HomeMy WebLinkAboutLASZLO PARK BLK 4 LT 5AGREA/'~R ANCHORAGE AREA BORr'-'!GH
Department of Environment quality
3500 Tudor Road
Anch°rage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~ /~ TT le,~l
MAILING ADDRESS /'~O, /././~O.-K /,1~.~; .~g~,~/f~.,/~,~ PHONE
· EGALDESCmPT~ON /'~' ,CF~ g//.*/ /,~,~/,~ r~,
SEPTIC TANK: ~/'/A/~,~,~ 6on/c~,£~'~. log<:2 (2q/T/
DISTANCE ~
FROM WELL [~ MANUFACTURER ~ MATERIAL
INSIDE LENGTH ~ INSIDE WIDTH ~ LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY/~<~O GALLONS.
TILE DRAIN FIELD:
TOTAL I_E.~GTH ~...~
ABSORPTION AREA SO, FT. ~ NGTH OF EACH LINE
MATE~ENE~LE IN, ABOVE TI LE I~N,
DEPTH: TOP OFTILE TO FINISH GRADE.
WELL:
TYPE D~,//~'O CONSTRUCTION ~,~- DEPTH -- DISTANCE FROM:
BUILDING NEAREST ] NEAREST ~_~ SEPTIC , SEEPAGE
FOUNDATION ~ , LOT LINE /(2 '/- , SEWER LINE ~ TANK /~ SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED
REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: C~-~7'
LOT SLOPE: ~-~ '
REMARKS: ~'-~g~'¢~/ z~4'~',~,// ,1F'~/~
//1/ ~H~ /~e~.
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL OUALIT¥
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
~ SEEPAGE PIT~ '~ DRAIN FIELD OTHER
iNSTALLATION OF: SEPTIC TANK
CO.PLETION DA~E ANTICIPATED ¢4¢'
pF~T VAI ~ ~NF YFAE
DRAIN FIELD lO ft.
DEP/~RiM[:iii' OF E!',~,"!ROI~'?~hi~!L Qt,~Lif:'
3500 TUDOR
ANCHORAGE, ALASKA 99502
CASE #
Performed For ~6-'~,//7/-/~ Date Performed /O-/-')~---
Legal Descrinti . Lo~ ~5~ Bloc~ ¢/ Subdivision ?-~¼~-~.~.~_xt~<
This Form Reoorts Soils Log ~<~ Percolation Test
~eDth
Feet Soil Characteristics
5--
6--
7--
8--
9--
10
· , I i
Was Ground Water Encountered?
I~ Yes, At what Denth?
Reading
Date
Gross Tilde Net Time
De~)th to H20
Net Drop
Percolation Rate Minute
Proposed Inst~t~i-~'i!-: Ser<,arle Pit ?!'~'.'~ Field
DePth of Inlet [leo'~T~) ~O-~.-~-om Of Pit
Test Performed ~v~Z% ~¢~ Paf:a Certiffe,, pr: