HomeMy WebLinkAboutALYESKA #2 BLK 16 LT 30-1
000
GRF"ER ANCHORAGE AREA BO
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
'UGH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~- A_IJ -,' ~
DISTANCE '.
FROM WELL:/;~(%~ MANUFACTURER, ,/'- %L,.¢~-~-~
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY;,;'"~) L'~-? · GALLONS.
SEEPAGE PIT:
NUMBER OF PITS __
LINING MATERIAL
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETER __ OR WIDTH
CRIB SIZE: DIAMETER
, NEAREST LOT LINE__
LENGTH.__, DEPTH
DEPTH__ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE - 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:
PIPE MATERIAL: (.~._~L(-; ~L_'~
LOT SLOPE:
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
DATE
APPROV ED ~- (~-~k ~~
G.A.A.B.
GreaTer ANCHORAGE Area BOrOUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
Name OF APPLICANT_ _~ ,~~~l~ I~-~, ,~//l~L~
LEGAL DESCRIPTION {~_~L~'/)'4/~I/~- '""~' ~ -~
INSTALLATION OF: ~C TANK SEEPAGE PiT
TYPE AND SIZE OF FACILITY TO BE SERVED
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
DRAIN FIELD
FINANCED THROUGH
COMPLETION DATE ANTICIPATED
PERMIT NO.
OTHER
TO Be INSTALLED BY
~~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
TANK SIZE ~-~J __ TYPE SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCE$~.REQU IREMENTS
FOUNDATION TO SEEPAGE PIT_ ~--
., DRAIN FIELD
SEPTIC TANK TO SEEPAGE PiT WALL
SEPTIC TANK {~ , SEEPAGE PIT
TO NEAREST LOT Line.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
~IC~NK, [~1 ,, SEEPAge Pit
TO RIVER, LAKE, STREAM.
DRAIN fIELD.
SEEPAGE Pit
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
DRAIN Field
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET iNTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INS~-.~ATION.
G .A.A .B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
FORM NO. EO-OI 6
P. O.
rv~-W DRILLING, Inc.
-1224 * 13]0C InternationalA.'po~t Road
(907) 274-461 S
ANCHORAGE, ALASKA 99509
DRILLING LOG
Well Owner
Location (address of: Township, Range, Section, if known; or distance main road
Lots 3 and 4 Block 16 Alyeska Subd. ~¢3, Girdwood
Size of I- · ·
casing ...... 6 ........ Depth of tole_lO0 ..... feet
Static water level .... -_0_- ft. (above)
Screen ( ); Perforated (
Describe screen or perforation
Well pumping test at~-_0_-__gallons per (hour) of drawdown from static level.
Date of completion .... 8 / 17 / 79
Cased to_ _40.5 ..... feet
(below) land surface. Finish of well (cheek one) open end (
).
(minute) for ........... hours with
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
........ ~_TO 2 Cas ing.._~_B.i_.c_kup _ _
.... _2 TO 5 Organics
2_TO 38
}_8 ._TO. 100
............ 2'0.
............ TO.
TO.
TO.
);
ft.
.............. TO ............
........... TO
.TO
.TO __
Silty_ hard .pxan
Bedrock
1 -- CUSTOMER