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HomeMy WebLinkAboutKRYSTAL LT 26A NAME LOCATION FR AN£HORAGE AREA BOK ~ ~' ~ ',~,' Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE D SPOSAL SEPTIC TANK,: DISTANCE FROM WELL iNSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS, TILE I~)RAIN FIELD: DISTANCE FROM WELl_ NUMBER OF LINES ABSORPTION AREA DEPTH: FOUNDATION NEAREST LOT LINE TOTAL LENGTH OF LINES DISTANCE BETWEEN LINES _ TRENCH WIDTH___ IN. TOTAL EFFECTIVE TOP OF TILE TO FINISH GRADE sq. FT. LENGTH OF EACH LINE DEPTEI OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: CONST RUCTION DEPTH DISTANCE FROM: BUILDING ~ NEAREST '~ ~-'> / NEAREST FOUNDATION_q__, LOT LINE · SEWER LINE___ SEPTIC~'~z 'i' SEEPAGE , TANK ,~(-? SYSTEM_ CESSPOOL APPROVED DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: OTNER SOURCES DISAPPROVED .q LOT SLOPE: REMARKS: __REMARKS DIAGRAM OF SYSTEM DATE G.A.A.B. Form EQ-032 0 ~tE Russell Oyster 694-2774 Soils ~ Foundations GEOTECHNICAL 8- DEVELOPMENT Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Ear/Ellis 688-2280 Land Development SOIL LOG Perfonmed for: Legal Description: 0 10 11 12 Ground Water Encountered: Yes ~/' No If yes, what depth__~___~ Proposed Installation: Seepage Pit Comments: Drain Field Performed by: Date: DEPARTMENT ,J,- HERLTH RN[:, EI",IVIRONMEN'fRL , ,¢OTECTION 25t8 E. TL.I[:,OR RD., flNCHORRGE, BK. 99587 ( 76112 ) SR BOX 73.'.5 CHUG IRK RK LOT SIZE ,52800 SQLJRRE FEET MINIMUM DISTANCE BETWEEN fl WELt. ~tND RN¥ ON-SITE SEWRGE DISPOSflL S~SI'EM IS 100 FE:ET FOR FI PRIVRTE WELL OR 208 FEET FOR fl PUBLIC WELL. NELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. SPECIFICRTICINS fiND CONSTRUCTION [)IAORRMS ARE RVRILABLE "ro INSURE PROPER I NSTRL. LffF l ON. F;' E]¢¢,1i"1t Z 'T ',,,'FIL. :l: E:o F C) t;~. ¢31q EE "-¢EFIE: F'ROIh'l Z i CERTIFY THRT :L: I F4M F'RMILiRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORI'H E:V THE 1'4UNICIPRLI'F~' OF RNCHOR~GE C 2: [ WILL ~S'T'RL.L THE S~STEM ]N RCCORDRNCE WZ'fH THE ..ODE~. RPPL I CANT 51P SHERWO(~, LCer ifie ri[ling by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588 OWNER OF LAND . '~ AD DRESS LEGAL DESCRIPTION DEPTH OF WELL // --t, STATIC LEVEL OF WATER F~. ~)':~ '[ ?<:;)ti/-.) i /AJDRAW DOWN FT. DATE-Started _ -;/// /(5 Ended PERMIT NUMBER /" f/'-~ -- , Ft. to - Ft. From From From From From From __ GALS. DER HR KIND OF CASING From__Ft. to___Ft. Froln__ Ft. to_ Ft. Ft. to / 5 '_Ft._ .5 /'//P~,9 From Ft. to )'? Ft. , '3/)~r, ~() ,~: (~,'.~;'/c.'~;'/ From Ft. to. o 0 Ft. From Ft. to /-5 ~ Ft. d.'./.t'; ~' ,:~ 6 /?"}~;'5:d From Ft. to__ Ft. Ft. to__ _Ft. Ft. to _Ft Ft. to___Ft._ Ft. to__Ft. From Ft. to Ft. From. Ft to_ Ft. From Ft. to Ft From Ft. to__ Ft. From Ft. to Ft. Froln.__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. From Ft. to Ft. From Ft. to Ft. Froln___Ft. to Ft. From Ft. to Ft. From___Ft. to Ft From Ft. to Ft. MISCL. INFORMATION: DRILLER'S NAME April 28, 1976 I, Lee Sullivan, A & L Drilling request variance to locate a well 70 ft. from septic tank at legal : S.' '~/2 L 26 S 8 T15NRI!'~.. Reason: general drainage area contaminated - must put well on Mgher ground. -- ~-. ~ Lee Sullivan L,,~' (E RECEIVED INSPECTION APPOINTMENTS TIME , TIME TIME I NSPECTO R INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE MAI LING ADDRESS PROPERTY RESIDENT (if different from above) " ~ PHONE 2, BUY,ER PHONE MAILING ADDRESS ,. - ' 3, LENDING INSTITUTION ~ I PHONE MAILING ADDRESS 4, REALTOR/AGENT PHONE -~AI LING ADleR ~SS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDI-'NCE SINGLE FAMILY ' [] MULTIPLE FAMILY 7, WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY NUMBER OF~BEDROOMS ~ One ~ Four ~ Two ~ Five ~ Three ~ Six [] Other * ATTACH WELL LOG. A well log is required for all wells drilled since J, une 1975. For wells drilled prior to that date, give well depth: (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO; Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line B. COMMENTS [~'"'~APPROVED FOR ~ BEDROOMS [~] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED)/~'-- ~/~, DATE ~ BY /) 72-010 (Rev, 6/79) EXCAVATION ROBERTA. SHAFER WORK May 2, 1982 CIVIL ENGINEER 694-2979 Don Walker c/o Red ~arpet Greatland Realty P.O. Box 633 Eagle River, Alaska 99577 Dear Mr. Walker, Reference: The South % of Lot 26: Section 8: T15N: R1W: A sewer system adequacy test was performed on the system located on the r~ferenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of water over a period of 48~ hours. At the conclusion of the t~st approximately 456 gallons of water was accepted by the system in a 24 hour period without any adverse effect. It can be concluded from this test that the waste Water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However the system cannot be guaranteed,' against subsequent failures. If we may be of further service, please do not hesitate to call. /// cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 0~0001.1.(1 164.98 (82- 2]~F.~-(~