HomeMy WebLinkAboutWALTER G PIPPEL #2 BLK 12 LT 9A
~ 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
LEGAL DESCRIPTION ~ ~ [ ~ ~ U
~ Well - ~ I Absorption ar~a .~ Dwelling PERMIT NO.
~ ~anufac~ Mat~ No. of comp~ents
Well /~ Dwelling PERMIT NO,
~ ~ ~ DISTANCE TO:
O ~ ( Manufacturer Material " Liquid capacity in gallons
~ DISTANCE TO; Well /¢v~ Foundatio~lengthoflin~o Nearestlotline/~ ~ PERMITNO.~
-- Trench width . Distance b tween lines
No. of lines~ Length of e~e Total ~nches
Total effecti~tion area
OTHER
PIPE MATERIALS
APPROVED DATE LEGAL
72-013 (Re~ 78)
, [)I::~PI:~f?.Tf'IENT (ZIF: HE:I::IL. TH FINE:, EI'.,?,,,')ZI'E'.Cd'.,!I"IEN-I"I::IL. PROTEZ;T!'ON
%,
~ 2. E; ~:~ '""::1-'7 2 ~:~
F'ERf'lZT NO. j,::
FtF'PLICFIN-I' CfOi"~E:3 TOOL RENTFIL PO
:LOC:F!-i']:ON EFIGLE R',,,'R LOOF'
I__ EGI;:~I~ ~ 1.41:::IL 'T' [E F?.
T'gPE OF: SO];L. I.-:IE:'ZORE,'T:[OI'.4 E;'9'L"XTE:P1 ~f~;: TRENCH
d. EiC--~I;:!LOE~ '_:i;I;:!I..It::It:?.E F'Ei;ETF
OF' E: E: DI::;'. O O FIE; ..... 3:
SOIL. f:A-!"!NG (ff;Q FT?'E:F?.::,= ::t. 40
THE REC!U!REE:, SIZE OF' THE ':3OIL FIBSORF'TIOF,! ff';'.?:5'['Ef'i iS:
THE LENGTH DZ[HENE;]:ON :[:5 THE L.E[",IGTI'{ (IN FEET;' OF:' THE TF:':E;NCI-I OR
THE [Z:'EF:'TH ElF R TRENCH OR PIT If~; THE DISTffI[",IE:E BETHEEN THE ':'.¢UI;;~:FI::ICE OF:' THE:
Gr.,;tOUI'.,ID AND ]'HE E',O'I"TOH O1::' THE E',:.;',CF.D,,'Fi"I- .T ON ,:: :fF,I FEET.'.,.
]'I--IrEf;:E Z:3 NO LE;FZT I.,.IZDTH FOF?. TI;:EI'.,ICHE:E;.
THE GI:~'.I::IV.EL [::,[-~F'TH :Iff; 'THE I',l:[N:[i"lUi'q DEP't'H OF GF:tFI',,,'EL. E:ETHE:E]N ]'HIE OI...I-rF:FIL.[..
lIND TH[£ E:OT']"OP1 OF' THE:: E:',:.:',CFi',,,'ffI-t'ZON (Zlq FEET:).
:, :, ..: [ [ I ..... [;:,EF'F:IRTHENT I::,I..IF~: il: !'.,lEi THF:'
F'E~:f,'IZT HI: [ L.[ _.1 [',1~ HF:I:5 THE REE;F'CIN:E;Z~:]:L~T'.r' "1"O :[iqFOF~:t'"! . ..,: ....
:[N'.E:;TfflLLFI-FZEIN 1NE;F'fEC:T'_roNE; O1::' FIN'.? HELI...5 FI[:).:rI::ICENT TO '['!.-I !' :E; F'I:;~:OF'I:~3';?.FV F~I'.,tD 'f'l-..IE:
NUHE:[CF: OF F4'.E:3f.f::,ENC:E.::L-: "I'HFIT 'THE: HELL I-4IL. L
.............. "T' B-.~ E:[I ,:: ;;21: ::, :E IP'-.II :E:~7, F" E'F.Z E:::: -Ii- :E: C:~ ~'"'.-.~ :E;:E: F:.~ E;E: E:'
E:FIEZ:KF ILL I NG Of":' FIN"r' E;'T'STEP1 14 :!: THOUT F Lr NFIL Z N2;f:'ECT _T. EIN FIN[::' I::IF'I::'F;?.O',,,'F:!L I:.:.W TH
DEEF'FIRT["flEiNT F.I_T. LL BE EgLIE:.~EC:T TO F'RO'J':!;EC:UT.TOi",L
I"IlN];t"IUH DIS'TRNCE BIE'I"HEEN R !.,.IELL FINf:." FIh!'T' ON'-S]:TE SEI4REiE DZ[:~;F'O'_:~;F:IL. '.'5'-r'S'f'E'P1
±00 I::'EET FOF,'. R F'RI',,,'FI"f'E k!E[J.....~ O1:;'.
±.E:~O TEl 200 FEET FROFI F:l PUE:LZC 14ELL. r.:.',EPEN[;,!NG UPON THE T'¢F'E OF' F'UE:L_!E: !4E:LI..
OTI-.~E[~: RE6!t..I I FE:EP1Ei'.,ITS F1FI"r' AI::'PL"r'. :E;F'EC ]: F ]: CFIT I ON:'S F~NE:, CONSTF?.LICT Z ON E:,;[ F:[C'iFU::I!'d$
AVFiiLFIBI_E TO iN.E;URE F'I;'.OF'ER INSTF'ILL. RTIEd",L
I CERTIFV THRT
t: I F!M FRI"IILII:IR I-4ITH ]"PIE: REQtJ:[I~'.EHENT:E; FOF~: ON-:'3:(TL:. E;EI.,.![;;I:~:'."; FIND HELL.'_:!; FIE;
FORTH BV TI'IE I'"ILIN:[CIPRL._TT'¥' OF FINCHORFIGE.
2: I HILL Ii".IE;TRL. L THE 5;'r'E;TE.~'I IN RE:CORDFINCE !.'.l:["['l'fl THE COB, ES.
]~:: I I..INE:,Eff.:STfflN[) THwr "['PIE (.)I'.,I..~S]ZTE ".¢EHER %'T'S"I"rEfd I'11::1'¢ [;?.E]~:ilJ].'[E'.E: E:NLF:II:.~:GE;?IE:!',IT iF THE
IE'.E:5[[:)ENC:E :[~3 REr,'IO[;,ELED TO _TNCL. LI[)E IqORE THFIIq g
L:; I EiF,IEB,:
.' v ~ .. _ I:~:Ef-,!.TI::IL
O~-E
Russell Oyster
694 2774
Soils Et Foundations
Performed for:
GECL~ECHNICAL 8- DEVEL_JPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
SOIL LOG r~8-228o
Land Development
Name: -,~/~-~.~.,.,~'~-s ~, ,~,~,~ Tel. No.
Matltng Address:~.O. ~x ~ Z~ ~4~c~- ~r ~'
Depth (feet)
So11 Characteristics
1
2
10
12
z3
14
z5
Ground Water Encountered: Yes No .~-~. If yes, what depth_..~
Proposed Installation: Seepage Pit Drain Field
r?
.... ~, 0 8' E GEC~ECHN.ICAL
8 DEVeLoPMENT
BOX 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster £arJ Ellis
694-2774 S0]L LOG ~-2~0
Soils E~ Foundations Land Developmerit
5
7
8
9
10
1]
12
~3
15
16
Ground Water Encountered: Yes--No
Proposed [nstal?~ion: Seepa9e Pit ,:,
Comments: L
./'If yes, what depths_
GP~6,TER ANCHORAGE AREA BOROgGH
H['~.'f~;,DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY //~.~ ,~ 0
MATERIAl '~) /~
GALLONS. INSIDE LENGTH
NUMBER OF
COMPARTMENTS /
..~' LIQUID
INSIDE WIDTH. DEPTH.
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL
NEAREST LOT LINE
OR WIDTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH /~ ,DEPTH
BUILDING FOUNDATION
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
· FOUNDATION
DISIANCE BETWEEN LINES
, NEAREST LOT LINE
TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
· OF LINES
_IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE/~J~/~//~ ~ DEPTH '~ ~J~
NEAREST SEPTIC
LOT LINE . SEWER LINE .TANK
DISTANCE FROM J WATER
· BUILDING FOUNDATION. /J(~ SAMPLE
~5 ' SEEPAGE
· SYSTEM /~)O / , CESSPOOL
, NEAREST
OTHER
· SOURCES
DISTANCES:
o0= SO
DIAGRAM OF SYSTEM
DATE
APPROVED
OREATEi
/ANCI ORAGE AREA ,DROUGH Case
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Ala&a 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS LOCATION OF INSTALLATION
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK /'~ ,SEEPAGE PIT. J , DRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY
F INAJ~!~ED THROUGH
~'IT'C'T~L'"'~T~I~ TEST RESULTS
ADDRESS ,7~ ¢ ~//.~,~/ PHONE
TO BE INSTALLED BY
ANTICIPATED DATE OF COM~.ION ¢4/'~ ~'~' A~¢ ~"l~¢
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENYiL~C'A.
THIS ,STO SERVE AS
AS DESCRIBED BELOW. SIZE rIF UNIT TO BE SERVED / ~'~- ~"'~-
· SEPTIC TANK SIZE ~;¢-~ TYPE ('~/~LY?f~J~'EEPAGE AREA TYPE
DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage A~a Bprough OrdiNance No. 28-~_~anc~thatJ'he
stem is in accordance with said code ~'i'~ /"" .-,¢~ -~-- ~.~/~/~
above described sy ' · ~..~.,~_. . '~'t~ , -t ~t.~
DATE ~/¢!~ APPLI CANTS SIC NATU R ~]~'~'
.. ( qREATER ~ANCHORAGE AREA BOROUGH,
~ HEALTH ~DEPAP, TMENT ' ~ ," CASE
· .* 327 EAGLE STREET
· , . ANCHORAGE, ALASKA' 99501
Performed For ,~p~ ~ue~.~ _ Date erformed~,
Le~l Descmlptlon: Lot~lock_~S~di,~:on~~.
Dep%h
Feet Soil Characteristics
Location Sketch
Was Ground Water Encountered.__.~
If Yes, At ~;hat'~ Depth___
Gross Time Net Time Depth To H20 Net Drop
., ~
Proposed Instali~aT~o~6~'?--: Seepage Pit Drain Field
De~p~h_~Of~Inlet ...... Depth To Bottom Of P~t Or Trench
COMMENT~: '/~z~ ~- /~ ~ ' ~ ' ~ ~' / C~/ "
Test Perfor~d By: ~ .....
SIGNED
Redi~orm® 4S 472
Pek 150 $~s) 4P472
SIGNED
SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WIL~. BE RETURNED W~TH REPLY,
DATE
/ /
Mr. Char les~P~gany
Box 323
Eagle River, AK 99577
Dear Mr. Pogany:
This office has no objection to the use of the second
well as diagramed on your sketch serving your proposed
apartment complex.
Sincerely,
Regional Environmental Supervisor
sv
cc: DOWL