HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS BLK 2 LT 10
GRE/..,.ER ANCHORAGE AREA BOIL_ JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE '7 ~,,.//'~/). ~. ~_,/,$ ~' ~'~-''~ [ NUMBER OF
FROM WELL __ MANUFACTURER MATERIAL COMPARTMENTS
INSIDE WIDTH
INSIDE LENGTH
LIQUID DEPTH
LIQUID CAPACITY
T-tI_-E--g.P, AI N FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
FOUNDATION ~ /
DISTANCE BETWEEN LINES
ABSORPTION AREA ?~>~" ~-(,~J.-"T SQ. FT.
DEPTH: TOP OF TILE TO FINISH GRADE ~
TOTAL LENGTH
_NEAREST LOT LINE ~' ~'- OF LINES
____TRENCH WIDTH-~(~' IN. TOTAL EFFECTIVE
LENGTH OF EACH LINE .C. '
DEPTH OF FILTER ~
MATERIAL BENEATH TILE ..... iff~l, ABOVE TILE (,/ ~ ~ IN.
WELL:
/2 -,, ~
BUILDING
FOUNDATION
CESSPOOl
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE SEWER LINE
OTHER SOURCES
__ DISAPPROVED .__REMARKS
DEPTH
SEPTIC SEEPAGE
TANK ~_ SYSTEM__
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM OF SYSTEM
Form LQ-032
N hORAgE AREA
,.~'-~' ?.~,:J,~RE ER A C FENV,RONME"TAL
DEPARTMENT O
330 "C" S~ EEt ANCHORAGE ALASKa99503
SEWAGE D~SPOSAL SYSTEM ~ APPLICATION
NAME OF AppLIOA.T 0.), '~-~:¢/¢ MAILING AD'DRESS . " ~,~,~ ~, / PHONE
INSTALLAT[ON OF: SEPTIC TANK SEEPAGE PIT i DRAIN F~- , OTHER .
/ ,/ r~ ~ NOTE: THIS pERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
. -~ ,/· /;, ..¢ . ,:
FOUNDATION TO SEPTIC TANK--
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE P~T WALL
SEPTIC TANK ., SEEPAGE PiT
TO NEAREST LOT LINE.
/: :: '.
WELL TO SEPTIC T^NK
DRAIN FIELD
SEEPAGE PIT. /~
ALSO CONSIDER Area WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT
LICENSED DESIGNER
I CERT]FY THAT AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE~~OrAREA BOR I G ORDINANCiE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAle) CODE.
D ~)//7 //APPL~ CANT'S ~]GNATURE
GP, EAIER AI,it, iiUiU~GL At<LA i}OROUG~
- Department of EnvirormlenLal ()uali Ly
3330 "C" SLree~
Anchorage, Alaska 99503
S()ILS I,()G ' I~EI~Ot,ATION TEST /~/
This form reports: Soils 1o~.~_ Percolation ~est
Depth
Feet
3-
4-
5-
7-
8-
9-
'Was ground water encountered? ___/~)D .... If yes, at wilaL depth? ................
Reading Date Gross Time Net Time
to,~W~ater Net Drop
'P~Ta-tTo~' rate mi nute.
-Proposed ~nstallat~on: Seepage Pit Drain Field
l)epLh of Inlet . Dep~--t-0'-U6~f6~--o'f-'Pi~ or trencl, .....................
................................... ;~ ~-. ..... :; ..............
Perfo~ed .V.__.~.~ ................ ~S ~ /---
I hereby certify that I have surveyed the following
described property:.-]~07' /cO ~ ~L..O(-/< ~, ~
£
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property
lines and do not overlap m' e~croach on the property
lying adjacent thereto, that ~ improvements on prop-
erty lying adjacent thereto encroach on the premises ~n
question and that there are no roadways, transmission
lines or other visible easements on said property except
as indicated hereon.
Dated at Anchorage, Alaska
of ~'?/'/'~ , --19~'~
this~ ~ ~' ~day ,. /f
HEWI~ V. LOUNSBURY & ASSOCIAWES
Engineers, Surveyors & Planners