HomeMy WebLinkAboutPETERS CREEK BLK 1 LT 2
oGREA
ANCHORAGE AREA BORr
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS fO ~DVIH~CPe(~, (~'/ PHONE
LEGAL DESCRIPTION ~
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER /¢~t CS
INSIDE WIDTH
MATERIAL ~ -~'~' COMPARTMENTS '2-
LIQUID DEPTH __LIQUID CAPACITY ~_~"Z.~O GALLONS.
SEEPAGE tlil¢l~: ~-Y~tctt
NUMBER OF PITS I DIAMETER l&y OR WIDTH ~l
LINING MATERIAL ¢OC(< CRIB SIZE: DIAMETER
BUILDING FOUNDATION__, NEAREST LOT LINE__
ADDITIONAL ABSORPTION
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION
CONSTRUCTION
NEAREST
LOT LINF~
CESSPOOL
, OTHER SOURCES
APPROVED
DISAPPROVED
DISTANCE FROM:
NEAREST
SEWER LINE
SEPTIC q~! SEEPAGE
, TANK__, SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: ~ f~ ~ V'~¢~ Of
Form No. EQ~031
DIAGRAM OF SYSTEM
DATE
0 8- E GEOTECHNICAL 8- DEVELOPMENT CO.
Russell Oyster
694-2774
Soils ~ Foundations
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
688-2280
Land Development
$.0IL LOG
Performed for: Name: D/]~/ ~-z~/~/-/T
Tel. No.
Hatltng Address:
'Legal Description: Z~/~ /. /-~ Z. /~Tz~zJ ~__~-/~
Depth (feet) Sotl Characteristics
0
3
4
5
6
/
/
7
8
9
10
11
12
Ground Water Encountered: Yes No ~ If yes, wh~t depth
Proposed Installation: Seepage Ptt ~ Drain Fte3d
Comments: ~ ~/z~_.~ ~ ~~/~ ~z~ ~~-~.~
Perfon~ed by:
?
