HomeMy WebLinkAboutEKLUTNA WEST LT 2
GRE~, cR ANCHORAGE AREA BOF, ,!GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ,~0 ll~'~A
FROM WELLV ~ MANUFACTURER
INSIDE LENGTH INSIDE WIDTH
,/~,~ NUMBER OF 1
MATERIAL .$ 7~' ' COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY/~''~,~ GALLONS.
..~/¢ 5'F,d'I/~/P 13,/. A/¥ I.) -- ~ + 7" :.¢"-',~,~ ~
TILE DRAIN FIELD:
," TOTAL LENGTH
NEAREST LOT LINE ,,~ OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH'~'~' IN. TOTAL EFFECTIVE
ABSORPTION AREA ~0 SQ. FT. LENGTH OF EACH LINE //
DEPTH: TOP OF TILE TO FINISH GRADE '~/ DEPTH OF FILTER
MATERIAL BENEATH TILE
__ IN. ABOVE TILE IN.
WELL:,,,
TYPE (,~ ~V;
CONSTRUCTION
BUILDING NEAREST
FOUNDATION__ LOT LINE__
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DEPTH
NEAREST SEPTIC SEEPAGE
SEWER LINE__ TANK__, SYSTEM
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER .LINE DEPTH:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B.
Form EQ-032
GRE/-~-'r ANCHOrAGe Area BOF~UgH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM ,. APPLICATION AND PERMIT
PERMIT N~
NAME:OF APPLICANT''~0~
INSTALLATION OF: SEPTIC TANK ~'"'-' SEEPAGE PiT
TYPE AND SIZEOF FACILITY TO BE SERVED
MA,L,NG ADDREBS
FINANCED THROUGH
COMPLETION DATE ANTICIPATED
DRAIN FIELD OTHER .
TO BE INSTALLED BY
NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 'F~,I'
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
SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~ I SEEPAGE PIT
TO NEAREST LOT LINE.
wE~L TO BEPT,C TANK /~0~
DRAIN FIELD
WATER MAIN TO SEPTIC TANK //~
DRAIN FIELD
DRAIN FIELD
SEEPAGE Pit ~0(~
ALSO CONSIDER AREA WELLS.
, SEEPAGE Pit /(~
DRAIN FIELD.
SEPTIC TANK. /O O' ., SEEPAGE PIT--/OO , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSINO GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
.AVEL
CONFORM TO BOROUGH REGULATIONS R~RDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER~//JRAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID COOE. ~ ~ ~ ~,~''r'-
DATE--~I~t~I /~APPLICANT'S 'IGNATU" ~ ~
FORM NO. EQ-016
Feet
GRF~'~ER ANCHORAGE AREA BOROUGH
~ Depar~ .~nt of Environmantal Quality
~ 3330 "C" Street
'. Anchorage, Alaska 99503
Performed for Mm. & MRS, TOM B, BRION Date performed SEPTEMBER 3051975
Legal DescriPtion:LoT 2:!. EKLUTNA WE~T SUBDIVISION: (Box 52. CHUGIA,K, A'LASKA~99~67)
This form reports: Soi~ log ~: Pebcolation test
Depth . /~)7.~_~
0VERBURDELN
SP - POORLY GRADED S~NOS
( 1
Gm- POORLY GRADED GRAVELSt
~RAVEL--SAND MIXTURE
lITTLE: B'IT OF OLAY
2-
3-
4-
5-
6-
7-
8-
ll -
12-
13-
If yes, at what depth?
14 -
Was ground water encountered?
Reading Date GrOss Time Net Time Depth to H2D Net Drop
mi nu te.
Percolation rYJte
Pro?o~ed insi:a'llaticn: See!a~?e Pit .... Drain Field
Pep":n cf Inlet . De/i!'~T"~*6-~6':~it-om of pit or trench
BELOW SURFACEi~ AND) IS CONSISTENT IN GRAVEL TO ~OTTOMe
.....