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HomeMy WebLinkAboutMAJESTIC VALLEY ESTATES BLK 3 LT 10GRE , 'ER ANCHORAGE AREA BOk UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska ggs03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE / FROM WELL /~ INSIDE LENGTH -'~- MANUFACTURER ~ 'g~'(~"/'Z~ M A T E R I A L ~T~ ~(~---' INSIDE WIDTH LIQUID DEPTH NUMBER OF ~.~ COMPARTMENTS LIQUID CAPACITY/~¢]~'~ GALLONS. DISTANCE FROM WELL FOUNDATION NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA__V~ DEPTH NEAREST LO]-LINE C~~ /oFTOTALLINEsLENGTH'~) -- TRENCH WIDTt~I') IN. TOTAL EFFECTIVE SO, FT. LENGTH OF EACH LINE ,~,~ Y / TOP OF TILE TO FINISH GRADE~''~ / DEPTH OF FILTER J/Z'~ / </ MATERIAL BENEATH 'FILE IN. ABOVE TILE__ __IN. WELL: _ TYPE BUILDING FOUNDATION CONSTRUCTION ~/~/)/-6¢'f~'~:~-~ DEPTH NEAREST NEAREST __ SEPTIC ~, ,/ SEEPAGE LOT LINE~, SEWER LIN~ _ TANK /~0 , SYSTEM DISTANCE FROM: /,:¢,,¢ '-/- CESSPOOL _ APPROVED OTHER SOURCES DISAPPROVED INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form LQ-032 DIAGRAM OF SYSTEM DATE "7'',_4--" ?FPROVE G.A.A.B. ( [ EF HR1 lIEN I .4= I--IEFILTH FINE> Ei'-,tV ]: P::ONI'"IEIqTFIL ..'ROTE ":T I ). ,:.~: .... I..' STF.'.EE"F., lan ] H :'IF'FIG[' FII<. ;::~ 7:~-25:]..:1. F'EF.:M I T' NO. ,:: 77:1.00 > · AI::'PL 17 CAI'.IT GARY F:'OGFIN'.r' BOX Z-::2::'i: E.R. C-;Ei:8-.;.2SS 0 ~/~'. I....0 CFI T 101'.,t =,F F..IJ ..,E LIE£~iFIL L:.'LO B~: HflJESI'IC ',,,'FII_I_EY SUE:[:, L. OT SIZE ,::t.i!~:~7',¢1. St'.:)IJI::IF.'.F}[ FEEi:T T'.r'PF: OF SOIL FIBSOR.F.:TtON SYS]"EH IS: "f'F.'.EIqCH MFIXIMIJM NUMBER OF BE['.:,ROOMS SOIl_ RFITINL'ii ,::'.SO F"I'/BR>=~ ::1..00 'THE RE[.:¢JlF.'.ED SIZE[ OF THE SOIL FIE:SOF.:P'f'ION SYSTEM IS: THE I_ENOTH b IMENS I ON I S TNE LENGTFI ':: I N FEET ) OE;' TI'YE TF.:ENC:I-I O1:~: [."RI::~ ]: I'.,!F"I: EI..C,. 'El'YE DEF'TH OF FI TRENCH OR PIT ZS TI'YE DZSTFINCE BETI.41EEN THE St..II~4:F:'RE:E OE:' THE GF.:OUND FIND THE BOTTOM OF THE EXCFI","FITION ':.'IN FEIET::,. 'f'HERE ]:.S NO SET WI©TH FOF.'. TRENCHES. TIdE GRAVEl~ DEPTH IS ']'HE MINIMIJM [:,EF'TH OF CiF.:'.F¢,,,'EL BET14EEI",t THE OUTI::'RI_t.... E:'IPIE FIND THE DOTTOM OF' THE EY, CFIVFtTION '::IN FEET>>>>. : ; BFICKF']:L.LINCi OF FINY SYSTEM NITHOUT F INFIL ]:NSPEC:T ION FINE> FIPI::'F.'.OVRI.. FlY '`['HIS C, EF'FIF.:TMENT NILL BE St..IB..TECT TO F'ROSECUTII.3N. I"IlNiMUH [:,IS]"~NCE BETWEEN FI I.,.IELL. FIND ANY ON-SITE SEWRGE DISF'OSFtL. S'¢S'TEM IS ':L00 FEE'}' FOR R PRIVFI'rE I.,]E:I..L OF.'. 200 FEET FOR Fl F:'I.JEd...IC !,!IEI_L. 1.4ELL LOGS FIRE RE(;'&JIR. ED fiN[..', HUST DF: RETUF.'.'NE:D TO OF' "t"HE: WELL COMPLETION. SF'IEF: I F I CFIT IONS FII'..I[> ]:ONS]"F.'IJf_":T ]' 01'.,t [:, I F:I :~F.'FII"I'E; FIRE FI',,,'FI I I...FII~?,EE TO I I",IS:;UI;.':E .F [ . F I: I: I N'.2;TFIL. I_R"f' I ON. I CER'f'IF'Y THFIT :L: I lam FFIf'IlI_IRR WITH TNE REQIJIREMENTS FOF.: ON-.SI'I-E SEI,]ERS F~I'.~[:, 1.4E:I_I_S ElS SET FOF.Sf'H BY THE MUNICIPFIL. ITY OF' FIN[::HORRGE. 2: I WILL INSTFtI_L TI. YE SYSTEM IN FICCORE:,FINCE I.,.IITH "['HE:: CODES. S: I UNDERS]"RND THFtT THE ON-S]:TE SEWER SYS]"EM HRY I;;:EQIJl'RE EI'.41_FII;~GEHENT IF THE: RE'F..;'.[[>ENC:E IS REMODEl_E:[:, 3"O INCLUDE ME)F.'.E ]'HFIN :[-': E:EDF.'.OOMS. AF'PLI (ZRN'T ~.~R'Y ~.JGFtN'.r" ................................... ]: SSI..IE[':, BY .. :_..: .......... F..)FITIE.. .~:~ ....... ~ ...... 0 'ti O 8' E GEO' :CHNICAL ~ DEVEL PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils Et Foundations SOIL LOG Earl Ellis 688-2280 Land Development Performed for: Name: Tel. No. Matltng Address: Legal Description: Depth (feet) So~1 Characteristic~ 13 Ground Water [ncountered: Proposed Installation: Yes No Seepage Pit Comments: Performed by: Date: (ger ifiei ri[ling by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 ~, TELEPHONE 694-2588 OWNER OF LAND ADDRESS LEGAL DESCRIPTION d 4'/ DATE- Started ! / /,)?d / ! Ended PERMIT NUMBER ~/~,~///(3 DEPTIt OF WELL STATIC LEVEL OF WATER FT. / DRAW DOWN FT. / GALS. PER HR KIND OF CASING KIND OF FORMATION: From [ ) __Ft. to From ,~ Ft. to From ~&'.' Ft. to From /' / 5 ' Ft. to [ <?~[ Ft. '57/"~'¥) (-/d~,~/_:k :i?~-'~ '""'" ....... 7:"/fromm' From Ft. to Ft From From Ft. to Ft. From Frmn Ft. to Ft. From From Ft. to Ft. From From Ft. to Ft From From Ft. to Ft. From_ Frmn Ft. to Ft. From From __Ft. to FI, From From Ft. to Ft, From_ From Ft. to~ Ft. From From Ft. to Ft. From From __ Ft. to __Ft, Frmn Ft. lo Ft. FI, to__ Ft Ft. to.____ Ft. Ft. to__ Ft. Ft. to__ Ft Ft. to____ Ft Ft. to __Ft. Ft. to Ft. Ft. to__Ft. Ft. to Ft. Ft. to____Ft Ft. to Ft Ft. to Ft Ft. to__Ft __Ft. to Ft. __Ft. to Ft. Ft. to Ft, MISCL. INFORMATION: DRILLER'S NAME DEPARTME' 825 MUNICIPALITY OF ANCHORAGE OF HEALTH AND ENVIRONMEN~ L Street, Anchorage, Alaska 279-2511, ext. 224 or 225 Date Received: PROTECT I ON 99501 ,i~)~, ..:.;1 J'u~e 28, "1977 #3: Time Date In sp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7007 99510 Phone: 2. Property Owner: Charles/Pogany Development Phone: Mailing Address: Box 323 99577 688-2390 3. Legal Description: Lot 10 Block 3 Ma3estic Valley Subdivision 4: Single Family Residence: (~ Multiple Family Residence: ( ) Number of Bedrooms: three Number of Bedrooms: + Well System: Individual Well ,~ ) Community/Public System ( ) Permit # __7_7100 Depth of Well _~L~~ Well Log on File (~) Construction Bacteria]. Analysis Sewage Disposal[ System: Permit # 77100 Septic Tank Size Absorption Area On-site System ~x) Public Utility ( ) Manufacturer Soils Ra~e Material Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area TWO Dcparhl[ten~. of Ileal[th an(] I';tlvironllierrhal Prohect:ioI~ Request for Approva]_ of Individual Sewer and Water Facilities I, e g a 1 I~e s c r i p t i on: L_o..t__.l_p__B_l o c__k~..._~3__.~._aj_e~_s.t_..i._c__..V...a__l_l.~3_._.S..u~.b,.d~_i.v_!_s_i,.0n Cormnen f. s: A.ffadavit Attached: ( ) Lc. the.~ - ~r Attached: ( ) ])i. sapproved: ~ Date: Departnlent worksheet: MUN I C I PAL I TY OF ANCHORAGE ~uNi,c:!?,,,,,Lr~,' ~ Department of Health and Environmental Proteq~.cil~:~'. /~"~ 825 L Street, Anchorage, Alaska 9950~ ~Atl 279-2511, ext. 224, 225 , .... ~equest for Approval of Indiv~ual Sewer and Water Facilities Mailing Address: [~c>~ c5'~3 ~ -C- Phone: 2. Name of Buyer: ~~ ~ ~e ~{~ Mailing Address: 3. Lending Institution: Mailing Address: Phone: Phone: Se Realtor/Agent: Mailing Address: Legal Description: ~O~ ~O Street Location: ._L~-~ LOUt Phone: Single Family Residence: (~) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well ~) If Individual Well, well depth If Community System, name of system Public/Community System ( ) Sewage Disposal System: On-site System (~ Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALI, wells drilled since 6/7~ 3/77