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HomeMy WebLinkAboutLAKEWOOD HILLS LT 6 GRE ANCHORAGE AREA Bor'-"UGH  Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS ~'~-'~g, ~ ~2~c~)X ~:~/6 }¢~ PHONE LEGAL DESCRIPTION /~J'?* 6'~bpOO/) J¢///~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER~lk0~tC ~'I~-&L ~, MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH -' LIQUID CAPACITY /00 0 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER --- OR WIDTH /~ / / / / , LENGTH ?2'., DEPTH /d - LINING MATERIAL ~z)/~©/?d/Z¢/¢~ CRIB SIZE: DIAMETER/¢~.DEPTH (-] DISTANCE FROM: WELL BUILDING FOUNDATION '~//~ / NEAREST LOT LINE ~2~ /¢- TOTAL EFFECTIVE , ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE /J~IJJlI,]/i)UI~Z-- ~//~) CONSTRUCTION DEPTH DISTANCE FROM: BUILDING f NEAREST /¢. NEAREST ~_ SEPTIC ~ SEEPAGE FOUNDATION /~ LOT LINE ~6 SEWER LINE /0 TANK ~"~ SYSTEM /i~ ' CESSPOOL AION¢ APPROVED OTHER SOURCES /~/~(~/~/~ ]~/0L~L~/%/ DISAPPROVED REMARKS. DISTANCES: INSTALLED BY: &)~(-% ~ r~ ~ /~ PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM .. ¢ ~ ~)....-./ z.z, ~_ ~ 02jg'rK,~ Ton'~-- DATE /U¢i/ '~'/ )¢?~'? APPROVED /.~zl,c.'Z~. ~/]. ZKI,~/j/?r2..O¢~ G.A.A.B. GREA~,._R ANCHORAGE AREA BORCJ,~H DEPARTMENT OF ENVIRONMENTAL DUALITY ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.------ 'N'TALLAT,ON LOCAT,O>' ' INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS ~/~/~/ COMPLETION DATE ANTICIPATED PHONE NOTE: THIS, PERMIT IS, NOT VALID WITHOUT E)IL TES,T FINAL INSPECTION: ~'4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY S,YS,TEM WITHOUT FINAL INSPECTION BY TH;E HEALTH DEPARTMENT AUTHO~I~ WILL B~ SUBJECT TO P~O~CUTION. ,E.IC TANK ,/ZE /'~ TYPE ~ SEEPAGE AREA SIZE-~~ TYPE MINIMUM DISTANCES,, FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT , DRA~N FIELD WELL TO SEPTIC TANK __~/ DRAIN FIELD WATER MAIN TO SEPTIC TANK , DRAIN FIBLD . DRAIN FIELD 4 INCH DIAMETER_~CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FI~2~ED~T~GHT REMOVABLE CAPS, GRAVEL BACKFILL CONFORM TO BORO//U/GI:~'~GULAT[ONS REGARDING INSTALLATION, U HEALTH ;~TNO~,TY LICENSED DESIGNER DIAGRAM OF S,YS,TEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AN~ORAGE AREA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE DESCR'BE~S¥STEM I~ IN A~COROANCE ~'T, SAID CODE. // I .~ /) ~ EXCAVATION 5 FEET INTO UNDISTURBED SOIL. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF ~ GRc~-~ ANCHORAGE .,~,.A BOROUGH DEPART, JT OF ENVIROiiM£'NTAL QUALI1 CAS[ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 ~8332 '? Performed For ~ess & Ziegler (J.S.C~;as)Oate Performed 11/~/72 and 11/6/72 ~egal Description: Lot 6 Bioc~ .... ~6divis~on Lakewood Hills This Form Reports Soils~.~g XX P~~st Depth Feet Soil Characteristics ! T~n Gravelly Silt ,,~L !~ .... ~----~ ~1 Grs~r Silty S~ndy Gravel ..... ~ w/gravel ~ockets ~ 8' - 9' Was Ground Water Encountered? No ~ If Yes, At What Depth? A trace of water was found. This was not ground mater. Reading Date Gross Time Net Time ercoiat~on Rate ~inute Proposed Insta~a'tion: Depth O'F inlet COF, F~NFS. Seepage Pit XX Depth to H20 Drain Field Net Oro Depth To Bottom Of Pit [~r Trench__, 224 se.ft, of drainag,e area is required per bedroom. ~er:~~gy Fitzpatrmc~' anm 5-~ta Ce'rt~-~]~-~-g'y: National Te..sr,$n~N ....