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Home My WebLink AboutLot 16 GRE~,r:R ANCHORAGE AREA BORudGH Department of Environmental Quality 3330 C Street z/ Anchorage, Alaska 99503 //'V ~ INSPECTION REPORT C'..': :"" ,~-"',','~,~,E DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WE''//¢ INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /'~GALLONS. .~ ~74¢~ ?/7- ''~ b.,'/ D DISTANCE FROM WELL /l 5~", FOUNDATION l;z / ¢/¢' TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE CONSTRUCTION ~" ~'~F')/'''~ (-)- DEPTH. DISTANCE FROM: BUILDING ~0 ~ NEAREST FOUNDATION , LOT LINE__, CESSPOOL ~/4 OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER L,NE SEPTIC-- ~* SEEPAGE TANK , SYSTEM /' DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: ~O/Z Form LQ-032 ;0~( GRe/ ,-'r ANCHORAGE AREA BO! Ugh PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEW-AGE-D-'$PO~~M -- APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK SEEPAGE Pit DRAIN FielD .... OTHER ~Z~-~i, FINANCED THROUGH TO BE INSTALLED BY BOIL TEST RESULTS NOTE.' THIS PERMIT IS NOT YALID 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 TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD , DRAIN FIELD DRAIN FIELD / SEEPAGE PIT /~ ~ ALSO CONSIDER AREA WELLS. SEEPAGE PiT SEPTIC TANK, ., SEEPAGE Pit , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET 1NTO 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. OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAiD CODE, DATE APPLICANT'S FORM NO. EQ-016 DEPARTMEHT OF EN~/.fRON!'!Eii~AL Qt!/~,Llff 3500 TLIDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Rlohard Martin Lemal Description: Lot 16 Block 2 This Form Re~orts Soils Lo¢ ]<Z~ Date Performed 16 August, 1972 Subdivision___E~_~l Ra~ Percolation Test ~epth Feet 1 Cobble- Boulder Soil Characteristics /t ' Gw 5 6-- 7 9 The Gw was very loose with ~ low water content. was also a very high coarse sand content. The Gm was very compact with a high percentage dC'cobble sized particles. Was Ground Water Encountered? No I¢ Yes, At what Depth? Readin~ Date Gross 'Fi me Net Time The lot is flat. .... .... L_.I--..-I ............ Den'th to tt20 Net Dropi PercolaSion Rate --[ .......... Proposed Installation: Pe~th of Inlet 2 feet Pe~iTl~--~-~'--~'(~¥{o~ rf Pit Or Trench~_?_eet 06 - 1220 Ca ).::=-;J~e~.' -197~ DATE INDIVIDUAL rci.- NAME AL~' DEPARTMENT OF HEALTH AND SOCIAL' S', ICES ,,~:_. DIVISION OF PUBLIC HEALTH --?- ., Lab No. INDIVIDUAL AND SEMI*PUBLIC BACTE. RIOLO GICALAWATERANALYSI-S 'OFF,CE SEMI-PUBLIC ~ CHLORINE RESIDUAL PPM REPORT RESULTS TO £' ~ :;~ :~: ADDRESS ADDRESS SOURCE ~OF~ COMPLETE THIS 'SECTION ONLY IF WATER JS AN, INDIVIDUAL SUPPLY SAMPLE COLLECTED BY ZiP CODE /~ 4 -, "'/.~/'/~. Analysis shows this Water SAMPLE'to be: ' -' _ ~ Satisfactory r-J Unsatisfactory ~] Questionable DAT~ COLLECTED ,~,Z ' : / '~ TIME COLLECTED / / Sample Collected From ~[~rKitchen Tap [] Bathroom Tap [] Basement T~p - Well -- [] Dug [] Driven ~n Drilled E~ Bored SOURCE: ' ~ Spring ~ Cistern ':'u Other , D~g Well or Cistern Construe iota . ; '~alls--~ Wood ~ Concrete ~=. ~ M~tal ~ Tile Brick or ~6~?~ ~o~ ~ Concrete ~ ~ Metal ~ Open Top ~ Concrete ~~TIQN: ~ n B .... ~n~ ~ ~ B ..... kt Offsel ~ Under House4 'e ~,, ~ln Yard ~ Other - DISTANCE TO or Other Drainage P ~e Feet. Tan~- 'Fiel~~ Feet. Pit Feet. Pool Feet. Privy Fe~t. ~ Gth~r Possible Sources of ContaminatioH. MATERIAL: Building S~er ~ ~ Cast Iron ~ Wood ~'Tile ~ Fibre ~ Asbestos Cement ~ Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? When? Diameter of Well 'r ', Depth ~ Feet, Well Casing Material Diameter Depth Drop Pipe From Bottom Offset in PUMP LOCATION: [] In Well [] Basement [] n Basement On Top [] Of Well [] Other , PURPOSE OF EXAMINATION: Illness SuSpected? [] Yes New Source of Supply? [] Yes i [] No Repairs to System? ~1~ Sampl~ too long in transit; sample should not be over 48 hours old aJ examination to indicate reliable results. Please send new sample. , !j~ ~i~oltle' broken '~-transit, please send new sample. SANITARIAN'S REMARKS READ INSTRUCTIONS ON ~,~> ~,, . . ~,-- ':'.." REVERSE SIDE BEFORE COLLECTING ,SAMPLE In Utility ~h [] Room [] No [] Yes []~No Signature -- BA(~I~R:JOLOGICAL WATER ANALYSIS RECORD Reported by This analysis-indicates Coliform Organisms TO be: '/" Absent '] '- Lactose Broth ?~'"' 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours · ~H~urs ~' ~- - ~ ~' 06-1220 b) Rev. 1973 Date .ece,ved ~'/~')~/~-~ Time geceiYed ~ p~.~- b. No..