HomeMy WebLinkAboutMCMAHON #2 BLK 6 LT 11
GREi"":-R ANCHORAGE AREA BOR 1GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~.~Z) ~/'¢~.J~L(O/J MAILING ADDRESS J~O'~ 3.~4~/
LOCATION /(~.il~ 0 ~ ~ 7)~iZe~z~ ~)
/~ LEGAL DESCRIPTION T'
i/, Bio
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL j~ i MANUFACTURER
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY/~4~-~ GALLONS,
TI LE B~/gq~q:~g:B:
DISTANCE FROM WELL ~--~¢/~ FOUNDATION
NEAREST LOT LINE
TOTAL LENGTFt
OF LINES
NUMBER OF LINES J DISTANCE BETWEEN LINES /k(~¢ TRENCH WIDTH~ IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT, LENGTH OF EACH LINE / C~__~ ~¢ ~
O~'F-li ~),~ "?2z~,,,t~tt j ~ i ~i ~ i DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE '-- MATERIAL BENEATH TILE ~ IN. ABOVE TILE ~ IN.
WELL:
TYPE ~','-/O
CONSTRUCTION DEPTH_ DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC ,~F(~. ~EE PAGE
FOUNDATION LOT LINE__ SEWER LINE__, TANK /~/, SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: L~/'T"6~_e ~)~Pb-~
SEWER LINE DEPTH:
PIPE MATERIAL: L(~"Z/"'
LOT SLOPE:
REMARKS: ~.,U;¢~' ~g,R',¢ ~J
DIAGRAM OF SYSTEM
APPROVED
G.A.A.B.
Form LQ-032
,NS','A--LA'r,oN -°CAT,ON S,,//"/fV'
GRE,-" '"R ANCHORAGE AREA BOR
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM4- APPLICATION AND PERMIT
INSTALLATION OP: SEPTIC TANK I'''' SEEPAGE PIT
7-Z/-7~ NOTE, TI-IlS PERMIT IS NOT VALID WIT.OUT SOIL TEs"r
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCES, REQUIREMENTS ~ /
FOUNDATION TO SEPTIC TANK ~
FOUNDATION TO SEEPAGE Pit . DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL ~
· SEEPAGE PIT
, ALSO CONSIDER AREA WELLS.
, seePAGE PIt
WELL TO SEPTIC TANK
SEPTIC TANK. lOL~L SEEPAGE PIT ( 00 { DRAIN FIELD
4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
DIAGRAM OF SYSTEM
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.%.B.
GREATER ANCtlORAGE AkEA BOROUG,I
Dep~rtment of EnvironmenLa] Qua]i~y
3330 "C" Street
Anchorage, Alaska 995{93
SOILS I,OG PI'iROI,ATION TF, ST
Performed for )0~_cor t,,,'.?¢, i,:9~c:~-.~
Legal Descri pi-i~ :-~' 5:2/~ ~
This form reports: Soils log ~z
Depth
Feet
1 -
Percolation 'test
Date
If yes, at wl}at depth? __
Reading Date
Percolation rate
-Proposed installai-~-~T
Gross Time
Depth to Water Net Drop
OepUi of Inlet ............ · Depth to bottom o-F pit or trenci~
COMMENTS: .................................................... ~ ..................
}/-, ~.-~ / ~/._ --
Performed By: 7-FZ:W,.-~] :-),~/Zo_ f _Certified By: Date:
RO/04O ~G/74)
minute.
Seepage Pit
Net Time
Drain Field
WELL LOC
Drilled: 6-6-86
S*~ti¢ ~mter Level 182 feet
Gallons Per ~'~ *= 10
Total ~ee'" of ? ~ ..- 37
TyF! Y~{;srial Drilled:
to Deepened water well from 186 ft. to 223 ft.
to
to
to
to
S.R.A. Box 1553 H
Anchorage,Alaska
99507
WATER WELL LOG
FOSS DRILLING
1336 Ingra Street
Anchorage, Alaska 9950!
~ 1 ~ ~. ~ ~ USE OF WE~,*. /7 ~ ~ ~
SIZE OF CA~ING ~ hDEPTR OF HOLE/~FT. CAS~ TO /~
STATIC WATER LEVEL ]~ FT, YIELD /~ GAL.PER.MIN. WITH
FEET OF DRAWDOWN.
FT.
REMARKS
PUMP TO BE SET AT /o~/
to__
to
__to
to
,to ......
to ,
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received December 29,
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
]. Approval requested by: Alaska Mutual Savings Bank
Mailing Address: 601 West 5th'Avenue, 99501 Phone:
2. Property Owner: Charles E. Jackson Phone:
274-3561
344-0491
1975
Mailing Address: Star Route A Box 1582N, 99507
3. Legal Description: Lot 11 Block 6 Mc Mahon Subdivision
4. Location:
5. Type of facility to be inspected
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
Single Family
No. of bedrooms 4
B. Depth 184'
D. Bacterial Analysis
On-site system
B. Installer
Size 2. Manufacturer
Absorption Area 2. Material
Total length of lines
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines ,
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re :st for Approval of Individual '~er & Water Facilities
Legal Description Lot 11 Block 6 Mc Mahon Subdivision
Comments
Approved
/~~~ Disapproved Date /- ~'-~ ~
U Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF ~"
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA
Mailing Address: ~q~,~/79/~.~, ~)O~-~;L
MUNICIPALITY OF ANCHORAQF.
DEPARTMENT OF HEALTH &
ENVIRONMENTAL PROTECTION
1975
RECEIVEI
FHA CONV ,~
Day Phone .,?,,~,z)/_ O/~/g/
Mailing Address:
Name of Lending Institution:
Mailing Address:
Day Phone
Name of Realtor or Agent:
Mailing Address:
Phone
6. Legal Description:
Location:
7. Type of Facility to be inspected:
8. Water Supply
No. Bdrms. ~
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well / ~ ~ /
Sewage Disposal System
Type of System: Public Utility
Individual
/
Individual (on-site)
If Individual, date of installation
EQ-037 (1/74)