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Home My WebLink AboutSEACLIFF BLK 1 LT 2oil 2z) 074> 00/ U aDetK ANLHUKAGt AKtA bU! 'UGH Department of Environmental Quality m- 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM y NAME W 1I S k CO A S I . 60 MAILING ADDRESS -4-3 1- PHONEU 3 LOCATION SEPTIC TANK: LEGAL DESCRIPTION t - DISTANCE _ts l�So(6 FROM WELL MANUFACTURER C MATERIAL NUMBER OF Z - COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 100a GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH I LENGTH 113, DEPTH LINING MATERIAL G:6�'RIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINES ABSORPTION AREA (WALL AREA) �2�' SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE �l^ ' CONSTRUCTION BUILDING NEAREST FOUNDATION -,LOT LINE CESSPOOL -,OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: PIPE MATERIAL: ( `-J LOT SLOPE: REMARKS:0 102, 'd=L4z'�Z' Form No. EQ -031 NEAREST SEWER LINE REMARKS LIONA111GI SEPTIC TANK_ DISTANCE FROM: SEEPAGE SYSTEM _ DIAGRAM OF SYSTEM KH n rL ,_ DATE4/-'LS/ ) y APPROVED�C�4.0,V G.A.A.B. rp d G � a4 (� N rN o r DATE4/-'LS/ ) y APPROVED�C�4.0,V G.A.A.B. ",cnen.c<4 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. — IIn<, 3330 "C" STREET ANCHORAGE, ALASKA 99503 U f TELEPHONE 274-4561 YO O9pthit[O II.M ,. ,Vhf SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT NAME OF APPLICANT - 1 XCS 7\ G a ry S z' (V 6 MAILING ADDRESS fl P X —e?3 PHONE333-57 (, INSTALLATION LOCATION // �� -/LEGAL DESCRIPTION " '-3,'V i-eJ �- �//wv UZ INSTALLATION OF: SEPTIC TANK I `��/�(/SEEPAGE PIT f /�\p �DRAIN FIELD , OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED L:Jwc- 1 USC IE ` Iv', ` I``'TI'I FINANCED THROUGH TO BE INSTALLED BY �', SOIL TEST RESULTS SRQ 1` NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION:.24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUAL17'T"iCUTFfO'RTT"P-'fi4TCC BE JESd�3�`T'QCT �FTRII�'EL'IITTO'}->„og QOC7� SEPTIC TANK SIZE TYPE � .�� ols SEEPAGE AREA SIZE WRt` K1vcc�Y� TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK J a b FOUNDATION TO SEEPAGE PIT`` DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / J / ( C SEPTIC TANK, SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD hh ALSO CONSIDER AREA WATER MAIN TO SEPTIC TANK I V i SEEPAGE PIT DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSS EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DILAMETEB-IaA6'FIR9N—SIPHON PIPES ON SEPTIC TANK AND FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL 13ACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIG ER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO.B-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. {` DATE ` x )&-, V APPLICANT'S SIGNATURE FORM NO. EQ -016 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case Performed For _G ®��_5 AL.D6RSAf) Dated Performed 4-6-71_ Legal Description: Lot Zm Block _1Subdivision .3e;j (!/iF'C This Form Reports Soils Log ,a __Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics GW:?S® Was Ground Water Encountered?_�� If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2O Net Drop Percolation Rate minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet �----Depth to Bottom of—Pit or Trench COMMENTS: Test Performed BY -". i . L Date Certified BY: Date: 2•m► 3- 4- 5— y Gravel (2'01q) 6- 7- 8- 9- 10— II- 12- 1 3- 14— GW:?S® Was Ground Water Encountered?_�� If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2O Net Drop Percolation Rate minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet �----Depth to Bottom of—Pit or Trench COMMENTS: Test Performed BY -". i . L Date Certified BY: Date: