HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 28
GRE/~"~R ANCHORAGE AREA BOROU~ ':'~,!
DE~--~,rlTMENT OF ElYVIFIONMENTAL 0.1JALIT~
350D TUDOR ROAD ANDHOFIAGE, ALASKA ggs07 27g-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
MAILING
ADDRESS -~-..~,~" ~:'.-,~
LOCATION
SEPTIC TANK:
LEGAL DESCRIPTION ~'.-,~':"%..~,~,
DISTANCE FROM WELL ,~/ '/
LIQUID CAPACITY ~._~,~) GALLONS.
MATERIAL ~"~./~.~t~---~'~'~''' ~'~.'(-,~,~'.~-t'"~~"'~' NUMBER OF
COMPARTMENTS ,/
LIQUID
INSIDE LENGTH / INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS /' OUTSIDE DIAMETER
LINING
OR WIDTH
DISTANCE FROM WELL
NEAREST LOT LINE. ,-'"~') ~'~:2,,.,',~, --~
~/,~..,~, TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH ~,/ , DEPTH ,~
BUILDING FOUNDATION..-,~::~
? "'~ SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL
~ F~I mJF~TJ(~t,J , NEAREST LOT LINE , OF LINES
NUMBER~cE BETWEEN LINES~k ~/~'~TRENCH WIDTH ~ IN.~'J"(~FFECTIVE
ABSO/,~::~ON AREA SQ. FT. LENGTH OF EACH LIN~'~-~-.~"~'--'~
DEJ)TH: TOP OF TILE TO FINISH GRADE_
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
TYPE ~~ , DEPTH ~ ~ ? DISTANCE FROM
' , BUILDING FOUNDATION.
LOT LINE /~ /'~ NEAREST SEPTIC t
SEWER LINE /~ -TANK ~/ SEEPAGE
, . , SYSTEM
WATER
SAMPLE /'/'/,~i~-' . NEAREST
OTHER
CESSPOOL .'"'('~'~"~ , SOURC~'~
DISTANCES:
DIAGRAM OF SYSTEM
~R ANCHORAGE Ar~'A BOROu'gH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOr rOAD POUCH 6-550
ANCHORAGE, ALASKA ggEO2
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PErM'T NO. I /
INSTALLATION LOCATION
LEGAL DESCRIPTION ~
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH ~ t /}~/'~ ~
SEEPAGE PIT , DRAIN FIELD OTHEr
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPEGTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~-I
FOUNDATION TO SEEPAGE PIT I~O
. DRAIN field
, SEEPAGE Pit . DRAIN FIELD
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ~ ~' , SEEPAGE PIT /~)
DRAIN FIELD ALSO CONSIDEr Area WELLS.
WATEr MAIN TO SEPTIC TANK , SEEPAGE Pit
DRA~N FIELD
DIAGRAM OF SYSTEM
iNTO AND OUT OF SEPTIC TANK AND INTO crIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IrON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFOrm TO BorouGH REGULATIONS rEGArDING INSTALLATION.
/ HEALTH AUTHORITY
OR
LICENSED DESIGNER
I cerTIFY THAT I am FAMILIAR WITH THE requirEMENtS OF Greater ANCHOBAGE Area Borough ORDINANCE N~) 28.6B AND THat THE ABOVE
DESCRI~ SYSTEM iS IN AccorDANCE WITH SAID CODE. ~,/~~/~-~ ~ ' //
GREATER ANCHORAGE AREA BOROUGH
~ ~ DEPARTmeNT OF ENVIRONMENTAL QUALI~'!
' 3500 TUDOR ROAD
A~NCHORAGE, ALASKA 99502
Perf~)~med For Joseph Donchak Date Performed
Legal Description: Lot28 Block 2 Subdivision Prospect Hts'.
This Form Reports Soils~g ×
CASE #..
5/23/7Z
Percolattbn Test
Depth
Feet
Soil Characteristics
Bro~-n Silty Sand (SM)
5-
7~
8---
9----
lO~~
Was Ground Water Encountered?
If Yes, At What Depth? -
Gray Sandy Gravel (GW) to Gravelly
Sand (SW)
Reading Date Gross Time
Net Time
Seepage Pit
Depth to H20
Net Oro
Proposed Insta¥1ation: x Drain Field
Depth Of Inlet Depth To Bottom Of Pit Or TrenCh
C0MMENTS: ll5~are feet of drainage are~ is required per bedroom in the area
2' o 11' de th.
es er orme y R. . ar zs e
a a er 1 le y.. a zona Test ng vs. Inc.
0ate: