HomeMy WebLinkAboutT15N R2W SEC 25 LT 127
GRE/- J ANCHORAGE AREA BOI:' * "3H
-Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
PHONE
NAME '///'' Z~:, ~'/ ,,/ /Z~.~.,:./' MAILING ADDRESS ~':" /)~/ . '
LOCATION LEGAL DESCRIPTION,/~'-'/'/~'~/~:' '~ [' :/'/i ~/~'b;;~
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL /, z MANUFACTURER b/4-, '~ -.x ~ MATERIAL~,/~/ /' '~-;~;;/:,~,~ COMPARTMENTS
INSIDE LENGTH ' INSIDE WIDTH ' LIQUID DEPTH_ _LIQUID CAPACITY /, ~'d-) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ~ . DIAMETER OR WIDTH,/.'~ . LENGTH '. V, DEPTH
LINING MATERIAL ~ ,'-~-~'
BUILDING FOUNDATION // ,-' ,
CRIB SIZE: DIAMETER~.!,:~;~EPTH ~"' ' DISTANCE FROM:
LINE,:mf~'4 // TOTAL EFFECTIVE
NEAREST
LOT
ABSORPTION AREA
Well ~//2';?
WALL AREA) , '~ '~/~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION ' LOT LINE SEWER LINE
CESSPOOL - OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH_ DISTANCE FROM:
SEPTIC ..~ // SEEPAGE //:
TANK ~// -- SYSTEM
INSTALLED BY:
PIPE MATERIAL'
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM Of SYSTEM
GREATER ANCHORAGE ArEA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
~3B0 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4~6I
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
pERMIT NO, .
INSTALLATION LOCATION
PHONE
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ DRAIN FIELD
SOIL TEST RESULTS~
COMPLETION DATE ANTICIPATED
OTHER
NOTE: THIB PERMIT IS NOT VALID WITHOUT SOIL TEST
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.
MINIMUI~I DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK I~w/ SEEPAGE Pit
TO NEAREST lOT lINE'~/~
WELL TO SEPTIC TANK , SEEPAGE Pit
WATER MAIN TO SEPTIC TANK ~) DRAIN FIELD
SEPTIC TANK, /~)~ / SEEPAGE PIT
TYPE
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED D ESIG ]~[ E~
CERTIFY THAT I AM FAMILIAR With THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DEPAk .... NT OF ENViRON?,ENTAL QUAL,.
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For Hertha Froelich
Legal .Descri ~
p~lon': Lot127 Block
This Form Rep. or~s Soils Log
Date Perfor. med,M~yll,.1973
Subdivision Sec. 25LT15N~_R1W
xx Percolation Test
Depth
Feet Soil Characteristics
12' '
13---
6" organics with silt - black
Red to medium brown silt with increase
of sand at bottom (SW-SM)
Gravel medium with clasts to 10"
scattered, varying quantity of medium
sand with small amount of
scattered silty gravel pockets
GW - GP
Was Ground Water Encountered? No
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
! ,
f ,
Cercolation Rase Minute
Proposed Insta]lation: Seepage Pit xx Drain Field
Depth Of Inlet Depth To Bottom Of Pit Or Trench 12
COMMENTS: two bedroom -effective depth 3 ~otl3inchesL Require~120 ~q-f~-per hedrnnm
1/2'
Test Performed ,}]y W.F. Attwood Data
Alaska Mineral & Materials Lab, Ind.
Ce r't'i f-i-~d--gy: ,~xL~x~rocxx,,~~
Date:~ 14, 1973