HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 1 LT 105 - ol
GR ' ANCHORAGE AREA BO ,JGH
Department of Environmental (~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL ~[0'
INSIDE LENGTH
MANUFACTURER ~(~/t~ &/g_~/ MATERIAL
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /~00 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / , DIAMETER __ OR WIDTH /~/ LENGTH /''~'' DEPTH
LINING MATERIAL ~,.'t/~.~"f~ CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL /~/
, ,~ I TOTAL EFFECTIVE
BUILDING FOUNDATION ~// NEAREST LOT LINE ~ ABSORPTION AREA (WALL AREA) ~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPe '?')1~/1"£~ CONSTRUCTION DePtH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPe, WQ-~'
REMARXS: /Z~ir~u~ $OlL
~OOD
Form No. EQ-031
DIAGRAM OF SYSTEM
GReATEr ANCHORAGE Area BorOUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
(7 ,- .., , ,// . ,- //~?[
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUgh 5~/ ¢
PHONE
SEEPAGE PIT ~ DRAIN FIELD , OTHER ,
_~.,~'/'~,~/ ROTE:, T'lS PERMit IS INOT VALID WITHOUT SOIl. TEST
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY W~LL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE ~/~)~-~ ~t~(I, TYPE ~/~0~:-~. ~,~ SEEPAGE AREA SIZE TYPE
~1' U
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ [
FOUNDAtiOn TO SEEPage PIT ~ f) ~ , Drain FIEld
SEPTIC TANK TO SEEPAge Pit WALL / ,Ej [
SEPTIC TANK , SEEPAge PIT /~ ~( DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK //~(~O , SEEPAGE PIT
DRAIN FIELD [ (~(9~ t , ALSO CONSIDER AREA WELLS.
SEPTIC TANK, ~(~0C /~0[
~ SEEPAge PIT DRAIN FIELD .
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
F]TTED WITH AIRTight REMOVABLE CAPS.
[ 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 SAID CODE.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL
333O
ANCHORAGE,
Performed For ~:5~
Legal Description: ~ot ? Block
This Form Reports Soils Log /
m Soil Test Must Be Logged To 4' Below
Depth
Feet Soil Characteristics
2--
3--
6--
10--
11--
12--
14--
Was Ground Water Encountered?
If Yes, At What Depth?
QUALITY
"C" Street
ALASKA 99503
Case #
Dated Per fo rme d~/~__~_~
S ubdi vi s i o n_/~ ~ ~//~ ~,
Percolation Test
Proposed Seepage System -
! I
I
Reading Date Gross Time Net Time Depth to H20 Net Drop
I
Percolation Rate Minute
Proposed Installation: Seepage Pit
Depth of Inlet ~ Depth to
COMMENTS:
/
Drain Field
Bottom of Pit OP Trench'
Test Performed BY , ~c . _ Date Certified BY:
Date:
G^:ATER ANCHORAGE AREA BOROUGh?'
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
DATE RECEIVED:
INSPECT:
TIME:
APPROVAL
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
ADDRESS:
P.ON~:~~=:~9'/?/
PROPERTY OWNER:
REQUESTED ~BY: ~,,_~
PHONE:
LEGAL DESCRIPTIONi
TYPE FACILITY TO BE
NUMBER OF BEDROOMS:
WELL DATA:
A. TYPE
B. DEPTH
C.
D.
E.
SIZE
CONSTRUCTION
BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON
~. AGE l~b 7' /
BACK)
APPROVAL REQUES~- FOR SEWER & WATER FACILITILS
PAGE TWO
B. SEEPAGE PIT
l, SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
REQUIRED ~EASUREMENTS
B.
C
D
E
F
G
H
WELL TO SEPTIC TANK
WELL TO SEEPAGE PIT
WELL TO SEWER LINE
WELL TO PROPERTY LINE
WELL TO OTHER POSSIBLE
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
CONTAMINATION
APPROVED: I DISAPPROVED:
APPROVAL VALID ~0~ ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY