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HomeMy WebLinkAboutLot 01, 02 ~ ',- ~GREAr1='R ANCHORAGE AREA BOROdGH ~'t.~.i-D~ Anchorage, Alaska 8~503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON LEGAL DESCR,PT,ON 107 MC SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~ MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY./-'~'J%'~"~ GALLONS. SEEPAGE PIT: NUMBER OF PITS ~/ DIAMETER __OR LINING MATEli~ AL ,~,'O I CRIB SIZE: DIAMETER BUILDING FOUNDATION__ NEAREST LOT LINE ~1 . ADDITIONAL ABSORPTION DEPTH__DISTANCE FROM: TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) WELL SQ. FT. TYPE .,,~-~~ CONSTRUCTION DUI LDI NG NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK_ SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, EQ-031 DIAGR,~M OF SYSTEM /3~~ ) ~ DEPARTMENT OF ENVIRONMENTAL QUALITY I'C"STREET ANC.ORAGE, AL^SKA '''O: q-q5 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT Legal DESCRIPTION PHONE ~ OTHER INSTALLATION OF: SEPTIC TANK SEEPAGE pIT , DRAIN FIELD TO BE I STALLED BY ~/~ FINANCED THROUGH ~/~;~ ' SOil TEST RESULTS ~* ~ C // / ~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOl' TEST 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 SIZE /~-~ Type SEEPAGe area SiZE TYPe . DIAGRAM OF SYSTEM Za I /0 , DRAIN FIELD / SeEPAGe PIT /~ ALSO CONSIDER AREA WELLS. SEEPAge PIT ~) / DRAIN FIELD //0~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEet iNTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. f,. '; CONFOEM TO BO.OUGH REGULATIONS REGAED[NG INSTALLATION. OR I CERTIFY THAT i AM FAMILIAR WiTH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS iN ACCORDANCe WITH SAle} CODE. Q.~; GREATER ANCHORAGE .AREA BOROUG~? Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 995{]3 SOILS I,OG - PEROI,ATION TEST Performed for ~,~] ~ ~ [~.Ac(-~ ~ ~l ~'u e~-~/ ;]ate Performed This form reports: Soils log~_~ ..... Pe'r'colation test Depth Feet 12 - 13 - 14 - Was ground water encountered? Reading Date Gross Time Net Time Depth to Water Net ~rop ............... 7nTnu te. Percolation rate instal la~T~h-: --S-~-.qe Pit Drain Field Inlet . Depth tO'~t~2o~C)'it or trench Depth of E~040 DEPT. OF ENVIRONMENTAL CONSERVATION $OUTH£EI~TI~AL REGIO~IAI_ OFFICE 338 DENALI STREET ANCHORAGE 99501 October 13, 1975 Rolf Strickland Anchorage Municipality 3330 C Street Anchorage, AK 99503 Subject: Lot 1, Block 5, Turnagain Subdivision (McGillivary) Dear Mr. Strickland: This office has no objection to the proposed plan for the sewage disposal permit for the subject property. Sincerely, ~erry, ~.~. Regional Environmental Supervisor f GREATER ANCHORAGE AREA BOROUGH . Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Mai 1 ing Address: Phone: 2. Property Owner: ~ 6X~~~..-~ Phone: Mailing Address: 3. Legal Description: c~ 4. Location: 5. Type of facility to be inspected~ 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis Sewage Disposal System: A. Installed C. Septic Tankj(~l. D. Seepage Pit: 1. Size Absorption Area B. Installer 2. Manufacturer 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank~//o~/~ Absorption area Nearest lot line , Other cOntamination , Sewer Lines B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages ~g~ 2 of'two pages - Rea~_~ for Approval of Individual Legal De~rl'p~ion Sm~ & Water Facilities Comments Approved (~2~/~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSIEM certify that the information contained in this request for approval to be a true ~d accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) C