HomeMy WebLinkAboutDRAKE BLK 3 LT 8
.'R ANCHORAGE AREA BOr
Department of Environmental Quality
3330 C Street
Anchorage, Alaska ggS03
,GH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ,/J~/~/
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL/d~z~
INSIDE LENGTH
MAILING ADDRESS
LEGAL DESCRIPTION
NUMBER OF
MANUFACTURER ~--~G_~'/~~7~ MATERIAL ~/~-~ COMPARTMENTS /
INSIDE WIDTH --'-' LIQUID DEPTH ~ LIQUID CAPACITY //~/----'~ GALLONS.
SEEPAGE PIT: / / /
NUMBER OF PITS / DI&METER --' OR WIDTH /~', LENGTH~2~, DEPTH
LINING MATERIAL~----~/~ ~RIB SIZE: DIAMETER ~// DEPTH ~/
., DISTANCE FROM:
BUILDING FOUNDATION ~R~/_____~, NEAREST LOT LINE ~{-)/~ TOTAL EFFECTIVE
WELL//~/¥''
ABSORPTION AREA (WALL AREA) ~'Z/~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE /Z:~//~//~ ~zb CONSTRUCTION ~~g:~/ DEPTH
BUILDING /~ NEAREST /7~ NEAREST ~ W SEPTIC
FOUNDATION /¢' , LOT LINE /~ , SEWER LINE /~ ., TANK__
CESSPOOL ~ , OTHER SOURCES
APPROVED
DISAPPROVED
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANC ES:
INSTALLED BY:/~4¢~/~/ C~/~W/
PIPe MATERIAL: ~"'4~'~- -~Q~
LOT SLOPE:
REMARKS:
Form No. EQ-031
G.A.A.B.
GReaTer ANChORage ArEa BOROUgh
DEPARTMENT Of ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PERMIT NO,
SEWAGE DISPOSAL SYSTEM- APPLICATION AND PERMIT
C~_...,-/-o~, MA,L,.G ADDRESS ~'P' ~o.r /0~ o,'t PHONE
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~
TYPE AND SIZE OF FACILITY TO BE SERVED ,~ ~
FINANCED THROUGH
COMPLETION DATE ANTICIPATED
DRAIN FIELD
TO BE INSTALLED BY
OTHER
NOTE:: THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST
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.
SEPTIC TANK size 10~)~~.
Typ:~'~'L~--~ 'SEEPAGE aREA s,zE LoOO.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~a~
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK . SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK j~) 0 /
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, /~0{~ ! . SEEPAGE Pit
/DRAIN FIELD
/
., DRAIN FIELD
ALSO CONSIDER AREA WELLS.
SEEPAGE Pit / O
TO RIVER, LAKE, STREAM.
/E)~ ', DRA,N F,ELD /0 0z
P-==~-~.': !~!TC ~'..':---- CUT ~ E~-_~i~ TAl~K ~ND INTO CRIB-CROSSING GAP OF
EX~AVaTION D F~:ET INTO UNDISTURBED SOIL.
4 &NCH I~l~w~"== ~-AST IRO,N SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS,
GRAVEL BACKFIL,L
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
TYPE
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREM~'NTS OF ..~. EATER
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
.
FORM NO. EQ-01 6
ANCHORAGE AREA BOROUGH ORDINANCE NO. 25-68 AND THAT THE ABOVE
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case #
Performed For. ~jo/~/ ~'~J-7-~-~'; Dated Performed
Legal Descriptio'n: Lot ~__Block__~3 Subdivision~~~.O.~
This Form Reports Soils Log Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet Soil Characteristics
9--
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
Depth of Inlet Depth to Bottom of--Pit Or Trenc~
COMMENTS:
Test Performed
__Date Certified