HomeMy WebLinkAboutKNIK HEIGHTS BLK B LT 2 2/7 0: 3 oz
oGRE/
ANCHORAGE AREA B0F
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MAN U FACTU R E R,::').'/,~- :~'~'~' , ~?/' 2~ ~ -, ' MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY//~?'-"; C) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS__/ DIAMETER ___OR WIDTH /~;, /
LINING MATERIAL c/~)4/~'/~L:/~£: CRIB SIZE: DIAMETER
BUILDING FOUNDATION ~//'~ / NEAREST LOT LINE_~'¢ /
ADDITIONAL ABSORPTION
? /
LENGTH /' ;'~, DEPTH
/
DEPTH r~ /
DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~' F~:' SQ. FT.
WELL:
TYPE /
CONSTRUCTION
BUILDING ? NEAREST NEAREST ~/./~
FOUNDATION LOT LINE SEWER LINE
DEPTH DISTANCE FROM:
SEPTIC ,~7~.t~.> SEEPAGE /
, TAN K , SYSTEM /"g~
CESSPOOL
OTHER SOURCES_
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: '~:?Z~'~'/~'
PIPE MATERIAL: /////c/'~'~-5~'~ -/¢(g~/(/f
/. (:~z'~-~.o,~, z~.?.- ///:?¢/2'./.;///
LOT SLOPE:
/
REMA R KS: rF~ ~'7 ,_~..~,/~.; TZF~,~r~
Form PW-026
M OF SYSTEM
DATE
//?z-. ¢..2
~RE:,/' .R AN(}FIOitA(3E AFtIXA BOF,
:GFI
SE, WAGE DISPO:-;AL SYSTEM --- APPI. IEATION AND PERMFF
: NSTALLATION OF: SEPTIC TANK SEEPAGE PIt , DRAIN EIELD , OTflER ___.
TO BE INSTALLED BY
_ ;LtOMPLETION DA'r[ ANTICIPATED F~ ) ~
5
_ : OIINDATION -FO SEEPA(~E PIT. 20 ft, __, DRAIN EIELD ]0
_'"'-;?"TIC TANK TO S~EPAOE PIT WALL
__; DRAIN FIELD ._~~ .... ALSO CONSIDER AREA
. :-','ATER NAIN ~O SEPTIC TANK 1.0 fL, SEEPAGE Pit
DRAIN FIELD 10
... %EPTIC TANK, 2~ ~[o. SEEPAGE PI~' 100 f[~ , DRAIN FIELD
Performed FeY'
LeDa/ qescrintion: l-ot_2___Block ]3
'Ibis Form !~enorts Soils l. on yes
"One test is ,~,ort[~ a thousand o~inions"
RELZABLE BU[LDEHF Date Performed
Subdivision KN~
Percolation Test
$~12-72
Was ground Water En(:e.~ntere~?
I'~ ves~ At what [lenih?
Readinq Date grnss Time I Net iime
Percolation Rate Hinute
Pronosed Installation: Seeoa~e Pit ~_~ Drain Field
Depth of Inlet Depth ['o Bottom Of Pit 0~"~:~7~'~, .... ~:~::[:~
<:~/~, ft. absorI~t~p~L ~e_~.Si~!~?qd .per bc~,d~?s~Z~ .....................................