HomeMy WebLinkAboutHAMILTON ESTATES LT 2
GRE,.R ANCHORAGE AREA EOF
~,/,~ ~? Department of Environmental Quality
'~ 3330 C Street
Anchorage, Alaska 99503
3H
NAME ~'~¢/¢) ~' _~
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
////~,¢,¢.',i',,----/',~,~/'¢' . MAILING ADDRESS f*'/ '~'/;~ .~'{~)~')/X/""~t__. PHONE
SEPTIC TANK:
DISTANCE
FROM WELL /~)f~)/~-
INSIDE LENGTH
~ . NUMBER OF /
MANUFACTURER .~'.,~?~'/.4/~?~f'/"' MATERIAL ~-~/_~-:~."77'/~ COMPARTMENTS
INSIDE WIDTH ____ LIQUID DEPTH LIQUID CAPACITY/~.-~"('~'GALLON~.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES_J
ABSORPTION AREA
DEPTH:
f,fL i TOTAL LENGTH
FOUNDATION /l? NEAREST LOT LINE ¢~ OF LINES ~,_~
DISTANCE BETWEEN LINES /~J////) TRENCH WIDTH ;)~IN. TOTAL EFFECTIVE
S~. FT. LENGTH OF EACH LINE
TOP OF TILE TO FINISH GRADE ~/'/ / DEPTH OF FILTER
MATERIAL BENEATH TILE ~'/ ~B~VE TILE ~ IN,
WELL: I/V /! F//F/~ .~/2~.¢Z--.
TYPE CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION__ LOT LINE , SEWER LINE___
CESSPOOL _. OTHER SOURCES _
APPROVED DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
TANK ____, SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
REMARKS:
DIAGRAM OF SYSTEM
DATE_2--~-?~'¢:
Form EQ-O32
NAME Of APPLICANT
GRE .R ANCHORAGE AREA BC
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE. ALASKA 99503
TELEPHONE 274-456 !
~GH
SEWAGE DISPOSAL SYSTEM .... APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SiZE OF FACILITY TO BE SERVED
i~,~'~ SEEPAGE PIT , DRAIN FIELD
FINANCED THROUGH
SOil TEST resuLTS --A
I
completion DATE ANTICIPATED (~
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WlTBOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL E~E SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEEPAGE Pit ~ /J /.. DRAIN FIELD ~= ~) /
SEPtiC TANK ., SEEPAGE PIt , DRAIN flEL~;:~
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK / ~'~ ~ seePaGE Pit / ~
DraiN FIELD / ~-~ / . ALSO CONS[DER AREa WELLS.
WATER MAIN TO SEPTIC TANK .. SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. SEEPAGE DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 EEeT INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
GRAVEL BACKFILL /
CON~ORM TO BOROUGH REGULATIONS RE~ARDING INSTALLATION.
DIAGRAM OF SYSTEM
J
I CERTIFY THAT I Am FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE A~3OVE
DESCRIBED SY. STEM I IN ACCORDANCE WITH SAID CODE.
GREATER ANCHORAGE AREA BOROUa'
~epartnlent of Environmenl;al Qt
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG" PEIIOLATION TEST
~Y
P e r fo rme d f o
Legal Descript}~: ~'/ m-3
l'his form reports: Soils logww-
l)epth
Feet
Date Performed__~r~ --~-?.5'-
Percolation test
12 -.
13~-
Was ground water encountered?
_ ~1~: ........ If yes, at what depth?
Reading Date Gross Time Net Time _!)?__p._th___t~_.]~.a_te_[~ Net Drop
Percol ati on ra [e ..... ~la-i-h-~Z~.' .......
· Proposed instal la~Jh-:"--~2~-i,79e Pit Drain Field
:~t~pLh of Inlet; .............. · ............................
C0FIMUNTS:
EQ 040 (6/74)
7/':
,99'99l
ac3.69 N
,OCj'~ll
............. :~)x~ ~ '~ ·
,00'0 g I
,69'c391
Z
,61 'oga
0 ...... 091
Zc3 °68 $
,Og'~ll
.L.