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HomeMy WebLinkAboutKNIK HEIGHTS BLK A LT 13,:K APIL. HUK,°,t7r ,q, Kr,R DUF Department of Environmental Quality 3330 C Street Anchorage, Alaska 99505 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM //' SEPTIC TANK: / DISTANCE FROM WELL SEEPAGE PIT: / LINING MATERIAL /-~;~g~C~RIB SIZE:~xr~OIAMETER BU,LDiNG FOUNDATION 7~,~' f %EAREST LOT UNE ZO/~ ADDITIONAL ABSORPTION LENGTH '/~/, DEPTH // / DEPTH ~ ' DISTANCE FROM: WELL /~ ~'/ TOTAL EFFECTIVE WELL: TYPE O/'YlZ. C-~¢~Z CONSTRUCTION ~/¢¢~_.4'~-~¢// C/- BUILDING . NEAREST ZO /3~' NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL APPROVED OTHER SOURCES DI~'~ DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPEZ¢' REMARKS: DEPTH ~x/v/~c~~IST~/~' ~ ANCE FROM: SEPT,C .~ /SEEPAGE /'~ ~ / TANK SYSTEM DIAGRAM OF SYSTEM ~, 2..0 ~' .._7..~.~--'--'-~-~ .., ~ ~ ~_¢,:, ,,,, Form No. LQ-031 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE, ALASKA §9503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT pERMIT NO. INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEPAGE P'T DRA,N._F,ELD OTHER NOTE: IT IS i~OT VALID WITHOUT SOIL TEST FINANCED THROUGH COMPlEtION DATE aNTiCIPaTED 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. MINIMUM DISTANCES, REQUIREMENTS /~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT ~ TO NEAREST LOt LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK ~ DRAIN FIELD- TO RIVER, LAKE, STREAM, DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ~/0~J ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN fleL~- I4 CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BAC~KFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER DIAGI~AM Of SYSTEM 28-68 AND THaTTHE ABOVE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For ~/,,. ~'£,',4~ Legal Description: Lot /__3 /Block This Form Reports Soils Log~/ Case # Dated Performed (o/22/~ Subdivision /:Y~,'.~ ///m,'/4/~' Percolation Test Depth Feet Soil Test Must Be Logged To 4' Below Proposed Seepage System 8~ 13-- Soil Characteristics Was Ground Water Encountered? If Yes, At What Depth? - Reading Date Gross Time Net Time Depth to H20 Percolation Rate __Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench /??/ · COMMENTS: , ~o ~-~o/,r~-~D~~,- Net Drop[ Test Performed BY Date Certified BY: Date: June 15, 1971 Veteran's A~n~trat~on {lox 1399 Anchorage, Alaska 99502 .~u,>i~.¢t. o~er an~ Hater Facilities for Lot ]3 Block A Kn~k Heights Subdvtsion. Public semar aD~~. ~ter is not m'~ailablm to the ~ ' ' oUD'~ eot sub~-~Ivisfon, so that sewage r~tsposal ~iust be b~ se~>ttc - aooorptfon systam, and w~to~ supplies must b~ by individual well. ~4~ have '~ery }~ttle data ~va~,lable subject lot i:}e seerved by fn~v~du~l on s~te sewer system and an ~nd~v~dual well, $~ncerety, John !~. Lee, !'~.S, Sanitarian