HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 4 LT 6BLoT-
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GRE', ,'ER ANCHORAGE AREA BOR gGtt
DepBrtment of EnvironmentBI QuBlity
3330 C Street
AnchorBge, AIBsk8 ggS03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE / ~,~,L.4~/~,L,//) NUMBER OF
FROM WELL_ ~/(~ MANUFACTURER MATERIAL COMPARTMENTS
INSIDE LENGTFI
INSIDE WIDTH ___ LIQUID DEPTH
LIQUID CAPACITY/
TILE DRAIN FIELD:
DISTANCE [:ROM WELL
FOUNDATION
TOTAL LENGTH ~/O r
NEAREST LOT LINE OF LINES
NUMBER OF LINES ____ DISTANCE BETWEEN LINES __ .TRENCH WIDTFI____ IN. TOTAL EFFECTIVE
ABSORPTION AREA ~ (~ f '\
Sq. FT. LENGTH OF EACN LINE
DEPTH OF FILTER .~)~../r
DEPTH; TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ~f / -~'J. ABOVE TILE IN.
WELL:
TYPE
BUILDING
FOUNDATION __
CONSTRUCTION_ _ _~-_(l~_
NEAREST NEAREST
LOT LINE SEWER LINE
SEPTIC SEEPAGE
, TANK SYSTEM
CESSPOOl
OTIIER SOURCES
APPROVED DISAPPROVE[) REMARKS
DISTANCE FROM:
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL:
L~OT SLOPE:
REMARKS:
Form EQ-032
DIAGRAM OF SYSTEM
,~.A..A.B.
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SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PI!EMIT
NAME OF' APPLICANT_ MAILING ADDRESS J~/
,NSTALL^T,O. LOOATION '
INSTALLATION OF: SEPTIC TANK _
TYPE AND SIZE OF FACILITY TO BE SERVED _
SEEPAGE PIT-
-----, DRAIN FIELD
FINANCED THROUGH ~
COMPLETION DATE ANTICIPATED --~=7- '7
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING O~-~ ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
MINIMUM DI~I'ANCE~, RE(~UIREMENTS
FOUNDA'rlON to SEPTIC 'rANK
SEPTIC TANK TO SEEPAGE PIT WALL.
TO NEAREST LOT ~INE.
DRAIN FIELP
WATE~ MAIN TO SEPTIC TANK
SEPTIC TANK,
DRAIN FIELD
, ALSO CONSIDER AREA WELLS.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WJTN AIRTIGHT REMOVABLE CAPS.
GRAVEL SACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A RAGE AREA BOROUGH OR ANCE NO. 28.(~8 AND THAT THE ADOVE
"One ~s~ is ~,orlh ~ ~ho~san~ opinions"
~.~.Q.4~velan~ Anchorage, Alaska 99503
This ~orm Renorts So~ls Loq~V~ ~erc~ati~Test
Perth
Feet ~,'~.~,/ Soil Characteristics
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16--
18--
20--
Was Ground Water Encountered?_/~
I¢ Yes, At what Denth?
'T
L_i Il ~ i I J
Readinq Date Gross Time Net Time Depth to H~O Net Dron
Percolation Rate rtl nute
Proposed Installation: SeenaQe Pit Drain Field
Der) th of Inlet ~ Depth To Bottom Of Pit Or,~rench
Test Performed ~y ' ~ ~< Data Certified BY: ~,~
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d. SON WEt. L DRILLh G:':
Well Owner
1305 W~ 45TH STREET
ANCHORAGE, ALASKA 99503
PHONE 272-9343
DRIVING LOG
Use of Well
Location (address of: Township, Range, Section, if known; or distance main road
Size of casing i,! Depth of Hole (') (3 ';~ f et Cased to__(' V! 5/' feet
Static water level // ' ft. (above) (bel0w'}: : .. land surface. Finish of well (check one) open end (
Screen ( ); Perforated ( ).
Describe screen or perforation
Well pumping test at : _gallons per (hour) 5~minut~) for
of drawdown from static level.
Date of completion ": '! ~[?\-~ /'ii ;/?
WELL LOG
· } hours with
);
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
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