HomeMy WebLinkAboutTRI LAKES BLK 1 LT 3Bi 'T'
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GAAS-HD-I
GRr~'TER ANCHORAGE AREA BOROU~"~I
DEPARTMENT OF ENVIRONIVIENTAL OUALI'i. ~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~-~-~g:'~ ~X~ ~_~0.~/
LOCATION~(-(~- /~-~ ~Cf~
MAILINGADDRESS
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACliY /OocJ)
MATERIAL
NUMBER OF
COMPARTMENTS
LIQUID
__GALLONS. INSIDE LENGTH ~ INSIDE WIDTH-- _DEPTH --
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OUTSIDE DIAMETER OR WIDTH ! -~ , LENGTH ~'~.~ , DEPTH
LINING MATERIAL.~-c~v~c~(~-'~ ~[Y~'~ DISTANCE FROM WELL ~_ ~.L~.. , BUILDING FOUNDATION.__
NEAREST LOT LINE I ~,t TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 4m/(~:~ ~ SQ, FT.
TILE DRAIN FIELD:
~~0, U~A TOTAL LENGTH
DISTANCE FROM WELL / TION , NEAREST LOT LINE~ / ...... ~, OF LINES
NUMBER OF I~STANCE BETWE~x.INES ?REN~WlDTH I~TOTAL EFFECTIVE
ABS AREA SQ. FT. LENGTH~EACH LINE /
.DEPTH OF FILTER MATERIAL BENEATH TILE
DEPTH: TOP OF TILE TO FINISH GRADE
IN. ABOVE TILE __
DISTANCE FROM WATER
WELL: TYPE ~2~i%LJ~, DEPTH , BUILDING FOUNDATION, SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE ,TANK. , SYSTEM ~ CESSPOOL. ~, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE APPROVED
G.A,A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONe ~79.8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PermIT NO. 2182
PHONE
TO BE ,NSTAL,ED By ~¢Lx / 7
NOTE~ THIs~ERMIT IS NOT VALIS WITHOUT SOIL TEST
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS ~
CO M PLETION DATE ANTICIPATED '~"~"~¢~ /¢ 7~'~
HEALTH DEPARTMENT AUTHORI~ WILL ~E SUSJECT TO PROSECUTION,
_, DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK ~ ./~/(__ ,SEEPAGE PiT
DRAIN FIELD ALSO CONSIDEr AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PiT
GSAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAm]LlAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
R&M
ENG[ ,'EERING & GEOLOGIC; L CONSULTANTS
22g EAST 5]st. AVE. - P.O. BOX 608? - ANCHORAGE, ALASKA ggB03
TELEPHONE 907--279-0483 TELEX 090--35419
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E,, L.S.
JAMES H. WELLMAN, P.E.
August 16, 1972
R & M No. 26540-21
RALPH R. MIGLIACClO
Engineering Geolo9ist
Marx Excavating
P. O. Box10232
Anchorage, Alaska 99502
RE: Test Hole and Soil Log Report for Sanitary System
Lot 3B, Block l, Tri-Lake Subdivision
Dear Air. Marx:
We are submitting herewith the test boring results and our comments re-
garding soil conditions encountered at the subject site. This investiga-
tion was performed in accordance with your request of August 15, 1972
and those procedures outlined in a letter dated September 13, 1971 by
· ]V[r. Roll Strlckland of the Greater Anchorage Area Borough Department
of Environmental Qualky.
A single test hole was put down within the Lot 3B area for the purpose of
defining general subsurface so~l conditions ~or the proposed sanitary sys-
tem. Excavation was accomplished with a tractor-mounted backhoe and
the test hole was extended to a total depth of 8 feet below ground surface.
The _final log prepared for the test hole has been included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you. Should
you have any questions with regard to the above, please do not hesitate to
contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
es W. Rooney
]WR:wb
Enclosure
xc: Greater Anchorage Area Borough
ANCHORAGE FAIR8ANKS JUNEAU
T.H.-I
8-15-72
0.01
SAND (SP)
COARSE TO MEDIUM
LOOSE
eRAIN
No Waler Table
Note: Hole excavated
Engineering ~ Geological Consultants
DATE 8-16-7;) ISCALE I" = Z' tOWN eY 6AW
with tractor mounted backhoe.
Mayberry Property
LOG OF TEST BORING
Anchorage Alaska
tCHKO BY WED IPROJ. NO. 26540-21JDWG NO. A-01
MUNICIPALITY OF ANCHORAGE/%
~ Telephone 264-4720
' REQUEST FOR APPROVAL OF INDIVIDUAL ~AT~R~N~SEWER FAblLITIES
)'RECTIONS, Complete all parts on page 1. I.complete requests ~1 not be ~ ~ed.~e allo~~/ 0, days for processing.
Y E --
~. PROPERT OWN R ..... ~X / ~ I
2. BUYE~ /~ .~, ,' ~t ~ /
° t~ '7 ~ -~)~
4. REALT('R/AGENT . ./ / ~ '~ . Z Z / ~HONE
.~,~..~~ .~ss ~/~ / ~v ~y~ /
,
5. LEGAL DESCRIPTION
/dr 3~ ~- /
TREET LOCATION 7~~ ~ ~.
6. TYPE OF RESIDEI NUMBER OF BEDROOMS
[] One [~ Four [] Other
[] SIN(~ [] Two [] Five
I~ MUL [] Three [] Six
7. WATER SUPPLY
[] IN A well I~g is required for all wells drilled
[] since June 1975. For wells drilled prior to that date, give well
~ PUBI depth (attach log if available.)
~ INDIVID ITE** **If individual/on-site, give installation date _.,,~,~/f~? .~ ~.~;,;~
If system is over two (2) years old an adequacy test is required
[] PUBLIC ILITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72~010(3/781
THIS SIDE FOR OFFICIAL USE ONLY '
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
NSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
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
Connec;don Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Ta'nk or [~]Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANk MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area 8ewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)