HomeMy WebLinkAboutT12N R3W SEC 15 LT 26 M 109.8'501-06
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ANCHORAGE AREA B ,
Depertment of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ,~.~.~Z'/~-~ ~/d/~-~/~//~J/MAiLING ADDRESS /~ ~/~ ~/~ J~-/~ ~HONE
/
LOCATIO~ ,~ //~/~ LEGAL DESCRIPTION ~g~-/~ ~/~/~ ~
.~--r-'~-~.. C TANK:
DISTANCE
FROM WELL //~/ MANUFACTURER
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH -- LIQUID DEPTH -' .LIQUID CAPACITY ~'c~) GALLONS.
.~SEEPAG E PIt:
N~O~,BER OF PITS
LINING~M~.TERIAL
BUILDING FO'O'O~U N DA~O N
ADDITIONAL ABSORPTION
DIAMETER ~ -LENGTH~,, ~
CRIB SI.~/ DIAMETER DEPTH DISTANCE FROM?"-~LL
~ TOTAL EFFECTIVE ~
, , jNE/AREST LOT LINE . . ABSORPTION AREA (WALL AREA) ~ SQ. FT.
WELL:
TYPe Z~l/~/.~.~ CONSTRUCTION gl// ~"~/~-//¢/~/ DEPTH
BUILDING NEAREST 1~- NEAREST /7*
FOUNDATION ~''~2'~/ LOT LINE /~ SEWER LINE ~/~ TANK
DISTANCE FROM:
SEEPAGE
SYSTEM
CESSPOOL ~ OTHER SOURCES '-'
APPROVED
DISTANCES:
INSTALLED BY: ~'/~////~C//
PIPE MATERIAL:
LOT SLOPE:
REMARKS: ~
Form No, LQ~031
DIAGRAM OF SYSTEM
DATE
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF:
PERMIT NO.
MAILING ADDRESS
SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
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.
~ SIZE tYPE ~?/~O seepage area SIZE TYPE
., DRAIN FIELD
SEEPAGE PIT
ALSO CONS[DER AREA WELLS.
, SEEPAGE PIT
DRAIN FIELD
I CERTIFY THAT [ AM FAMILIAR WITH THE ~EQUIrEMENTS OF GREATER ANCHORAGE Area BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE W]TH SAID CODE. ~ ~"~ .,
i * P~/,-~formed F6r. Leo Sawyer ·'
' '" Leos . ' ~-- uace ~e
. p ] Descr]p,]on, . Lo~ ~: .~. vforaed May 12, 1973
~ ' .26 Block Subdivision
~'' T~TM Form Reporgs So~]s ko9~
Depth
__Feet Soil Characteristics
8" organics
' Gravelly Silt, tight, ,It brown (GMSM)
2---'
4 ~ It brown (SM) '
, .____,. $11,t.with Scattered layers of gravelly
" ano sandy silt'grading intO.silt an
.
- --7 ........
Brown clave~ ~i1~
. ~/a$' Ground .14~ter Encountered?..y2s~='
Yes, At ~ha't'l)epth? 6feet
~Proposed In.sta~on: Seeps e P~ · . '
...... ?,epth Of Inlet g ~ t,, _xx. Dra~n F~eld -
,.~'~t~,~'s :~rhe ~o~ ~a~~~p~/o_ aott?, o~ ~ t ~~
~~roo~ .......... ~t~u T~mr~a~ercolatmn rate of 265 sq. ft.~
~~~ineral & Materials Lob,'Inc[.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT
INSTALLATION OF: ~ TANK
TYPE aND SIZE OF FACILITY tO be SERVED
SEEPAGE PIT
~, DRAIN FIELD ~ OTHER
FINANCED THROUGH
so,~ TEST RESU~_'rs ,~ ~'~:~.'g
COMPLETION DATE ANTIC'PATED If7 3
TO BE INSTALLED BY
NOTE: THIS PERMIT I$ NOT VALID WITHOUT BOIL 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.
TANK SIZE
MINIMUM DI~TANOE~, REQUIREMENTB
FOUNDATION TO S~'f~C TANK
ALSO CONS]DER AREA WELLS.
~ i DRA~ ~ F,ELD ~~
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING ~AP OF
EXCAVATION 5 FEET INTO UNDISTURBED SO]L.
4 INCH DiAMETE~ CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
fITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
,~NT OF ENVIRONHENTAL QU~,L,,Y
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE # 7-SS
Performed For Leo Sawyer
.... Legal .Description:' Lot..26...Block.
This Form.Reports Soils Log
Date Performed May 12, 1923
Subdivi's'ion Sec. 15~ T12N R3W
Perco'l ation .Test
Depth
Feet Soil Characteristics
8" organic,s
Gravelly Silt, tight, It brown (GMSM)
Sandy silt, some sdattered clasts,
it brown (SM)' ·
Silt with scattered layers of gravelly silt
and Sandy silt' grading into silt and c~ay
at 9' (ML)
· , Brown ~layey silt, Some sand
ML - CH ;
Was Ground Water Encountered? ,yes
If Yes, At What'Depth? 6£eet
Reading Date Gross Time Net Time Depth to H20 Net Drop
i
,
i
'Percolation Rate Minute
Proposed Insta'llation: Seepage Pat x~ Drain Field
Depth Of Inlet Depth To Bottom. Of Pit Or Trench
COMMENTS: The above materials have a calculated ,~equired perdolation rate o£ 265 sq. £t., ,,
per bedroom
Alaska Mineral & Materials Lab, Inc'.
-rest I%'r formed