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Home My WebLink AboutT15N R1W SEC 19 LT 28Sst Iq 28 GRF--- R ANCHORAGE AREA BOP ' $H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~r~ll~: ~'~.AI4~ MAILING ADDRESS PHONE LOCATION ~'l.~ll4'~ ~'r¢¢..'~"1" LEGALDESCRIPTION~T Z~ ~¢r /~ T¢/~/~//~/~ SEPTIC TANK: DISTANCE FROM WELL [~ INSIDE LENGTH MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER 7~1 I, /7,1 OR WIDTH /¢ LENGTH DEPTH ~' LINING MATERIAL ~//~-~ CRIB SIZE: DIAMETER ¢~ DEPTH ~¢ DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION ~0I, NEAREST LOT LINE~OI ABSORPTION AREA (WALL AREA) WELL SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~'~'~'~'~'~ CONSTRUCTION ~T~z~ ~) DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION~~1~ LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED. REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: lOt SLOPE: ¢'f'd'/¢ REMARKS: Form NO. EQ-031 DIAGRAM Of SYSTEM APPROV ~/~'~-/ ~~G.A.A.B. 1 1 13-- 14-- Performed For GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAl QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Legal Description: Lot~ This Form Reports Soils Log ~ - Soil Test Must Be Logged To 4' Depth Feet Soil Characteristlc~ Dated Performed Block;~&~,/?~_Subdivision_~/y; Z~¢-~. Percolation Test Below Proposed Seepage System - Was Ground Water Encountered?_j~(~)_ If Yes, At What Depth? .Il /i J i I Drop Reading Date Gross Time i Net Time Depth to H2(1 Net i I Percolation Rate Minute Proposed Installation: Seepag( Pit Drain Field Depth of Inlet ..................... Depth to Bottom o~--Pit Or Trench COMt%NTS: ~ ' - · · Test Performed BY Dale GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For ~c r~ ~/~ Legal Description: Lot ~ Block This Form Reports Soils Log ~ - Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics 2 4w 5-- 6-- 7-- 8~ 9-- 10~ ll-- 12-- 13---- Case # Dated Performed Subdivision~e~ Iq '?-t$~ ~1~ Percolation Test Below Proposed Seepage System - Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of-Pit Or Trench ' COMMENTS: Test Performed BY ~-/~ ~-z~._ Date Certified BY: Date: APPLI( NT FILLS OUT UPPER HAL, ~ONLY Pr~2eriyow~r ~, ~//~/"~Z/.---'._~ ~;~ ~ ~/~J~- ~ ~/~O~ Phone BuYer Address Zip Code Lendinglnstitutio. /~ ~nT/o~n~ ~n'~'~ o~ ~/~/~- ~/~~ Phone Address ~/~ ~ ,~ ~c ~r ZiP Code Legal Descript~n ~ ~ ~c /~ ~ /~ ~ ~ ~ I~dividual Year Individual Installed: Date Date Date Date Inspector Inspector inspector Inspector NIUNICIPALITY OF ANCHORAGE Field Notes:~J ~ ~ DFPT ENVIRONh',~F~AL :.,O. ~C~ION 0~T 1 2 1982 R[CEIVfiD DATE ~: ~t ./ Soils RatingDate ~wer Installed Well To Absorption Area Well Log Received G - q ~ w~, to Ta.~ S.p~o ~ Size / 72-023 (3182) /~"1 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C' Street, Anchorage, Alaska 99502 274-4561 Date Received 6/18/74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Bernard Claus Mailing Address: Phone: 2. Property Owner: SAME Phone: Mailing Address: 4. 5. 6. 11:00 am 6/20/74 o 344-7714 Legal Description: Lot 28, Sec 19~ T15N, R1W SM Location: Klondike Street of Birchwood Loop Road Sou~h Type of facility to be inspected Sinqle No. of bedrooms Well Data: A. Type Drilled C. Construction Standard Sewage Disposal System: B. Depth 63' D. Bacterial Analysis ~a~iK¢~c~o~ A. Installed 1973 B. Installer Mam~ltnn C. Septic Tank: 1. Size lOON galls 2. Manufacturer H~mi!ton D. Seepage Pit: 1. Absorption Area 2. Material Concrete E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 100' , Absorption area 121' , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req~C for Approval of Individual ~ . ,~ & Water Facilities Leg~ Description Comments Appro~ ~.~-Z_X~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)