HomeMy WebLinkAboutT12N R3W SEC 15 Lot 33
LOCATION ~L,'~'~'~
GRE,.,ER ANCHORAGE AREA BOk ..dGH
~i2~ 4~' Department of Fnvironmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
- ~;-~(~ - -- MAILING ADDRESS
__ _~/~.~S~ LEGAL DESCRIPTION_~?~,
SEPTIC TANK: ~ /~_z~.%~1 1...3.'.~-~)
DISTANCE
FROM WELL_ MANUFACTURER
INSIDE LENGTH .... INSIDE WIOTN
__MATERIAL
NUMBER OF
._COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY GALLONS.
TILE DRAIN FIELD:< J ./~.,¢..~... .
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE .OF LINE~
· /
NUMBER OF LINES . / __ DISTANCE BETWEEN LINES TRENCH WIDTIfl~.~'d,~N: TOTAL EFFECTIVE
ABSORPTION AREA_ (--¢) SQ, Fl'. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISII GRADE __l~/ ( DEPTH OF FILTER
MATERIAL BENEATN TILE ,~- 1:~4~ABOVE TILE <:.~/ IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST SEPTIC
LOT LINE SEWER LINE TANK____
.... OTIIER SOURCES
DISAPPROVED -- . REMARKS
DEPTN
SEEPAGE
SYSTEM_
DISTANCE FROM:
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL:
REMARKS:
DIAGRAM OF SYSTEM
DATE.~
G.A.A.B.
Form EQ-032
PE~F?J"I Z T I",t El. ~'
P F I- I... ]...4 I ,I
L 0 '; R ]' ]] ON
LE(]FII ....
E.','2:L.9 ,]'UF']]TER [:,I;?. ]i VE
l_O]' ': .......
'1' t'~E]NL-:H
].E)!:.[(;IRR '.:i:;6:!lJl:ll:;i:E F'IEIET
'T'HE I..ENG'I'I4 [>Ii"IENSION :[E; THE LENG]"H ,::I1',1 FEET::, OF THE TRENCH []iR [:,RFI]:NF';[IEL..D.
THEE I)[.:.'P"I"I4 OF' R TRENCH OR: P]~T ];S THE [;, ]; S;Ti':~i'4E:E; E~E'I'HEE;N-1"I4E S;URI:'F:I(::E
G,E:CII...IN[], F:IND 'THE E:EFI'"I'Oi',I OF THIS EXE:R',,,'R'F;[C~I'.,I 4:[1'.,t FEE]T;:,.
I'HEI;~:~E; :IS 1'.40 SET N:[D'I"H F'OI;?. TRENCHES.
'I"HE: GI;?.I'::I',,,'EL E:,EF:"I"H :IS; THE i',I;[i'.,I]:I¥1LIFI E)IiEPTI4 OF' GRI::IVE~L. BIET!4EEN THE OI..JTFI::ILL.
FINE) THE BOT-f'OI',I OF THE E::~::CFIVFYI" ~ ON ( ]; hi FI?]:E:T ).
E ....L.I ZL.L. 1 4= ElF FIl'r,l~-r~ '::'.' , ..... , .... ; , ....
..... ~bTEd'I HZTHOUT F]iNRL 1N.:,FE._.I 1UN RNE:, "FFI.. ,I-IL
[)I~::F'I::IIE:"I"I'IE'N'T !4 ]; I...I._ LE =,UE.IE'.L. 1 'I'L'I ~ [..=,E...IJ'f]"l'.,l
-I'1-1 ;!; E;
hl]:N]:t"'lL.Ih'l E ]...,I II',IL.E E, E1HE. b.;".,I FI HELL. RN[::, FIN'T' OI",I-E;]:TE -.,EI..IHL~E I::, ]; E:;F'Ed~,RL '="": ........ , ....
±*;'~EI FEET FOF' FI F'F:'.];VFITE !.,4EL. t_ -~' 2:E~E FEET F~I-;,' FI Id_IE, L.]'"' ' ..... "' HELL.
-.i I-...,IF ~..,Id'l :[Li'~b, FINE:, C:CII'.4~?;TI'4:IJE:TZ"I'.4 D~FIGI:;.:I::Ii','IL::; FfRE '~,' ..........
-. Id, H.I.L.HbI_h. TEl
.[ I,L.., I I-ILLH I .I. ul,I.
F' fiE] II::;:~;: It'.'11% '-I1" '...' It::1 IL.. Z E:~, IF:' lC]il E;:: I:1~ f'-,,q EE "'r" E] I:':t I;~:: F' IF,]L" E::]u I1'.11 ]E fEE;; :ET; L.II lEE
]: I)':EI;~:'I-J;F'~¢ THAT
:'L: ]: F:~I"~ FrI~I"/:[L..:[F~: H:['TH THIE REQU:[F,',EI'IENTS F'CII:~'. OI",I--.E;;[TE %EI.,.IER% FINE) f-'.IELI..~; FIE; E;ET
F'I.L'IF~:TH B~-r' THE I"IUN;[C:[I~FIL. Z"I".r' OF FINE:I-IORFIGE.
2'~: ]~ 14]:L.L, ZI',I~;TFII.J._ THE %~'r%"FEI"I
:~i:: ]: UNDEI::~'.S;TFIh,II') THFIT "f'HIE ON-.'E; :[ TIE '.'gEI.,IEf4', ~;'¢STEi"I I'IRY REQU];I:~'.E: ENLFII;~'.GEI"IEiNT ]~F "I'HIE
7;: E'-' :L'; i D E:lq~ ~: E I"10 [:' E L E D
GRL,,I'ER ANCtlORAG[ AREA BOROUGh
DEPARTI4ENT OF EHVtRONMEqTAL QUALITY
3330 "C" Street
ANCtIORAGE, ALASKA 99503'
Performed For ~/b? /~/~C_- i Dated
Legal Description: Lot ~
This Form Reports Soils Log_---/~o/~'~..~
Soil TesE Must Be Logged To ~' Below
Depth
Feet Soil Characteristics
Case
~g Percolation Test
Proposed Seepage System -
Ground Water Fncountered?
If Yes, At What Depth?
e%
Read ng / Oate Gross Time Net Time
....... : -
~-.. I , )L~ - .-~.---~ .......... 1 .... ~ ....
~-~ ....... ~f7~ ~_.__~ ..........
, ' , = ~ '/~t~
Percolation Rate /~ Mi nu,:e
Depth
to H20 Net Dro
_~__~_~,, --~ .
~,, -_TLT':L_ ~
Drain Field ~
Proposed I n s ~(~]]~:~"0-: Seepage
Depth of Inlet ~z~ De~th to Bottom 6-F-Pit or TrencTi-_~,
Test Performud gY~Z~c- ~:t/~:e:z~/~ Date Cer~eo.~".'=.~m~.~.,
WALLACE ENGINEERING
4839 TAMPA CIRCLE
ANCHORAGE~ ALASKA
Mr. Bob Pratt
Inspector
Environmental
Health and Environmental
825 L Street
Anchorage, Alaska 99501
Dear Mr. Pratt;
March 30, 1977
Health and Engineering
Protection
MUNICIPALII¥ OF ANCHOR
DEPT. OF H
ENVIRON,,,-,. EALTIt &
~c~AL PROTECTION
RECEIVED
Subject: Permit #77112
Pursuant to our telephone conversation today, this letter will serve to verify
that the soil investigation for Mr. Sam Hill of Jupiter St. off Abbott Road,
permit no. 77112, was conducted as indicated in the report and that the there
is no ground water within 4 'Feet of the bottom of the subsurface drainage field
installed on his property this day.
Thank you for your consideration in this matter.
Since ,~j;
? ~. Wallace P.E.
~430-E
cc Mr. Sam Hill
TIME
DATE
INSPECTOR
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME
[)ATE )ATE
INSPECTOR NSPECTOR
MUNICIPALITY OF ANCNORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~PT, OF ItEALTH &
82S L Street - Anchorage. Alaska 99501 ENVIRONI4ENTAL P~¢OTECIION
ENVIRONMENTAL SANITATION DIVISION ~P[~ ? 1981
Telephone 264-4720
REQUEST FOR APPROVAL OF IND, VIDUAL WATER AND 8~ I~[~--'-~,~l~'~
DIRECTIONS: Comph;te all parts on page 1. Incomplete requests will not be processed. Tease allow ten 10) davs for processing.
1 PROPERTY OWNER , ~ //- ~ I~PHONE
MAI L J~J~'L~ DOR ESS
PROPERTY RESIDENT (Ifj~fforen~om
MAILING ADDRESS
3, LENDING INSTITUTION
M~I'LING~D~R ESS
4. REALTOR/AGENT
MAIL NG ADDRESS
PHONE '
I~HONE
-~.' LEGAL DESCRIPTION
STREET LOC~TIuN
6, TYPE OF RESIDENCE NUMBER OF,BEDROOMS
-'~-~ SING LE FAMILY E~ One [] Four
E~ Two ~l-~ .pive
~_ MULTIPLE FAMILY E~ Three ~]~'"S ix
Other
'~ INDIVIDUAL*
[] COMMUNITY
E] PUBLIC UT LITY
ATTACH WELl. LOG. A well log is required for aH wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8, SEWAGE DISPOSAL SYSTEM
[~ NDI VIDUAL/ON'SITE~'' Iq-~ ~ YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UT[ LITY
N~)TE: THE INSPECTION FEE MUSl" ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev, 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
I. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] 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 or [] Holding Tank
Size: If Tank is homemade
give dimensions;
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
MATERIAL
Septic/Holding Tank Absorption Area Sewer Line
INearest Lot Line
5, COMMENTS
DATE
DISAPPROVED
APPROVED FOR BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
72-010 (Rev. 6/79)
Ap~-il 9, J98!
9210 ,Jupit:or Di'~vo
') 9 5 0 ?
add e d.
!to be six(6) .
Ftc'ed [o ) .
already iu I)lac',:',
office ~rom thc~ Che;u 1,31