HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 5 LT 13A
GRF ER ANCHORAGE AREA BO. JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION UPP~ O'MALb~ LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE /
FROM WELL I ~ MANUFACTURER
NUMBER OF
MATERIAL %-~' ~:::: ~-; L~ COMPARTMENTS
INSIDE LENGTH ~ INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY I,~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS [ DIAMETER '-
LINING MATERIAL L~--~ CRIB SIZE:
BUILDING FOUNDATION
OR WIDTH I G' LENGTHS~, DEPTH '-7 /
DIAMETER ~ DEPTH '7 / DISTANCE FROM: WELL I ~ /
P ~l~O -- / TOTAL EFFECTIVE
POS~)NEAREST LOT LINEm2,O ABSORPTION AREA (WALL AREA) ~ ~-~::~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPe IL~DIt/I D~AL
BUILDING
FOU N DATI ON'~FqDD 5~'
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST -t
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH
SEPTIC
TANK
DISTANCE FROM:
SEEPAGE / ~-~ /
SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
Nd/L-SoN
PIPE MATERIAL: cAgT lPO,g
LOT SLOPE:
REMARKS:
Form No. EQ.031
DIAGRAM OF SYSTEM
WE
~ E. PTI ~
PI'
Ig
DATE
G.A.A.B.
GREATER ANCHORAGE AREA Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "E"STREET ANCHORAGE~ ALASKA 99503
TELEPHONE 274-456 !
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME
OF
APPLICANT
INBTALLAtION LGDATION
INSTALLATION OF: SEPTIC TANK ~ ., DRAIN FIELD OTHER
SEEPAGE Pit
FInancED thROUgh , tO ~E iN~tALLED-~Y ' ~~
SO~L TEST RESULTS /~ ~~ NOTE~ THl~
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.
ALSO CONSIDER AREA WELLS.
MINIMUM DISTANC:E$, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
SEPTIC TANK .SEEPAGE Pit .DRAIN FIELD
TO NEAREST LOT LINE.
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH Airtight REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGU/~TIONB REGARDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE~ ~ /~ m l~ APPL'CANT'S $IgNAT,RE ~
' _A x
"one test is 'Porth a thou~m~d oyinions"
Performed For Ha~ Wilson' Oate Performed
Lc(la 1 Oescrintion: Lo t_J]_B 1 pc k.~ ...... Subdivision
'[his Form Reoorts Soils Lea ..... ]L%,~ ................... Percolation Test
0 e o t h
Feet
S~il ('har~c~-~sc
I'F Yes, A'L wha~ Den't,~.
Read ing
[)ate
6ross l'ime
Percolation
Proposed
Depth of
' cnklPENTS:
ate Minute
Installation: SeeDaoe
Inlet
Depth 'to tt20
Net Dron
Pit Drain Field
Depth 'Fo Bottom Of Pit Or Trench
Jr_O_ sq_, ft drain, ag~ area roguired per bedroom
no be'drook o~ ~--C6~z 'V~bi[6'-~--Pil bol'o~l, le-3-P-i-66 pi~
Per'Formed By Jim Mack Data Certified By: Construcbio)~ [['w ~i~['r,}
-!
LOT SURVEY CERTIFICATION
Lot /3 Block ~'
Anchorqge Recording Precinct, Alaska
PREPARED BY:
H. H. ~lilson, Civil Engineer
3633 Parsons Avenue
[~ is ~he responsibility o¢ ~he
o~ne~, prior to construction ~o
verify, proposed bu~ld~ng ]oc~on
on lo~, grade, and utility con-
nec~ions, also ~o de~ermine ~he
exis~ense'of any easeBen~s,
covenants, or restrictions ~h~ch
do no~ appear on the ~ecorded pla~.
Prospect
Heights #1
5-3361
ELINTEROFFICE MEMORANDUM
GREATER ANCHORAGE AREA BOROUGH
FROM: DEPARTMENT: $- 336 1 •c orr/���f�
1/• �• Q, SUBJECT:
Sf�1 kL7ilUD fes• 7%
INITIATED BY: c DATE OF MEMO:
TO: DEPARTMENT:
RECEIVER:
--7?Lfl H K.tp U
�w 4A-8 q -
REQUESTED
C: FOR INFCMATION ONLY
FOR IMMEDIATE ACTION
FOR YOUR CONSIDERATION
C: OTHER
DATE ANSWER
REQUESTED:
ACTION SCHEDULE
L✓ PREPARE BACK-UP INFORMATION
C CALL ME BEFORE YOU ANSWER
Ci NEED YOUR RECOMMENDATION
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- SIGNANRE I