HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 8 LT 7Zodiak Manor Block 8 Lot 7 #015-042-22 Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS.~')~I ~' .f~ ~, I~/'~ LEGAL DESCRIPTION L~' -1 ~l ~ ~ SEPTIC TANK: [)ISTANCE FROM WELL 5'~)''~' MANUFACTURER~"~O~I~ NSlDE LENGTH INSIDE WIDTH NUMBER OF COMPARTMENTS LIQUID DEPTH ' LIQUID CAPACITY I~.~) GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER _~-~ I, LINING MATERIAL,;~X~O~"~E.~, CRIB SIZE: ~c'~t,,~.~ ,I BUILDING. FOUNDATION-~k~., NEAREST LOT LiNE OR WIDTH [~I"~,~LENGTH I~ , DEPTH DIAMETER I"I' DEPTH C~! DISTANCE FROM: WELL t~:~l TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION ~J,(~ ~ ~ WELL: TYPE ~~l~.~g CONST R U C T I O N BUILDING NEAREST FOUNDATION __ SEWER LINE CESSPOOL NEAREST I -- LOT LiNE ~.[~ ~' OTHER SOURCES APPROVED DISAPPROVED. REMARKS DEPTH DISTANCE FROM: SEPTIC ~.11. SEEPAGE tO01 TANK ~tO . SYSTEM DISTANC ES:-~ LCY~ ~ INSTALLED BY.'~I~\~::"~ ~,CI~,~'~(Y~; T L I PIPE M,~,TERIAL: ~ LOT SLOPE: REMARKS= Form NO. EQ~O31 DIAGRAM OF SYSTEM GREATER ANChORagE ArEa BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT LE.ALD.O.IETIOH 7, OTHER ~'~ NOTE: THIS PERMIT iS NOT VA~ID WITHOUT SOIL, TEST SO~L TE~T RESULTS \ '~'/~ff~"~'~"'~'~-~ .. . COMPLETION DATE ANTICIPATED ~/~ FINAL INSPECTION: R4 HOUR NOT~CE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, J DRAIN FIELD MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE PiT ~ 0 / SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~--~/ 4~0 ~' ' -. SEEPAGE PiT DRAIN FIELD WATER MAIN TO ~EPTIC TA~K /U , SEEPAGE PiT / U CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE DIAGRAM OF SYS'T~M I CERTIFY THAT I AM FAMILIAR WiTH THE REQUIREMENT~ OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-65 AND THAT THE ABOVE .....,... ..... ,. ...o._. .,.. ..,. ..... FORM NO. E~=o~ · GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For ~//f~ /~,~e~O ~ Dated Performed Legal Description: Lot ~ Block ~ Subdivision This Form Reports Soils Log / Percolation Test__ - Soil Test Must Be [ogged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 3I 5-- ll-- 12~ 13~ 14~ Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench COMMENTS: ~5-;~/z~c~r~,~ · Test Performed BY /F~ ~ ~ Date Certified BY: Date: Use o£ ~e~l ~/~.~q c; - Locatien [address of: To~mship,Z~nge, ~ Section (if kno~rn); distance from road: size of casi, i ~ o~pta ef~ole /~4feet. Cased to /~/ ~ feet. Static vater'leve! /$p/~ ! feet [above) (cheek one) Open end [~; Screen Describe screen or perforations: ~ell pumping test at /b~gailons per (hr) (min) for ~/I £eet of dral~to~n from static .level~ Remarks ~.~_~)epth in £eet from ground surface (belou) land surface. Finish of ~ell Per forate~!;c~(^u~ .o~ ^NCHO~OS D;~FT. CF HEALTH '& .... ~ E~¥IR©NMENTAL PROTECTION RECEIVED ~ ~ I~ELL LOG Give details o~ formations penetrated, size of material, color, and hardness. 1~53-.