HomeMy WebLinkAboutHILLCREST BLK 2 LT 5L6
GR .rER ANCHORAGE AREA BOROI~ '1
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ., ,~ r...~ .~ z~'/ . / ~ x/
NAME ¢:~.Z~Z/_/ Z--Z-~'~'.T~-. ~ ~,~ss~4 ~/~~4~x_~PHON~
.... ~ TANK:
DISTANCE FROM WELL~'~~ ~ MATERIAL~~ 7~/~ff22 /¢-'~ NUMBER OF
COMPARTMENTS
LIQUID CAPACITY -_ ~ ~ [g' GALLONS. INSIDE LENGTH~' ~NSIDE WIDTH. c~- DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS ~DIAMETER.
LINING M~.///'~-
NEAREST LOT LiNE
"~WI DTH
DISTANCE FROM WELL_~
LENGTH , DEPTH ....
BUILDING FOUND~I(~_
TOTAL. EFFECTIVE ABSORPTION AREA (WALL AREA)
SO, FI.
TILE DRAIN FIELD:
DISTANCE FROM WELL.
NUMBER OF LINES __...-'~DISTANCE BE[WEEN LINES
ABSORPTION AREA// SQ. FT. LENGTH OF EACH LINE
DEPTEI: TO]~ F'~TILE lO FINISH GRADE__ DEPTH OF FILTER MATERIAL BENEATH TILE_
TOTAL LENGTH
,'I~REST LOT LINE , OF LINES.
/_TRENCH WIDTH ~.~IN, TOTAL EFFECTIVE
__IN. ABOVE TILE____
- ' ' TYPE~C-~z2)/"/~?.~.~-/L , DEPTH z.~f , BUILDING FOUNDATION ....... SAMPLE__ , NEAREST
// NEAREST ~ SEPTIC ~ SEEPAGE C.~f- c~- OTHER
LOT LINE , SEWER LINE ., lANK , SYSTEM__ , CESSPOOL_ , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GREA1 ANCHORAGE AREA BORO,
,,,~ ~ ~? Department of Environmental Quality
~ 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
~,~.~, TAN K:
D I ST AN ~'E-..... N U M B _E R,..~.~
FROM W E L L-'"'"~ MANUFACTURER. MATERIAL CO~M'F'4~ R T M E NTS
IN__SIDlE LENGTFI~.,,.~SIDE WIDTP~I LIQU~ ...... IT~Y~__ GA~LLONS~.
NUMBER OF LINES_ ,,..-.,-"~ ST'~AI~ICE-~'~- ~BETWEEN LINES ~~ TRENCH WIDTH IN. TOTAL EFFECTIVE
ABsoRPTIo~'''~'~A .... SQ, FT. LENGTH OF EACH LINE~......-~
~ DEPTH OF FILTER
DE~i:lfl: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE INT-~,BOVE TILE __ IN.
WELL:
TYPE _CONSTRUCTION
BUILDING NEAREST
FOUNDATION__ LOT LINE_ __
CESSPOOL__ OTHER SOURCES
APPROVED DISAPPROVED__
NEAREST
SEWER LINE
____REMARKS
DEPTH
SEPTIC SEEPAGE
TANK__ SYSTEM ....
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: __
DATE __ APPROVED
G.A.A,B.
GREATER ANCHORAGF AREA BOROUGH
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELePHONe 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: -~P~T-~C TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS ~////
COMPLETION DATe ANTICIPATED
SEEPAGE PIT ., DRAIN FIELD , OTHER
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SBP-T-4,C TANK SIZE TYPE TYPE
SEEPAGE AREA SIZE
, SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE Pit
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO ~lC TANK
WATER MAIN TO S~%~ TANK
~EP-~C TANK, ~/ SEEPAGE PIT
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.~~/~-~/
..
DATE APPLICANT'S SIGNATURE ~/ ~
L,.(,)T :.5 !
',4,)nj %
October 19, 1977
Richard Crampton
Post Office Box 3.415
~ichorage, Alaska 99510
Subje¢~t: Lot 5 Blo(:k 2 ~Iillcrest Subdivision
Analysis of the wat¢3r samlple taken on October 12th and 14th
indicates severe contamination. As I ha~i mentioned the
wator must not be us6d for drinking and cooking until the
well is upgraded an(1 disinfected ao¢:ordin~ to the attach~d
instructions and a r~sampl~ shows a s~isfactory analysis°
If there are any further questions, pleas~ ¢to not hesita%e
to con~act this off,ce at 264-4720.
Sinc~r~ly~
]~nn Bringle
)?rincipal ~ode Enforcement Officer
attacl~aents