HomeMy WebLinkAboutMCKINLEY HEIGHTS #2 BLK 2 LT 3Onsite File
t p"
..........
GRE' I R ANCHORAGE AREA BoRJ JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~tk~.(t~¢-~-' k~k.g...~V~ LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE ~
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY !-2,A~ GALLONS.
TILE DRAIN FIELD: _
DISTANCE FROM WELL VAA-~, FOUNDATION
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA J~l/')~ SQ. FT.
DEPTH: TOP OF TILE TO FINISH GRADE J"~/~
NEAREST LOT LINE
TOTAL LENGTH
OF LI NEt~,
TRENCH WIDTH~/~' IN. TOTAL EFFECTIVE
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE__
ABOVE TILE z'p/' IN.
WELL:
TYPE
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE __,
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE__
REMARKS
DEPTH
SEPTIC SEEPAGE
TANK . SYSTEM
DISTANCE FROM:
DISTANCES: --
SEWER LINE DEPTH:
PIPE MATERIAL: 2{~-~2F
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
Form LQ-032
F%F;;'.i"I I T
RF:'F% t CFff-,Ff' ., I I=., I=
FiT '[ "iq RI:::I~I NEJOI,.I C I I:;~'.CLE
F::t L.
I',F'F:'Fq:;'""h'E q'l"' .'" F''= HEJ::~[~]~'" 4' RI'.,IE:, EN',,,'.. ~ ~' .3N '" E F, T :~ _ I:::'R :ITE :;1' ]; ON .
~..~i k::=.. ~.-. ~ ...... E=::~ ~"~ E::~ b ~"-~ .... .==:,, ::E -'E". ~E:c; ~::~.. ~..~..~ ~E~:= ~:=~: . F::~ E~: F:~ ~'~'~ % '"E
........ E:ETklEE:~',I THE OUTF'FIL_L F'
3F THE L,.IEL. L COHF'L.E:'F ZON.
:5 t EiNE[::,: ............
FIF'F'L II :E;13 N
'~ , MUNICIPALITY OF ANCHORAGE . Stection
Departme~C of Health and EnviroDmental 1
Performed for__
Legal Description
0
4
10
12
14
SOILS LOG
p~n~mT~ TEST
Steven Johnson .Date Performed__8/12/76 __
Lot 3, Block 2, Mt. McKinley Heights Subdivision ~2
Red-brown, silty sand with some gravel (SM)
Perc rate = 250 ft.2/bdrm.
Red-brown, sandy well-g~aded gravel GW)
Perc rate = 85 ft. /bdrm.
16
20
Total Depth = 18 feet
No water table encountered.
AVERAGE PERC RATE FROM SOILS LOG = 130 ft.2/bdrm-
Date
Net Time
Percolation Rate
Performed Bye,.
Depth
minutA
Net Drop
NORTHWEST EXPLORATION SERVICES, INC.
by¸
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION {- o F b
DATE-Started_ ~/'~ 7/7(o
PERMIT NUMBER _ 7 (~ ~ ~ ~
Ended ~/? o /7~
DEPTH OF wELL ~ o o /
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR / ~c~
KIND OF CASING (o 3 ~ O
KIND OF FORMATION:
From ('~) Ft. to /
From /~' Ft. to
From .~0 .Ft.t~
From ,-? ~O Ft. to
From~7:).(-~-~ Ft. to ~)~'O
From. O~b Ft. to
From ~])q,,I Ft. to
From C6o Ft. to.
From -~'~ O Ft. to. ~ ";
From__ Ft. to
From Ft. to_
From_--Ft. to
From Ft. to
From--.Ft. to_
From __ Ft. to_
From __ Ft. to_
From_ .Ft. to
Ft..~-/¢~,O d,~/4o.~'~, ~*'/~c9c~O,:-:&:ff From Ft. to
._ Ft. ~L~ ~G/. ~./~,~a~From~Ft. to
Ft. L~D~oc/4 ~/~ From Ft. to_
Ft. /~L;~oC ~ ~o KE~ From__Ft. to
Ft. 1~b~o<4~ goZ~O From Ft. to
Ft. /3~d~&~ t~j~ ' 5c~ Frmn Ft. to
Ft. ~ t{~ffo C q .qoOO From Ft. to__
__Ft. ~ogl~ From.~.Ft. to
Ft.. From__.Ft. to
Ft. From. Ft. to
Ft.. From--Ft. to
Ft. From Ft. to
Ft. From Ft. to
Ft. From Ft. to
Ft. From Ft. to
Ft._ From Ft. to
Ft
_Ft.
Ft.
Ft.
Ft
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft,
Ft.
Ft.
_Ft.
MISCL. INFORMATION:
DRILLER'S NAME ! {r..~- ,3
-
' D/~T '~ RECEIVED
INSPECTION APPOINTMENTS
TIME / ,~ , ?, TIME / l! TIME
DATE , DATE~ "/' /,, ~ :%?" : DATE
INSPECTOR :", ~' ' INSPECTOR ~ INSPECTOR
~UNICIPALI~ OF ANCHORAGE
MUNICIPALITY O~ A~OHORA6E DEPt. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIPNVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMEBTAL SANITATIOB DIVISION M~ 2 1981
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1, PROPERTY OWNER~ PHONE
PROP~TY RESIDENT (If different ¢rom'~ove)" PHONE
2. BUyeR PHONE
MAI kING ADDRESS
3. LENDING INSTITUTION t PHONE
MAILING ADDRESS
MAltinG AD~SS/~
STREET L~,~CATION ~ _
6. TYPE O~F RESIDENCE
,J~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One J~ Four
[] Two [] Five
[] Three [] Six
E] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
YEAR ON-SITE SYSTEM WAS INSTALLED.,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72 010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESII)ENCE NUMBER OF BEDROOMS
~/';ING LE FAMILY [] ONE [] THREE [~] FIVE E~ OTHER
[] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX
PERMIT NUMBER
2. WAT/ER SUPPLY
L~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[~] PUBLIC UTILITY
Connection Verified -~.OG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~I~DIVlDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILI'TY
Connection Verified iNSTALLER .....
[]'Septic Tank or ~ Holding Tank
S ze: If Tank is homemade -~OILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwi:LL TO: Septic/Holding Tank 1Absorption Area_ [Sewer Line I Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~-~' APPROV ED FOR 4- BEDROOMS
E~ CONDITIONAL APPROVAL (letter must accompany cer~ific~e)
[] DISAPPROVED
DATE BY z/' ' t~./~
72-010 {Rev. 6/79)