HomeMy WebLinkAboutLot 01 - 03
GREA'L~ ANCHORAGE AREA BOR0u,~H
Depsrtment of EnvironmentsI Quality
3330 C Street
Anchorage, Alaska gg§03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME~O/I~'/~/¢~'/'J/',~'~/V ~,//'~,-II:L MAILING ADDRESS hO../"' '~.-.~;__~, t~, PHONE
LOCATION LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER
INSIDE LENGTH '~ INSIDE WIDTH_
MATE RIAL
NUMBER OF
COMPARTMENTS
LIQUID DEPTH -- LIQUID CAPACITY/"~-~''~ GALLONS.
TILE DRAIN FIELD: ~
DISTANCE FROM WELL~,~)~
NUMBER OF LINES ~
ABSORPTION AREA _,/~ ~) ~
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
FOUNDATION //)l NEAREST LOT LINE__/'~ ___OF LINES
DISTANCE BETWEEN LINES ~/Y/'J~ TRENCH WIDTH -~IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE /~ !
~ ] DEPTH OF FILTER
MATERIAL BENEATH TILE _,,..~/t ~I~'JI,.ABOVE TILE '~__.IN.
WELL:
T y p E _ J"~"~//_~'O ' P~"~/'~T,- CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE--,
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED--
DEPTH __ DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE__ TANK--, SYSTEM
REMARKS
DISTANCES:
INSTALLED BY: ,~¢"/J/~ ~:~/tJ$~T
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:_/~ /
REMARKS:
DIAGRAM OF SYSTEM
0 ~x/~,t t
DATE /~-/'7~' APPROVED -/~. ~'~ ~/,4/~ /Z
G.A.A.B.
Form EQ-032
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. .0.8' E GED, ECHNICAL 8' DEVEL,.,'PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils ~l' Foundations
Performed for:
Legal Description:
Earl Ellis
688-2280
SOIL LOG Land Development
Name: ~---~ ~.-~-¥,.~,~3
Hailing Address: '~,
Depth (feet),
Soll Characteristics
2
6
8
9,
10__
11 ,
12
14
15
16
Ground Water Encountered: Yesm
Proposed Installation: Seepage Pit
Comments: '~< ~,~e_~>~.r~]
No _ If yes, what depth ,
Drain Field v~
Performed by: Date: \c~
gertiftfi rilling
by
DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
LEGALDESCR1PTION Zo~ !'~'3 ~Z~/5~
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR / ?',_'),9
KIND OF CASING
KIND OF FORMATION: : ~
From ~) Ft. to 0~, Ft. O O/~-~(~O~7~,J From_--Ft. to--
From ~ Ft. to 7 Ft. .ff'~totO ~ 6 ~/qott'-ff-- From__Ft. to____
From -7 Ft. to--Ft, dP From___Ft. to
From43~''' Ft. to qO Ft. CL/~Zr ~'~'~qOC<. */',~o¢'a~r~m~4r- Ft. to
From<;/O ft. tollO Ft. ~/q~"~O~g'/~/40~cff' From__Ft. to--
From~/O Ft. to /~1 Ft. ~Lp~d.~_~',a~to~4. From Ft. to__
From Ft. to.__Ft From Ft. to
From Ft. to Ft. From__Ft. to__
From Ft. to.__.Ft From__Ft. to__
From__Ft. to Ft. From.--Ft. to
From__Ft. to Ft. From Ft. to.-
From Ft. to Ft. From Ft. to--
From__Ft. to Ft. From__Ft. to
From Ft. to Ft. From Ft. to__
From _Ft. to.__Ft. From__Ft. to__
From Ft. to Ft._ From Ft. to__
_Ft
Ft
Ft,
Ft.
Ft..
Ft
Ft.
Ft.
Ft
Ft
Ft
Ft
Ft..
Ft.
Ft.
Ft.
MISCL. INFORMATION:
DRILLER'S NAME