HomeMy WebLinkAboutT15N R1W SEC 9 LT 63
AA6 HD- I
G TER ANCHORAGE AREA BORC'
D=r'ARTMENT OF ENVIRONMENTAL 0.UALI~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
~ .~ PHONE.MAILING :~- .~> .~.~, · .-. ,
-. ' ' '--~ '._ C '" i~l.
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY_
NUMBER OF
COMPARTMENTS_
.MArERIAL_ ~..~'~'~=-i /
~ ~'~ ~ C-~J'~ LIQUID
GALLONS. INSIDE LENGTH_ INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OU1SIDE DIAMETER__ OR WIDTH_ I.J LENGTH , DEPTH
U,ING MATERIAL_L~)~f~J ~/~ DISTANCE FROM WELl l~.'? ,BUILDING FOUNDATION
NEAREST LOT LiNE_~~. ~__/~O_~ TOTAL EFFECTIVE ABSORPTION AREA (WAHL AREA)
SQ.
FT.
TILE DRAIN FIELD:
DEPTH: TOP OF TiLE TO FINISH GRADE. .DEPTH OF FILTER MAIERIAL BENEAIH TILE_
TOTAL LENGTH
, OF LINES .,
/.~I~.TOTAL EFFECTIVE
IN. ABOVE TILE --
..- ~.i DISTANCE FROM ~ I WATER
SAMPLE ~J~) (,I L)~ NEAREST
WELL: Typ E ~_~"~ U ~ DEPTH~ U ,BUILDING FOUNDATION
/
NEAREST SEPTIC ~ SEEPAGE I OTHER ---
LOT UNE ~'O'~ !~ JO , SEWER LINE '-- ,TANK ~0 , SYSTEM_ lO -Z , CESSPOOL "- SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
/.~'~
~ ~-J
PERMIT NO. (
RPF'LIE:RNT HRROL. D EDDIN~.
LOCRTION
I....EGAI... L6~ SEC: 9 'f&.SN RJ..N
", ",~' FHL 3IRK
P 0 E,J,-,
L.OT ::,.I.,:E. ::I..~:IS.?)E~EI E.';(;!LJRRE FEE]'
MINIMUM [¢].=,lRf4t. E E, E tlIEE. N A b~ELt.. RN[:' FIN"¢ uN--.~IIE SEI.,tFIGE [',IEPOr'..--.,Ri.
:~(~8 FEET FOR R PRZVRTE NELL. ER ~.~f8 FEET FOR R F'UEfl_ZC: WELL..
J.,Hq
RE~]L]RE[, RN[) flU...,T BE RETURNED TO THE DEPRRTHENT N~'I"H]N '~¢~ .... ''"'
WELl.. I..O_~. HRE '.-'~:
OF' THE WELL LuHFLETD. N. ~; t" :' "~']"' "~'
SPECIFICRTD]NS RI'.4B, CONSTRUCTION E:,ZFIGRRf'IS RRE R',,,'RILREfl....E TO ]N~I_RE. F~..LFER
I NS'T'RLLRT ] ON
.:::=,, ..:=:. ~...~ E.
i C:ER"FIF~¢ "rHRT _~., .. _,: .. ,.
...... WEI...L R:E; _.El
2L: I RI',1 FFIMII._IFIR 1.4ITH THE REQUIREMENTS F_~ ..N ...,.lIE ...E.I.~E.R.. FIN[) ,"' c ,g."
FJ~]H B'~ THE MUNICIPRLIT'¢ OF ~NL.H..E~_~E..
~. ]: 14ILl.. IN=,TRL..L THE '~'~'q'rEf,'l IN RCCOR[:,RNCE WI'I"H THE CEDES.
RF'F'LI~N"' ~""'T HRROLD EDDIN.S
by
A & L DRILLING COMPANY
BOX97, EAGLE RIVER, ALASKA 99577 ~ TELEPHONE 694-2588
OWNER OF LAND
ADDRESS ~5) ~
LEGAL DESCRIPTIO~ ~
PERMIT NUMBER
~-,.,fi;:
DEPTH OF WELL -D O
STATIC LEVEL OF WATER FT.
/
DRAW DOWN FT. ,AF
GALS. PER HR /x~O
O
KIND OF CASING
KIND OF FORMATION:
From (~> __Ft. to
/
From__/ Ft. to_
From /4- Et. to
From ,,)[ _Ft. to ~ o
From~ o Ft. to
From~-'~r Et. to_ -~'7t Ft.
From Ft. to Ft.
From___Ft. to Ft.
From.__Ft. to Ft.
From __Ft. to __Ft.
From. Ft. to __Et
From_ Ft.
From Ft. m__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.
Ft..
Ft~
Ft.
From Ft. to Ft.
From __Ft. to Ft
From__ Ft. to __Ft.
From __Ft. to__ Ft.
From Ft. to
From__Ft. to _Ft.
From .Ft. to __Ft.
From__ Ft. to _Et
From____Ft. to Ft.
From Ft. to Ft.
From _Ft. to ~ FL
MISCL. INFORMATION:
DRILLER'S NAME