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HomeMy WebLinkAboutGRANITE VIEW BLK 11 LT 14 Municipality of Anchorage DEPARTMENT OF~HEALTM & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL NAME ~(~m~% ADDRESS PHONE(S) ',% ~(:~. _ 2.~_© ,~' SEPTIC TANK CAPACITY IN GALS. MANUFACTURER ~ MATERIAL ~\~)~I'~.~.~T-~S #OF COMPARTMENTS INSIDE DIMENSIONI I DEPTH LENGTH IWIDTH SEEPAGE SYSTEM [] TiLE DRAINFIELD NUMBER OF LINES LENGTH .EACH TOTAL LENGTH DISTANCE BETWEEN LINES TRENCH WIDTH TILE TO GRADE FILL BELOW TILE FILL ABOVE TILE .~SEEPAGE TRENCH OR [] PiT ,~ ~ [] LOG CRIB [] RINGS- DIA. FILL MATERIAL DEPTH ABSORPTION AREA: ~%~:) ./-~ SQ. FT TOTAL EFFECTIVE WELL CLASSIFICATION DEPTH I PIPE MATERIAL _INSTALLER ~.,~ ~._~,~ C~,, REMARKS DATE C'2'-~, (~"~,"~ ~i~ ' ~ APPROVED LEGAL DESCRIPTION , / PERMIT NUMBER #OF BEDROOMS SYSTEM DIAGRAM DISTANCES ~ SEPTIC SEEPAGE SEWER TANK SYSTEM LINECESSPooL WELL WELL LOT LINE .~,,~"~ RPPL I CANT L. OCRTiON LEGAL .JAMES R MC COY F'. Cl. SOLITH CIRCLE & GRANITE WA'¢ LLOT±4 8L :~[. GRANITE VIEH SUB TYPE OF' ."~;OIL ABSOR[.:;TION ~YSTEM I.':]: TRENCH SOIL RATING (SQ FT26'R)= ±25 MAXIMUM NUMBER OF' BEDROOMS = ]~: THE RE~]:!I.JIRED SIZE OF ]"PIE SOIL. ABSORPTION S"r'STEM IS: ]"HE L.ENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFtlNFIEL. D. ']]'-IIE [:,FF'TH OF Ft TRENCH OR PIT IS ]'HE DISTANCE BETWEEN THE SURFACE OF THE GROUND FIND THE BOTTOM OF THE E,'.'~CA'v'RTION (IN FEET). THERE tS NO SE]" WIDTH FOR TRENCHES. THE GRA',,,'EL DEPTH IS THE MINIMUM DEPTH OF GRFI',,,'EL BETWEEN ]'HE; OUTFRLL PIPE AND THE 80TI"OM OF THE E::':;CR',,,'R]'ION (IN FEET). R PAE:I<RGE PL. RNT MA'¢ BE INSTALLED RT THE F'ERMITTEE"S OPTION SUBJECT Ti.') ]'HE FOl._LOWING CON[:,ITIONS: ±. EITHER R CI._AD.;S I OR I I NSF APPR(]',/ED PLAN'T MA"r' BE INSTALL. El:'. 2. A CONTINLJOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE AGREEMENT :IS NOT KEPT CLtRRENT '¢OU MR~' BE REQUIRED 'FO ENLARGE THE SOIL ABSORPTION S~r'STEM AND,-'"OR '?'OU MR'¢ BE ':;UBJECT TO PROSECUTION. BACKFILLING OF AN"r' S'¢STEM HITHOUT FINAL INSPECTION lIND APPF.'.O~/AL B"r' THIS DEPARTMENT WILL.. BE L--.,LIBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R HELL. AND AN~' ON-SITE SEWAGE DISPOSAL S'¢L--.,TEM IS ±00 FEET FOR R PRI',,,'ATE WELL OR 200 FEET FOR R PUBLIC HELL. WELL. LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPARTMENT WITHIN ]:0 DR'CS OF THE WEL. L. COMPLETION. OTHER REQUIR. EMENTS I'"IA'¢ RF'F'L~'. .......... _ ..... z, FE_.IFIL.HTIUNz, RND qnN'~TRllr:T]:nN DIRGR. RMS ARE R~,,'RIL. RDLE TO INSURE PROPER INSTALLATION. I CERTIF'¢ THAT :].: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SE]' FORTH B'¢ ]'HE MUNICIPFII...IT'¢ OF ANCHORAGE. ;:2: I WILL INSTALL THE S'¢STEM IN ACCORDANCE WITH THE CODES. ]:: I LINI~%TRN[:, THAT 'THE ON-SITE SEWER :~'¢S"I'E:M f,]FI'¢ REQUIRE ENI._RRGEMENT IF THE RE:~;IDEh~:E~; REMODEI_E[:, TO INCLLtDE MORE THAN ~: E, EDROOMS. ~RpPLICANT .J'RMES R MC CQ'¢ / LOCATION SKETCH TH-2 TEST HOLE NO. 2 Scale: 1"=3' Lot 14, Block 11, Granite View Subdivision Distances shown are approximate and have not been measured by surveying methods. Not to Scale. 0! ORGA~ICS __ -- --0.5' SILT GRADING TO GRAVELLY SILT (~tL. GM-ML) sxL G VEL w/ T CE SAND (GM) SILTY GRAVEL w/ SO~ SAND (GM) Scattered Cobbles and Boulders 14' 18'T.'D. LocATION SFd~TCH ~D TEST HOLE LOG NO. 2 JAMES A. MC COY Groundwater was not encountered. This log depicts subsurface soils observed within the test hole at the location shown. See Drawings B-01 and B-02 for explanation of symbols. R & M NO. 751196 TIME 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:31 10:36 10:41 10:46 10:56 11:06 11:16 TABLE 2 PERCOLATION TEST ' JAMES A. MC COY TEST HOLE NO. 2 ELAPSED TIME INCHES DROP IN INCHES 0 9.25 0 1 12.5 3.25 2 15.0 2.5 3 16.75 1.75 4 18.5 1.75 5 20.0 1.5 6 21.0 1.0 7 22.25 1.25 8 23.25 1.0 9 24.25 1.0 10 25.0 0.75 15 28.25 3.25 20 31.25 3.0 25 33.5 2.25 30 35.5 2.0 40 39.25 3.75 50 42.5 3.25 60 45.0 2.5 35.75 INCHES TOTAL DROP 1.7 MINUTES PER INCH WELL CONSTRUCTION LOG ~ r\ , ~) - ,! ' Cr'''erQ~X*~'~n b ~LL)C:~t~I~yps af rig Well location: (address & leffa, description) ~"~ /U] '~l~ Oeptb of well ~S;~ ,t. Casin,: depth I%'~ ft. diam. ~ in. Static water I.vel ~d) ft. (~, bolo.)land s.rface. Date Finis~ of well: ~ screen, perforated, open-hole, other) Bescribe intervals and size: tell yield tested by (pumpinE, bailinE, air)at ~ Eal/mi~. for [ hours with ~0 ft. of draWdow, from static level. oats ws,, cem,,atad \J Location sketch or remarks ~UNICIPALIT¥ OF ANCHok>.G2 DEPT. OF HEALTH ENVIRONMENTAL P'ROI£CTION 0 NOV 2. 1977 DRILLER'S MATERIAL LOG Depth below land surfaae in feet Give description of strata penetrated (size of material, color, hardness of drilling, and water content) - __to --to --to --t o __to __to to to__ to --to --to __to --to to-- MUNICIPALIT? OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF J:!ALTH & ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~/t~MEN-f,,,,L h:l)i£CTION ~~ 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION FEB 2, Telephone 264-4720 DIRECTIO~I~: Complete all parts on page complete requests w I not be processed. Please allow ten (10) days for processing. 1. PROPER YOWNER /-2 / PHONE~7~'~ , MAI LIN~ADDRESS /) ~.1 PROPERTY RESIDENT (If different from ~bove) ~ ~ PHONE 2. BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION I PHONE I MAILING ADDRESS 4. REALTOR/AGENT [ PHONE I MAILING ADDRESS 6. TYPE OF'RESIDENCE ~;~ING LE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five IT3----~fi tee [] Six [] Other 7. WATER SUPPLY~" ~'~DIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAG~E ~OSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY *ATTACH wELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, ~ve w~lJ depth (attach log if available.} **If individual/on-site, give installation date If system is over two (2} years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED__ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified _ INSTALLER []Septic_Tank or []Holding Tank Size: ~/(~)~)O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank ]Absorption Area Sewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5. COMMENTS E~¢APPROVED FOR , % BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE : BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) '1