HomeMy WebLinkAboutPETERS CREEK BLK 4 LT 2
GREA._R ANCHORAGE AREA BOR ..,GH
Department of Environmental QusliW
3330 C Street
Anchorsge, Alaska gU503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL /~-'~ MANUFACTURER
MATERIAL f/P/ ~ ~-/' (~
NUMBER OF
COMPARTMENTS
INSIDE LENGTH ~'/~ / INSIDE WIDTH ~" LIQUID DEPTH
LIQUID CAPACITY/¢~/-) GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPTION AREA A F~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE ~'~ Y // DEPTH OF FILTER
MATERIAL BENEATH TILE
.NEAREST LOT LINE
TRENCH WIDTH3~
TOTAL LENGTH
OF LINES ~'~
IN. TOTAL EFFECTIVE
IN. ABOVE TILE ~ IN.
WELL: /
TYPE D /~'7/~" CONSTRUCTION
BUILDING NEAREST ? NEAREST SEPTIC .
FOUNDATION LOT LINE_ , SEWER LINE__, TANK /~/O
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH DISTANCE FROM:
SEEPAGE
, SYSTEM // ~ 0
DISTANCES:
INSTALLED BY: ~V'~'
SEWER LINE DEPTH:
PIPE MATERIAL' ~"/~"i~' '~ ~//~"~'""'(~
LOT SLOPE:
REMARKS:
Form LQ-032
DIAGRAM OF SYSTEM
DATE
PERMIT NO.
t4LIt~ IlZ I F ~L-IT~' OF At~I[:H RRGE
DEPARTMENT 6. HEALTH AND ENVIRONMENTAL F,.OTECTION
2510 E. TUDOR RD. ~ ANCHORRGE~ AK. 99507
276-2221
[4ELL RNB, O[4--SZTE SE~-iEF: F'E~:£'I IT
76174 )
tPPLICANT
.OCATION
.EGRL
BILL WHITE 4047 JAMES DR RNCHORRGE 99504 274-4864
L2 B4 PETERS CREEK SUBDIVISION LOT SIZE 10500 SQUARE FEET
FYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
IAXIMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR>= 85
FHE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:, E F~ T H= '?. 5 LENGTH= 26 GRRk-'EL B, EPTH= -"$
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINF'IELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE E×CRVRTION (IN FEET).
REQU I RED SEPT I 6 TRFIK $ I ZE= i000 6RLL~2~l'-,l_c;
::RCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THI_~
)EPARTMENT WILL BE SUBJECT TO PROSECUTION.
tINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS
L00 FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL.
4ELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS
]F THE WELL COMPLETION.
~PECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
F'ERFI I T VRL I D, FOR E~NE YERR FROF1 I SSLIE
[ CERTIFY THAT
L: I 8M FRMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS AS SET
=ORTH BY THE MUNICIPALITY OF ANCHORAGE.
~: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEHENT IF THE
~ES I DENCE I S REMODEL~ T~O I~...._NCLUDE
APPLICANT BILL WHITE
ISSUED
MORE THAN ~ BEDROOMS.
b ....... DATE_~_
OErE
GEO'~ _CHNI CAL Er DEVELL, 2MENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774 S0IL LO,G.
Soils ~t Foundations
Perfomed for: Name: ~'~, "~- ,~ ~-'~
Matltng Add~ess: '~~ ~
Legal Description: ~ ~ ~~ ~
CO.
Earl Ellis
688-2280
Land Development
Tel. No. /,,~' F...~c,I ~
Depth (feet)
0
SO_~l__~hara~teri
]6
Ground Water Encountered: Yes ........ No If yes, whmt depth___.___
Proposed Installation: Seepage Pit______Drain Field_____.
·
08"E
Russell Ovster
694-2774
Soils Et Foundations
GEO'i _CHNICAL 8' DEVELL.?MENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Performed for: Name:
Hatltng
Description:
(feet)
Legal
Depth
0
2
3
8
~_0~
15
SOIL LOG
Address:
Tel. No,
Soll ;h~r~cterlstlc~
CO.
Ead Ellis
688-2280
Land Development
Ground Water Encountered: Yes
Proposed Installation: Seepage Ptt
Comments:
No
If yes, what depth
Drain Fie~d
Performed by: Date:
~ o~,~~'r'~
MUNICIPALITY OF ANCHORAGE
JUL 9 1976
RECE:iVED
BOX97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND
ADDRESS '~~,~?~)
LEGAL DESCRI~IO~ ~~-~ --
DATE-Started ~-7'~ Ended ~~~,
PE~IT NUMBER
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. /~P '
ALS. PERHR
KIND OF CASING
KIND OF FORMATION:
From /~ Ft. to
From~ /
From ~3 Ft. to
From_ ~Ft. to /[~Ft._.
From~ 0 Ft. to Ft.
From ,, Ft. to '. Ft.
From Ft. to .... Ft.
From ..... Ft. to__Ft.
From .Ft. to__Ft.-
FromFt. to __Ft.
From ..... Ft. to .... Ft.
From Ft. to ....... Ft.
From _Ft. to __Ft.
From ........... Ft, to
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 .
From Ft. to : Fl
From Ft. to
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,
MISCL. INFORMATION:
t.,,~. ~! ,tO
DRILLER'S ~AMEO~-.
4.1
~r~ll plaasa ~1 us a~ 276-2121~ ax~eas£o~ 2~3 Or
