HomeMy WebLinkAboutKNIK HEIGHTS BLK E LT 6
GRE,,.,.ER ANCHORAGE AREA BOk,.,dGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska g9503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ,~/ ¥.
FROM WELL//~/0/ ! ~
INSIDE LENGTH __ __
MANUFACTURER .~--~
INSIDE WIDTH
~? NUMBER OF
MATERIAL COMPARTMENTS
LIQUID DEPTH
LIQUID CAPAC TY/~''~'(~ GALLONS,
TILE DRAIN FIELD:
4~7 / ' ~/-- OF LINES
DISTANCE FROM WELL {/'I/ FOUNDATION__ 0 j- NEAREST LOT LINE//O / TOTAL LENGTH ~,~E/
NUMBER OF LINES _/ DISTANCE BETWEEN LINES __/~////~-- TRENCH WlDTH~IN. TOTAL EFFECTIVE
ABSORPTION AREA ~¢O SQ. FT. LENGTH OF EACH LINE ~/
/ DEPTH OF FILTER ~ ~
DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE ~ .~, ABOVE TILE IN.
WELL:
TYPE ~-~'P /' /\/' CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE_ __ SEWER LINE , TANK , SYSTEM
CFSSPOOL__ , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTAL_LED BY:
PIPE MATERIAL:
LOT SLOPE: ~
REMARKS: ~zoO>
Form EQ-032
DIAGRAM OF SYSTI~M
G,A.A.B. ~ ....
WATER WELL LOG
FOSS DRILLING
1336 Ir~ra Street
Anchorage, A/aska 99501
SIZE OF CA~ING~" DEPTH OF HOLE/~9~T. CASED TO / ~/~)
STATIC WATER LEVEL. X~ FT. YIEIDL 7 GAL.PER.MIN. WIT}{
FEET OF DRAWDOWN.
REMARKS ....
DATE COMPLETED._
~_t O__
____t o~
~t O__
_____t o__
__..% O__
___t o__
/F)
;i!t ;::'::i:~ .-~!t t::,;:t.. :!..
:::i: ,:!. ,:!.... ',:ii', [!ii;. ::::
Performed For
Lenal qescriotion: Lot 6 Block E
This Form Renorts Soils Loq yes
"0~ t. est is u~orth ~ ~housand nFi.~o.~"
220~ Cleveland Anchorage, Alaska 99503
Glacier Excavatinq Date Perf0rmed__~/3~_77
Subdivision KnJk ~j~__
Percolation Test
nenth
~eetr · Soil Characteristics
~ ~']~ . -- ................
........ 7 ........ .[:_, '-r~eTd ]c!'~]~l/Z_-~. -t%t-~Z--'i_7_ - TZ--
~4- Silty Sand with occasional
Gravel
Clean Sandy Gravel
10--- [100 Sq Ft/Bedroom]
~12 ---
Slightl. y Silty Sandy Gravel
14-- [150 Sq Ft/Bedroom]
16--- Bottom of Test Hole
20---
Was C. round Water Encountered? No ~e?Om
I¢ Yes, At what Denth? ................ l-.--J _J--J--3--
t__t__ I __1 .......
Grnss Time Net Time Denth to H20 Net Dronj
Percolation Rate Minute
Prnnosed Inst~-~]"~'~%: Seeoaae Pit Drain Field
Oeoth of Inlet .................... Depth To Bottom Of Pit Or Trench
Cn~ENTS: .;LP~_~.~a_r~_~_a~ ~r_~e a~ reSui~ed ~:r he~>~._Zrn~n 1ZL ft'
150 S~ua~e ~eet ~=a~a~e a~ea re~i=ed ~e~ bedroom ~om -1~ to 15 ft,
Test Performed By_ .~~ ~ Data Certified BycoNs~UCTZON ~SS~ L~
David Paul Da te: ..... ~Z77
Readinq Date
/Q-~, ~UNICIPALITY OF ANCHORAGE
//~!~,~ DEPARTMENT ,: HEALTH AND/ENylIR~N~NTAI 'ROTECTION
[[~~tl 825 L StreeB, Anc~~Alaska r 99501
. 0.~ [~ ~c~' ~l.q~ .~tl~ L~~ D~ffRec~ed: October 19,
' W .,-- ' '
Date /~-.q~-~ 7 ~a~ Date Date
Insp ~ ,~ A ~,JQ Insp Insp
1977
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending InstJ. tution Request: Alaska Mutual Savings Bank
Mailing Address: Post Office Box 1120 99510 Phone: 274-3561
2. Property Owner: Elden Pederson
Mailing Address: Star Route A Box 1718X 99507
Phone: 344- 8638
3. Legal Description: Lot 6 Block E Knik Heights Subdivision
4:
Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Three
Well System:
Permit #
Construction
Individual Well (x)
Depth of Well
Community/Public System )
98' Well Log on File
Bacterial Analysis
Sewage Disposal System: On-site System (x) Public Utility
Permit ~ 77~9~,~ Installed 1977_ Installer ~.~ _
Sep~ic Tank Size /~2 Manufacturer ~eal/~
Absorption Area '~3 Soils Rate /~O Mat
Distances: Well to Septic Tank /Od)l"/--- to Absorption Area /Od'~//
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line /~ /
UNICIPALITY OF ANCHORAGE
,//~-~ l)epartment of Health and Environmental Protection
//~&~'\ 825 L Street, Anchorage, Alaska 99501
264--4 2o
~" -==~ 1 e er and Water
ues't for Approval of Individua S_w _ Facilities
Property Owner:
Maili=g Address:
Mailing Address: _..i~__Y_~P__ .
Phone:
3. Lending Institution:
Mailing Address:
Phone:
4. Rea]_tor/Agent:
Mailing Ad_h. ~ oo.
Legal Description:
Phone:
Street Location: _~i-~_'[mA
Single ]?amily Residence:
Multiple £amily Residence:
Number of Bedrooms:
( ) Number ef Bedrooms:
Water Supply: *Individual Well ~
If Individual Wel]., well depth _J~'
If Con,reunify System, name of system
Public/Community System (
Sewage Disposal System: On-site System ~ Public System ( )
/-
If On-site System, date of .installation: ___~ // / 7~
*NOTE:
A well log J_s required on ALL wells drilled since 6/75.
If on-site sewer system is over two(2) years old, an adequacy
test is required by this department.
A fee of $25.00 must accompany each request befere precessing
can be in:i_tJated.
3/77
Page Two
Department of Health and Enw[ronmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 6 B1o¢k E Knik Heights Subdivision
Comments:
Af fadavit Attached
Disapproved:
Letter Attached: ( )
Date:
Date:
Department Worksheet: