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HomeMy WebLinkAboutT15N R1W SEC 8 LT 90 W2 GREI 'R ANCHORAGE AREA BOR 'GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTFM SEPTIC TANK: DISTANCE FROM WELL~ ~zl __MANUFACTURER ~4~,~ INSIDE LENGTH______ INSIDE WIDTH__ MATERIAL COMPARTMENTS SEEPAGE PIT: NUMBEROF PITS__ ! DIAMETER.~//'//.OR WIDTH "~£~1, LENGrH~_,' ..~i DEPTH ~'' LINING MATERIAL_(¢¢~/¢,,__ CRIB 51ZE: DIAMETER O~ DEPTH ~ _ DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE WELL /Zb! ABSORPTION AREA (WALL_ AREA) SQ. FT. ADDITIONAL ABSORPTION WELL.: TYPE ~'/ __CONSTRUCTION ~ _ DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION_ --, LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED__ _ REMARKS. DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: REMARKS: Form No, EQ-031 DIAGRAM OF SYSTEM DATE APPROVED /// ~4 ~(! ~,~,4~ FG.A.A.B. GREATER ANCHORAGE AREA BOROUGH 3330 "C"STREET ANCHORAGF, ALASKA 99503 SEWAGE DISPOSAL SYS'rEM -- APPLICATION AND PERMIT PERMITNO, NAME OF APPLIGANT INSTALLATION LOCATION INSTALLATION OF: SEPTIC 'rank TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOil TEST RESULTS NOTE= T~l~ PERMIT 15 NOT VAL.ID WITHOUT SOIL. 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. SEPTIC TANK TO SEEPAGE PIT WALL WELLTO EEPT,OTANK f, CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET'EE..~.~T lNTOl TO UNDISTURBED SOIL. GRAVEL. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, [ CERTIFY THAT ] AM FAMILIAR WITH TE]E REQUIREMENTS OF GREATER AN6H AGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABC~A EIK.,INEERING DEVEI. OI-,MENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster Earl El~is 694-2774 333-5240 Civil Engineering Surveying Soils E~ Foundations Land Developmant SOIL LOG Performed for: Name: !~©~,~ ~q/x~svx Tel. No. L?b% ~,~ Mailing Address: z~ Legal Description:. ~/~__~ ~-~-~ c-~(,~ ~\~ ,~\~ D_Q~th (feet~_ Soil Characteristics 0 1 2 3 4 5 6 7 8 9 10 11 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: Performed by,. No ~ If yes. what depth.~_ v/ Drain Field