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¢ MUNI(';IPALITY OF ANCHORAGE
e, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE [] NEW
~ ~ NO. OF BEDROOMS
, Absorption a~ea PERMIT NO.
~ ~ Manu fa~e¢ ~aterial No. of compartments
-~,.~L~ ~g IF HOMEMADE:
Well~ ~ Foun ion ~ Nearest lot lin~ PE IT NO,
;~ Ne. of lines ~ Length--~WlJne Total len~h~__~inos Trench w]~___ inches Distance betweeniin0s__~
OTHER
PIPE MATERIALS tC O ~
67 ~, 0
:l. 0 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
82§ L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~L SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11.
12~
13
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~/~1 (minutes/inch)
TEST RUN BETWEEN FT AND FT
TOC
12
"REATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received April 4, 1973_
Time of Insnection
Date of Inspection
REQUEST FOR APDROVAL OF
INDIVIDUAL SEWER & INATER FACILITIES
F OR
CMRO
1. Aoproval Requested 9y : Mrs. Spuriook
Address: Stra Route Box 35, Eagle River, Alaska Phone:
2. Prooerty Owner: J. R. Spurlock Phone:
3, Legal Description: N 1/2,Lot55, Section 11, T14N, R2W, SM.
a, Location: Directly behind cold storage.
5. Tyne of Facility to he Insr:ert-ed :—Dupl ex
Number of Bedrooms: Four (4)
6. Well Data:
A. Tyne Drilled B. Depth 68"
C. Construction Six inch steel D. Bacterial Anal ysisSatisfactory
7. Sewage Disposal System:
A. Installed 1968 3. Installer Wallace Construction
C. Septic Tank: 1. size1250 gal. 2. Manufacturer
D. Seepage Pit: 1. Size10'x 20' 2. Material. Loq crib
0
E. Disposal Field: Total. Length of Lines
Distances:
A. !Fell. To: Septic Tank 104' , Absorption Area
124' . Sewer Lines
, NcAarest Lot Line 50'+ , Other Contamination
B. Foundation to Septic Tank ',� Absorption Area 65'
C. Absorption Area to dearest Lot Line 110'
TO C Request for Approval of I—'ividual Sewer & Water Facilitie
12 page Two _
9. Comments:
Annr
d A- ``� Disapproved Date y /2 - 73
John R. Lee
ApnroW Valid for One Year From Date Signed
renter Anchorage Area Borough, Department of Environmental Quality
DIAGRAM{ OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate: representation of the subiect sewer and water facilities located at:
Signed
Date
Distance fmom well /~Ma~riai d'~k3~-Number of compartments / Liquid
,
Seepage Pit: Number of pit~utside diameter~r width~,> len~b
dep'~h ~ ~ l~n~ng material . Dist~ce from well /~/~ building
~ (wall ~
foundation_0,Z~ nearest lot
TILE DRAIN FIELD: 3~
Distance from well._~u_~ foundation__...__~ nearest lot line.____..__ Total length
of lines Number of lines Distance between lines Trench width in.
Total effective absorption area_ sq. ft. Length of each line
Depth: Top of tile to finish grade. ~ ...~Depth of filter material beneath
tile inches. Above tile
Type istance from building founda%ion~: nearest lot line~_~ neamesT
g DIA6RAM OF SYSTEM