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Pump Instal latlon Log
Il Drilling Permit i`Tumber: S -'N_ Date of Issue:
cel Ident Bcatiou Number:_
al Descripdan Property Owner Name & Address:
W
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ap Instillation Date: 30 �2
ap Intalce Depth Below Top of Well Casing: */feet
np M mufacturer's Name:
op lVlodei: !mc
ap-Sixe- --.. hp
ess AdapterBurWDepth; 40 feet f
ass Adnpterlianufscture�r/slName:
. _...`•i -iZp Ler Ens,=ller: A /I1
i t •Ili - _ i L. ////_
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n_P InstallerName:
:enti.o u: Vae pump installer shall provide a pump installation log to the DSD within 30 days of pimp inatalleti.om-
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ~,~
FROM WELL -- MANUFACTURER (/?' MATERIAL
INSIDE LENGTH INSIDE WIDTH ,LIQUID DEPTH
~ .~ ' NUMBER OF
COMPARTMENTS
.LIQUID CAPACITY /~ '~"~ ~ GALLONS.
BUILDING FOUNDATION , NEAREST LOT LINE'~(~ ~'. .
DEPTH DISTANCE FROM: WELL /~?'~' ¢'~'~[A~ '
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREAl.~ 15 ?? SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CONSTRUCTION
NEAREST
LOT LINE
~-~ 7")1 '(iL) /} /'~./')-' DEPTH ~ 7 5 DISTANCE FROM:
NEAREST SEPTIC (~:'?~/) SEEPAGE / ~.-.() /-~.A'.5.
SEWER LINE TANK ~ SYSTEM
CESSPOOL
APPROVED
OTHER SOURCES
DISAPPROVED __ REMARKS
DISTANCES:
INSTALLED BY: (~) ~/0'~'/)
PiPE MATERIAL: 0 ,r~
LOT SLOPE:
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYSTEM
.., t~'¢' ,
/ - ,~
G.A.A.B.
DATE
Department of Environmental Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER (~t~¢~ MATERIAL ~0¥~¢L_ NUMBER OF
COMPARTMENTS ~-
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY I~-OO GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I
LINING MATERIAL L.o~-
BUILDING FOUNDATION
DIAMETER ~O~1 OR WIDTH I~*1, LENGTH 19', DEPTH
CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ~t ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION --
CONSTRUCTION DEPTH DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK , SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED. DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL: ~
LOT SLOPE:
REMARKS:
DATE
Form No. EQ-033
GrEATEr ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 'CI' STREET ANCHORAGE. ALASKA 99503
PERMIT ]NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
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.
TYPE
MINIMUM DIBTANCE$, BEQUIREMENTB
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE Pit
SEPT,C TaNk TO SEEPAgE PITWALL
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK · SEEPAGE PIT
DRAIN FIELD
I00:
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
"EXCAVATION 5 PEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS. ·
GBAVEL BACKFILL
CONFORM TO BORO/U~EGULATIONS REGARDING INSTALLATION.
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGORAG~EA B~O~IN/EA B INANCE NO.
28-68 AND THAT THE ABOVE
O~E
Russell Oyster
694-2774
Soils ~ Foundations
GEOTECHNICAL
DEVELOPMENT CO.
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688 2280
Earl Ellis
688-2280
Land Development
SOIL LOG
Performed for: Name: -J~J~/ /~/~
Tel. No..27¢- 0
Hailing Address:
'Legal Description:
Depth (feet) Sol1 Characteristics
0
1
3
4
5
7
10
11
Ground Water Encountered: Yes 'No ~
yes, what depth
Proposed Installation:
Seepage Pit
Dretn Field
Date:
DEPT. OF ENVIRONMENTAL CONSERVATION
$0OTNCENTRAL REGIONAL OFFICE
]AY $, HAMMOND, Governor
SOUTRCENTRAL REGIONAL OFFICE
September 29, 1975
Mr. Rolf Strickland, Chief Sanitarian
Dept. of Environmental Quality
3330 C Street
Anchorage, AK 99503
subject: Lot 3, Block 5 Wha!ey Subdivision
(Juan Abril)
Dear Mr. Strickland:
Based on conversations with Mr. Abril as late as September 25, 1975
and investigation by members of our staff the following has been
concluded:
disposal
a public
contrary
distance
Mr. Abril's orginal intent was to provide water and sewage
for two trailers on the subject parcel.
on the parcel in the neighborhood of 75
and 100 feet from seepage area.
The GAAB-DEQ notified Mr. Abril of the proper distances for
water supply system.
Mr. Abril alleges that the excavator installed the system
to instructions leaving him no room to meet the 200 foot
requirement.
Mr. Abrit alleges he has drilled a relatively deep well
feet from the septic tank
Because of the confusion that has arisen on this project and due to
the substantial investment Mr. Abril has in the project we have no
objection to the existing well and waste disposal system conditioned
on the
1.
well.
2.
3.
4.
items listed below:
The seepage pit must be moved to at least 120 feet from the
The well is at least 120 feet from any seepage pits.
The septic tank is at least 70 feet from the well.
The waste disposal system is sized to serve two trailers.
5. No more than two connections shall be allowed on the well.
Rolf Strickland
2 9/29/75
The above items will adequately protect public health and are near
the old requirements for a semipublic well.
If the above is contrary to your belief please consider this what
it is, a let%er of non-objection not approval. We will abide by
your findings.
Sincerely,
Regional Environmental Supervisor
cc: Juan Abril