HomeMy WebLinkAboutTHOMAS L BOYLE BLK 2 LT 13BThomas L.
Boyle
Block
Lot
2
13B
#015-283-12
c;Ae.Ho.I GF -'TER ANCHORAGE AREA BOROh4
DEPARTMENT OF ENVIRONMENTAL QUALII r
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
TG7'�,�('� MAILING /+
NAME y-ry%%��•���J1�7 ADDRESS .'�`X S�� --r/ L-/�Tr/�/,/f PHON&_—Fi�
/✓O. eG.�/1r�.�f1!t9NON
SEPTIC TANK:
DISTANCE FROM WELL e6!f X /�7O ' MAT
LIQUID CAPACITY - O O O GALLONS.
OF
INSIDE LENGTH ✓ INSIDE WIDTH LIQUID
DEPTH'
SEEPAGE SYSTEM: SEEPAGE PIT'
NUMBER OF PITS / 9
OUTSIDE DIAMETER OR WIDTH /-S , LENGTH r T , DEPTH
LINING MATERIA ' %�4<+-._ .1 �0�✓isy �D�.` �o 11VI41���rh
(STANCE FROM WELL.rtir5�-Z7�i: �-J`� BUILDING FOUNDATION�� �
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 157//-4 SO. Fi.
TILE DRAIN FIELD: ",Y/iv
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION
TOTAL LENGTH
f OUN AREST LOT LINE , OF LINES ,
BETWEEN LINES TREIZCH WIDTH
FT. LENGTH OF EACH LINE
TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TRE IN. ABOVE TILE
W ELL:!'���/N���� ✓�J i DISTANCE FROM
TYPEo!5: L��-?� DEPTH 2,2 BUILDING FOUNDATION"-!--/ ..lQ SAMPLE%'
�, NEAREST
WATER
NEAREST SEPTIC /SEEPAGE OTHERi�.G✓.ate
LOT LINE FSSEWER LINE ��, TANK�Aj't- . . SYSTEM.% SSPOOt�y�=, SOURCES• " 'y
DIAGRAM OF SYSTEM
DISTANCES:
7V it loe�
ror< �ira.o-
/T /tsr�.rs
Ttv 7W
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Ci✓ Gl�9J'�FS�
DATE �� 9 /enzL
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DATE �� 9 /enzL
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GREAT ER ANCHORAGE AREA BORvUGH
�• DEPARTMENT OF ENVIRONMENTAL QUALITY
3400 TUDOR ROAD POUCH 6.880
ANCHORAGE. ALASKA 66802
T[LEPHONE 276.8888
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
PERMITNO. /9/6-=
NAME OF APPLICANT -- ,T`a`y ._iy%/�/L-/9�O MAILING ADDRESS -/, l>X �S�/. .f/� /� r
PHONE -3��✓
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK�-
6�E+EPAGE PIT ��r DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED / �D /'�n���!� 1/roepl^ '/�
FINANCED THROUGH J TO BE INSTALLED BY �l�N
SOIL TEST RESULTS 2 %�� �L��i�'/-•�! NpTEl 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
HEALTH DEPARTMENT AUTHORITY WILL DE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE T lrY TYPE - "�J�G •�J �/� / e2Z�� �•
SEEPAGE AREA 612E TYPE /g%�
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ... SEEPAGE PIT ss / n
DRAIN FIELD
TO NEAREST LOT LINE. (/
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
/
WATER MAIN TO SEPTIC TANK 1�l/
D SEEPAGE PIT 1"6
DRAIN FIELD ,
l /
SEPTIC TANK. SEEPAGE PIT ._..�� DRAIN FIELD
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
1461.To AtItHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT 1 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 ZZ /I j APPLICANT'S SIGNATURE
GREA I ER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6.650
ANCHORAGE, ALASKA 99502
TELEFNoNE 279.41688
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT-`1�yil' S/, /'l't✓A ry/d� MAILING ADDRESS /Z/, /31c, ��•yAf!� ��
INSTALLATION LOCATION, 7/^�oT / HA/ , (--, �`� ��'��L'� it/1
LEGAL DESCRIPTION /` Int / S,/, P, A Z f 6 t//,c
INSTALLATION OF: SEPTIC TANK r/ SEEPAGE PIT L/ DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED Z 41 1 � ; -1A
PERMIT NO. i
PHONE
OTHER
FINANCED THROUGH TO BE INSTALLED BY
-7
SOIL TEST RESULTS `� % ✓"C /✓ 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
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
7�0� �Q �C"C✓� /!� k/(v Lv ]31 3cc.lc✓C1v r. KS. s
SEPTIC TANK SIZE TYPE SEE A E AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
L' �: : /)
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-641 AND THAT THE ABOVE
DESCRIBE
/ SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATA" '� `� / APPLICANT'S SIGNATURE
FOUNDATION TO SEPTIC TANK
'z
FOUNDATION TO SEEPAGE PIT
y DRAIN FIELD
/
['�
i
SEPTIC TANK TO SEEPAGE PIT WALL
�
ze�
SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
TO NEAREST LOT LINE. /
�O
n ,
WELL TO SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
r
� G
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD ,
J'
SEPTIC TANK. �SEEPAGE PIT
DRAIN FIELD ,
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
L' �: : /)
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-641 AND THAT THE ABOVE
DESCRIBE
/ SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATA" '� `� / APPLICANT'S SIGNATURE
r%EA.TL'R ANCHORA . AREA. LORO00ie�
HEALTH
327 EAGLE STREET
ANCHORAGE, ALA-KA•SSSOl
c�—
Loral DCS Crlptl0 :: LO:T31-$iOC�
;his Fc.—. Retorts a: Soils Lop—
D pth
L A IJ 0 Date Per:orr..ed
Q _ rect Soil Characteristics
WASI LTAlJV OPGAWiCS
Olde rn L TILL •-
4 OE"S c- SZ L'T w7-r7j
E acc A 5.70"/ L PCBBLES
es -
Location Sketch
Was Gr oand Y:atcr E ncon ntered? vo �n00 /
o
.F Yes, At.D 177H-
-at t li
Reacinh i Date Gross Tir..e Net TimeDepth To H2O
e et Drcp
?rc.esed installat-oa; Seepage Pit
Depth'0_ :-1ct Drain rield
Depth To Bcztcr., 0: Pit Or TrenC:
Test Pc.torsed 5j; gi.aS k01 G,'EoLC)C IC'
t7L CONS 0L 7/9iV7
Data Certi°ied
Date:
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