HomeMy WebLinkAboutDEBORA BLK A LT 6AC.
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MAIER ANCHORAGE AREA BORuJGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE/SEWAGE DISPOSAL SYSTEM
NAME %�%�✓>1�L,i1'i✓ �'r Q� MAILING ADORES57'. '9' _C/S/6 —ep PHONE 49/
may. - ' / '+ $.J'6 J
LOCATION �'//�1L���U LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE !n -�NUMBER OF
FROM WELL/D-?MANUFACTURER//'(/ MATERIAL L'0i✓`✓--{'%� COMPA-RT MME�)NTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYGALLONS.
SEEPAGE PIT:
NUMBER OF PITS�DIAMETER OR WIDTH//,-,, /LENGTHLZ / DEPTH -' 7P �D
LINING MATERIAL CRIB SIZE: DIAMETER 4'_DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE �/J
BUILDING FOUNDAT IO�� NEAREST LOT LINE �� ABSORPTION AREA (WALL AREA) Z�v=� SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ION Gam%/y-/% DEPTH ���� DISTANCE FROM:
BUILDING NEAREST / NEAREST i SEPTICSEEPAGE
FOUNDATION 4C- , LOT LINE �Q SEWER LINE, TANK X42--', SYSTEM _"I.JO
CESSPOOL/V��- OTHER SOURCES
�✓Ez� Cs�.✓N.K�7"rN .✓fir �1`/»r�t:'�'
APPROVED DISAPPROVED REMARKS
DISTANCES:-T/V DIAGRAM OF
INSTALLED BY: xntatt�lz=
PIPE MATERIAL:
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c`.
LOT SLOPE:
REMARKS: 1d�G Tz`�T
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APPROVED
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
�• d DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99303
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT�1 L%1� �';k ���L / -!"� �':
MAILING ADDRESS
/.
INSTALLATION LOCATION
PERMIT NO.
PHONE
LEGAL DESCRIPTION � C' -"-'
C/ Cf
INSTALLATION OR: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
c i7—✓.�
SOIL TEST RESULTS /'=��' ` �% •�- "" NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED s''J CV '
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE �f "r �• TYPE ����' �Ll6�i/C
SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK '
i
r.VDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK fl / SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE. �/✓�'�( j`+vAL 1
WELL TO SEPTIC / TANK, , w � „SEEPAGE PIT / !
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK � l? ,SEEPAGE PIT /!
DRAIN FIELD
C
SEPTIC TANK, /L SEEPAGE PIT /�� �) DRAIN FIELD
TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION $ FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAP$.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
c/l' �V lam! � C—I' :�✓�.
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER. ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. a_ )
DATEAPPLICANT'6 SIGNATURE / '% ` `" L ' % ���'� �j�/
IORM NO. CO -01 �
1
1•
0 ft E GEOTECHNICAL & DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 698-2280
Russell Oyster Ead Ellis
694.2774 688-2280
Soils B Foundations Land Development
SOIL LOG
Performed for: Name: bg In/N/TM o,eE Tel. No.
Mailing Address:
Legal Description:_ 1-07' 6. BLK 'gd.P Z—,�Eree e.4 :5 OAF
Depth (feet) Uil Characteristics
0
1
2 S.9NoY �Q.4dEc
3
4
5
6
7
8
GP S*,vo;" G.eWEL (�ec6-4AvJ
9
10
11
12
/� fjoTTD,N oF- �T
Ground Water Encountered: Yes No " If yes* what depth
Proposed Installation: Seepage Pit ✓ Drain Field
Comments:
/Od d1161
73