HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 27
MUNICIPALITY OF ANCHORAGE
DE~ .rTI'MENT OF HEALTH AND HUMAN SER ES
Environmental Health Division
825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Photlels} PermltNo N~i~/ Im o,B.oo.,
WELL
'LOT LINE
DISTANCES
FOUNDATION
SEPTIC
TANK
ABSORPTION
FIELD
WELL
/~fJ~ SEPTIC ~] HOLDING
TYPE OF SYSTEM
El BED [] W. DRAIN Ed OTHER
Ff
FT
WELL.,
[] PRIVATE ~IDTHEIt ddentifv'
REMARKS:
$ & S I-;NGINEEEING
~ Eaghr I~!:ve r-L-oe p-Re~-No, ~"~ cerlily~l 1al this/inspecti0ncu~ as perlorlned accordin[I lo all
ENGINEER'S SEAL
72 013 (3/85)
I::)wn~.:)r, Ai::It::B"~::,!!~H~,", F:'. E),. :[,i~EIX ::i!.',.,')7
:1: I:::IEI::i~I':f:I::'Y '1']'1~-~']"~
SCALE
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SF-RVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~"~ ~'~ ~ \
7
8
9
10
11
13
14
15
16
17
19
20
DATE P E R F 0 ~~i~~;~''~
Township, Range, Section: ,~' ~,~ % ~,~L~ ~.,~__.., I,~'~
WAS GROUND WATER , \
ENCOUNTERED? ,
IF YES, AT WHAT
DEPTH? p
E
Oeplh lo Water After
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ I-¢~.¢E~ ~',q.~2_~...... '-b (~..-. ~ .-
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
RUN BETWEEN./~T~ AND ~ FT
TEST
......_.....,... ./
............... R -1/ / /~/ /
PERFORMED BY 17034 E~gle R ~er L~ Dad No 2 /
: ' ' ~/I /~/ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUID~S ~FFEOT ON THIS DATE. DATE: ~//~/~
GRE
ANCltORAGE AREA BOP"'J H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION Peters Creek
MAILING ADDRESS C/O Springg]~ekJ~ PHONE. 6RR-?~lll
LEGAL DFSCRIPTION Lot 27 B~;k 1--W~n~er Pmk.. Sub
SEPTIC TANK:
DISTANCE
FROM WELL __
iNSIDE LENGTH
U.L.# 184867
MANUFACTURER Stack Steel
. MATERIAL _Steel
NUMBER OF
COMPARTMENTS 2
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY 1000 GALLONS.
SEEPAGE PIT:
NUMBER OF PITs__l
LINING MATERIAL Log
BUILDING FOUNDATION___
ADDITIONAL ABSORPTION
'' 14' LENGTH ] 3[, DEPTH
DIAMETER _b4 OR WIDTH , 6'
' 6~
CRIB SIZE: DIAMETERS' DEPTH _ DISTANCE FROM: WELL
TO'rAL EFFECTIVE
., NEAREST LOT LINE 351 ABSORPTION AREA (WALL AREA) 324
.SQ. FT.
WELL:
TYPE Community
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION_ DEPTH
NEAREST NEAREST SEPTIC
-, LOT LINE SEWER LINE TANK ____
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY: Spri ngcreek Ex.
PIPE MATERIAL: CaSt iroil
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE July 27, 1973_ APPROVED~'t, ~,~CC-
GRBA'rRR ANCHOPJ~GE AREA BOROUGH
Department of ~nvtronmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-86t)6
Date Recetved~ 7
Time of Inspection
Date of Inspection
REQUE!ST FOR APPROVAL OF
INDIVIDUAL ,%5~ER & ~ATER FACII.ITI~S
FOR
CMRO
AoprovaZ Requested By:_ ,WI~,~!A_~_MR~JACSKI~ ......
ArldresS~ PCS# l, Box 331 Elmendorf AFB AK
Phone: 272-4833
Phone
Prooerty Owner: ~1. R. JacokesoZ I .............
Leg, ] Descrfptlon: ..... Lot 27 ~,,,W~c__rpark Subdi vi si on ~_Peters~_~Cr_ee_L( ....
Location: Peters Creel(
Tvp,, of Facility to be Inspected: Single FamiAY__
Number o~ %drooms: Three (3) ,
6. Well Data:
7,
A. Type Public B. Depth. ..........
C. Construction D. Bacteria] Analysis
Sewage Dissosal.System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit~ 1.
Individual
19__~_~_ ,~. B. '~nst811er_]i'j_~j]l~tl~l]
Size ].QQQ Gal 2. Manufacturer____~l~JL~Ji~
Size 2. Material
E. Disposal Field: Totet Length of Lines
8. DistanceS:
A, ~ell To: Septic Tank .... N/-A---' Absorption Area , Sewer Lines
, Nearest Lot Line , Other Contamination~_
I], F,undation to Septic Tank
~. ,'j~ Ab~orption Area
C. Absorption Area to Nearest Lot Line ......
: Req~,ast fo~"
Page
9. Comments:
} cert]£y that the Information contained in this request for approval to be a true
and accurate representation of the subject sewez' and wate~ facilities located at:
Signed
Date