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