HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 1
GRE !R ANCHORAGE AREA BOR' .GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
NAME
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
,,~/-.~/2 (~a/~/~'~:~ MAILING ADDRESS ,~' ~,-~,~ f~ PHONE
LOCATION
LEGAL DESCRIPTION ,~]z / ~/,~, /
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
. MA N U F AC TU R E R J"~/,~,~' MATERIAL
INSIDE WIDTH. "~ LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY/~g~. GALLONS.
TILE DRAIN FIELD:
/
DISTANCE FROM WELL ,-~/)'/"/- ,/~-~z~ NEAREST LOT LINE ~
FOUNDATION/ ,'
/ --
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTION AREA , ~/~/ 7d/
SQ. FT. LENGTH OF EACH LINE
DEPTH:
TOTAL LENGTH
OF LINES
· -~/l:~t. TOTAL EFFECTIVE
TOP OF TILE TO FINISH GRADE
~/ / DEPTH OF FILTER
MATERIAL BENEATH TILE_
IN. ABOVE TILE ~ //
,IN.
WELL: '
// ~,,
TYPE _,~' ~./~'/-~-//~ ~,~.. CONST RUCTION
BUILDING . NEAREST
FOUNDATION/'~'~)/' LOT LINE ~--~/¢' ,
CESSPOOL ~ ~., OTHER SOURCES
APPROVED '-" DISAPPROVED
DISTANCES:
DEPTH /~'7
NEAREST SEPTIC / SEEPAGE
SEWER LINE /~/'/' TANK /~/., SYSTEM
DISTANCE FROM:
REMARKS ~,"¢-"'~ P'/,~-¢~"'","~'~ g¢
DIAGRAM OF SYSTEM
INSTALLED BY: ~b~
PiPE MATERIAL:
'
co~ s.o~E:
REMARKS:
Form LQ-032
GreaTEr ANChORAgE AREa BOROUGH
~ ·
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 !
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT
MAILING ADDRESS
PHONE
.EGAL DESCRIPT,ON / /
INSTALLATION OF: SEPTIC TANK /%.
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE PIT
DRAIN FIELD OTHER
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
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 /1~'~'~ (.~" TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~C /
_CO/
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO
SEPTIC TANK --~- ~/ ,SEEPAGE PIt
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
~#L,~'P-- ~--.)/2.- J~-~EEPAGE AREA SIZe
DRAIN FIELD
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
/
SEPTIC TANK, ~'' . seEPAGE Pit
TO RIVER, LAKE, STREAM.
SEEPAGE Pit
DRAIN FIELD
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
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G .A .A .B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
FORM NO. EQ-016
GAAB-HD- I
GR ,ER ANCHORAGE AREA BOROU'-'t
D~r~FITMENT OF ENVIRONMENTAL QUALI'I
3500 TUDOR ROAD ANCHOF1AGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING
ADDRESS
PHONE
SEPTIC TANK:
DISTANCE FROM WELl ,,~,/~)~'- /,,4,/ y,~'7'- MATERIAL
LIQUID CAPACITY
GALLONS. iNSIDE LENGTH
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID
DEPTH
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
~~ OR WIDTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH , DEPTH
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL /~/~?' //(~'T-'f~/-'L~FOUNDATJON/~/~J'~/ ~/f/~7~NEAREST LOT LINE
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
WELL:
DISTANCE BETWEEN LINES TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE ~'~
/~'' ~ ~r DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES ~"~
3/
LOT LINE
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WATER
TYPE/(/~Y ~,,,~./~..~_~, DEPTH
NEAREST
SEWER LINE
BUILDING FOUNDATION
SEPTIC SEEPAGE
, TANK , SYSTEM
SAMPLE NEAREST
OTHER
, CESSPOOL , SOURCES__
DISTANCES:
P/P~' J,,~'
DATE
DIAGRAM OF SYSTEM
'7-/£- 7-8.
G.A.A.B.
~' : ~'~. '~'~'~R.-E,,-,i'ER ANCHORAGE AREA BOr. JUGH
' ~ ~..~ \ ~ .\ ~-~-~.A.TM~.~ o~ ~.v,.o.~.~ ~.~,~
~' ERMIT NO.
~X~ ~ "~ ~'/ ~' / ANCHORAGE ALASKA 99502
INSTALLATION LOC~N
'EOAL.ESC.,PT,O. D.. Z
TO BE INSTALLED BY
NOTE~ TNIS PER~IT !~ NOT VALID WITHOUT ~IL
TYPE AND SIZE OF FACILITY TO SE SERVED
FINANCED THROUGH ~~
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
FINAL IN~IlI'ECTION, ~'4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYBTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE , ~ SEEPAGE AREA SIZE
MINIMUM DI~'rANCE8, REQUIREMEN'PB
FOUNDATION TO SEPTIC TANK ~' I
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT W~L~
SEPTIC TANK ....
~ (. SEEPAGE PIT .
TO NEAREST LOT LINE.
WELL TO SE~IC TANK ~
DRAIN FIELD
WATER MAIN TO SEPTIC TANK ,
DRAIN FIELD
DRAIN FIELD
SEEPAGE PIT ,,
ALSO CONSIDER AREA WELLS,
. SEEPAGE PIT /O/
DRAIN FIELD
DRAIN FIELD
TO RIVER, LAKE, STREAM.
~ST IRON IN__To AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION B FEET INTO UNDISTURBED SOIL,
4,,i,INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS,
GRAVEL BACKFILL.
DIAGRAM OF SYBTEM
CONFORM TO BORO~/II~EGULATiON$ REGARDING INSTALLATION,
/ / "EA"'"~'O~T"O"'TY '
/ LICENSED DESIGNER
I CERT~ THai AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A~CHORAGE
DE~C~STEM IS IN ACCORDANCE WITH SAID CODE, ~ ~ AREA BOR~H ORDINANCE NO' 2B'eS AND THAT THE ABOVE
"One test is worth a thousand opinions"
5828 TUDOR ROAD, ANCHORAGE, AI. ASKA 99507 · TELEPHONE 33S-8472
Performed For Lou Caputo Date Performed 7-16-72
Leoal r)escril~tion: Lot 1 Block 1 Subdivision Birch ~ee W,.~tates
This Form Re~orts Soils LoQ Ye~ Percolation Test
~eoth
Feet Soil Characteristics
Silt & Clay Htx ( CH ) ~ _
Sandy Gravel ( GW )
Was Ground Water Encountered?
It Yes, At what Denth?
No
' I
~ Readinq Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field YES
De~th of Inlet Depth To Bottom Of Pit Or Trench ]m ft.
COMMENTS' Drain Field Trench Dimensions .. '~ ft. wide X lO ft. deep at time of inspection
Drain tile to be pla.ced at the s$ndy gr~vel layer ....
85 sm. ft. dra~naE_~ rmqu~v~8 p~w b.~m
Test Performed By .Tmmmm n.M.~W Data Certified By: CONSTRUCTION TEST LAB
Laboratory Manager D a t e: July 16; 1972