HomeMy WebLinkAboutLot 10
GRE, J'ER ANCHORAGE AREA BOkOUGH
Depsrtment of EnvironmentsI Qualitv
3330 C Street
Anchorage, AIsska gg.503
INSPECTION_RE,pORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL MANUFACTURER MATERIAL COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH
INSIDE LENGTH
LIQUID CAPACITY /-~'/GALLONS.
TILE DRAIN FIELD:
TOTAL
LENGTH
!
OF L,NES
DISTANCE FROM WELL C~'~/~FOUNDATION [~)~ 'j'' NEAREST LOT LINE /~
NUMBER OF UNES / DISTANCE BETWEEN LINES N'/~'~'j I~'b
__ . . TRENCH WIDT IN. TOTAL EFFECTIVE
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
WELL: -F,r ~/ ~-
SQ. FT. LENGTH OF: EACH LINE ---./'/~). '
~ ~ DEPTH OF FILTER /
MATERIAL BENEATH TILE~" _1~. ABOVE TILE q IN.
TYPE _
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
_CONSTRUCTION
NEAREST NEAREST
LOT LINE ___ SEWER LINE____
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
TANK , SYSTEM
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-032
(~~-5~ 7 ? APPROVED '~¢' '~
DATE 5~.~¢~ G.A.A.B.
GRE, ,'ER ANCHORAGE AREA BO.,.OUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
$330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO.
~ DRAIN FIELD OTH ER~
INSTALLATION OF: SEPTIC TANK . pEEPAGE PIT
SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
cOmPLETION DATE ANTiCiPAtED ~ ~¢ ~/~~-~/ ~'
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, ., SEEPAGE PIT
TO RIVER. LAKE STREAM.
SEEPAGE AREA SIZE
DRAIN FIELD
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
i DRAIN FIELD --
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH Ai RTIGHT rEMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
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This form reports' Soils log__ Percolation Lest
Depth
Feet
5-
6-
7-
12-
13-
Was ground water encountered?
_~ If yes, at what depth?
Reading Date
Percolation rate
Gross Time
minute.
Net Time Depth to Water
Net [Jrop
-Proposed installa~-~-~'n" Seepage Pit Drain Field ........
Depth of Inlet _ . Depth to bottgm of pit or trench /
GREATER AHCttORAGE AREA BOROUGH ~l
5
DEPARTMENT OF ENV]ROIIMENTAL QUALITY' Case #
3330 "C" Street
ANCltORAGE, ALASKA 99503
Performed For ,/~j~ ~-~-~$ C~.~-~=[A._o~L ~,~-q~kDated Performed /C/~/~
Legal Description: Lot~ Block Subdlvision
This Form Reports Soils Log_~/ ~ Percolation Test
- Soil Test Must Be Logged To 4'Oelow Proposed Seepag~ System -
Feet Soil Characteristics ~c ~'~.~,~kq Z, ~ ~o~ C)~ ~.
2--
3--
4--
5--
6--
7--
9--
10-
ll--
12--
13--
14--
Was Ground Water Encountered?
If Yes, At What Depth?
Reading
Date
Gross Time
Percol atioI~ Rate Minuu~
Proposed Installation: Seepage Pit
Depth of Inlet
COMMENTS:
Net Time
D~*pth to H20
Drain Field
Net Drop
Depth ,to Bottom of Pit or Trench
Test Performed
Date Certified BY:
Date:
. 3330 "C"
S()II,S IX)t; I)I!I~()I,ATI()N TES'I'
his form reports' Soils log Percolation test
,ep th
'cet
4as ground water encountered?
c~.~_.._.,_ If yes, at wi~at depth?
(eading Date Gross Time Net Time Depth to Water Net Urop
:'ercolation rate minute.
Depth of Inlet . Depth to