HomeMy WebLinkAboutF & D LT 1B,,0,5O Z, tl
LOCATION
GREAIER ANCHORAGE AREA BORuLJGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH_
MANUFACTURER~
INSIDE WIDTH
','.' ~LT'I
~)~ NUMBER OF
MATERIAL COMPARTMENTS'~-
TILE DRAIN FIELD:
DISTANCE FROM WELL~)~.
FOUNDATION
TOTAL LENGTH
NEAREST LOT LINE __OF LINE~'---~(
TRENCH WIDTH__ IN. TOTAL EFFECTIVE
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA ~t3'~'"'- SQ. FT. LENGTH OF EACH LINE
DEPTH
OF
FILTER
DEPTH: TOP OF TILE TO FINISH GRADE
MATERIAL BENEATH TILE IN, ABOVE TILE
WELL:
TYPE
IN,
..... CONSTRUCTION
DEPTH ..... DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION__ LOT LINE____, SEWER LINE TANK__ SYSTEM
CESSPOOL
OTHER SOLJRCES
APPROVED __ DISAPPROVED - ___REMARKS
DISTANCES: __
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM OF SYSTEM
D AT E ~/~ ?(~ AppROVED
G.A.A.B.
Form EQ-032
figer ifiei rilling
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
PERMIT NUMBER _
DEPTH OF WELL
STATIC LEVEL OF WATER FT. .~;'~
!
DRAW DOWN FT.
GALS. PER .R
KIND OF CASING
KIND OF FORMATION:
From
From
From '
From
From /
Ft. to / Ft. Otd_oT~ ~0~7,~,,'0 From__
Ft. to q Ft. flt'''~ From_
. Ft. to /~ Ft. -~ ~ ~ From_~
Ft. to--Ft. ~g~ (,~ ~ ~O~O~om~
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. Ft. to /~!~:~ Ft. ~'~'~ C~d~C From
Ft. to ~3:) Ft. C..~ ~(~O~& From
From '.,' · Ft. to ~{~ g Ft. ~ ~O/~C ~gd~[ff~om~
From__.Ft. to__Ft. From__
From Ft. to Ft. From_
From Ft. to Ft. From
From Ft. to Ft. From
From Ft. to Ft. From
From. Ft. to Ft From
Ft. to Ft
Ft. to_____Ft
Ft. to__Ft
Ft. to Ft
Ft. to Ft.
Ft. to._ Ft.
Ft. to Ft
Ft. to Ft
Ft. to Ft
Ft. to__Ft
Ft. to__Ft.
Ft. to__Ft
Ft. to__Ft
Ft. to__Ft
Ft. to___Ft
Ft. to Ft.
Ft. to Ft
MISCL. INFORMATION:
· ', ~ ' i'~' -'"
DRILLER'S NAME
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';;i:E::i;Zl;[;:,IENCE ];:ii; I:;;:IEHODIEI....IEE:, 'T'O
0 ~r E GEO, ECHNICAL ~r DEVELuPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774 SOIL LOG
Soils E~ Foundations
Performed for: Name: ~N,~
Mail tng Address:
Legal Description: ' ~ .... ~ ~
I ~ ...... ' ' ' '
Depth (feet) Sotl Ch~rectertsttcs
Earl Ellis
688-2280
Land Development
'\-':" ~,~c-'~'X Tel. No.
1
3
4
5
6
7
8
10__
i5.,
16
Ground Water Encountered:
Proposed Installation:
Comments: ~'~,,~
Yes__ No~ If yes, what depth
Seepage Pit__Drain Field /
Performed by: Date:
OErEGE CO.
Russe# Oyster
694-2774
Soils ~ Foundations
Performed for:
Legal Description:
Depth (feet)
0
TECHNICAL 8' DEV _ .OPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Name: Mro Lewis Finch
Mailing Address: Box 170 Citation Road
Lot 1 Finch Subdivision
Soll ~haracteristlc)
ML- Silt topsoil with roots and organics.
Ea~'I Ellis
688-2280
Land Development
Tel. No.~
Eagle River, Ako 99577
275 Sqo fto/Br.
GP-GM Silty Sandy Gravel with cobbles to 6 inches.
175 Sqo ft./Bro
GW- Sandy Gravel with cobbles to 8 itches. Quite
'coarse but slightly cemented wit~ silt.
125 Sqo ft./Br.
GM- Silty Sandy Gravel.
225 sq. ft./Br.
10 .....
GP-GM- Silty Sandy Gravel with cobbles to 12 inches.
150 sq. fto/Br.
GM- Silty Sandy Gr,.vel
Bottom of pit.
Ground Water Encountered: Yes
Proposed Installation: See~sge Pit ~Dr~ln Field
Comments: : :.~ .....
~.~
If ye~, what dapth
? 1976
Perfo)~ad by: .... ,, Date: 14 July, 1976 ,,
~X , MUNICIPALITY OF ANCHORAGE
~'~--~--.~]]\ DEPARTME~''r OF HEALTH AND ENVIRONMEN~.L PROTECTION
'i,~~'],l ~ 825~ L Street, Anchorage, Ala .a 99501
.~--"' '' ' ~-- ~~ Date Received: Mav 23, 1977
Time ;~'.~%~ D~ ~2: Time ~3: Time
Da'be
Date Date
Insp Insp Insp
EAGLE RIVER
AREA
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 4-2090
Phone: 274-1521
2. Property Owner: Louis/Delores Finch
e
4:
Phone: 694-2563
Mailing Address: Box 170 Citation Road 99577
Legal Description: Lot 1 Finch Subdivision ~ ~'~l '~------
Single Family Residence: (~ Number of Bedrooms: ?
Multiple Family Residence: ( ) Number of Bedrooms:
Well System: Individual Well ( ~ Community/Public System ( )
Permit # ~_~___~Z~_~ Depth of Well Well Log on File ( )
Construction Bacterial Analysis
Sewage Disposal System:
Permit
'Septic Tank Size
Absorption Area
7. Distances:
Soils Rate
Well to Septic Tank
to Sewer Line
On-site System (~ Public Utility ( )
Installed Installer
Manufacturer
/~ ~ Material
to Absorption Area
Nearest Lot line Absorption Area
to Nearest Lot Line
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L S'hreet:, Ar~choracjc., Alaska 99501
2V9-2511, e.xt. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
A;UNICIPALITY C)t: ANCI"" L_~
1. 'Type of Inspection: VA .......... FHA ............ CONV.
2. ProperW Owner: ~° u ~ s ._&__~_e__~ o.r_ e__s _._~ch ...........................
Mailing Address:__C_J:.tati°n Rd. Bo× ~70 Eagle Rive= Day Phone:_.6._P_4~T~563
3. Name of Buyer: ]Louis H. & DeZores Finch
Mailing Address:_ _ __ Day Phone:.
4. Name of Lending Institution: .... ~i_rst__N_ational Bank of Anchorag_e~
Mailing Address:_P.0. Box 4-2090
5. Name of Realtor or Agent: none
Mailing Address: Phone:_
6. Legal Description: Lot 1 Finch Sub
XXXXXX
Location: Citation Road
Phone: _2~71~21
7. Type of Facility to be Inspected: .....
8. Water Supply
Type of Supply: Public Utility_
No. Bdrms. ~~
Individual XXXX
If Individual, number of dwellings presently served ..... J_ ..............................
?
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility ............. Individual (on-site)
If Individual, date of installaLio.
72.003(3/7G)
~Page'T~o
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Finch Subdivision
Affadavit Attached
Disapprove~:
Department Worksheet:
Letter Attached: ( )
Date:.~_~__~_~_~
Date:
I)[:PAI~Ii,Tilr OF II[!AI.'I'II AND tlIiVIItflNI,I!:IiI'AI.
iqAIIlIlfi OS Iq.AIiHIH(; AHI)
CASE NUMBER
S-4190
PETITION FOR
Date Received
Rezon ing
Sp~ci at l~XCOl)Lion
VACA'[' I ON
RI,]SUP, I)iVI S ION
Finch' Subdivision
Conlment I;o P lannin[l l)y f'or meel:in(1 o[
CONNENTS:
O[ Cases
ENVIRONMENgAL ,~AN[[A ]_ON: PUBLIC WATF, R NOT AVAILABLE
PUBLIC SEWNR NOT AVAILABLE TO SERVICE