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- - GRErR ANCHORAGE AREA BOF-*'%JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
COW
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM I/
NAME Kcu SULLSE_r MAILING ADDRESS � 19V ' ie fZr_7PHONE69 L 9I'3%
LOCATION twty Strtear LEGAL DESCRIPTION c 3F11 clock
SEPTIC TANK:
DISTANCE ��jjppf "kl p(�sl-IcS MATERIAL GiS - COMPARTMENTS �_
NUMBER OF
FROM WELL MANUFACTURER
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH 1 (QUID CAPACITY 2000 GALLONS.
SEEPAGE PIT: /00//
NUMBER OF PITS �. DIAMETER OR WIDTH _E, LENGTH_, DEPTH
LINING MATERIAL
CRIB SIZE: DIAMETER
—DEPTH— DISTANCE FROM: WELL
q6_St SEEPAGE c
L, I2 O
BUILDING FOUNDATION_,
NEAREST L(OT LINE1
TOTAL EFFECTIVE pQ���
ABSORPTION AREA (WALL AREIA), 6SQ.
FT.
ADDITIONAL ABSORPTION ReTteal
�"t U"�fCL _Ft1YNlc]
4 5YOu?I —fftV, CtW
/�"
MGIC 1,IM (4
WQ� �hGi.
DISAPPROVED
REMARKS
_.
WELL: ✓
TYPE f'I'U-ed CONSTRUCTIONTN LVeV CCSIWIr DEPTH
DISTANCE FROM:
BUILDING
N
FOUNDATIO_,
NEAREST
LOT
NEARESTSEPTIC
�
q6_St SEEPAGE c
L, I2 O
LINE ,
SEWER LINE
TANK SYSTEM
CESSPOOL
, OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
_.
DISTANCES: DIAGRAM OF SYSTEM
INSTALLED BY: E
Pit) Scvt(Tt/.r
PIPE MATERIAL:
Imu" Cash kwif
LOT SLOPE: t
REMARKS:
V I_IIlI1S DATE75'
- AMV- r
Form No. EQ -031
It
a
C'i v
llKT"Awf�!'t
APPROVED
r
r
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
1110"C"STREET ANCHORAGE, ALASKA 99303
TELEPHONE 274-4361
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANTtel1/' Tv
EY� MAILING ADDRESS PHONE
INSTALLATION LOCATIONV. VVIV{
/ MQ(:
LEGAL DESCRIPTION "IFS T y •e 11,- (_ aI
INSTALLATION OF: SEPTIC TANK (l� SEEPAGE 54TDRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED - I o�w 0 f &IyotxA s
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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 4-502' 2MO TYPE OSS SEEPAGE AREA S12E r 1 TYPE
MINIMUM DISTANCES. REQUIREMENTS
/
FOUNDATION TO SEPTIC TANK S_ ,
`l r
FOUNDATION TO SEEPAGE PIT -ze) DRAIN FIELD
/
SEPTIC TANK TO SEEPAGE PIT WALL /ft
,
I
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK �IL�, SEEPAGE PIT /�lb ,
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. 16D SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET lUlD_LLNOU&ZUR2,LD SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL
CONFORM TO
REGARDING INSTALLATION.
A
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED T97 IS IN ACCORDANCE WITH SAID CODE, �J
DATE74 APPLICANT'S SIGNATURE
FORM NO.EO- 14
0 I=t E GEOTECHNICAL £t DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
/
1 j
Russell Oyster [� 1 6942774 or 688-2280 Ear
t 280
�' `� � Z��a "(60' sse-
Ellis
ssa.694-2774zzso
Soils 8 Foundations Z�Zy� Land Development
00
SOIL LOG
3
Performed for: Name: ��e,a `Sc>AW\c_,m Tel. Norc
Mailing Address: 04tV fsz tjK
Legal Description: 1(N' C3wc� C, 51-3 153 6Q1AW u P,T�' .
Depth (feet) Soil Characteristics
0
3
- ,4'ySAc fioJ �.,..�Pwrrc�D
- �j o, ..� n
5 S \ax
6
IP
11 n« a rr A - z�
12
Ground Water Encountered: Yes No
If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments: -F\ 77.—No
2y.Ot%'�aL
15 cr- (-. Q1slAOD
Performed by: 1 �J„ Date: Nes A r, ..1 �, -7-5
I`�
�V�V� !�l� i�1LG1SSG3Gl
DEPT. OF ENVIRONMENTAL CONSERVATION
SOUTHC£NTRAL REGIONAL OFFICE
Mr. Lynn Coad
Greater Anchorage Area Borough
Department of Environmental Quality
3330 C Street
Anchorage, AK 99503
JAY S. HAMMOND, Comm,,
0380ENAUSTRE£T
MACKAYBUIL DING—R0061850
ANCHORAGE99501
June 9, 1975
Subject: Lots 3 and 4, Block C, Deborah Subdivision
Dear Mr. Coad:
We have no objection to the upgrading of this existing
water supply system to the standards for a semi-public
supply which were in effect prior to July 1973.
Yours truly,
Kyl J. erry
Regional Environmental Supervisor