HomeMy WebLinkAboutHIGHLAND HILLS #2 BLK 2 LT 10
NAME
MIJNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECi-ION
ENVIRONIV]EN]'AI.. ENGINEERING DIVISION
825 t. Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WEi. I_ iNSPECTION REPORT
MAILING ADDRESS
I EGAL. DESCRIPTION
LOCATION
f ~'"'~ DISTANOETO: I' ' '- -'lAbs°rpti°n~'ea
I F2 I Manuf~a-ctu,e,~-
DISTANCE TO:
DISTANCE TO:
rNo.
Top of t'i'le to
~TANCE TO:
Welt
IF HOMEMADE: / Insiclo length
DwellhLg
Top of tile to finish grade
Length l Width
Total length ~;~es
Material beneath tile
Material
PFRMIT NO.
No. of compartments
Liquid depth
PERMIT NO.
Matelial Liquid capacity in gallons
Well Foundation Nearest oil ne PERMIT NO.
ILength of each Ihle Trench wiclth Distance between lines
_,,,~). Jllches
Depth
LI~ NEW
L~d::r~ R AD E
PERMI-r NO.
Crib diameter Crib depth
Well Building foundation
Del)th Driller
Building foundation
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
R EMAR I<S
Sewer line
APPROVED DA'rE LEGAL
Total effective ab~Sorl)tion area
lNearesl lot li~o -
[Dist~-~-¢~ce t~ lot ~Tne PERMIT NO.
[ E~ HE] rIEl IF HIE~L. TH FtNE:, EN',,,'I~;:ONHENTFIL '3TEC:TIOF~ E:2..~ '" L STREET, FINCHI:~F~:F GE, RK. ':)'~, rl
FIF:'F'L. I C:FII"~T ,11 IE:, I TH hl. ~OHN'50N N,R BUX ~Q:67' E.R. 99577
LOIE:RT I CII'.~ 1.,.I I L.D t'IOI_INTRIN. [' RI "' "E' ~ ' -
LEI3RL LOT IC4 B2 HII3HLf~N[~ HILLS' L.13T '/$IZE t. lEl[~Z~3~-I 'S];!..IFIF~iE FEET
T'¢F'E OF '-F' - "~--', ~, ,-' ,,-' ·
:,JIL HE,=,IJk. FTI_I.~ :,'¢:,TE. P1 1S: TRENL':H
I"IFI;:.::It,II_IH NJME, EF:. OF E:EI.':,RC,3hl':~ .= 3 SOIl_ R~'TIIq.~ ,::E;Q FT/E:F.':)=
:: ""'- ' " - I%%
TI-.ilE RE6!UZF.:ED 'Z,;[ZFZ OF THE %CIIL I'IE,_-,UF,.F FIuN '" ':-'
= .... TEN :
THE LENGTH DIMEN2;ION I:~; THE LENGTH (IN FEET) OF'" THE TRENCH OR DRRINFIEL[.',.
THE DEPTH OF R TF.:ENCH OF.': PIT IS THE [:,ISTFINE:E BETNEEN THE SUF.:FFIC:E OF' TFIE
GROUND RND TNE BOTTOP1 OF THE E,'*.','CRVR'FION ,::IN FEET).
THERE I~; NO SET HIE:,TFI FOF.: TRENCHES.
THE GF.".RVEL. [:,EPTH I2; THE HINIMUH DEF'TH OF'" GRR',,,'EL BETI,.IEEN TFIE OLITFRLL F'IPE
RhlE:, ]"FIE BOTTOP1 OF' THE EXC:R',,,'RTION (IN FEET.'.',.
F'ERHZT FIF'F'LIC:RNT NFt£5 THE F..Em, FLN:' ~ '~l '-IE, IL. ITT' TO INFOFff"I THI'.:..'; [.EFRF.I', ' "' ...... [~EN [ [:,UF:~ING THE
IN~;TFILL. RTION IN~:F'ECTIONS OF FIN'¢ I,.IELL.~ RE:,..TRI]:ENT TCI THILE; F'F..'I3F'EF.:T'¢ RN[:, THE
I'~_I~IE, EF..' I '"";' OF F..'-'=.E_,IE.ENUE.,,', .-' ' THFIT THE HELL HILL
hlINIHUI"I DI'Z, TRI'.~C:E BETHEEN R NELL RND RN"r' ON-L:;ITE SEHRGE [:,ISF'CrZ.,FIL 'L-;'¢S;TEH IS
"LE~E~ FEET FOF.: FI PF.'.IVRTE NELL OF.'. :1.5E~ TO 2C~¢"~ FEET FROH R PUF.:LIC HELL DEPENDING
UF'ON THE T'¢PE OF PUBLIC HEL. L.
MINIi'"IUH [:,I'."SI'FINCE FROf'I R PRI'v'FITE 14ELL TO R PRI',,,'FITE 2;ENEF.: LINE IB 25 FEET RN[:,
TO FI COI"II"IUNIT'¢ SEI.,.IER LINE IS 75 FE:ET.
OTHER REg!UIREI',IENTL=, P1Ft'¢ RPPL'¢. ?.',PECtFICRTIONS F:IND CONSTRLICTION [:,IRGRRi'iS RRE
FI',,,'FIILRE:I_E TO INSURE PROPER INSTRLLFITION
I'" '"" 'F"~T~
~.E'R1 I THRT
1.: I Fli',l FRFIIL. IF~[~I 14I'FH THE REL.'.!UIF.:EHEI'.4T~ FnF., I-ff,4-~;ITE SENEF.:L=; FIND HELLZ., 't'tS :~;ET
F_~.IFI B'¢ THE I"IUNII.':IF'RLI'T~r' OF FtNCHOF~:RLiE.
;2: ]: H:[LL IN'Z, TRLL THE S"r'STEr'I IN FtCCI-~F.:DFIi',,ICE HITFI THE CODES,
2:: I UN£;FF.:E;TFIND 'f'HRT THE ON-:SITE L:;ENER ':';'T%TEH HR'T' RE.F,!UIF::E EI'.4LRREiEr,IENT IF THE
F-':E~;IE:,ENF:E. I5; REt,ll]E:,ELEE:, TL-I IN.~L JE:,E /"lORE THFIN 3: E,E[.,F.,LU_ItI~.'-, ,-- ,,-
I E;,~;I.JE[:, B'T'_ ...... ~ ... ~'-.~'_ . ._~. _ ~.,Y_ ...L~. _.~ ........... [:,RTE' '.'2- / .c
Russell Oyster
694-2774
Performed for:
O & E ENG,,,IEERING & DEVELO~
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Legal Description:
,vIENT CO.
SOIL
Name:...~/:~U/7'/"/
Mailing Address:
..~
/-~
Earl Ellis
688-2280
Depth (feet)
Soil Characteristics
11
PLOT PLAN
14___
15__
16__
Ground Water Encountered: Yes.__
Proposed Installation: Seepage Pit
Comments:
Performed by:
No ~/ If yes, what depth
Drain Field
PERC. TEST
Date:
I.('".:R'I")]Ed'.,! I"t;[ 4. ;ii: ,~'I;[I._I::tI"4E:, I~:[;:,
['1 J: N ): I"llJ H
2..:.~;~ 'T'r' ;;i:E~i). FEET I:::'I:;:OH R F'IIRI~. T .." I.'.IEL. L DEF'EN[::,:[NEi UPON TFIE '1"~ F .... E. OF= F:'I..IE~L. Z E: NELl
I.,]EL.I... LOGS FIRE FJ:EI~;¢..I ;[ RE[::, t:::IN[) HI I:=;T ..... E~E F;:E'I"LII;;:NE[;:, TO THE I';:'EF'RI:;;:THEN'T t.,.I ;I; TI-I ]; FI ?];' [." r;:,"
O1=' THE I'.IEL. L.
OTHER I:~:E6! I];I:~:EJI'"I~JNT~; H¢:l"r' RFF'I..'¢. -"' ...... ,'"
F:I',,,'R ]; [...l:::lE~[..[~ TO
]; E:IEI;:T ~[ F'", "['tit=IT
:~.: ;I; Ri"1 FRI"I ]; I_ :[ ¢IFi; N);7'I"I THE 1;:E6¢. ]'I'~'ENEF,I'I"~; FOR 6N'~':;;);'f'E SE::I.,.IEI;;:5;
I;'IZIF~:'Ir'I-I E:"r' THE t"'If...l['~ ~ IZ: ); I:::'I::IL. Z T"r' O1=' ::: '., I;:
¢,:.'""'. :1: ~'~:[l...I... ]:['4%T1:1[_1... THEE .........
::, =,Il=fl ]:N ¢:; :-F'[':,F:IH':TE I,I~;'['H THE
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND , Irt.q/ f/ ~ ,
LEGAL DESCRIPTION * , , -.~ ,
'? '" / ~)' Ended ~////
DATE-Started_ ~ f/u/
PERMIT NUMBER / 0 ('' ,) _[ [
DEPTH OF WELL )' ,'
,%,
SFATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR . ,,~:i,'~
KIND OF CASING . ~:;' A :~: ?
KIND OF FORMATION:
From
From
From
From
From
From _
From
From
From
From
From
From
From __
From_____
From
From
From __
Ft. to
Ft. to_] / ~"
Ft. to / ) t
Ft. to_/ /,/
Ft. to /
Ft. to_/'-'" (
Ft. to~-'~ ' ~' -'
_Ft. to
Ft. to Ft
Ft. to.__.Ft
Ft. to_ _Ft
Ft. to_ Ft,
Ft. to Ft.
____Ft. to _Ft.
Ft. to Ft
-Ft. to_
_Ft.
__Ft. to_ Ft.
· .,,'
· Ft._,/['(//'/' .3~q7,,~,9 ,:- 5z4/']~//:,.F n ..... / Ft. to Ft,
_Ft, ~. -,~ ~' c~.?~,.u?,-'. & ' From Ft to~ Ft
. Ft. '-' ~' ~ ..... '~ From Et. to_ ~Ft
_. . Ft.~/[:'U/d~,~./,:. /'-/{'/¢,~.7-u/O::,O From Ft. to .... Ft.
Ft. .'q/:'z2 A~,~< i,-. ~:~.//) From Ft. to_
/.~ ~ % / ?':7
___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.
MISCL. INFORMATION:
DRILLER'S NAME
ANCHORAGE AREA BOr'"'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITF SEWAGE DISPOSAL SYSTEM
NAME ,- ' "~ ~ (~" ..... "~'~ -',~ 4~--~"~ MAJLING ADDRESS
SEPTIC TANK:
DISTANCE
FROM WELL _
INSIDE LENGTH
.¢ NUMBER OF
-- MANUFACTURER ~t~¢ (h i,, . ''~L~. ,. MATERiAi~/:/i iF~-' /(, ,'/~:~ __ COMPARTMENTS
INSIDE WIDTH__ '-
LIQUID DEPTI-I __ ~
_ LIQUID CAPACITY. /) ?c-',(_~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL ,~ ,"(! __
BUILDING FO U N DATI O N,.¢~?/~_ ~
ADDITIONAL ABSORPTION
DIAMETER '- OR WIDTH/,$2 / LENGTH ,,~2 DEPTH -
CRII3 SIZE: DIAMETER'S' ~(c~"DEPTI4 (<~/ DISTANCE FROM: WELL
NEAREST LOT LINE,:'~;~ / TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL..~
TYPE ._ Nc~ } ·'\~==.L0 0-¢,.~...CONSTRUCTION
BUILDING NEAREST
FOUNDATION
LOT LINE.___
CESSPOOL ~ OTHER SOURCES_
APPROVED__
DISAPPROVED
DEPTH
__ DISTANCE FROM:
NEAREST SEPTIC / SEEPAGE
SEWER LINE ...... rANK
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERrAL:
LOT SLOPE:
REMARKS:
Form No, EQ~031
DIAGRAM OF SYSTEM
.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAl. QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4~61
PERMIT NO
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK /~__ seePAGE PIt__ ,~(/ , DRAIN FIELD -- -, OTHER
COMRLETION DATE ANTICIPATED
FINAL INSPECTION: ;~4 FLOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUA[.ITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /~00 TYPE__,_ ~' ___ SEEPAGE AREA SIZE TYPE _
MINIMUM DISTANCES, RE(:)UIREMENTS
FOUNDATK}N TO SEEPAGE PIT /
SEPTIC TANK TO SEEPAGE PIT WALL
WELL TO SEPTIC TANK /¢r~
.... DRAIN FIELD __
2 ~'?/ __, DRAIN FIELD
..... SEEPAGE PIT
SEPTIC TANK .... SEEPAGE PI]'
TD RIVER. LAKE. STREAM.
., DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK~ND NTO ~RIB~ROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUG/~r~GULAT[ONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE
'1
GREATER ANCttORAGE AREA BOROUGH
DEPARTMENT OF ENVrRONMENI'AL QUALITY
333D "C" Street
ANCHORAGE~ ALASKA 99503
Case
Performed For Dated Performed
Lega I Descri pti o~.7- l-~i~Tt~'/_-~- B1 o~-~--~- ...... T~-~-~-{'v'i s ion ~/_~/.¢~~2~
This Form Reports Soils Log ~ Percolation Test
- Soil TesI: Must Be Logged To 4' Below Proposed Seepage System
Depth
Feet Soil Characteristics
l-~
Was Ground Water Encountered?
If Yes, At Wha~ Depth?
.ELL_h
..................... l ....................... L
................ J .............. ~ ...................... I
Percolation Rate Minu~:e
Proposed Insi-~T~77~T~)~": Seepage Pit Drain Field
Depth of Inlet ................... Depth to Bottom of Pit Or ]'rencH--
D a 't e:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received October 16, 1973
Time of Inspection
Date of Inspection October 17, 1973
REQUEST FOR APPROVAL OF
INDIVIDUAL SEt~ER & 'dATER FACILITIES
FOR
Approval Requested By: William E Johnston
Address: PO Box 33_4 E~ag]§, River AK
P}moertv Owner: SAME
Legal De.qcriptton: Lot 10. Block2~ghland Hills ~
Location: 4.7 from G~gQ__H.ywa.y,
T¥~e of F~cility to be Inspected:
Number o'? ~edrooms: ..... ~__~.
5, ~el] Data:
A.
(;~ Construction Standard
7. Sewage Dispose1 System:
D, Bacterial Analysis
A, Installed 1973 a. Installer NR.B Woods & Son
C. Septic Tank: 1. Size 1000 2, Manufacturer Stack Steel
Do Seepage Pit: 1o Size 2. Material Steel
E. D~sposa! F~eld: Total Length of Lines
Distances:
Well To: Septic Tank 94'
, Nearest Lot Line
Foundation to Septic Tank
, Absorption Area 120'
· Other Contamination
'> Absorption Area
Absorption Area to Nearest Lot Line
Phone: 694-9766
Phone: 694-222~2~
, Sewer Lines
7~eq ~ ac~l.l~. Cie s
;..._t fox approval of InoJ. vtdual Sewer & Water F
?age
,/\srrov Disapproved Date_
Ap!orova] Valid for One Year From Date Signed
· ..a e~ Anchorage Area Borough, Department of ~nvironmental Quality
DIAGRAM OF SYSTSM
...~,.1 that the :information contained in th:ts request for approval to be a true
and a(';ct~rate represertat~on of the subject sewer and water facilities located at:
Signed Date
Z