HomeMy WebLinkAboutJEWEL LAKE HEIGHTS LT 2
GRFr:,' TERL_ ANCHORAGE AREA BU UL H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~:~?Z_~ //'b"/,~TT~-,~'.~z~A) MAILING ADDRESS ~:~'.// ~ ~ PHONE
LOCATION ~4~ ¢~ ~ ~¢~-- LEGAL DESCRIPTION Z¢~ ~ ~ Z~/(~
SEPTIC TANK:
DISTANCE
/
FROM WELL
INSIDE LENGTH
MANUFACTURER ~-~ ~-Z~ MATERIAL
INSIDE WIDTH LIQUID DEPTH __
NUMBER OF
COMPARTMENTS
.LIQUID CAPACITY /~-..~0 GALLONS.
SEEPAGE PIT:
/~x ~-'
NUMBER OF PITS / DIAMETER OR WIDTH
LINING MATERIAL~/~-~ ~)/2,~/.CRIB SIZE: DIAMETER
BUILDING FOUNDATION ~1 NEAREST LOT LINE ~ !
ADDITIONAL ABSORPTION
LENGTH DEPTH
.DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
.SQ. Ft.
WELL:
TYPE ~A) Z)t bI
BUILDING
FOUNDATION --
CESSPOOL
APPROVED ~
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST
SEWER LINE
REMARKS
SEPTIC SEEPAGE
TANK ~/-'~ / SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS
Form No. LQ-031
DIAGRAM Of SYSTEM
DATE
APPROVED ,~ "~. ~~,", ./
G.'A.A.B.
7000_1_0 _
2 M -W DRILLING, Inc.
•P. O. Bos 4-1728 • 2811 Dawson >.
`^- i C :907-279-1741.. .
' - ANCHORAGE, _ 99509 s
DRILLING LOG
WeR..-OwnPT` w Bill Wa.teraon. Use of Well Dom 't
F y ggq(?n j -address of: Township; Ranger. Section, if Down; or .distance- main road F
'dewell bake Iits.' Subdiviai an
epth of Hole-' 244 feet:'. Cased to 248 feet .-
levt T 3'SD' ft MUM) .(below) land_ 'surface. Finish of well (check one) "open end.
C.
reen nF perf�bl iorr 'I ane � �
lam' . ( (mgnute) for . 1 -:41
ovra t ,?
W91, 90
M
,� groom �G a deta�Is of farmaipn� etre _ triater �aoxd x
%,'."7
�'--::0-
"V7-,
T t7and7% sieve f" ......
rcw �y
:i. i..a�q ,.2'.^ 5'sy'". •r'.:i+�.s..�e���..•4��ti'?�.�..•�1•'Z 4 ~ �f- 't :i.. f=
Tari d t
RIM-
Inm
TO ,: _ {
TO
W" Walb
TO
a
r 2 = $tate
.,c.-.�,;-r�'� `?+-n.....=�G_s:.v:�.., e.-`.+c�i��_n�5-.i rx•,.t .. a:�<.'v.:�z��asr,.t�'3�e� .;�! i.. _ . �'.�._� ., ._ x:.:. - .. .. .. � _ .. _ - .�. .. ,..;.
GREATEr ANCHORAGE AREA BOROU~.~
I~ERM IT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
,N S,ALlaT,O N LO C AT,O
LEGal DESCRIPTION
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT DRAIN FIELD
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PHGN /Z
· OTHER
FINANCED THROUGH TO BE IN TALLED BY .U~S~O~i~L
COMPLET]ON DATE ANTICIPATED ~-
FINAL INSPECTION: 24 HOUR NOTICE REOUIR~:D. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC
TaNK
SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIt ~ 6 / DRAIN FIELD
SEPtiC TaNK ~/ SEEPAGE PIT I::~) DRaiN field .
TO NEAREST LOT LINE.
V~ELLTO SEPTICTANK ~0 SEEPAGE PIT //6*
DRAIN FIELD ALSO CONSIDER AREA WELLS,
SEPTIC TANK,~' SEEPAGE FiT /o~ D RA,N FIELD
TO RIVER, ~AKE. STREAM.
CAST IRON INTO AN£
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
~lT~T REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM Of SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE With SAID CODE.
DATE
FORM
test i~ worth a thousand
performed For H_ e~_Pii;~_.l."i-- ..... ].L.I .......................
v~,:.ar~o. Date Performed 8-27-73
Legal %scriotton: Lot ~ Block Sub,lives!on ~ c~-~x:~. L,a~e Subdivision
T.his Form Re~orts Soils Loq yes P',-~ 1
.... oation Test
Deoth
Feet Soil Characteristics
----
.... ,
ground ~,dater Encountered?
Yes, At what Oenth?
,Net T i me
Readinq Date Gross 'Fime
Depth to H20
Net Drop
Percolation Rate Hinute
Proposed Installati-~-~: Seeoaqe Pit .... ~es Drain Field
De~th of Inlet Der)th To Bottom Of Pit Or Trench
C°~ENTS: 110 s~. ft. drainage_ az'aa ~eq~i~ed_~_~er bedroom
No bedrocM or water table ~ feet below seepage pit
Performed By Ji Mac .
Lab Manager
Data Certified By:
Date:
Cons truc tion
8 - 2 7 - 7 3