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HomeMy WebLinkAboutHIGHLAND BLK 1 LT 5 .,-?=~,~ GREA,,ER ANCHORAGE AREA BOR, JGH ,!~, .... ~ Department of Environmental Quality '~: 3330 C Street Anchorage, Alaska 99503 LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION_~ ~ '~"~_~--~ /~",/,~:,EN4~'~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFAC'I-URER ~/~g/'~ MATERIAL~ INSIDE WIDTH ......... LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID C A PAC I TY,~ _~)G A I_ LO N S. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA FOUNDATION DISTANCE BETWEEN LINES DEPTH: TOP OF TILE TO FINISH GRADE SQ. FT. NEAREST LOT LINE TRENCH WI DTFI LENGTH OF EACH LINE DEPTH OF FILTER TOTAL LENGTH ___OF LINES IN. TOTAL EFFECTIVE MATERIAL BENEATH TILE IN. ABOVE rILE IN. WELL: TYPE___%[ a ___. BUILDING FOUNDATION CESSPOOL _ APPROVED CONSTRUCTION NEAREST NEAREST _, LOT LINE SEWER LINE____ OTIIER SOURCES DISAPPROVED_ DISTANCES: __ ~ '/~ t DEPTH SEPTIC SEEPAGE , TANK __ SYSTEM DISTANCE FROM: INSTALLED BY: ~/~.~.__-, SEWER LINE DEPTH: ,~/ I PIPE MATERIAL REMARKS: J G.A.A.B, 0 GRi 'ER ANCHORAGE AREA BOROUr '~ DE~RTMENT OF ENVIRONMENTAL QUALIT, 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY_._ ,~'~()OO ADDRESS~ PHONE / NUMBER OF ,, COMPARTMENTS LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBEr OF PITS I OUTSIDE DIAMETER_ Or WIDTH , LENGTH__ , DEPTH LINING MATERIAL.© -- '~"~ ~1~* S i t ~/ BUILDING FOUNDATION~ ,,-,,~9~ NEAREST LOT LINE ~ ,D. ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)~ ~L'~.,~,(~('~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES___ FOUNDATION_ ~'--':"~'-~ OF LINES DISTAN~ tRENCH WIDTH IN. TOTAL EFFECTIVE LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE ABSORPTION AREA ~/'"'-~'_--SQ. FT. ,,..,.,.B~c:rr'~oP OF 11LE TO FINISH GRADE WELL: TYPE'~);"~ ff¢-~ , DEPTH /~5-x DISTANCE FROM X/Z/ / WATER ,BUILDING FOUNDATION .... SAMPLE__~'--- , NEAREST ~2 ' SEEPAGE OTHER LOT LJ~ (~ ;/ N~AR~ST SEPT< /2:g' /~ ~ ' ~ - , SEW~ UN~ .,~ANK , SYS~M , CESSPOOL_ , SOURCES~ DIAGRAM OF SYSTEM DISTANCES: DAtE __ APPROVED . GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT MAILING ADDRESS P,NANCEDso,L TEST RESULTS""ROUGH frs To BE ,NSTALLED B, COMPLETION DATE ANTICIPATED OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTNORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DIE~TANCE~, REQUIREMENT~ FOUNDATION TO SEPTIC TANK EOGNBAT,ON TO SEEPAGE R,T E.'r'~7/~'~-- . ORA,N E'ELD SEPTIC TANK ~ SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. I DIAGRAM OF SY~¥£M ALSO CONSIDER AREA WELLS. __, SEEPAGE PIT SEPTIC II'AN '(I S ~EPA~E p I ~' /¢0 , BRAI N ¢ TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSS]NC GAP OF EXCAVATION ~ FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT PITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE. DATE /~/~)" / ~--~'~ APPLICANT'S $]GNATURE ABOVE GRE~,FER ANCHORAGE AREA BOI-~OUGH DEPARTMENT OF ENVIRONMENTAL GUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. INSTALLATION LOCATION MA,L,NG ADDRESS ,*~2,~?/ E', /,¢C¢i' PHONE'J, INSTALLATION OF: SEPTIC TANK ~-~'~ SEEPAGE PIt . /--~ ' ---, DRAIN FIELD FINANCED THROUGH tO be INSTALLED BY ~O~L TE~T RESULTS /~'~'~/~ COMPLETION DATE ANTICIPATED · OTHER __ NOTE: THI~. PERMIT 15 NOT VALID WITHOUT FINAL INSPEC, TION= 24 HOUR NOTICE: REQUIRED. BACKFILL, lNG OF ANY SYSTEM WITHOUT FINAL INSPECTIOi~ BY THE H~ALTH D~PARTMENT AUTHORI~ WILL BE SUBJECT TO PROSECUTION. MINIMU~ BI~TANCE~, REqUIreMENT8 FOUNDATION TO SEPtiC TANK FOUNDATION TO SEEPAGE PIT ~_ .~ SEPTIC TANK TO SEEPAGE Pit WALL · SEEPAGE PIT WELL TO SEPTIC TANK--" DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD. SEPTic TANK, _.,~_ b , ~EEP^GE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. ..... SEEPAGE PIt _ /L/) / DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRISCROSSING GAP Of EXCAVATION S FEET into UNDISTURBED .~OIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit CONFORM TO BOROUGH I~EGULATIONS REGARDING inSTALLATiON. HEALTH AUTHORITY DIAGRANI OF ~Yt3TE:M I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCI-~ORAOE AREA ~OrOUGH GREATER ANCHORAGE AREA BOROUGH DEPAR' 'NT OF ENVIRONMENTAL QUALI' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Legal DescripTion: This Form Reports Collins Construction Date Performed 7/26/72 Lot 5 Blocky Subd~--~--'lvlslon Highland S o i 1 s-~g X De th t Soil Characteristics --"BgOwniSh Orange Gravelly Silt (ML) Interlaced w/Sand Seams Sandy Gravel (GW) becoming coarser w/depth below 8' RECEIVED Was Ground Water Encountered? If Yes, At What Depth? % Reading Date Gross Time Net Time Depth to H20 Net Drol Rate Minute Proposed Insta~'T~-~-Ton: Seepage Pit X Drain Field Depth Of Inlet __Depth To Bottom Of Pit ~-~-~rench COMMENTS: Except ~rtfleupper 2 ~., ~h6-excavated materialis suitable backfill. ' ..... 85 ~2z..~oofdraina~eis required per bedroom By Lennie O. Fit~p~tridk D ~-t-~--~~~~vs., Inc. Date: