HomeMy WebLinkAboutT15N R1W SEC 9 LT 69BLeT
GREA,ER ANCHORAGE AREA BOR ,UGH
Department of Environmental Quality
3330 C Street
Anchorage, Aleska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~-~,/~h,~/~"~ ,/~° i~',~,-'~,) MAILING ADDRESS .,~'.~ g'~.~'~'7 d,~/m*-'~},~/~' PHONE
LOCATiONCFF I,d/h~"O I.~l,~'gtt ~',~12. LEGAL DESCRIPTION 7~,~'//~) i~/W, ...~l~'¢,
SEPTIC TANK:/
DISTANCE ~
FROM WELL~]0T'//t) MANUFACTURER {J~)¢/~
INSIDE LENGTH ~ INSIDE WIDTH
~ NUMBER OF
MATERIAL ~'/0~'('g'~'Fc ~ZO~'COMPARTMENTS ~:~
LIQUID DEPTH __LIQUID CAPACITY / ~'~ GALLONS.
SEEPAGE
NUMBER O F~I#I5
LINING MATERIAL
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER --OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE ~ ~"
LENGTH'~0, DEPTH
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVE[}
DEPTH
NEAREST SEPTIC
SEWER LINE TANK __
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
Form No, EQ-031
DIAGRAM OF SYSTEM
APPROVED .~' ~'~'~ '
G.A.A.B.
/~ f SEEPAGE ~. DRAIN FIELD
INSTALLATION Of: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
GrE ER ANCHORAGE AREA BO, ~Ugh
pERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
/-/. ~E,~ ~o ,0 O-,v~/,ex:~.o~?~'-
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS __
COMPLETION DATE ANTICIPATED
OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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.
SEPTIC TANK SIZE --
~EPTIC TANK ~--/ SEEPAGE~ ~ / DRAIN F{ELD
SEEPAGE AREA SIZE
/ ~
TYPE
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT .
DRAIN FIELD
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS
GRAVEL BACKFILL ~/d -- '~' ~/~ // ~'~/~A/~-~ ~::~/~0~/~
CONFORM TO BOROUGH rEGULATIONS REGARDING INSTALLATION,
I CERTIFY THAT I AM FAM[LIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGh ORDINANCE NO, 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~E ~,%~ ~w,/ ~ ~ ~ ~ ~C
GEOTECHNICAL Er DEVELOPMENT CO.
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
Russe# Oyster
694-2774
Soils8 Foundations
Earl E/lis
688-2280
Lend Development
SOIL LOG
4
5
6
7
8
9
10
11
12
Performed for:
Name:
Mailing Address: ~T~ /~_~ur£ ~:~7~
Tel. No.
¢//~ 44/~ //~/~,, ~/¢d",~ 7
Depth (feet) Soil Characterts~,lc;
0
1.~_~ ~///~-- ~/~.r ~/- ~,c.
Yes No
Ground Water Encountered:
Proposed Installation~
Cornmentg~
Seepage Pit
~-' If yes, what depth
Drain Fte~d ~
Performed by:
Date:
M' W DRILLING, INC
DRILLING LOG
Well Owner. : i,. '~¢1.~;o~ ~ofWel]
Location (address of: Township, Range, Section, if known; or distance main road
Size of casing ~' .Depth of Hole ~ "' "' feet Cased to i J ' ~ feet
Static water level i * ',~ ~ ft. ('~¢~e) (below) land surface. Finish of well (check one) open end ' );
Screen ( ); Perforated ( ).
Describe screen or perforation
Well pumping test at !: gallons per (.h~d~)
of drawdown from static level.
Date of completion_ t ~/ ~ I //()
(minute) for i hours with
ft.
Depth in feet from
ground surface
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WELL LOG
Give details of formations penetrated, size of material, color and hardness
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TO.
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· ', ,,' vvA Certihed Contractor
Certific~tc No's. 814 &
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2 -- STATE