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HomeMy WebLinkAboutT13N R3W SEC 27 A.M.U. Campus SubdivisionGR'I ThER ANCHORAGE AREA BO'j `UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMER, 'd"/' M MAILING ADDRESS PHONE LOCATION 1\QU GA7 lee5ornee. LEGAL DESCRIPTION 4,7)1.12 Ci9rev f 93 Al I? a.) d SEPTIC TANK: effSbnrr DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH NUMBER OF MATERIAL COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER WI OR WIDTHLI LENGTI-k , DEPTH 1.2' LINING MATERIA�e��`F/� grCRIB SIZE: DIAMETER DEPTH/a2 / DISTANCE FROM: WEL' r , TOTAL EFFECTIVE t�^/ BUILDING FOUNDATION HA , NEAREST LOT LINEpryc© 4-. ABSORPTION AREA (WALL AREA) /(O75 SQ FT ADDITIONAL ABSORPTION WELL: TYPE COM h'1 BUILDING FOUNDATION CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES• DIAGRAM OF SYSTEM INSTALLED BY• 0, PIPE MATERIAL. CAS/ aOA� LOT SLOPE: % REMARKS 050 ��G,�Dlnm Form No. EQ -031 DATE ell 1!✓7-6/777 APPROVED G.A.A.B. Gr E -Ir ANCHORAGE AREA BraTh I D,ppartment of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ;H INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME JO, MO / t 4L Re5/OEn4tAILING ADDRESS PHONE LOCATION LEGAL DESCRIPTION A4`&'C,5400c c SEPTIC TANK: e'X/SJ,Nc— DISTANCE FROM WELL INSIDE LENGTH MANUFACTU INSIDE WIDTH NUMBER OF MATERIAL COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER LINING MATERIALCPP CRIB SIZE: BUILDING FOUNDATION 3.Y , ADDITIONAL ABSORPTION OR WIDTH LENGTH %y DEPTH hg J DIAMETER DEPTH aDISTANCE FROM: WELL id /in • I NEAREST LOT LINE02O * TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 4701( SQ. FT. WELL: TYPE(.pf n41 BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM , OTHER SOURCES DISAPPROVED REMARKS DISTANCES: &/ic INSTALLED BY AA, Al PIPE MATERIAL- &I..gt-tU-&-""`+ LOT SLOPE: ...d e, W REMARKS•/ear .,/l7d2r Form No. EQ -031 DIAGRAM OF SYSTEM to,H.y a% RnAiow P� �4r3 ry' t' 'n' DATE aft /.S//°J0y APPROVED G.A TEST ,'1So c%boitm 641e.t_ .A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 MV PER IT.NO N SEWAGE DISPOSAL SYSTEM - APPLICATION AND P NAME OF APPLICANT .619I " ! 6:211 9e6 `l' �""V"I�-I+A ILG ADD S ✓� ^IZ Gf�d` if `j INSTALLATION LOCATION LEGAL DESCRIPTION PHONE INSTALLATION OF: SEPTIC TANK fj SS�EEPAGE PIT ,] p DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY //y� SOIL TEST RESULTS (f-41µ{{�///'// ti COMPLETION DATE ANTICIPATED /lw NOTE: THIS PERMIT 1S 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 AVA- TYPE �rffr SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK M I FOUNDATION TO SEEPAGE PIT go DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TONEAREST LOT LINE ,.1 WELL TO SEPTIC TANK SEEPAGE PIT /CO SEEPAGE PIT DRAIN FIE.'.J DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT /0 DRAIN FIELD s SEPTIC TANK. ' SEEPAGE PIT /doDRAIN FIELD TO RIVER, LAKE. STREAM. 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 SEEPAGSPITI FITTED WITH AIRTIGHT REMOVABLE GAPS. rtJ` GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. C I OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA B DESCRIBED SYSTEM I5 IN ACCORDANCE WITH SAID CODE. DATE /1/.7y APPLICANT'S SIGNATURE P v )21H ORDINANCE NO. B-68THAT H ABOVE • sTJ PI ��/ .! / , Il1 •v 1 se _ _ _ - / _ r r i / "PI& si I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA B DESCRIBED SYSTEM I5 IN ACCORDANCE WITH SAID CODE. DATE /1/.7y APPLICANT'S SIGNATURE P v )21H ORDINANCE NO. B-68THAT H ABOVE • LICENSE NOT TRANSFERABLE :A8 03ZRIOH.Lf1V Expires February 14, 2012 >0 io oei;uoo sJO;enal3 :sseulsne;o edhj Jo;oei;uoo pause LIEBING, MIKE (AK MANAGER) 0 619 E SHIP CREEK AVE., STE. 301 ANCH, AK 99501 0 -1 0) m r m 0 023 0 T� V Z The Licensee below holds Municipality of Anchorage Contractors License Number 0440 ."S 3SN3311 S21O1Od211NOO J O O 0 mm 3m3 o 0 c N 3 7 3o • 01 0.0 o O OS m m0 O Dim Tam co c3 mer 0 co O