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HomeMy WebLinkAboutKNIK HEIGHTS BLK B LT 9 oG RE ER ANCHORAGE AREA BOP~UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON ~_ ~"~ LEGAL DESCR,PT,ON ~//~ ': ::/ : Z~//~n ~ SEPTIC TANK: COMPARTMENTS ~ /2 ~NS~DE LENGTH INSIDEW~DTH L~QUID DEPTH .UqU~D CAPACITY --~'' GALLONS. SEEPAGE PIT: NOMBEROFP,TS I , D,AMETER~00RW'DTH-~':-'ENGTH~, DEPT, ///~ / / / ABSORPTION AREA (WALL AREA) d~/~ SQ. FT. ADDITIONAL ABSORPTION WELL: BU I LE~J~G~._. NEAREST c~.ssPooL "'"":"-<..~ R SOURCES APPROVED NEA/R STE~ ? ,WER LINE DISAPPROVED ~ REMARKS DEPTH ~-~--~ DISTANCE FROM: SEPTIC ~EP.~.LG g TANK , SYSTEM'--. DISTANCES: INSTALLED B y: L,,("(~//,..~5~- ~,~, PIPE MATERIAL, LOT SLOPE, ~ R E M A R KS: ~/~ ~ Form No. EQ-031 DIAGRAM OF SYSTEM APPROVED GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF' ENVIRONMENTAL QUALITY 3330 "C" STREET ANEHORAGE, ALASKA 99503 TELEPHONE R74-4561 SI:WAGE DISPOSAL SYSTEM -- ,APPLICATION AND PERMit PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION LEGAl, DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT ~ DRAIN FIELD COMPLEI~ON DATE ANTICIPATED ...... ~&~¢~¢~ /9 7 3 OTHER NOTI-~: TI-IlS PEl~l~'II'¢ I,S NOT VALII3 WITHOU'T~OIL T~I FINAL, INSPECTION: ~24 HOUR NO'i'ICIE NEOUIRED, rJACKFILLING OF ANY SYSTEM WITI-IOUT FINAL INSPECTION BY THE MINI~/IUiVI DI$'f'AN~:ES, RI':OUIREMENTS FOUNDATION ~O SEEPAGE PIT ¢~20 , DRAIN FIELD SEPTIC TANK 'to ~EEPAGE PIT WALL /~ / ' ~_0 ' /O ' s~F~,c ~*~ ~-' ~Ao~ pit D~A,N ~,~LD TO NEARES~ LOT LINE. WELLTO SEPIlC TANK /~0 / SEEPAGE PiT 1¢~ DRAIN FIELD .~ / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK ~ /~ SEEPAGE PIT /~ SEPTIC FANK, ~2'~ , SEEPAGE Pit /O~ . DRAIN FIELD TO RIVER, LAKE, STREAM, G~AVEL BACKFILL CONFORM TO BOROUOM REGULATIONS REGARDING INSTALLATION, I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND TIJAT THE ABOVE 7Z. GREATER ANCHORAGE AREA BOROUGlt DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE~ ALASKA 99503 Case # Performed For =~ /~ ~na~,e Dated Performed .' , , / -~-r---r--- Legal Description: Lot ~_ Block This Form Reports Soils I_og_,$/_ Percolation Test Soil Test Must Be I_ogged To 4' Below Proposed Seepage System Depth Feet · Soil Characteristics 'Was Ground Water Encountered? if Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2D Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trenc~ COMMENTS: __ ~ ~d/~© ,-,-~ Test Performed BY___~2~,.c '-= ~ ~ ~, c ~w-~ Date Certified BY: DaLe: