HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 12QGRE
iR ANCHORAGE AREA BOR'
Department of Environmental quality
3330 C Street
Anchorage, Alaska 99503
'GH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME (~"/~ I~ ? ~_L/////~('! .~.
LOCATION
LEGAL DESCRIPTION ~+/~ ,,> ./
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER ...~c,,,y,5,: f?~.'~[~5 MATERIAL
NUMBER OF
COMPARTMENTS /
INSIDE LENGTH .... INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY //_____2/?,~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /* DIAMETER ~ OR WIDTH //~ , '2.~ [.6'
LENGTH :~'>, DEPTH
LINING MATERIAL /~/~.f.;'.'~ CRIB SIZE: DIAMETER_-- DEPTH ('~ DISTANCE FROM: WELL
~,,..'. - ..~., TOTAL EFFECTIVE ,'
BUILDING FOUNDATION:/~¢-) ~, NEAREST LOT LINE /.,$_>.j . ABSORPTION AREA (WALL AREA) ~'/(¢~
SQ. FT,
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
__CONSTRUCTION
DEPTH
DISTANCE FROM:
NEAREST ; NEAREST ..... SEPTIC -. SEEPAGE
LOT LINE /;:~ SEWER LINE TANK /'~f~¢ SYSTEM / 'r":
OTHER SOURCES
DISAPPROVED ~-- REMARKS
DISTANCES:
INSTALLED BY: ~/~ ~(: /~t:
PIPE MATERIAL:/~,'; ,-/'~-~ .~,fr.,/ /
LOT SLOPE: //'/~'~--/~ / ,
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE //, :~-:'// /, ~
GREATER ANCHORAGE AREA ~OROUGH
pERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY -
3330 "C" STR';"CT ANCHOF'~AGE, ALASKA 99.503
TELEPHONE Z74-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION A~-~ PER. MIT
INSTALLATION LOCATION ____ //~/~ ~ ~~/
NOTE: THI~ PERMIT IS NOT VALID WITIIOUT ~OIL TE~T
FOUNDATION TO SEEPAGE PI]' ~'-~ / ___, DRAIN FIELD
WATER MAIN TO SEPTIC TANK
SEEPAGE AREA
GRAVEL BA(~I(FI LL
CONFORM TO ~3OROUGN REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE. ALASKA 99503
Performed For (~c~f~/ /Z~, %__
Legal Description:/Lot__/~_Block
This Form Reports Soils Log ~
Case #
/ /
Percolation Tesl;
Soil Test Must Be Logged To 4' Below Proposed Seepage S.ystem -
Depth
Fee t
11---
12---
13---
14---
Soil Characteristics
Was Ground Water Encountered?
If Yes, At What Depth?
__!
L_L]_Z_J _J _J
Reading
Date
Gross Time
Net Time
Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of Pit or Trench
COMMENTS:
Test Per-Formed BY__~___~_~_~..~" _~-~ ...... Date Certified BY:
Da te:
G} ATER ANCHORAGE AREA BOROUG
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Carl Luahsi~$er
Performed For
Legal Bescrintion: Lot2~ Block .
This Form Reports Soils Log X
Date Performed
7 Subdivisi°nj~~ll~
CASE #
Percolation Test
Oeoth
Feet
Soil Characteristics
Was Ground Water Encountered? mo__ ~?
IF Yes, At what Depth? o~m
Readinq Date Gross Time Net 'rime
Dept~ to H20 Net Drop
Percolation Rate Minute
Proposed Installation: SeeDaee Pit Brain Field
!)e~)th of '-In'let Depth To Bottom Of Pit Or Trench
Test Performed B.y
Data Certified By:
Date: