HomeMy WebLinkAboutPREUSS #4 BLK 8 LT 4 & 5ooo
Department of Environmental Quality
3330 C Street
^nchorage, Alaska 99505
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME (Y~I/~/t £/)
LOCATION
MAILING ADDRESS ~m'De~-- ~ ~t~ PHONE
SEPTIC TANK:
DISTANCe
FROM WELL
INSIDE LENGTh
MANUFACTURER
INSIDE WIDTH
MATERIAL
NUMBER OF
COMPARTMENTS
LIQUID DEPTH_
.LIQUID CAPACITY /~di~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
DIAMETER'/¢//~ OR WIDTH
CRIB SIZE: DIAMETER__
BUILDING FOUNDATION__
NEAREST LOT LINE
ADDITIONAL ABSORPTION
LENGTH DEPTh
.DEPTh DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) /~/~t/
SQ. Ft.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL.
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH
SEPTIC ~t~i SEEPAGE
TANK SYSTEM
DISTANCE FROM:
ioO
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
REMARKS:
Form No. EQ-031
DIAGRAM Of SYSTEM
[~J ~'~ APPROVED
DATE ~)~ I~, ,
.A.A.B.
GREATER ANCHORAGE AREA BoRouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4~61
SEWAGE DISPOSAL SYSTE/~ ~ APPLICATION AND PERMIT
PERMIT NO.
LEGAL DESCRIPTION /
INSTALLATION OF: SEPTIC TANK .~, ~ / SEEPAGE Pit .. DRAIN FIELD . OTHEr
TYPE AND size OF FACILITY TO BE SERVED ~ ~¢~ ~ff~ ~/~ff/~'
FINANCED THROUGH TO BE INSTALLED BY _~ ~~/~~
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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ /
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE Pit WALl
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT /~
, SEEPAGE PIT /'¢
SEPTIC TANK. // ~)~ / SEEPAGE Pit /z~//) /
.... DRAIN FIELD--
TO RIVEr. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVA, T[ON 5 FEET INTO UNDISTURBED SOIL
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACK~'ILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
SEEPAGE AREA SIZE
AT THE AB
OVE
FORM NO, E0-016
Russell Oyster
694-2774
Civil Engineering
Soils ~ Foundations
Performed for:
0 &' E EiVGINEERING ~ DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 333-5240
/~-¢)~ ~ '~J/~/~-'~ SOIL LOG
Name: ~------~ ~'~/~
Legal Description:
Depth (feet)
0
Tel. No.
Mailing Address:
E~rl Ellis
333-5240
Surveying
Land Development
Soil Characteristics
,,2 7.¢~ IT?i3, X2'
5
6
7
8
9
lO
Gp
ll
12
Ground Water Encountered: Yes No ~-~
If yes, what depth~
Proposed Installation: Seepage Pit y--~ Drain Field~
Comments:
Date:
