HomeMy WebLinkAboutSUNSET HILLS WEST BLK 3 LT 21o!
GR~ 'ER ANCHORAGE ARFA BOROUr ~
DEr~RTMENT 0F ENVIRONMENTAL QUALIT~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYS'rEM
LOCAIIO~//~' ~_ ~.'z~_',l~.~/)///.~'-'_/:.~./~>~i-"~/' ~'/. LEGAL DESCRIPTIOix
SEPlIC TANK:
DISTANCE FROM WELL__~
LIQUID CAPACITY
MATERIAL ~':/-./:~T/(- ~. NUMBER OF
.COMPARTMENTS
GALLONS. INSIDE LENGTH. INSIDE WIDTH
LIQUID
.DEPTH.____
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS .............. // __OUTS1OE DIAMETER __OR WIDTH / '- LENGTH /~ / DEPTH_
LINING MATERIAL/(:, ~/ZZ~/~ ~'-) DISTANCE FROM WELL /~'~" / ~"~/"
~_ _ ..... BUILDING FOUNDATION
NEAREST LOT LINE../~': x ~ ~/~(~) TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~i~/?'- SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LIN,~,/' __
ABSORPTION A/REA
TOTAL LENGTH
//~,r / FOUNDATION~"'~ NEAREST LO[ LINE , OF LINES
DISTANCE BETWEEN LINES ' ~"~, ~.~- TRENCIt WIDTH IN. TOTAL.EFFECTIVE/
SQ, FT. LENGTH OF EACH LINE: ___ _= ~
DEPTH: TOP OF TILE TO FINISH GRADE
.DEPTH OF FILTER MATERIAL BENEATH TILE__
.IN. ABOVE TILE__
WELL:
TYPEZ.-'F/~'//Z..~/..~ , DEPTH
NEAREST ..
LOT LINE , SEWER LINE
~:..,~?,~: ! DISTANCE FROM ~ . , WAIER
,BUILDING FOUNDA11ON. .~.Z~ _SAMPLE .~;('h'?z!~, NEAREST
SEPTIC ~ ~, SEEPAGE z OTHER
,TANK_ /~ ' , SYSTEM~_~~'~ , CESSPOOL ~=- , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
-- --~'T-' ~ ',v,, L, ;~, /
¢. /
...... c -~ . I
/
GREATER ANCHORAGE-, AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL. QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AN[) PERMIT
PERM]T NO.,
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE PIT
TO BE INSTALLED
., DRAIN FIELD
-, OTHER
NOTE~ THIS PERMIT IS NOT VALID WITHOUT E~OIL TEST
FINAL INSPECTION: 24 HOtJR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMI~"NT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTB
FOUNDATION TO SEPTIC TANK
SEPTIC TANK TO SEEPAGE PiT WALL
., DRAIN FIELD
., SEEPAGE PIT ~~l~' DRAIN FIELD
, ALSO CONSIDER AREA WELLS
DRAIN FIELD
DIAGRAM OF SYSTEM
GRAVEL BACKFILL
CONFORM 'to BOROUGH REGULATIONS REGARDING INSTALLATION.
28-68 AND THAT THE ABOVE
GREA,¥ER ANCHURAmE AREA BOROUGH
DEPART NT OF EHYIRONMENTAL QUA! i~
'~ 3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE
Performed For Frauk Brink Date Performed 9/28/71
Legal DescripTion: Lot 21 Block. 3_~_Subdivision Sunset Hills Nest
This Form Reports Soils--[~g × Perco~-6~est
Depth
Feet Soil Characteristics
~a~ silty samd ($N)
Gray silty sand with scattered
gravel intermixed (SM)
with sand seams (SW)
Gray sand (SW) with silty sand
seams (SM)
W~s Ground Water Encountered? no
If Yes, At What Depth?
Reading Date Gross
Proposed I n s t a~-Ta--~i~-~:
Depth Of Inlet
COMMENTS:
Ti n/e
]qTn u t e
, Net !~me I l)epth to 0
Net Dro
Seepage Pit x Drain Field
Depth To Bottom Of Pit ~-~ Trench
160_s_.q[uare feet of drainage area is required peri_bedroom.
~S-'~-P'~-~'~d By. R, g. Carlisle .... ~-~-~---C-~-~-~-~e--~-br~6na~ Testzng~vs.
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