HomeMy WebLinkAboutT12N R3W SEC 9 LT 83
GIF' '"~.R ANCHORAGE AREA BOROU
Or~, ~'HTMENT OF ENVIRONMENTAL OUALI~ ,
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING ~'~ .~, /
ADDRESS
LEGAL DESCRIPTION~
DISTANCE FROM WELL._
LIQUID CAPACITY
GALLONS.
MATERIAL
INSIDE LENGTH
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID
DEPTH_
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS._
LJNING MATERIAL _2
NEAREST LOT LINE
/
OUTSIDE DIAMETER OR WIDTH /~'
6~.4/~,7-~ ~/~/c~,~ . DISTANCE FROM WELL /~ ..... / /-
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
_./~/ /
, LENGTH '~'~// ~', DEPTH ~.~
· BUILDING FOUNDATION. .,
SQ. FT.
TtL~ DRAIN FIELD:
DISTANCE FROt~UNDAIION__
NUMBER OF LINES DISTANCE BETWEEN LINF-S~~.
ABSORPTION AREA__
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TtLE TO FINISH GRADE ....
NEAREST LOT LINE
TOTAL LENGTH
, OF LINES
TRENCH WIDTH __ IN. TOTAL EFFECTIVE
DEPTHOF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: Typ E ~)/.~/~/~) DEPTH
LOT LINE ., SEWER LINE -'~ TANK
DISTANCE FROM
,BUILDING FOUNDATION.
/ SEEPAGE
/~6) , SYSTEM /~
WATER /,~ ~. ,,4~?
SAMPLE , NEAREST
other
· CESSpOOL/i/~f/w';''- . SOURCES/~
DIAGRAM OF SYSTEM
DISTANCES: J
G.A.A.B.
GRE, ._R ANCHORAGE AREA BOk._JGH
DEPARTMENT OF ENVIRONMENTAL OUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT- ~
DRAIN FIELD ~, OTHER
FINANCED THROUGH
-- ~ TO BE INSTALLED BY
SO[L TEST RESULTS ~_ ~/ :~.~ /~;~ NOT~i THIS PERMIT I~ NOT VALID WITHOUT ~IL,
COMPLETION DATE ANTICIPATED ~
FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. SACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
GRAVEL BACKFILL
CONFORM TO BOROUGH ~:~EGIJLATION~ REGARDING INSTALLATION.
DEr TY CASE #
"*MENT ,OF Et~VIRON!~Et,FFAL QL
3500 TUDOR ROAD
ANCItORAGE, ALASKA 99502
Performed For George B. Collins
Legal Oescri p~['ot
This Form Reports Soils~g "X
Date Performed 7/5/72
i o n
Depth
--Feet
·.,
~a$
If Yes, At
Soil Characteristics
Brown Sandy Silt (ML)
Gray and Brown, Slightly Silty
Sand and Gravel
s/Clean Sandy Gravel 5' - 6'
w/Clean Coarse Sand Seam 7' - 7.5'
Ground Water Encountered? No
What Depth?
Reading
Date
erlST~Tb-ljtio)
Proposed
Depth Of
Qross
Rate
Inlet
Time Net Time
H20 ' ~
Depth to Net Drop
Seepage Pit X Drain Field
Depth To Bottom Of Pit ~
COMMENTS :__ l~.O sq. ft. of draina eg~rea is reqaired per bedroom with the system ~
set bel~ .......
0-~[~--~~ gY:Natigna[ Testin_fi~vs' hl¢.
Date: