HomeMy WebLinkAboutT12N R3W SEC 25 S2NW4NE4NW4
:R ANCHORAGE AREA BOP' JGH
~,~),j]/ Department of Environmental d~uality
, ~ 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'-~//~/-/~..~, ,~//'[/~-~' MAILING ADDRESS /~ -~-~'/'//~//f/~/~
LOCATION ¢/y.~P~'~///~/L//L//~ I: ' ~"/~/~ /~'/~'/~EGAL DESCRIPTION
DISTANCE - / '~ NUMBER OF /
INSIDE LENGTH --' INSIDE WIDTH LIQUID DEPTH ~ .LIQUID CAPACITY /~,~O GALLONS.
SEEPAGE Pit:
NUMBER OF PITS / . DIAMETER '~ ORWIDTH /~,, LENGTH/~, DEPTH /~/~C/~',
LINING MATERIAL ~'~4~' CRIBSIZE: DIAMETER ~'~'D~E~'P~H__ DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION ~'~ ~i NEAREST LOT LINE ~.~Z~ ~¢. ABSORPTION AREA (WALL AREA) ~/~:~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ,/~-/~ZL-//~? 2/~ CONSTRUCTION
BUILDING NEAREST iff
FOUNDATION //2 iT LOT LINE /~)
CESSPOOL
NEAREST
SEWER LINE
OTHER SOURCES
APPROVED
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK /'~¢~ ~), SYSTEM
DISAPPROVED
DISTANCES:
INSTALLED
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form N~ EQ-031
DIAGRAM OF SYSTEM
NAME OIF APPLICANT
GREATE:R ANCHORAGE: AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
pERMIT NO,
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT_ ,~ , DRAIN FIELD , OTHER
FINANCED THROUGH ~ TO BE INSTALLED SM
NOTE= THIS PERMIT I~ NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
WELL TO SEPTIC TANK
DIAGRAM OF SYSTEM
SEEPAge P~T .1 Z~
_~'"/ ] DRAIN FIELD
4 INCH DIAMETER CAST lEON SIPHON PIPES ON ~EPTIC TANK AND SEEPAGE PIT
FITTED WITH AIETIGHT REMOVA~3LE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
OR
LICENSED DESIGNER
GREATER ANCHORAGE AREA BOROUGH
Dep?~ment of Envircnmental Quality,~-~
3330 "C" Street
Anchorage, Alaska 99503
Performed for Sidne.7 Stiver Date performed ~e.!t 31~ 1974
Legal Description:,,~; . ~¥,~. ~0~.75 ..... ~ ~,:er~<t~ 'L:~- o~ }771 ~- o~ ~ ~ ox' . ~
Th~s fom reports:-~Soils Io~ ~ Percolation test
Depth
Feet
6 - ~2JF
Sil~f Sandy Gravel
.t0 - //o
11 - Sw WellGraded Sand & Gravel
12¸--
13-
I
'
~as~gro~n~ater encountered? ~,'o If yes, at what depth? ....
Reading ' Date GroSs Time Iiet Time Depth to H20' Net Drop
· Percolation rte minute,
Proposed installation: Seepage Pit ..... Drain Field
Depth of Inlet Depth to bottom°of pit or trench
CONME~FFS: . f, 7' y ~_2~5~ + ~ ~].~ ~ 125)~ ~950 ~18 = 164 s.f.
_ ~ __1~ ) ~~~. , _.,.~-.~ .....
Perfomed By: ~. Certified By.~r~/:/ ~ ., -~