HomeMy WebLinkAboutDEARMOUN #2 BLK 1 LT 4I eAr'moun
Block !
Lot 4
#018-401-26
ANCHORAGE AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION f~_~.~ ~ LEGAL DESCRIPTION ~ ~ BoX ~"~ -E~---~ q'~'~
SEPTIC TANK:
DISTANCE
FROM WELL ~
IN5 DE LENGTH
MANUFACTURER ~----¢¢~ ~-~ MATERIAL
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS -'~
LIQUID CAPACITY~{~ GALLONS.
DISTANCE FROM WELLED ~/~ FOUNDATION ~ IF NEAREST LOT LINE /~' ~
.NUMBER OF LINES / DISTANCE BETWEEN LINES ~ TRENCH WIDTH~ IN.
ABSORPTION AREA "~} SQ. FT. LENGTH OF EACH LINE "~"~""
¢ / DEPTH OF FILTER ~ ,,~
DEPTH: TOP OF TILE TO FINISH GRADE ~'~-~:~ MATERIAL BENEATH TILE ~' IN. ABOVE TILE
TOTAL LENGTH
OF LINES
TOTAL EFFECTIVE
IN.
WELL:
TYPE ,~~ CONST RUCTION '~--~f-~, DEPTH
BUILDING NEAREST NEAREST SEPT fC SEEPAGE
FOUNDATION__ LOT LINE __ SEWER LINE_ TANK SYSTEM
CESSPOOL OTHER SOURCES
.APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY: /'
SEWER LINE DEPTH:
PIPe I~TERIAL: ~ ~'-
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE ~?/~--~ APPROVED
G.A.A.B.
PERblI T NO.
APPLICANT
LOCATION
LEGAL
~"iL~N ][ C: I F:_I~L I 'T"'r" C,F FIi'-.IC:Hi3P-.FtFJE , ,,~-. -~.
DEFRRTM~NTiiIER_TH AN[:, ENVIRONMENTALIi]ECTtON l.~
251~:, E' ~ ~ OR RD,. , ~ANC:HORRGE., AK. I ~7 0- /~
'~. _,O~-I '~----; I TE SEL.IE~: PE~'[-1 I T .¢ ,,., L
( ,.,..,it, ',
HRR-_ :, -:,E-'bl .i BOY, 287 STAR ROUTE R RNCHODAGE S44-2467
MRTHEWS DR I VE
L4 B% DERRMOLIN ~2 LOT SIZE &477B SQJA~E' FEET
T'¢F'E OF SOIL HE, SuRE, TIUN '=""= ,
_,~_,TEfl IS. TRENCH
MRXIMIJM NUMBER OF BEDROOMS = 2 SOIL RATING
THE REQLIIRED SIZE OF THE SOIL RBSORPTION -Y_,TEMq '= ' IS:
[:,EF"-i- H: ZED LE~-IGTH-- 26 G ~.' R"-.-" i L L-:-, i F' T H-- 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETI4EEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
TMERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF' GRAVEL BETWEEN THE OUTFRLL PIPE
AND TH~ BOTTOM OF THE EXCAVATION (IN FEET).
~:EC~Li I RED SEPT I C TRNK S I ZE: 100~-~ GRLLC,~-&S
BH_.KFILLING OF AN'¢ S~'STEM WITHOUT FINRL INSPECTION AND RP~..OVAL B9 THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM
i00 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL.
SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVAILABLE TO INSURE PROPER
INSTALLATION.
IS
F'ER~,I I T %;RL I [) FOR O~tE YEaR F--RO~I I SSi_iE
t CERTIF~ THAT
±: I AM FAMILIAR HITH THE REDUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALIT~ OF ANCHORAGE.
2: I ~ILL INST~LL THE SYSTEN IN HCCORDRNCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MR~ REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE NORE THAN ] BEDROOMS.
~PPLICRNT HAROLD DERRMOUN
GREATER At.~C~!:iAGE ?,REA
)artment o? . vironmenta?
3330 "C" Street
Anchorage, Alaska 9(;503
Dep ~h
Feet
2-
4-
6 -
Was ground water encountered?
zxt_~__ If yes, at what depth? ~- ......
Reading Date Gross Time Net Time Depth to Water't Net Urop
Prol)osed insLullaC]on: oeem, e Pit Drain Field
:~cpLh of Inlet . Dept]]-~- ~F~-'l)i t or Lre ~c ~ .....................
CU~, L,,To. - ........................