HomeMy WebLinkAboutCONIFER HEIGHTS BLK 3 LT 11GREA,FR ANCHORAGE AREA BOR,.JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
· INSPE~I'ION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAM
SEPTIC TANK:
DISTANCE A/--~.. ~ ~ NUMBER OF
FROM WELL~'Vi~/! ~ MANUFACTURER MATERIAL COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH
INSIDE LENGTH
L IQ U ID C APAC ITY/'~'~)GALLON S.
TILE DRAIN FIELD:
DISTANCE FROM WELL/itI~DT!~/ FOUNDATION
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPTION AREA ~> ~ ~'
/
NEAREST LOT LINE?'~,.~1,/ I TOTAL LENGTH,/ir_~,~/-~/Z
_ OF LINES
~/~ TRENCH WIDTH~. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER /
MATERIAL BENEATH TILE~I ,1~. ABOVE TILE
IN.
WELL:/~
TYPE (
BUILDING
FOUNDATION
CESSPOOL.
APPROVED
CONSTRUCTION
NEAREST
LOT LINE __,
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE__
DEPTH
SEPTIC SEEPAGE
, TANK__ SYSTEM
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY/''l~)(-~)/:~)'~ ~' ~
!
SEWER LINE DEPTH:
REMARKS:
Form EQ-032
DIAGRAM OF SYSTEM
t::1 I.::' J::' b ]: C t::1N'T'
L O C F::l T I I:11'.,1
I....IE Gfll_.
I.'.11 L_ :=;O N HIU G H E S
PONE:,EF;.:OSFI CIR
[:,EPFIRTHEI'.,IT OF HEFtL. TI~I FlN[) EI',I,, IF..NMEN T - L. F'F.:OTECT ION 2::5:1..6 E. TIJ[:,OR RI)., F:INCHORFIGE., I=IK.
u::.'~ IP4t .:-- .'.~: 3[ 'T ~= :E~; lei!.=.: ~..11 ED: ll:;~: F" E' 11-=i~ IPll ~ T'
I....::L:I. Bi: CON IFE;F.: HGTS SLIE:E:,
LOT SIZE 52(.~:ii.~:iii: SQLIFII.4'.E I::'EET
"t"'¢F'E I.'.'.'lF:' :i~,O I L. RBSORBT I ON S'¢STEM 1 2;: TRENCH
t"IFI::.::IML.IH NL.IHBER O1,= 8EI:)F.'.OOMS = 4
SOIL RRTING (S6! FT,.."BF.'.)= ::L25
THE RE6!L.IIRE[:, :E;I.-:!:E OF I"HE :'.'.:,OIL FIBSORPTION S'?'STEM IS:
THE L. Ei:NG'TH [:,IHENSIC~N IS THE LENGTH (IN FEET) OF' 'THE TRENCH OR E:,I,;.':FIINI:::'IE:L.I:.:,.
'T'HE E:,EF'TH OF FI 'I'RENCH OF.: F'I'r' IS THE E:,ISTRNCE BE"r'NEEN THE SUF.:FFICE OF THE:
GROUND RN[:, THE BO'TTOM OF THE ENCR',,,'FITION ,::IN FEET).
'1"HERE ]:":~; NO SET WIDTH F'OR TRENCHES.
THE ...~FH ['=L [:,EI,:'I'H I'=_, THE MINIMUM [:,EPTH CIF bF..H,EL BETPJEEN THE OLH"F'FIL. L. F:':[F:'E
FIN[:, 'T'HE: BOTTOH OF THE E::.::CFI',,,'FITION < IN FEET>.
E:I=ICKF I L..L. I NG CIF FIN'¢ '..:;'¢STE[H P.I I'FHOLIT F I NFl[_ INSPECT I ON FIN[) RPPRO',,,'RL B'T' TH t :iii;
E:,EI.::'I=IF::'T'MEN'T' WILL. BE SLIBJE:CT TI] F'ROSECUTION.
M I N t MUM [:, I :~;i;"l"l::t[-41::;:r.i..: E:ETWEEN FI ~4ELL.. RND, FiNer' ON'-S I TE '_=;EI.qRGE D I SPOSFIL S'T'STEH I S
::I..EII;!) F'EIE]" FOl.;:: FI PF.'.I'v'RTE: WELL I]R 2FIE1 FEEl' FOR FI F'UBLIC NELL..
t.,.IEL. L I....OI]i::+.'; FIRE F.:E(;:!UII';.':E[:' FINE:' MUST 8E RETURNEE:' TO THE DE:F'FIF.:THENT WITHIN :3:E:.~ [:,F::I","S
OF THE F.IIELI .... (:::OHF'LET:[ON.
lF:';l:'l'~i:C I F:' I CF:ITt' ONS RN[:' C:CINSTRUI]:T I ON [." I AGRFIHS FiRE A',,,'fl I LABLE TEl I NSUF.:E PREII,:'E:R
:J: J",t I!!.': '1' Fl [... L... t::1 "J" I El N.
I CERT t F:"r' 'l"HR"r'
:t..: I I::~M I,::FIHILIFIF.: NITH THE REQUIREHEN'FS FOR ON-SITE SEI.,.IERS FIN[:, NEL..L..S Fl:5 '.:.i;E'T'
F:'OR'I"FI E','T' TI'-IE HI...IN I E: I PFlL. I T'T' OF RNCHORFIGE.
;;;i'.: I PJ I L..L.. I NS]'FIL. L THE S'¢STEH I N FICCORB'RNC:E PJ I l"H THE COE:,ES.
]:' ]: UNE:,ERSTI=tNI'} TF'IRT THE ON-SITE: SEWER :'T=TEfl MR'T' F.E..._ RE ENL_Fll;?.GE.:.MEN'T' IF' ]"HIE
RES I[:,ENI]:Ii':': IS RI,i!:MOE:,ELEE:' TO I NCL. UDE MORE THRN 4 BEDROOI"IS.
:SL. I F::' *. ,'J'~-~::-.~ M~:41... EL ........... :~~~t4~ :.,'TI l 1 L. ~¢¢'t.. I ... I J
L..EE:.~pcTTt..~:',F' ' · . .... PUD ~:~' .... ~ E, '" {..~"t t :,
Performed for ~/y_/J_~_JT/2 y/jT/~Z~__._.~__
Legal Descri p~-i-~n: ~.~jZ /Z_ ~/~'./~'~ ~.
This form reports:---Soils,~lo,g ..... z~~
GREAI'ER ANCIiUi<t\GL hi(LA t30RUUGit~
Department of Environmental Quality
3330 "C, S~ree~
Anchorage, Alaska 99503
SOILS LOG - PEROI.,ATION TEST
~ate Performed
PercoTaMon :es~
Dep~.h
Feet
T ...................................
5-
6-
7-
8-
9-
lO-
ll-
14-
Was
ground water encountered? A/tO
If yes, at what depth?
Reading Date
Perco'l ation rate
Gross Time
minute.
Net Time
Depth to Water
Net Drop
~ ...... Drain Field
.Proposed installation: Seepage Pit ....
Inl et . . Dept~-'~~'f~)i tot trenct~ .... _
COMMENTS: ~_~'j~__/~z.r~.... . ._ . -~-- ~ ~¢~ ~~~}]b_~~ ......
SOILS LOG - I'EROLATION TEST
Performed for ~/Z/~O/2 J~~ L)ate Performed
Legal bescrip~i-6n:]~2_.'~/~_~7~ ~i ~~H~/~~~Z~-
This form reports: Soils log ...... X _ _ ~ percolation test
Depth
Feet
i - 0~,~~'~ (~) .......................................
2' - ~~(~ ~ ~d (~- ~)(~Z
5-
6-
7-
8-
9-
ll-
14-
Was ground water encountered? #o .....
If yes, at wl)at depth? '__
Reading
Date
Gross Time
Percolation rate
mi nute.
Net Time Depth to Water
Net Drop
,Proposed instal la~lo-n':-'i Seepage Pit Drain Field
Depth of Inlet ' . Depth to-b-ot---to~?--pit or trenct~
]~OX 11~]~{]~9, ..~?AII ROUTE A ANCHORAGE, ALASKA 9950~
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF ~0 $~O~
DrillED at THE rate of $[g~00 per FOOT.
LOCATION Of WeLL SITE L~,// ~, 3 ~b. ~/F~ ~/~
WELL LOG '~ "
J
0-~-18' Gravel and ~ bou~ders. 20% sand,
1~---96' Sandy gravel.
96--182' Gravel with 10% olay binder.
182-220' Silty sand.
220-236' Clean gravel and small B~ers. No water oa top of bedrock,-
236-380' Bedrock. Sedimentary rocke
380-38~' Granular rock producing
· 38~J~00' Sedimentary rock,
~O0-Y~,
/+0~30 '
Porous rook produo~n~ 2 1/2
S~d~mentary rock ~r~th seve~a~ thin areas of porous rock
::
Total production of ~ 1/2 G~, Th~s y~e~d ~hou~d increase ~0 to 1~% ~th pu=ping,
Over 200 feet of water stand in oasing.
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
write CheCk PaYable TO Rampart DRILLING works for THE sum of
THANK YOU VERY MUCH.
B~ CLAUS OF RAMPART DRILLING WORKS
DATE Oct. 2~th. 76 ~'
: '". ~ERVICE CHARGE O F I~% PER MONTH tEStED ·
.~ ~- - MUNICIPALITY OF ANCHORAGE
~ DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTI~NII~I;p~L. IT~oFOHFFAALNT~H&O"AGE
~ ~'elep;;n: 2~-g=& OCT :2 ? 1978
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1.' PROPERTY OWNER ' ' pHONE ..
MAI LIN~i ADDRF~
PROPERI'V RESIDENT' (If different from above) ~ ' PHONE
2. BUYER PHONE
MAI LING A D DR'E~S
3. LENDING iNSTITUTION
MAILING
4. REALTOR/AGENT ' ' I PHONE
I
MAILING ADDRESS
I [] COMMUNITY since June 1975. For wells drilledtpr)~or/to,hat date, give well
I [] PUBLIC UTILITY depth (attach Icg if available.)
~ .. SEWAGE D,sPosA- SYSTE~,
~INDIVIDUAL/ON SITE*' If nd v dual/on-site, give instal at on date ~ .
If system is over two (2) years old an adequacy test is required
LI PUBLIC UTI LITY b' this De-artment il
y P ·
NOTE: THE INSPECTION FEE MUST AccOMpANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
TIME
DATE
INSPECTOR
INSPECTION APPOINTMENTS
TIME
DATE
NSPECTOR
DATE RECEIVED
TIME
DATE
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY
[] MULTIPLE FAMILY
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SiX
[] OTHER
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank 9.r [] Holding Tank
Size: _,/~,.~-i If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4, DISTANCES
WELLTO:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
Septic/Holding Tank IAbsorption Area ISewer
Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
~' APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL ( etter must accompany certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev. 3/78)