HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 34
MUNICIPALI'FY OF ANCHORAGE
i ~1 ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Ancimrage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION NO. OF BEDROOMS
F- Z Manu[acturer Material No, of compartments
~ Liq. capacity in gallons Inside length0 J~ Width I EiquiO d°pth ~
-- X~ IF HOME'DE: ~ ~ ----
O ~ ~ DISTANCE TO; We
~_~O Z~ ManuTacturer ~ ~ ~ Material Liquid capacity in gallons
~ ell ~ Foundation Nearest lot line PERMIT NO.
~ DISTANCE TO: ~ ~* ~ S 'Z~O~O
-- No. oflinos ~ Length of each Ig ~, 'Total length of line~_
--~ Top of tile to Enish grade
Length Width Depth PERMIT NO.
~ Type of crib Crib depth Total effective absorption area
DISTANCE TO: Building foundation Nearest lot line
~ ~;s ~ ~epth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
72-013 ~. 3/78)
GRE/
ANCHORAGE AREA BOR 'I
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME He.an Winters
LOCATION Peters Creek
MAILING ADDRESS C/O Springcreek Ex. PHONE 688 2610
LEGAL DESCRIPTION Lot 34 Bock 1 Wynter Park Sub,
SEPTIC TANK:
DISTANCE
FROM WELl
INSIDE LENGTH
U.L.# 184785
MANUFACTURER Stack Steel i RIA Steel NUMBER OF 2
MATE I .... COMPARTMENTS_
_INSIDE WIDTH __LIQUID DEPTH .LIQUID CAPACITY ;]000 GALLONS.
SE" EPAG E PIT:
NUMBER OF PITS l
LINING MATERIAL_ Log _
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETL-R ~8~ OR WIDTH 14', LENGTHTM, DEPTH 6'
8~ 6'
CRIB SIZE: DIAMETER____DEPTH DISTANCE FROM: WELt
TOTAL EFFECTIVE
NEAREST LOT LINE 2;)~ . ABSORPTION AREA (WALL AREA) 348
.SQ. FT.
WELL:
TYPE _ £0mm,nity _
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: Springcreek Ex.
PIPE MATERIAL: Cast Iron
LOT SLOPE:
REMARKS:
Form No, EQ-031
DATE
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GREATER ANCHORAGE: AREA BOROUGH
SliWAGE DISPOSAL SYSTEM ~ APPLiCATiON AN~ PERMIT
PERMIT NO,
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE Op' FACILITY TO BE SERVED
NOTE~ THI~ PERMIT IS NOT VALID WITHOUT ~OIL TEST
SEPTIC TANK SIZE ........ T~PE ~F~- .... SEEPAGE AREA SIZE ......... TYPE
SEPTIC TANK TO SEEPAge PIT WALl-
TO NEAREST LOT LINE.
WELt. '['O SEPTIC TANK
DRAfN FIELD
DRAIN FIELD
TO RIVgR, LAKE, STREAM.
4 INCH DIAMETER CA-~;1' ]RO__N.__SI__FHON PIPE~S~N,,~S~PT_ iC_.T/~.~1% A_ND_~I~E~A?E PI1'
FITT~,~D W~I]iII~!~'I~_GHT REMOVABLE CAPri
SOILS LOG
MUNICIPAI_ITY OF ANCIIORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~
PENCOLATION
SOILS LOG - PERCOLATION TEST
WAS GROUND WATEFI
ENCOUNTERED?
IF YES, ATWIIAT
DEPTH?
5
7
8
,9
,10
11
12
13
14
15
1(3
17
18
19
2O
7'0 ~,~ Z i3~2
.¢
2~ It
PER CO LATION RATE __Z~'~/~/: (minutes/inch)
................. · --~/. - .......... ~ ' ,2 ........
'200E:
2