HomeMy WebLinkAboutTERRACE HEIGHTS BLK 1 LT 2 ~- , MUNICIPALITY OF ANCHORAGE
~ ' f DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ~ o 4:) P[.,~ION E ~ NEW
NO. OF BEDROOMS
LiqDISTANCE_ TO: ,I Well Absorction ar Dwelling PEHMIT NO.
~¢F' Z Manufacturer ~ Material [~L- No, of compartments %
IFHOME~DE: Insidelength ~ ~n ~ I~ LiquiOOepth ~ I q
Dwelling PERMIT NO.
DISTANCE TO:
Material Liquid capacity in gallons
I Well Foundation ~ O~ Nearest lot line
DISTANCE TO:, Length of ~%~ , --~ C,inches PERMITNO. *'~1'~__
of lines Trench wi ~ Distance between lines ~
No. of lines Total length ~[ ~L
Total effective abattoir1 area
Top of tile to finish grade ~.~s O Material beneath tile ~
inches
Length Width Depth PERMIT NO.
Type of crib Crib depth Total effective absorption area
foundation Nearest lot line
DISTANCE TO: Septic tank
Depti} Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Absorption area{s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
VED
72-013 {R~v. 3/781
DATE
LEGAL
]: C:IERT ~[ l:::h" I"l il':'l"l"
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2204
Performed For Nancy Williams
re.al ~escriotion: Lot 2 Block___
This Form Renorts Soils
Cleveland Anchorage, Alaska 99503'
Date Performed_~L~_7
i Subdivision
Percolation Test
ne,th
Feet Soil Characteristics
Peat
Brown Sandy Silt with.
occ. Gravel
10--
12--
16--
Gravelly Sand
18-- BOH
20--
Was Ground Water Encountered?]o_~_
1~ Yes. At what Denth?
Readi
nq Date 'Gross Time Net Time
Depth to H20 Net Dr,
Percolation Rate !~inute
Proposed Installation: Seenaoe Pit
De,th of Inlet Depth ID
Cn~"ENTS: 135 sq. Ft_.__p~_b~dr~om fr~%~o~7.5'
Drain Field__
Bottom Of Pit Or Trench
"One test is v.,or~h a thousa.d o~inlons"
2204 Cl~.el_and Anchorage, Alaska 99503
Le,al r)escrir,
Percolation Test
This Form Renorts Soils Loq4~$
De~th
Feet _L Soil Characteristics
12--
16--, ~
18--
20-~-
Was Ground Water Encountered?_W_~__
I~ Yes, At what Depth?
I Readinq Date Gross Time Net Time Depth to H20 Net Dro~
.Percolation Rate ~1i nute
Pronosed Inst~lation: See~aQe Pit Drain Field
Den. th of Inlet . _DeD%-~--Y6-~om Of Pit Or Tre~nch .~ ·
Test Perfor~e cl Bg U~ ~~= Data CertifiedDaBtYe~~~~
QGRE
'ER ANCHORAGE AREA BOF'" JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /~//~/~"/~ /'~/~-/,,~,,~/-f VAILING ADDRESSJ~.~/~/~ ~'- ~C2,~/z/ PHONE -~,~-~Y"-- ~/">/d ~-~
LOCATION ~/~.~ /~/'/~ LEGAL DESCRIPTION -/-~'~-~ ,Z~/~-¥ ~"/'~/~:~<~.- ~//f~,.J'/~
SEPTIC TANK:
DISTANCE NUVBER OF
FROM WELL
INSIDE LENGTH -- INSIDE WIDTH ---- .LIQUID DEPTH -- LIQUID CAPACITY /d').~ GALLONS.
SEEPAGE Pit:
NUMBER OF PITS / DIAMETER / OR WIDTHS_/, / /
--- L_ENGTH ~"~/, DEPTH ~/~/~, // /
LINING MATERIAL /~/-~'- CRIB SIZE: DIAVETER ~ DEPTH _ DISTANCE FROM: WFLL //~ "''
BUILDING FOUNDATION ~/~ ,( /,.*,,~',~,.-l~,,.f, TOTAL EFFECTIVE
~)~'~/~ SQ. FT,
ADDITIONAL ABSORPTION
NEAREST LOT LINE /,~ "Klm'. ABSORPTION AREA (WALL AREA)
WELl_:
TYPE
BUILDING
FOUNDATION
c ESSPOOL/~///
CONSTRUCTION/"~'~'~/~/ ~-/--~- DEPTH//<~*'~)~' '/~ / DISTANCE FROM:
NEAREST NEAREST ~.,~ SEPTIC / SEEPAGE /
LOT LINE /~ ~ SEWER LINE~? ., TANK ~ SYSTEM /~
OTHER SOURCES ~/~)~
APPROVED ~'~ DISAPPROVED
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: .~/~
Form No, EQ-031
DATE
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND P£RMIT
NAM e OF APPLI('ANT ,~"~. ~ -~:'' //~ ///~ '~// ~:' r ~.~J~ MAi,.~~ . -~-(~ ' --"- /4 >~' -- ~ ~ '~' PHONE
FINANCed THROUGH ......
~ ;' ~'.
SEPTIC TANK. -. SEEPAGE PIT/'~/~/'~/'~'~) .. DRAIN FIELD
.... SEEPAGE
~.~ ~ormed For ~noy WJ. 1].i~s Date Performed 5-30-73
This ~:orm [~C~OflP~S Soils Loq ~08 Percolation Test
L
Gross Time Net Time PepLh to 1120 NoL