HomeMy WebLinkAboutELMRICH VILLAS #4 Block 4 Lot 23
ANCHORAGE AREA "'qF' UGH
Department ;~?2~irs~2~ntal Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME r ~'r~//~~ ~ / ~' MAILING ADDRE__SS~/--'~4'-Z/~/~/~''~''~z'//~/~''~''~/''?~'~ PHONE
SEPTIC TANK:
DISTANCE
FROM WELL ~/~/~'/f'~/MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
.....
INSIDE LENGTH INSIDE WIDTH ..... LIQUID DEPTH __.LIQUID CAPACITY GALLONS.
SEEPAGE PIT: ////
NUMBER OF PITS . DIAMETER ~' OR WIDTH , LENGTH 24', - DEPTH
LINING MATERIAL ~'~'"; /'~ CRIB SIZE: DIAMETER (~ DEPTH ~ DISTANCE FROM: WELL P~//~.
,t~ ,~../ TOTAL EFFECTIVE
BUILDING FOUNDATION~ NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ~ ~' - SQ. FT.
ADDITIONAL ABSORPTION ~ "'
WELL:
TYPE ~l'~// ~/
BUILDING
FOUNDATION-
C ESS PO O L
APPROVED
CONSTRUCTION DEPTH DISTANCE FROM:
NEAREST NEARES~~/-~- ...... ~'~¢T I C~-i-~ SEEPAGE
LOT LINE , ~/~l N E .,TANK ~,~EM _
b'TH E.~.._S 0 U R C E S .
DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: ~ ,,~./~2/~,(.. e;~l~i
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
DATE ,.'?C,~' /. /~.~'~ APPROVED
/
G.A.A.B.
GREATEr ANCHORAGE ArEa BorouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
pERMIT NO,
MAILINg ADDRESS --
INSTALLATION LOCATION ~' I ' ''
LEgal DESCRIPTION ,' 'I? H~' KI
INSTALLATION OF' SEPTIC TANK ~ SEEPAGE Pit ~ / DRAIN FIELD
~ ~,~.~. ~' .., . :, . iZ~.'.~- ~ -./~.~ ('
SOIL TEST rESULTS c~ ~ ~L.g.?' {ling-1~ ZNOTE: THIS PERMIT I~ NOT VALID WITHOUT SOIL
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 SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS /
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT '~ ~ ., DRAIN FIELD .
SEPTIC TANK '2 (3 I
DRAIN FIELD / (2 f
SEPTIC TANK, {/O ~) ! SEEPAGE PIT
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
.. SEEPAGE Pit
DRAIN FIELD // ~ ~) ( ,
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING 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.
GRAVEL BACKFILL -~"~., ~2_ ~'
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT ~ AM FAMiliar WITH THE REQUIREMENTS Of GREATER ANC~EA BOROUgh ORDINANCE NO. 28-68 aND THat THE aBOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE / . ' ~ APPLICANT'S SIGNATURE
"One tes~ is ~uorth a thousand opinions"
. ~82~ 'tUDOR ROAD. A~IDHORAI3£. A~ASKA 0g~07 · T~L~PHONe 333-8472
Performed For~ Date Performed /~./-
ntion:
Leoal Descri Lot~ Bl ock~Subdi vi sion ~[ ~ ~~
This form Re~orts Soils Lo~ ~ Percolation Test
Oepth
Feet
Soil Characteristics
1
2
7
Was Ground Water Encountered?
Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
I
i
Percolation Rate Hinute
Pronosed Installation: Seenaoe Pit Drain Field
Deoth of Inlet Depth To Bottom Of,Pit Or Trench
test Performed By ~I~C~=, Data Certified 'By:~_?=~-
. . ~ +.~.--~//~./. ?~
"One tcs~ is wo.h a ~housand o?nlons"
Performed For /~" ~)~.. ' ~ate Performed
Leoal Description: Lot~3 Block ~-~ Subdivision
This Korm Reports Soils LoQ ~
QeDth
Feet Soil Characteristics
Percolation Test
Was Ground Water Encountered?
I~ Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20I Net Drop
Perco'latio Rate Minute
Proposed Installation: Seenaae Pit Drain Field
Depth of Inlet Deoth To Bottom Of P~t Or Trench
test
formed By ~l Data Certified By:~__.~