HomeMy WebLinkAboutT12N R3W SEC 22 LT 21A
GAAB:HD-I
G'.'=%'TER ANCHORAGE AREA BORO:-~'~
D~.,aRTMEI~T OF ENVII~0NMENTAL 0. UALI~ .
3§00 TUDOR ROAD ANCHORAGE, ALASKA ggs07 27g-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK: ~'
DISTANCE FROM WELL
LIQUID CAPACITY
MATERIAt .~*~-~'~--:*~4~--'~?-- c:'~:~//,~;~,-~-"7~--- COMPARTMENTS
GALLONS. INSIDE LENGTH ~ INSIDE WIDTH
MAILING
ADDRESS ~')~P~Y/~,:~-/ -/~. --~.~T'~'~';r'"J~' PHONE .,.~-~
NUMBER OF /
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS. / OUTSIDE DIAMETER
NEAREST LOT UNE ~ ~ ~
~ OR WIDTH , LENGTH , DEPTH
DISTANCE FROM WELL /~ t , BUILDING FOUNDATION/~ ,~'
TOTAL EFFECTIVE ABSORPTION AREA (WALL AR~A) ~ sq. FT.
TILE DRAIN FIELD: ///~
TOTAL LENGTH
DISTANCE FROMWELL ,FOUNDATION , NEAREST LOT LINE .,OF LINES.
NUMBER OF LINES ~~IES ~"~. TRENCH WIDTH IN. TOTAL EFFECTIVE
DEPTH: TOP"OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:
LOT LINE
TypE,~'~-~?/~'~'-~,'~, DEPTH /~-:~ / DISTANCE FROM
· BU LDING FOUNDATION
NEAREST SEPTIC / SEEPAGE
SEWER LINE ~ ~ /~ SYSTEM
WATER
SAMPLE ,-'~/~.~/~"~, NEAREST .,
OTHER /~
· CESSPOOL ./~/~/J~:~ , SOURCES
DIAGRAM OF SYSTEM
APPROVED .-- ' G.A~.A.B.
GREA~ER ANCHORAGE AREA BOR,JUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
I
p. ONE ~TciV
TO be INSTALLED BY
NOTE~ TH~H_I_~IS FERMIT lb NOT VALID WITHOUT BOIL TES~
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INBPECTION BY THE
HEALTH DEPARTMENT AUTHORIT~ WILL BE SUBJECT TO PROBECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
/C
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT lINE,
WATER MAIN TO SEPTIC TANK
_, DRAIN FIELD
DRAIN FIELD
CAST IRON iNTO AND OUT OF~{~ND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4. [~NCH DIAf~E~TER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS..
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
,(/
I CeRTIfY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA bOrOUGh ORDINANCE NO. 28-68 AND THAT THE ABOVE
m/ AP"LiCANT ''GNATU" X
GRE~'~xR ANCHORAGE AREA BOROUGH
DEPAR1, iT OF E~!V!RONHENTAL
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For John Locke
Legal Description: Lot
This Form Reports Soils
CASE
Lot 2lA
Depth
Feet
Date Performed 9/24/71
Block Subdivisios
Log l~l~-t i o'n Test
N 1/2 of S 1/2 of BLM small tract 21
1--
Bm
Soil Characteristics
Brawn and gray sandy silt (ML)
Gray silty sand (SM)
w~h gravel intermixed
W~s Ground Water Encountered? no
If Yes, At What Depth?
'i
Reading Date
Gross Time
Net Time Depth to H20 Net Dro
Percolation Rate Minute
Proposed Installation: Seepage Pit ne Drain Field
Depth Of Inlet__ ,Depth To Bet.tom Of Pit Or Trench__
COMMENTS:
225 square feet of drainaKe area is required per bedroom.
Test Performed By R. E. Carlisle Data ertl l~,--y: National Testing Svs. Inc.
NATIONAL TESTING SERVICES, INC. Date: