HomeMy WebLinkAboutDRAKE BLK 3 LT 7
SREA,_R ANCHORASE AREA BOR
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
GH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS
~//~ /-~///'~L~AL DESCRIPTION ~/~/~-
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER '~/~'~"-~' "~'"'~'<~' MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH.
LIQUID DEPTH
.LIQUID CAPACITY /~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER____ OR WIDTH ~5~, / LENGTH'~,~/DEPTH ~
LINING MATERIAL / ~Z:~ ~/~/~IB SIZE: DIAMETER DEPTH .~/DISTANCE FROM: WELL
BUILDING FOUNDATION /V/~-/'~/ NEAREST LOT LINE ~,~7 / TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) '~'~ / .SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL ~/~
APPROVED
CONSTRUCTION~ DEPTH
DISTANCE FROM:
NEAREST /.. NEAREST
, LOT LINE ~ ~' , SEWER LINE
, OTHER SOURCES ~-~ /
DISAPPROVED REMARKS
SEPTIC / SEEPAGE
TANK /~' , SYSTEM /~'~ /-/- .
DISTANCES:
!
INSTALLED BY: ~g~C'Z,.¢'
PIPE MATERIAL: ~/'~--~'~/
LOT SLOPE:
REMARKS:
Form PW-026
DIAGRAM OF SYSTEM
,l
G.A.A.B.
DATE
GREATEr ANCHORAGe ArEA BoruOGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-65'0
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERM,T NO, 2147
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED,, ~ ~~ ,~'~1.0 ~ ~ ; ~
FINANCED THROUGH TO BE INSTALLED BY
BOIL TEST REBULTS NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED~._~/~
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK I ~
FOUNDATION TO SEEPAGE PIT _. 2~: ~
SEPTIC TaNK TO SEEPAGE Pit WaLL
SEPTIC tANK ~ ' 2~
, SEEPAGE Pit
TO NEAREST lot LINE. /
WELL TO SEPTIC TANK .
DRAIN FIELD
WATER MAIN TO SEPTIC TANK I''/~~
DRAIN fIELD
BEPTIC TANK, ., SEEPAGE PIT f~
TO RIVER, LAKE, STREAM.
, DRAIN FIELD
., DRAIN FIELD
., DRAIN FIELD
AREA SIZE
TYPE
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION ]6 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPEB ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INBTALLATION.
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMeNTB OF GREATER ANCHORAG~A BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
G~EATER ANCHnRAGE AREA BOROU, .
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For6'havlm Salem ,,,
Legal Description: Lot ? Block 3
This Form Re~orts Soils Log X
Date Performed ,~1o~1~
Subdivision Drake
Percolation Test
De~th
Feet
Soil Characteristics
SP poorly graded sand
-- (150)
7--
,,
9__
Was Ground Water Encountered?
I~ Yes, At what Depth?
Readin.q Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit x Drain Field
Demth of Inlet DeDth To Bottom Of Pit Or Trench
C 0 M ~ E N T S · SP in upper 12 t. of, t~st hole: SM below in last_2/~.][t sq. per
bedroom needed.
Test Performed
Data Certified By:
Date ·