HomeMy WebLinkAboutEKLUTNA WEST LT 14
GRE - R ANCHORAGE AREA BOR IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska ggs03
NAME
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS 70~'f~'1~'¢t~1''~4',~' '~' PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
0
INSIDE WIDTH
MATE R I AL ,~ U~IL'~(
LIQUID DEPTH
COMPARTMENTS
LIQUID CAPACITY /1¢t~¢) GALLONS.
'T!L~' CP, A~N FIELD:
DISTANCE FROM WELL
FOUNDATION NEAREST LOT LINE_
TOTAL LENGTH
OF LINES
NUMBER OF LINES .DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA ·'~1~/~2 SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE___IN. ABOVE TILE IN.
WELL:/~_ '!
T y p E _ (---~-/~/~l/,~/~ / Ff CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE__, SEWER LINE__, TANK , SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-032
G.A.A.B.
' 0 8- E GEOTECHNICAL 8' DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
Russell Oyster 688-2280
694-2774
Soils ~- Foundations Land Development
SOIL LOG
Performed for: Name: ~?~//V~- ~'~£g&-/z, /-'~,~/,~T/~Tel. No.
Hatltng Address: /~x ?,¢'~ i ~T~ /2oU7-~ ~ ~'//~/~1/¢~, /q~'
'Legal Description:
Depth (feet)
0
Z~,T- /4-.
Soi] I;;haractertsttcs
8
10
12
Ground ~ater Encountered: Yes
Proposed Installation: Seepage Ptt
Comments: ~/~ ~/~ J/I//~
No ~ If yes, what depth
Drain Field
~/2_ ~za£a~/~
/
,./
I. Cenaral Iu£or~iou
~ZCIPALITY OF ANCHOKAGE
DTTLgZON OF ~VIRONMZNTAL HEALTH
DEFAR~IT OF ~F-%LTH AND ENVIRONMENTAL PROTECTION
A~ICA~XON ~ ~ALTH A~THORITT APPROVAL CERTIFICATE
Application Data "~/~,-~"
subdivision, section, township, range)
Telephone - Home
Business
Applicants Address,
(c) Applicant is (check one) Lending Institution, ~--~; Owner/builder~-~;
(d) ending Institution
,, . / J J
Address
(e) Real Estate Co. & Ageut E(~
Address /,
Telephone
~il the ~ to the follo~ng ~dress:
Type of Residence
Single-Family.~.
Number of Bedrooms
Water Supply
Individual Wellr--~
Multi-Family
Other (describe)
Community[--~"[ Public[--[
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ Public ~--~ Community ~--~ Holding Tank ~-~
Note: If community well system, must bare written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
~[P~age I of 2]
Engineerin~ Firm File Search
!~::: As, certified by my seal a~fixed hereto and as of the validation ~atm dnowu hexol,
" verify ~ ~ invesCigaeion of this He~:h Authori=y Approval sho~ that the
wa~er supply a~/or ~s=ewater disposal system is safe, f~ction~ a~ ~eq~ta for
~[: ~he n~ber of bedrooms and =ype of s~ruc~ure indica=~ herein.- ~ fur=her verify
based on =he i~o~=ion obtain~ from the ~nicipality of ~chor~e files and fro~
investigation ~ inspection, the on-si=e ~ter supply a~/or ~stewa=er disposal
'~:"~ sys=em is in compliance ~h ~1 ~nicipal ~ S~ate c~es, ordinances, a~
~ions in effect on =he date of =his inspec=ion.
Approved ~or '~ bedrooms By / 2
Approved ~ Disapproved Co~i~ion~
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ~ALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES ~/.ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS LN THE PROFESSIONAL ENGINEERtS WORK.
RR4/eJ/D18
[Page 2 of 2]
(DHEP SEAL)
7-19-84
C. ABSOP~, I~ON FIELD raTA
Soils Patin~ in Abso=ption St=ara
Width of Field .
Length of Field
Depth of Field , ,, 1/
Gravel Bed Thickness
To Wate=-Supply W~ll To P=o~erty Line /O~
To Building Foundation ~ /, To Existimg ~' ~n~d S~m ~
To S~ond~ke/~ ~J~ ~ai~ ~ ~/4o ~ . , ....
Date Installed
Sims in Gallons
"1~ O~" Level at
High Water Alarm Level at
Tested fo~ A3 [A-
Elect=ical Codes(Y/N) ~U/W%
¢cmmnts .... /
Dimnsions
~r~ole/Ac~ess (Y/N)
"Pump Off" .r~Vel at
Pumging Cycles da=lng Adequacy T~st.
Msets MOA
** Check Pem~itted Bedroom Rating A~ainst FAA Bsquest **
on the date of this inepectic~. I ~4~i---~%. ,
'.'''' -['".Z_,s'+% I
'e'~X~ ~
2-15-84
ALASKA I IIUIROFlmI IITAL cOrITROL SI RUICI S, IFIC.
~nqineerJnq g- ~nuJronmenIol Studies
3/5/85
CHARLES DOOLEY
6745 PIONEER WAY
PETERSCREEK AK 99516
SELLER - CHARLES DOOLEY BUYER -
SUBDIVISION - EKUTNA WEST BLOCK -
ADEQUACY TEST FOR SEWER SYSTEM
LOT - 14
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 396 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 685 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 3/5/85 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
1200 West 33rd Auenue, Suile ~. Anchora§e, Alaska 99503 .{9071 561-5040
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
To Whom it May Concern:
X
According to records on file in this office the ~~ ~/~J/~
~/~ Water System is in compliance
sta~e
with
the
Drinking
Water Regulations
Sincerely,