HomeMy WebLinkAboutTUNDRA JEWEL RANCH LT 15
GREA
ANCHORAGE AREA BORudGH
Department of Environmental Quality
3330 CStreet
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL f~*'Z~'?'~ ' MANUFACTURER
INSIDE LENGTH ~'/' INSIDE WIDTH
NUMBER OF ~
p ~'_ ,~ MATERIAL ,'?~-~ COMPARTMENTS
LIQUID DEPTH lIQUID CAPACITY ,,/~..-~-W~ GALLONS.
SEEPAGE .1:1~': ~. ~ ----~ ~1,/,.~/'/ t /
NUMBER OF PITS / . DIAMETER OR WIDTH ~ LENGTH'~-~''- DEPTH
LINING MATERIAL.~ CRIB SIZE: DIAMETER ..iDEPTH DISTANCE FROM: WELL Lt'~/-'~~ ~ .
BUILDING FOUNDATION NEAREST LOT LINE C~"/ TOTAL EFFECTIVE / ~'/~S
, . ABSORPTION AREA (WALL AREA) '~7~o~.~_ Q. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE r~) p' CONSTRUCTION
BUILDING NEAREST
FOUNDATION , LOT LINE
CESSPOOL , OTHERSOURCE5
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK , SYSTEM .
DISTANCES;
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
Fo~m No. ED-Q31
DIAGRAM 9F SYSTEM
DATE 7~'~ APPROVED
A.A.B. '
· _ DEPRRTHENT OF HERLTH RND ENVIRONHENTRL PROTECTION
25t0 E. TUDOR RD., RNCHORRGE, RK. .q._q. 507
276-2221
g--'~ '~--. T TE ~Ez~r='- F.: F'ER£,I T T
i-'EKHIT NO. ( 76~97 >
aH'P'L1CRNT
LOCS'I'IUN
LEGRL
rll,.E O'SHER,
OLD GLENN HNY
L15 TUNDR8 JEWEL EST
P O BOX 2142
LOT SIZE
]~r'PE OF' SI.-IIL RBSORBTION SYSTEH IS: TRENCH
HRTiII"ILIN NUHE:ER OF BEDROOHS = -~
15015 SQURRE FEET
SOIL RRTING
'iHE RE[;!;JIF:ED SIZE OF THE SOIL ABSORPTION SYSTEH IS:
[:,EF'-i-H= ~q LEI'46TH= 26 6P. RVEI [::,FPTH= 6
'IHE LENG'rH DIHENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
]'HE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOH OF THE EXCRVRTION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
'IHE GRSVEL DEPTH IS THE HINIHUH DEPTH OF GRRVEL BETWEEN THE OUT'FRLL PIPE
HN[) I'HE BOTTOH OF THE EXCAVRTION (IN FEET>.
i~:Ei--:!l_l 'f I~-:E E:, SEF'T I C TR 1'4 I--~. $ I ZE= 2000 6FILLOI'4--c.
BRCKFILLiNG OF' RNY SYSTEH WITHOUT FINRL INSPECTION RND RPPROVRL BM THIS
DEF'HR'rHENT WILL BE SUBJECT' TO PROSECUTION.
HINIHUH DISTRNCE BETWEEN 8 WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
:LEIEt FEE]" FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL.
5PECIFICRTIONS RND CONSTRUCTION DIRGRRHS RRE RVRILRBLE TO INSURE PROPER
I r-JSTRLLRT I ON.
F'ERId I 'Y %¢~L I D F--OR Of 4F YFRR SROrd I 551JE
! CER]IFY THaT
t: I RM FRHILIRR WITH THE REQUIREHENTS FOR ON-SITE SEWERS RND WELLS RS SET
FURTH BM THE HUN1CIPRLITY OF RNCHORRGE.
>Z: I WiLL INSTRLL THE SYSTEH IN RCCORDRNCE WITH THE CODES.
3: 1 UNDERSTRND THRT THE ON-SITE SEWER SYSTEM HRY REQUIRE ENLRRGEHENT IF THE
RESIDENCE IS REHODELED TO INCLUDE HORE THRN ~ BEDROOHS.
:S I GN~D: .....
RPPLICF~NT ~IIKE O'SHER
O ~ E GEO', .-'CHNICAL ~ DEVELI,..PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils ~ Foundations
Perfomed for:
Name:
I~tllng Address:
Legal Description:,
Depth (feet)
0
solc c~
688-2280
Lend Development
Tel. ,o.
·otl Characteristics
3
5 ,
6
7
12
lq,
.Ground .W.ater Encoun.tered: Yes~ Ho
Propos.md Installation: Seepage Pit
Co~ents: ~
.... Drain Fte~d
If yes, what depth
Performed b..~ Date:
PERMIT NO.
~IUNICIPAI ITY OF I]r~CHQRAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 E. TUDOR RD., ANCHORAGE, AK. 99507
276-2221
HELL PER£1I T
?2295 )
APPLICANT
LOCATION
LEGAL
~ICHAEL O'SHEA P 0 BOX 2142
[-~ BIRCHI~UuD LO0~
LiS TUNDRA JEWEL RANCH SUBS
LOT SIZE
15015 SQUARE FEET
MI~IMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
PERM I T ~-'F~L I D FOR ONF YFNR FROtl T $$UE
I CERTIFY THAT
±: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALIT~ OF ANCHORAGE.
2: I WILL Ir'ISTALL THE ~M IN 8CCORDHNCE WITH THE CODES.
SIGNED: __~~__ ~ ...............
DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND .tO7 ! ,/<'z~ ' 0 ~'/$ ~c'~ DEPTH OF WELL
ADDRESS ~L~j ,~. ~j~ , STATIC LEVEL OF WATER FT.
LEGAL DE~?PTfO~/~ ~ ~ ~ ~;~ DRAW DOWN ~.
DATE-Sim.ed ~/g~/ZL Ended ~/O~/Tg ' GA~.PERHR
PERMIT NUMBER KIND OF CASING
KIND OF FORMATION:
From () Ft. to ~/t~Ft fi"" fff)/"/Lc'"ff]/d~O~~ ,~ -. · -- . -::~' ~ ZF' rom Ft. to
From ¢-~ Ft. t0.~__ Ft. ~'~q~'~ <I ~' C~q ~'~'L Fro,. rt. to
From .~'f" Ft. to ~t/ Ft. ~d-,t~jz 7" From Ft. to
,~,,~,,xd~O From __ Ft. to
//-/t/:~ From Ft. to
~',t~'~'v <9 From~Ft. t'o .
F?om.'~j,- ~4 Ft. to . .
FroTM '~f~ Ft. to - .
From ~'~ Ft. to
From ~"~ Ft. to .
From lot/ Ft. to. .
From /~4' Fi. to
From / ~'7 :Ft. to
Ft.
Ft.
/W Ft. d~~~ From__
/o~ Ft. '-~"~'~ c. From__
/ ~ Ft/ ~~ ~~g From
From/~ FL to /~ 7'Ft. ~ dZ~ ~ ~Odg~'~F~om
From /~7 F~..tp/~ Ft. ~e ~ ~o~e~ From
From /~C' 'Ft. io ~ '~ ' ~
From , Ft. to Ft, From
From "Ft. to "Ft. ' From~
From Ft. to Ft. From
Ft. to
Ft. to
Ft. to.__
Ft. to
F/.~o
Ft. to
'Ft. to
Ft.~o
,Fi. to
,Ft. to
Ft. to
Ft.
Ft.
Ft.
Fi,
· Ft.
Ft.
FL
Ft.
Ft.
Ft.
Ft.'
FL
Ft.
Ft.
DRILLER'S NAME