HomeMy WebLinkAboutT15N R1W SEC 19 LT 48
GREA
,ER ANCHORAGE AREA BOR ,dGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION R, EPORT ON-SITE SEWAGE DISPO. SAL SYSTEM
SEPTIC TANK:
DISTANCE~ ¢¢~-) MANUFACTURER
FROM WELL
MATERIAL
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INSIDE LENGTH ~>' INSIDE WIDTH LIQUID DEPTH____
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY / ~ GALLONS.
SEEPAGE
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
! ?
DIAMETER OR WIDTH 3, LENGTI~--2~, DERTH /~ !
CRiB SIZE: DIAMETER DEPTH ~ FROM: WELL !
,~ ./TOTAL EFFECTIVE
NEAREST LOT LINE /'~ ~/~' ¢2 ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION __ LOT LINE
CESSPOOl OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY: ,~--~-'z
PIPE MATERIAL,__
LOT SLOPE: .
REMARKS:
DIAGRAM OF SYSTEM
/ ' A.A.B.
LEGRI_
PJFI"r't',IE FI HhL_.-ItE, BX Ei.t2R L. HU.~.["ff'. ':¢L-C....,L,,
K,g:f4'. S:T '--;l"~ END OF B:[F;:C:HP.IOO[:' LP
. ':' '" N L Ii1' .:.,t~.E
L4,-, SEE: i9 ld..-N F'.il'4 SI"] ,"--s,-
']"JT'F'E [:iF :,_].L. HI ..... B. E I]._N ~.,T._,FE[~ ,[,:,. 'I"FRENI-:H
HFJ;:<ZHUH IdLMEL.B. OF BEE:,I?OOH~; = ,.
r54.4.50 E;g!LIFIRE FEET
::,..IL F.':RTING <Sg! FI" ER.-- .Iff;Pi
THIS LENGTH DZP'IENS;ION Z'-:'; THE LENGTH (IN F:EET) OF THE TRENCH OF...' E:,RRINFZELE:,.
'T'HE DEPTH OF R 'TRENC:H OR PIT l~; THE DISTRN(:.'E BETP4EEN THE 9URFRCE OF THE
GROUHI::, FIND THE BCKI"TOH OF' THE E',:4CRVRTZON ,::IN FEET).
'THEF,'.E :IS NO SET 14I[:,TH FOR TRENCHES.
THE GRRVEL. DEPTH ZS THE FIZNZHLIH DEF'TH OF GRR',,,'EL BETHEE:N THE OUTFRLL F'ZF'E
I:ahlD THE Eu::I"FTOP1 OF THE E::.:',CF:I'v'RTZON (IN FEET).
M:[N]:P1UH D]:S;'I"RNE:E BETHEEN R PJELL RND RN'¢ ON--~;ITE SE~qRGE DISF'OSRL '.5"r%TEM I5;
t00 FEET FOR R F'R~',,,'FITE NELL OR 200 FEET FOR R PUBLZC HELL
HE:L_.L L. OGS RRE REQUIRED RND pli.j~;"r BE RETURNED TO THE DEF'RRTHE:N-F I.,I:[THZN Z;(._'l DR'CS
OF' THE PIELL COHPLETZON.
S;F'ECIF'ZCFtT~ONS RND CONSTRIJCTZON E:,ZRGRRH$ RRE R'v'RZLRBLE TO ZNS;URE F'F:OPE;F?.
;[ N:;~;'TF~L_L. RT ]; ON.
]: C:EI:RTIF"¢ 'THR"I'
i: : RH FFII'dlLila~: H:[-rH THE F.:Eg!UIRE:MEN'I"':; FOF..' ON-.S;ITE:
F'ORTH E:h.' THE HUNICZPRI._:[T'¢ OF' RNCHOR~GE.
2: :[ 1.4:[LL :(N_Tf'RLL THE S:;VS;TEI'"I IN RCC:ORDRNCE NZ'I'H THE CODE'=;.
~:: ]: LII'.4E:,ERSTRND THFIT THE ON-SI-FE SE:NE~'. $"r'STEM FIR'¢ REg!U]:F.:E ENLRRGEHENT ]:F:' THE
F,'E2;ZE:,ENCE I5 F:EHODELED 'TO :INCLUDE i"IORE THSN _.3: E,'EDROOHS.
2204 Cleveland Anchorage, Alaska 99503
Leoal nescrintio6: -(o%~Block Subdivision
This Form Renorts Soils Lo~ ~J Percolation Test
/
~enth
Feet Soil Characteristics
16--
20--
i)
Was Ground Water Encountered?___~
I~ Yes, At what Denth?
IReadinq Date Gress Time Net Time Depth to H20 Net Dron
i
I
I ''
Percolation Rate ~linute
Prnnosed Inst~llation: Seenaoe Pit Drain Field
Deoth of Inlet Depth To Bottom Of Pity Or Trench
Test Performed By ~ &~). ~4~_ Data Certi.fied BY:~~'/;~
/-