HomeMy WebLinkAboutNEW GIRDWOOD TOWNSITE ALASKA BLK 1 LT 22071
GRE!
ANCHORAGE AREA
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
_ MAILING ADDRESS ~',~,,u/"~,,/ ' ~",'..'{',O,~.',.-.~,~,~ ~'~,,~%F') PHONE
LEGAL DESCRIPTION _~ /
SE'". PT I C TANK:
DISTANCE
FROM WELL~--~/fl/~/ /~,o MANUFACTURER
INSIDE LENGTH ~ INSIDE WIDTH
MATERIAL
NUMBER OF
COMPARTMENTS /
LIQUID DEPTH ~ _ LIQUID CAPACITY/C2~W.3 GALLONS.
TILE [)RAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES //
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
_FOUNDATION
DISTANCE BETWEEN LINES
sq. FT,
TOTAL LENGTH
NEAREST LOT LINE~/(~2]"/- OF LINES
/<~) / .TRENCH WIDTH.-~¢~ IN. TOTAL EFFECTIVE
LENGTH OF EACH LINE -M~-~"(~ /'~: ~ -z~ O --'' //~"
DEPTH OF FILTER
MATERIAL BENEATH TILE ~ ~1
_IN. ABOVE TILE ~ /?
IN.
WFLL:
TYPE ~$/~¢,¢¢~'//~/*'" ~/~2~CONSTRUCTION __
BUILDING NEAREST NEAREST
FOUNDATION ~- LOT LINE ,~-S~WER LINE_
.DEP'FH
_SEPTIC SEEPAGE
, TANK , SYSTEM
CESSPOOL --- OTHER SOURCES
APPROVED .... DISAPPROVED
""---REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY: J~',e~-j/'~/~A/~,
SEWER LINE DEPTH: _/_ ~
PIPE MATERIAL: ~,r¢¢/
LOT SLOPE: /')Z/~/?/z~-,
REMARKS:- ~-) ,¢,,~ Z'g'
Form PW~O27
DIAGRAM OF" SYSTEM
~REATi~R Ai'~(;k-IORA(SE AreEA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PEftM~T
LEGAL DESCRIPTION __~/-- ~} /--/(~' I
SOIL TEST RESULTS ..... Z~% .............. ~OT~l Tl'{l¢ PERMIT 15 NOT VALID WITHOUT
COMPLETION DATE ANTICIPATED -- /~ / ~
FINAL IB~PECTIOB~ ~4 NOUI'~ NOTICE ~EQUI~D, BACKFD.LIP~G OF A~V ~Y~TEFA kqtl'FHOU~' ~'INAL INSPE~TIO~ BY THE
I'~EALTH DEP~I~TL~T AUTHO~I~ WILL ~E ESU~JEC~ 3'O
/~L~ ~?j¢. .......... 'rYP,'-S~ O):J:::Or).CZ'eteSECPAOE AREA
FOUNDATION TO SEPTIC TANK
SEPTIC TANK TO SEEPAGE PfT WALL
SEEPAGE PII
ALSO CONSIDER AREA WELLS.
_. sEEPAO,~ P,T _2Q~fA .....
SEPT'C TANK __5__f-.,~--. S~PAOE
DRAIN FIELD / ~0 f ,
WATER MAIN TO SEPTIC TANK
TO mv~.. ~*~.
CONFORM TO E}OtlOUGH F~EGULATION~ REGARD}t4G INSTALLATIOI'J.
DIAGr~AM OF ~Y~?EM '.
~,I~' TER ANCHOR^gE AF, EA BOROUGH
Ill.'ALl'Ii DEPAkTEENT
~CHORAGE, ALASKA 9950%
'CASB W
Depth
ree~ Soll Characteristics ~ ~ < Location Sketch
~f Yes, At Wha~ Depth ~. ~~
~, ~ ~ · ~ ......... .i ........
Yro~sed InsTal~~Seepage p~