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HomeMy WebLinkAboutTRI LAKES BLK 1 LT 3Bi 'T' iac,,K 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)