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HomeMy WebLinkAboutT15N R2W SEC 25 Lot 133 GRE/'~?.R ANCHORAGE AREA BOP"~'JGH Department ;~3E0n~:irs~er~ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE / FROM WELL //(~I MANUFACTURER INSIDE LENGTH INSIDE WIDTH /__~.~/dZg~/~ NUMBER OF MATERIAL /~/~'/~' COMPARTMENTS / z/' LIQUID DEPTH LIQUID CAPACITY ~)G'/~./ GALLONS. SEEPAGE PIT: NUMBER OFP,TS / D,AMETER OR W,DTH /~ "EN~-~/~'OEPT. ' LINING MATERIAL ~-~ CRIB SIZE: DIAMETER ~ DEPTH DISTANCE FRQM: BUILDING FOUNDATION 2F NEAREST LOT LINE , ABSORPTION AREA (WALL AREA) WELL SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION_ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE /]/~! TANK //~/ SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: '~ REMARKS: Form NO. ED~031 GREAT[TR ANC:HORAGE AREA BOROUGH SEWAGE DISPOSAL. SYSTEM -- APPLICATION AND INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK -- TYPE AND SIZE OF FACILITY TO BE SERVED SOIL TEST RESULTS COMPLETION DATE ANTICIPATED p_F_I~LT_~JJJi_~ F YEAR 5 f~. FOUNDATION TO SEEPAGE piT 20 ft. DRAiN FiELd ]~ ft' SEPTIC TANK, 25 rte SEEPAGE PIT ]00 ~te DRA]N FIELD 50 ft~ . C I roqufJ'Od u) ....... II ......... {CRIB 4' li!El~u)l ~60~'E WATER GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 erformed For ~'~'~f~J ~t?/~ Dated Performed ~h//~3 Legal Description: Lot /,'~__B-t~-k~ye~m~-Subdivision J/~-/~) ~' This Form Reports Soils Log t Percolation Test__ Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 5-- 6-- / 8- / - lO-- 13~ Was Ground Water Encountered.* If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop I Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet Depth to Bottom of Drain Field Pit O~ Trench Test Performed BY /~d~.~ ~ ~ Date Certified BY: Date: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 9/4/74 Time of Inspection lO:30am Date of Inspection 9/5/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Farmers Home Administration 1. Approval requested by: Richard Burke Mailing Address: Box 510 Eaale River 2. Property Owner: SAME o 4. 5. 6. Phone: Phone: Mailing Address: Legal Description: Lot Location: Near N_ end l nw~ Type of facility to be inspected Well Data: A. Type Drilled C. Construction Sewage Disposal System: A. Installed 1973 C. Septic Tank: D. Seepage Pit: E. Disposal Field: Total Distances: A. Well to: Single No. of bedrooms 1 B. Depth 225' D. Bacterial Analysis Satisfactory B. Installer Berg 1. Size 844 qal 2. Manufacturer Self 1. Absorption Area 15xlSx6 2. Material length of lines Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line lng 116' , Absorption area 136' , Other contamination 10' , Absorption area ., Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~_~st for Approval of Individual . .~er & Water Facilities Legal Description ~/~ ~-~4~m~) ~ ~>v~t Comments 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 ~ccurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ,M-W DRILLING, INC. Well Owner. DRILLING LOG Location I~ddr~ss of: To~wns~ip, Range, Section~ if known; or distance ..;tl!.~l: . ) ..., , ~ I. J ..~,.', , .L.Z:[ J',~UNICIPAI.IT¥ OF ANCHO!',:,G3 D~PI', O I I~AI[H & ~NVI/el' , ..... , _Use of Well'-'o:']. main road Size of casing 'J '~ .Depth of Hole Z ~ ~ feet Cased to t' '~ · '~ feet Static water level (' © ft. (above) (below) land surface. Finish of well (check one) Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at .I/~ gallons per (~ (minute) for ]~ hours with of drawdown from static level. Date of completion b / 7. 9 / / '/ open end ( ); ft. WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ? TO_ ~ (Ja~-~ _-i~?., . .-* .. ~ ;i TO /' TO _TO /,, '7 TO _TO _TO _TO _TO _TO _TO _TO. _TO. .TO. (-n: u. y s ~ FI ..... .// NWWA Certified Conh:actor 2 ~ STATE