HomeMy WebLinkAboutMOUNTAIN MANOR BLK 3 LT 1
GRE,.,,,.R ANCHORAGE AREA BOL...,GH
Department of Environmental Quslity
3330 C Street
Anchorage, AIssk8 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH_ INSIDE WIDTH LIQUID DEPTH
~DRAIN FIELD:
.~t_'~U M BE R OF
OMPARTMENTS ~
LIQUID CAPACITY ALLONS.
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPTION AREA_ ,,.~--(..,~ 0
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT.
.3
/ / /'
NEAREST LOT LINE 7. ~ TOTALoF LINEsLENGTH~:~:~'
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE IN. ABOVE TILE __IN.
TOTAL EFFECTIVE
BUILDING
FOUNDATION
CESSPOOL
APPROVED _
NST RUCTION_
NEAREST NEAREST
LOT LINE SEWER LINE_
OTHER SOURCES
DISAPPROVED
DEPTH
SEPTIC SEEPAGE
TANK SYSTEM
__REMARKS
DISTANCE FROM:
SEWER LINE DEPTH:
PIPE MATERIAL: ~lt~.~
LOT SLOPE:
DIAGRAM OF SYSTEM
iii:;i:ii;i iE:'l) ?',". ~
O 8 E GED
Russe# Oyster
694-2774
Soils ~ Foundations
Performed for:
Legal Description: Z. or/'~ ~z~-.->'~
Depth (feet)
0
I 0/'
;HNICAL ~- DEVEL
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
MENT CO.
Earl Ellis
688-2280
Land Development
7
10
11
12,
1%____
16
Ground Water Encountered: Yes No__
Proposed Installation: Seepage Pit__
Comments: ~/~
~ If yes, what depth
Drain Field
'x, 0 ~,
Z
Thls well is prcxJucing . , gellons of water per ho~r,
MOON DRILLING
~ BOX ~4, ~O~AID I~.
TILIPHO~ 74~dl071
INVOI¢~
,Set pump (~
INVOICE NO ..........
DA?E
¥O/JR P, O, NUMB~
TERM8
Lot,., ,~ .... ~Ik .... S~'~:';: WELL LOG
FORMATION DIPTH DEPTH
I~ FT, OASIN FORMATION CASlN FORMATION
10B '
..... l~ mum ....
.... t~,,
, , ,
111 ~11 ' ,
114 ' ~14
~,, ~/, tl~' ~17 ' ' '
#1: Time
Date
Insp
MUNICIPALITY OF ANCHORAG~
DEPARTM OF HEALTH AND ENVIRONMEI PROTECTION
825 L Street, Anchorage, Alaska 99501
264-4720
Date Received: February 16, 1978
9:30 a.m. #2: Time #3: Time
2-16-77 Friday Date
Date
Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Peoples Bank and Trust
Mailing Address: Pouch 7-D07
99510 Phone:
279-7511
694-9465
376-5925
2. Property Owner: John Thomas/Harry Davis
Mailing Address: Post Office Box 88 99577
Phone:
3. Legal Description: Lot 1 Block 3 Mountain Manor Subdivision
4: Single Family Residence: (
Multiple Family Residence:
Number of Bedrooms: Three
Number of Bedrooms:
Well System:
Permit #
Construction
Individual well ~ Community/Public System ( 1
Depth of Well 278' Well Log on File
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (4 Public Utility ( )
Installed 1977 Installer
Manufacturer
Soils Rate Material
o
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Block 3 Mountain M~nor Subdivision
Comments:
Affadavit Attached
Approved: .~._
Disapproved:
Department Worksheet:
Letter Attached: ( )
Date:
Date:
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