HomeMy WebLinkAboutALYESKA Block 5 Lot 2
R ANCHORAGE AREA BC
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS 2/Z<// ~-'~Y.L/)~.~I//~(
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM W E L L/~0/:~/~///~
MATER IAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH_
LIQUID CAPACITY /.5'~ 0 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS -- DIAMETER __ OR WIDTH , L~LG-T~--~, DEPTH
LINING MATERIAL CRIB SI = ~/~MDIAMETER .DEPTH . DISTANCE FROM: WELL
~~ :TOTAL EFFECTIVE
BUILDING FOUNDATION~ OT LINE ABSORPTION AREA (WALLAREA)
SQ. FT.
WELL:
TYPE 1'~2/~g'~i,L~?l'-'ll CONST RUCTION
/
BUILDING NEAREST
FOUNDATION __, LOT LINE
CESSPOOL , OTHER SOURCES
APPROVED 'K/' . DISAPPROVED
DEPTH
NEAREST SEPTIC
, SEWER LINE , TANK __,
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form PW-026
DATE ~. ~.
APPROVED
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUE30¢t ROAD POUCH 1%650
ANCHORAGE. ALASKA 99'502
TEL EPH OIh~E 279-8606
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT
NAME OF ,PPL,C,NT
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TAJ
TYPE AND SIZE OF FACILITY TO BE SERVED
COMP E Nfl
PERMIT NO .........
SEEPAGE PIT_
DRAIN FIELD
., OTHER
TO BE INSTALLED BY 'H~ ~' t"~:'~"~'"'i~ q
NOTE= THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST
pFRMIT VAI.Irl BNF YFAR
FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TAN K SiZE "-'Z ~,~'-0
TYPE~tP~P.'] {31"' ~'.(')KI~-T'I~.'~SEEPAGE AREA SIZE
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE P,T 20 f~e DRAIN FIELD ].0
SEPTIC TANK TO SEEPAGE PIT WALL ].5 ~c~, 9
SEPTIC TANK 5 f~* , SEEPAGE PIT ~, DRAIN FIELD
WELL TO SEPTIC TANK ~SEEPAGE PiT ~
DRAIN FIELD ~ ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK ~0 f~, ... SEEPAGE PIT ~0 f~' ,
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.
GRAV"'I.. ]BACKFILL
CONFORM TO BO[~GH REGULATIONS REGARDING INSTALLATION.
'[ / HEALTH AUTHORITY
DIAGRAM OF SYSTEM '
~," £A~T IRON RIPll0N
· SEPTIC PiPE k'lTtl AINTIGF~T CRIB
1AIH; ~./ CBPS ~,
'1 ~ ~/ ~ ~ ·
~ ' ~ .......... t~ .... ~':"/'
CAST ,,r.,L ~ ' ,.'. ............
CAS1 lION I.?. ;¢.1' .... I.',.:: I
. ~,n~sm~,E~ soz~ P?~:..;¢:: ..... I:~'~,.::1
' ~,'-~ ~' "" -> t~.'::'.:.::l: : :-.-:.[~:"~:l
C I roquirod whenever line crosses (CRIB 4' hINI~UM ABO~'E' WATER.;
TABLE)
undcr drive'~'~y,
Ii,' f;?:;~-· '.';o '
I0 PiT~ 100'
I;O S [~':E 0
hzr.!].:~:lDJ..'
TO i'll- 120'
40'-gO' O!(LY
[Af, i' I~0Ii SEt/ER
I. IRK
T0 ;A~K- 200'
I[I P)T- 200'
cJA~ f IP(41 S[b)EIt
S[H'AG£ PI1 EX£AYATIOll BASED ON
SOIl. lEbT.
CA~,T Aflth, :-
I'1 PI' ~'
Ir:T0 t!~l~
I~ 1 S l UR [;.[ D/
S01L
'"..:j
' I
· ,k,~:L L ,,~ ·
Grade: 2'.per It0' |
er 1/4" p .r foot "~
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF ~REATER A,NCHORA~E~AREA B~.ROUGH"ORDINANCE
D ESCRIB,~.4!:)'SYSTEM IS IN A~OORDANOE WITH SAID CODE. [ ) 1'' ( /l~ ~
except IO' precluding
tank & tha. should
DOUSE not exceed 7~,
G' per 100 on flat
~ terrains.
SEPTIC
ffTAIIK /
~--"-,--~/4 I,CN
CAS_T IRON SIPIf0N PIPE
J~SEEPACE PIT
/CRIB
-.~GRAVEL BACKFILL
20' Pti NI~UM
I I;E~PEST LOT LIllE ~
NO. 28-88 AND THAT THE ABOVE
~.~EATX:R ^NCltOR^GF, ^i.',l.;A ?JOROUGH
ltL'ALTIt DEPAkTMENT CASE ~ ..... __ .
~7 ~A~LE STREET
ANCHORAGE, ALASKA ggso1
p ..... ("~_ ,~ 0 ~ a,.~'~ ' Date Performed (o -'~ -~-~ '~
erform¢~ ~ox- ~~ . ., ~ -.~ ,~ .... ~ , ~ ' -- ~ ..........
' ' Depth '
_'. F~e= Soil.. Charac%eris~ics Location Sketch
:"'" %las Ground Water Encountered?
Reading Date Gross Time I N'et Time Depth To H20 Ne~ Drop
~'~ ~ ~ . .......... _ ..... , .... t .......
Proposed Installation: Seepage Pi~ Drain Field
Depth Of Inlet ...... Depl:h'' To-Bo-~'~om' 0f~P£t or Trench
DFJPAR'I['iEFii' I'.'F EFIti!RON!'~Li~i,;!L f~l~/',l, i l: CASi!: #
3500 TtlDOR
A?tCHORAGE, ALASKA 99502
Performed For ~arL~~ Date Performed ....
Leaal Description: Lot~ Block 5 Subdivisio . 1at/
Th~s Form Re~orts Soils I,.o~ ~ ....... Perco on
qe~th
... Feet Soil Characteristics ,--'-=----~'-~
,
..... ......
~ I
8--
9
ltl__
Was Ground Water Encountered?..~Fj~
I~ Yes, At what Depth?
Readinfl Date Gross Time Net Time Depth to tt20 Net DF'..,Di
Percolation Rate
Proposed Installation. See~:,~qe Pit P'::in Field
,~ ¥.,,j ~ 327 EAGLE STREET
_' i ..... ("u_. {9 ~ d~~ ' Date Performed /~-'t ~-~ ~
This Fo~ Repo~s a: So~ls Lo~ , ~'. -... ,,.~e~Cbla~ion Te~%~i~~ ~ ......
t';'/ ''
. ,~ . .,~
I
Reading Da~ Gross Time Net Time , Depth To H20 NeT Drop
· ,, I ........ , .,.I _ ~
Propgsed Instal!a~zon: Seepage PiT Drain Field
Depth Of Inlet ..... Dept~ To' Bott°m.of Pit Or Trench
COMMENTS: k.~,~ ~-,c~ ~,~,~& ~*:" '~3 '~,(~':Ta'ct-~' ~ 3',~-~3,,.~x~c~-~0 .... ~'i,V.~.
. _~_~:<& c~e.~:.'~ ,~'_ ~}'%h.~ ?,o:k~ o~,~; ........................
Data Certified By-
Da~:e: ~
