Rf'l FRI'tlLIRR WITH THE RE:L.]UIREMENTS FOR ON-SITE SEWERS 8ND WELLS RS SE'T
FORTH B'¢ THE MUNICIPRL. IT"r' OF F4NCHORRGE.:..
2: I WILL INSTRLL THE S"r'STEM IN RCE:ORDRNC:E I.,.IITH THE CODES.
2.":: I UN[':'ERSTRND THRT THE ON-SITE SEWER $'¢STEM MR"r' REQUIRE ENL. RRGEHEHT :IF' THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 7 BE[:'ROOMS.
.......................
FIF'PL I CRHT L. IGE W I E~: I I:::K I
.,.., ............ ..... 27
I.::,..-:,IJEL 6' ~....xstx."~_~..-~_.L_u:~I. :z.~ _.--~_:~ ......... E.~ rEJ ....................................
O~E
GEO'i _!CHNICAL ~' DEVEL('"~MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Soils Et Foundations Land Development
Performed for:
Legal Description: ,/'~L~, / /
Depth (feet)
1
Sotl Characteristics
7
9
10
13
~4
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Coments:
No
~ If yes, what depth
Drain Fte~d ,,,
Perfomed by:
Date:
I.N. SPECTION R~PORT ON-,,S, tTE, . . SEWAGE DISPOSAL ~YST_~M but,, 7
~ L ,~ d ~L// ,' ~a~l~ng Add--ss -~'<'. ~x ~ z/ Ph,~
Locati~. }i-~ (".~,L.v, tt'% }2. , Legal Description c,~. ,'- ? .~f./.'l ~n' a.~r <v,_~ /]/.'~ .~_Z~
SEPTIC T~K: Pist~e~ f~om well Material (,~.~,':a, ~ N~be~ of compa~t~nts
Liqula capacity allons. Inside length ~' Inside width ,(i Liquid depth
~EPAGE SYSTEM: Seepage Pit: Nu~er of pits ; Outside dia~er
width /fi' , lenUb..fP'~, depth
--- . , lining ma~erial~. Distace ~om
well , build~ lo.clarion L~[ , hearst lot line 1.5' Total effective
~soPption a~ea (wall a~a) D VO sq.
TILE DRAIN FIELD: Distance f~om well , fo~datton . , newest lo~ line ......
Total len~h of l~s Nu~e~ of lines Distanoe between lines T~eneh
width~n. To~al effective ~soPp~i~ amea. . ,sq. ft. LenEth of eaoh line --
Depth: Top of tile to finish gmade ..... Depth of ~ilte~ ~e~ial beneath
tile in. ~ove tile
~LL: ~pe,. ' ~ , , depth ~ dlst~ce fmom buildtn~ fo~da~ion .... , nea~s~
lot line__, nearest sewe~ line ..... , eeptic tank ..... , seepage system
cessp~, , othe~ sources
. n , SEWAGE DISPOSAL SYSTEM - APPLICATION ~ PERMIT '
Applicatia
to
0
BELOW TO BE FILLED O~ BY ~ALTH DEPART~NT
~/- ~r~ as described below.~ Size of ~&t to be se~ed .... J
I certi~ that I am famili%r .with the ~qui~ments of ~eate~ ~cho~a~e ~ea Borough
O~din~ce No. 28-68 ~d that the ~ove described system ts in acco~ce wi~h said code,