HomeMy WebLinkAboutT12N R3W SEC 15 LT 38A GRE^YER ANCHORAGE AREA BOroUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
LOCATI ON ~1~'~
MAILING ADDRESS ~1~, ~,~ ~/
LEGAL DESCRIPTION
SEPTIC TANK:
D STANCE 9i
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
~_~ NUMBER OF
MATERIAL COMPARTMENTS
LIQUID DEPTH .... LIQUID CAPACITY GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER OR WIDTHS,
LINING MATERIAL~Lt~-~ CRIB SIZE: DIAMETER
BUILDING FOUNDATION NEAREST LOT LINE
ADDITIONAL ABSORPTION (}O~')~-~- (~"~'~ ~-~'"
LENGTH / ~'~, DEPTH
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) __
SQ. FT.
WELL:
DEPTH DISTANCE FROM:
SEPTIC /'~ , SEEPAGE
TANK "-~_1 , SYSTEM
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES__
APPROVED DISAPPROVED REMARKS
DISTANCES:
'- SLOPE:
RKS:
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA-BC)ROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
~ ~ ~0 I lC I I STREET ANCHORAGEi ALASKA 99§03
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT
LEGAl DESCRIPTION --
INSTALLATION OF; SEPTIC TANK -- ~' SEEPAGE PiT ~ DRAI~ FIELD , OTHER
FINANCED THROUGH TO BE INSTALLED
NOTFI THi~ PI~.RMIT IS NOT VALID WITHOUT SOIL
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.
SEEPAGE AREA SIZE TYPE
FOUNDATION TO SEPT[C TANK
EOUNDATION TO SEEPAGE PIT
, DRAIN FIELD
SEPTIC T^Nr~ , 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,
2 4~ '/
/
/ /.,-?
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
t/ ~"~') / FIELD / ~L~'~} /
, DRAIN : --
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.
J
GR[ATER ANCIIOId\[;I ?,!~,~ A l,OR .....
Uepart;lllel/t. o1' [)lvirorml~snLa] Quali Ly
3330 "C" St. reet
Anchorage, Alaska 99b03
S()II,S l,O(i I~EI{OI,ATION TEST
Legal Description: ~
1Hs fern reports: ~ilg qog~ ................. Percolation ~est ...........................
Del)th
Feet
l
2-
6 -
7-
9-
lO-
ll -
__}-~Z] ...... If .yes, at wilaL depth? ..............
12-
14 - \?,
Was ground ~f. er encountened?
Reading I)ate Gross Tirne
Net Time Depth to Water Net iJrop
P-e~-~oTa~t~%-n- rate mi huge.
Proposed i ns t a 11 ai~-[i?l
Depth of Inlet .............. Depth'-'iS¢' ij~il~]n-~[l: I)i t or trench
COMMENTS:
Per Y-