HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 1 LT 16GREAI -R ANCHORAGE AREA BORuuGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/ ·
SEPTIC TANK:
DISTANCE
FROM WELlp ~-~
INS, de LENGTH
MANUFACTURER
f INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY ./C:~--~%~-~ GALLONS.
SEEPAGE -P3~'
/
NUMBER OF PITS __ DIAMETER __
LINING MATERIAL ~ CRIB SIZE:
BUILDING FOUNDATION__
OR WI DTH '~-~--,
DIAMETER
NEAREST LOT LINE C~C] ',~.
ADDITIONAL ABSORPTION
?
TOTAL EFFECTIVE ~ /
ABSORPTION AREA (WALL AREA) ~::~-~ SQ. FT.
WELL:
TYPE ~ ~- O,--~ ~ CONSTRUCTION.
BUILDING NEAREST
FOUNDATION --, LOT LINE
CESSPOOL , OTHER SOURCE5
APPROVED DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE , TANK __, SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
LOT SLOPE:
REMARKS:
Form No. EQ-O31
DIAGRAM Of SYSTEM
G.A~.B.
O[-I--S I TE
PERMIT NO. ( 76_~5~ )
8PPLICBNT
LOCBTION
LEGBL
M!J~ I C: I r AL I T'T' OF A~4C:h~_,RF~GE
DEPBRTMENT OF HEBLTH 8ND EN~,,'IR. ONMENTRL PROTECTION
2510 E. TUDOR RD., 8NCHORBGE, BK. 9950~
276-2221
SENER PERM I T
S~EC ! RL SER¥ I CE~
CIRCLE DRIVE
Li~ Bi CHUGIRK PRRK EST
P 0 BO>( 82 WRSILLR
LOT SIZE
688-2'960
5512'2 S6!IJRRE FEET
T~'PE OF SOIL RBSORBTION SYSTEM IS' TRENCH
MRXIMUM NUMBER OF BEDROOMS = ~ SOIL RRTING (SQ FT?BR>= 90
THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS:
[)EPTH= ~_2 LE[4GTH= 28 6RA%.'EL ~-,EPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF 8 TRENCH OR PIT IS THE D ISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E:~CBVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OLITFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET>.
REQUIRED SEPTI
BBCKFILLING OF 8NY SYSTEM WITHOUT FINBL INSPECTION 8N[:, 8PPROV~L 8Y THIS
[:,EPBRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTBNCE BETWEEN 8 WELL 8ND
i00 FEET FOR 8 PR IVBTE WELL OR 200 FEET FOR 8 PUBLIC WELL.
SPECIFICBTIONS 8ND CONSTRUCTION DIBGRBMS 8RE 8VBILBBLE TO INSURE PROPER
I NSTBLLBT I ON.
F'ERM I T %¢RL I D FOR O[-~E YERR FROM I SSLIE
I CERTIFY THRT
l' I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPBLITY OF RNCHORRGE.
2' I WILL INSTRLL THE SYSTEM IN 8CCORDBNCE WITH THE CODES.
~' I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THBN ~ BEDROOMS.
RPPLICRNT S~IBL ~ERVICES
PERMIT NO.
~IUN I C I PAL I T¥ OF RNCHORRGE
DEPRRTMENT OF HERLTH AND ENVIRONMENTRL PROTECTION
2510 E. TUDOR RD. · RNCHORRGE, AK. 9950?
276-222i
WELL PER~ I m
( 76i48 )
RPPLICRNT
LOCRTION
LEGRL
SPECIAL SERVICES (TlR S
PLRTYEK DE
L:L6 B'I CHUGRCH PK EST
BOX 82 - WRSILLR
LOT SIZE
55122 SQURRE FEET
MINIMUM DISTRNCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS RRE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
SPECIFICRTIONS RND CONSTRUCTION DIRGRAMS RRE RVRILRBLE TO INSURE PROPER
INSTRLLRTION.
PERi~I I T VI:iL I E) FOR ONE YEFIR FROI'I I $5UE
I CERTIFY THRT
i: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPALITY OF RNCHORRGE.
2: I WILL INSTRLL THE SVSTEM IN RCCORDRNCE WITH THE CODES.
SIGNED:-~~PECIRL SERVICES (TIM SWAN)
· J
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION Z / {
DATE-Started .ZT'/c~ 7/"~.~
/ '/
PERMIT NUMBER 7X /+?
( ertifieh rilling
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
STATIC LEVEL OF WAIER FI.
DRAW DOWN FT.
Ended ,-~"/~/7~ GALS. PERHR
/
KIND OF CASING
KIND OF FORMATION:
From O Ft. to ~ Ft.
From ~ Et. to /~ Ft
From //o Et. to o~} Et
From .z~/ Ft. to (o~ Ft.
From ~;~' Et. to ~ff' Ft.
From q~'~ Ft.
From_ / O~"'Ft.
From / ~gTFt.
From / ~"~) Ft.
From /~'O Ft.
From c~O 3 Ft.
From ~ 7 '"")Ft.
From ~/.PEt.
From )?O Ft.
From _¢ >~o Ft.
From Ft.
From Ft.
to '~ 70 Ft.
to :') q' O Ft.
to ,j'~)~ Ft.
to ,~6o Ft.
to Ft.
From__Ft. to--Ft.
From Ft. to__.Ft
From__.Ft. to__Ft
From Ft. to__Ft
q;om Ft. to Ft.
From Ft. to Ft
From__Ft. to .Ft
_Ft. to__Ft.
Ft. to__Ft.
Et. to Ft
From Et. to Ft
~-X-//~F'~om ~ ° ¢ r'M'Ft, t o Ft
From Et. to Ft
From Ft. to__Et
From__Et. to Ft.
From Et. to__Ft.
From Et. to Ft
to Ft
MISCL. INFORMATION:
f ,/2.2~~ ,' C~ ,p,z~
DRILLER'S NAME
3330 "C" Street
!\nchora~le, illasLa 99. Lb
;-;{)1I,,'-; 1,(1~; - I'EII()I,^'I'If)N 'I'I.L'-;'I'
~, ........... ~-_ e2~'.~'~ ~ ': .... ~&~*~... ~q~"l&,~ ~'~' ?~ ~m,~ ·
l)cp th
Fee t
1 -
'-' ", £/'Z i
h'as ground water clicountered?
If yes, at wi~at depUl?
Rcadinq Date Gross Time Net Time I Oepth to Writer Net Drop
.ZZ_-7_ .... -___, ..... 'Z.-..~.iL:] "i.ZZZZ'-__7_?Z_-"7,.-.?Z2]~_-iE_:ZiDi-.'ZT-'LT_'Z ..... :.l ................... '
............ t ............ t .................. + ................ -t .................. 1 ............... '
Purcolotion rate m~nute.
Proim~ed..i,}sLallatT~n. 5et'pa!lc [)it Urain Field
f. Ui Ii :i.'[l I-S:
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