HomeMy WebLinkAboutT12N R3W SEC 22 LT 40B
GREA? '"R ANCHORAGE AREA BORC
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N AM E,..~lJ') ttJ
LOCATION
MAILING ADDRESS
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
NUMBER OF
I
M A T E R i AL (1/)/1~,,~-{~(~ COMPARTMENTS
LIQUID DEPTH ~ LIQUID CAPACITY/~*~O'*' GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
/.~/¢ ! Z~ DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE ¢ - MATERIAL BENEATH TILE
FOUNDATION/0~'ez3/O, NEAREST LOT LINE /(¢) /-/' oFTOTALLINEsLENGTH~j~ /
DISTANCE BETWEEN LINES _ ~ TRENCH WIDTH~/CrZ/I)[~. TOTAL EFFECTIVE
/
SQ. FT. LENGTH OF EACH LINE ~'~
!
~ ABOVE TILE_ ~ IN.
WELL:
TYPE CONSTRUCTION . DEPTH _
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOt OTHER SOU RCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
~'
SEWER LINE DEPTH: /
PIPE MATERIAL:
0
LOT SLOPE: ,~
REMARKS;
DATE
Form EQ-032
GrEATEr ANCHORAGe AREA BorouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE~ ALASKA 99503
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
I NSTALL^T~O~ LOCATION
MAILING ADDRESS
PHONE
INSTALLATION OF; SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT /~--~, DRAIN FIELD . , OTHER
TO BE INSTALLED BY
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEBT
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.
MINIMUM DISTANCES, REQUIREMENTB
SEPTIC TANK TO SEEPAge PiT WALL /~-- /
WELL TO SEPTIC TANK /~) /
DRAIN FIELD /O~} {
WATER MAIN TO SEPTIC TAN~(
SEPTIC TANK, /~l SEEPAGE PIT
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
j 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 AIRTIGHT REMOVABLE CAPS.
Gl~AVEL BACKFILl.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYBTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF EATE~' NCHORAGEAREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
GREATER ANCHORAGE AREA BOROU~--~
~epartment oH Environmental Qu~ ~y
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG PEROLATION TEST
Legal Descrip~-~on:~ ~-e~-¥~z~e~ ~:~~
This form reports: Soils log_ ln_.~. ' Percolation test
Depth
Feet
10-
11
12-
13,
~6 (-.,4-, ~,'-'/'/~'w~ ~ T,.,,.~~ . -
Was ground water enaountered? ~]:)__
If yes, at what depth?
Reading Date Gross Time Net Time
__D_epth to ~ote____~_~
Net Drop
Percolation rate minute.
· ~roposed installa~n-:--~e~i~-ge Pit ~ Drain Field ...................
Oepth of Inlet~ . Depth to'~G-o~l~om of [)it or t~;ench
CO;.,'.~e,TS: ...... ~_~_ --~ -;-i~_ ~ .-21) ~ ~Z~ ~_ ......... ~. ~t~~ ---.- ~
.............
EQ 040 (6/74)
Performed For
Legal
This
'~ne te~ t~ worth a thousand o~inions"
Jim Nichols Date Performed
Qescrintion: Lot Block
Form Reports Soils Loq zes
9/30/74
Subdivision (Fenwiok Place)
Percolation Test
Peoth
Feet
1
2
3
4--
5--
6--
Soil
Characteristics
Gravelly Silty Sand
Sandy Gravel
BOH
Was Ground Water Encountered?__
I~ Yes, At what Depth?
I Readinq Date Gross Time Net Time Depth to H20 Net Drop
I
Percolation Rate Minute
Proposed Installation: SeenaQe Pit Drain
De~th of Inlet Depth To Bottom Of
C~ENTS: 2~0 square foot drainage required per bedroom
Field
Pit Or Trench
Test Performed By J. Mack Data Certi.fied B~:Constrmction Test Lab
Date: ±o/~/7~
F~ ATER ANCH~lRAGE AREA BOROU',, ~
DEPARTMENT OF ENVIRONHENTAL QLIALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For '-C$"2~ ~x}~c:,K~.~\ Date Performed
Leqal Descrintion: LotZ~O-BBlock Subdivision -~-~'~'(~- ~-
This Porm Reoorts Soils Log ~ Percolation
~enth
Feet Soil Characteristics
CASE #
Test
Was Ground Water Encountered?
If Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20 Net Dropl
Percolation Rate Minute
Proposed Installation: SeeDaQe Pit
De~th of Inlet Depth
CnM!~ENTS: ~o~A/,. ~ ~?~;~
Test Performed By (-('~}¢>k..A~V :k(($r~
Drain Field
To Bottom Of Pit Or Trench