HomeMy WebLinkAboutMACBETH BLK 2 LT 1
GRE ANCHORAGE AREA BOP ' ' H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM -~-
NAME ,~C~ ~_~7--~L~ MAILING ADDRESS ~ ¢O::~ ~)~)/~/.~ ~Zq PHONE
LOCATION ~2/~/;~'/~g~:c'-Z/ /zg'~zO~'z~--~/~-~/ LEGAL DESCRIPTION '/-¢~?-' / ,,~L¢~/~ 2- /f~/,,~l~.,,f~-'"--/~,,"/ ~/~
SEPTIC TANK:
DISTANCE
FROM WELl /~¢/¢
INSIDE LENGTH
MANUFACTURER,.~'T~-~--/d- ~'T~/~.- MATERIAL
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
.LIQUID CAPACITY /~"~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER OR WIDTH //~ /
, LENGTH , DEPTH
LINING MATERIAL/g~ /y~g'/'/ CRIB SIZE: DIAMETER DEPTH__ DISTANCE FROM:
~2/''~ TOTAL EFFECTIVE
BUILDING FOUNDATION ~,1, NEAREST LOT LINE . ABSORPTION AREA (WALL AREA)
WELL / ~ / '/'
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~-/f~ ~/. CONSTRUCTION
BUILDING NEAREST
FOUNDATION_ LOT LINE
CESSPOOL ~ OTHER SOURCES
APPROVED DISAPPROVED
-~/ /~ ~'~&--~ DEPTH DISTANCE FROM:
NEAREST /-/- SEPTIC /-/- SEEPAGE /~--
SEWER LINE /0--~ TANK. /.~O SYSTEM / ~'~
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: .
REMARKS: ~-
/,~/
Form No, LQ-D31
DIAGRAM OF SYSTEM
DATE _,~'~
GreaTer ANChorage Area Borough
DEPARTMENT O~ ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
pERMIT NO.
.__ MAILING ADDRESS
,NSTALLATIONLOCAT'ON ?
INSTALLATION OF: ~EPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH ' I
COMPLETION DATE ANTICIPATED
DRAIN FIELD
, OTHER.
NOTE; THIS PERMIT I$ NOT VALID WITHOUT SOIL
INSPECTION BY THE
FINAL INSPECTION: 24 HOUR NOTi~CE REQUIRED. BACKFILLING~OF ANY SYSTEM WITHOUT FINAL
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
DIAGRAM OF SYSTEM
DRAIN FIELD
DRAIN FIELD ~
/
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
j SEEPAGE PIT / 0
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
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 I~~
TO RIVER, ~L~
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL'
4 INCH DIAMETER CAST IRON S~PHON PIPES ON SEPTIC TANK AND ~EEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS'
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA'
DESCRIBED SYSTEM IS iN ACCORDANCE WITH SAID CODE.
DATE APPL,CANT'SS'GN^TURS
ER ANCHORAGTiEA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
Performed For
Legal Descri p~-~ on:
This Form Reports
GREAT~J~ ANCHORAGE AREA BOROUGH
DEPAR~ T OF ENVIRONMENTAL QUALx'~ CASE
3500 TUDOR ROAD ~mw~
ANCttORAGE, ALASKA 99502 ~.~,.~
&BExcavatin~ Date Performe~~3
Lot. 1 Block 2 Subdivision MacBeth
Soils Log XX Percolation Tes~
Depth
Feet
2
4 .
8 -
10
12
14 ....
16----
Soil Characteristics
Brown sandy silt (ML)
Brown sandy gravel (GW)
with gray silty sand seams
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
'Percolal Minute
Proposed Installation: Seepage Pit X× Drain Field
Depth Of Inlet Depth TO Bottom Of Pit Or
COMMENTS: 150 sq. ~.~of~ drainage areais required per bedroom
Trench
Test Performed.By
Car lis le D'a 't a
Alaska Mineral & Materials Lab, Ind.
Certi f"i'ed By: :~.~txxe~rcmmS2x'
Date: May 9;" 1973
-~- SOILS LOG CASING LOG
Tota I
Time Depth ~ Materials and Remarks Length Length
633 EAST 8~ST AVENUE
SUBSURFACE EXPLORATION
Shift Report of OperaUons
/ Static Lovelt~¢ GPM-Ym~LD
Depth-End Shift
D.pth Drilled
TIME DISTRIBUTION HOURS
Drilling Pull ~sing
Pumping ~ Standby
Surflin~
LABOR EQUIPMENT
Name Hours Item Size Hours
Crane
i.~~ Flatbed
/ ~ Boom Truck
Generator
~ Pump
Notes:
No. Depth Sample Description