HomeMy WebLinkAboutLot 07B
Department of Environmental Qualit~ '?TER ANCHORAGE AREA BORO!:'~
8,500 T.u,dor Road -- Pouch 6-650
N°. 867
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELl
uQU~D CAPACITY
GALLONS.
P.ONE
>~ ~'..-"-'z~'--z NUMBER DE
COMPARTMENTS
MATERIAL
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH_--
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF P,TS / OUTS,DE D,AMETER ~ OR W,DT.. la / .LENOT. /~ , DEPTH
L,N,NO,~ATER,A~ /'~r~C/'(~ ) ~,S~.C~ ~O~ W~ /~ ' ..~,~,~ ~OU~,O
TILE DRAIN FIELD:
DISTANCE FROM WELL ~ NEAREST LOT LINE.
NUMBER OF L~ DISTANCE BETWEEN [ N~~ TRENCH WIDTH
ABSORPTiO~/"A~E~ ~q. FL LENGTH OF EACH LINE ~
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TIL~
TOTAL LENGTH
, OF LINES
IN. ABOVE TILE
WELL: TYPE~, DEPTH. -
I,~ NEAREST ~ SEPTIC
LOT LINE I~'~'7 ~" , SEWER LINE , TANK
DISTANCE PROM ~ WATER
,BUILDING FOUNDATION. SAMPLE ., NEAREST
~ I SEEPAGE ! ~_ OTHER
, SYSTEM /'l~)/ , CESSPOOl , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPRQVED~
SEV(AGE ,DISP(~' ')~SAii. SY'!STEM --.. APPLICATION AND
COUPLET ON DA(~ ANhC pATED ....
PFRMIT VAI ID ONF YFAR
5
TO NEAREST LOT LIN[
WELL TO SEPTIC TANK
DRAIN FIELD
DRXI'N.FI~LD__ 10 ft.
EXCAVATION 5 FEET INTO UNDISTURi~BD SOIL
G~ ;ATER ANCHORAGE AREA BOROH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For ~o~ .~_ 3~,~m~ Date Performed ~
Lecal Description: Lot ~ Block ~=ubdi';isi~n T ISN R2~ ~¢.
This Form Reoorts Soils Log ~ Percolation Test
Depth
Feet
1
Soil Characteristics
Was Ground Water
Encountered?
If Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Deuth of Inlet Depth To Bottom Of Pit Or Trench
COMMENTS: ~5 ~ ~f/~J~'~"~
Test Performed B.y '"~,,~,..~ ,~,.~ /Data
Certified By:
Date: