HomeMy WebLinkAboutYOUNG LT 1LoT'
G'~.TER ANCHORAGE AREA BORO'"~H
HEALTH DEPARTMENT ;
:]27 EAGLE ST. ANCHORAGE, ALASRA 99501 279-2511
490
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
SEPTIC TANK:
DISTANCE FROM WELL //~ ~
LIQUID CA PA CITY .~(2-.-D'7) GALLONS.
NUMBER OF ~-g
MATERIAL ~ .;~.~_~=~Z~' ~- COMPARTMENTS ~ ~
INSIDE LENGT~Z:/~/~/44~/ INSIDE WIDTH DEPTH~
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER OR WIDTH
"~.~-~'~= :~.,-/~////~-~DISIANCE FROM WELL .//~
. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL +//~. FOUNDATION~~- NEAREST LOT LINE
T
DERT :~TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
, OF LINES
IN. TO~g~..EEF~ECTIYE
DEPTH OF FILTER MATERIAL BENEATH TILE IN, ABOVE TILE
WELL: -.~r~./~ -~,~-~./~.....~'.,z~-.dL~- ~-(.//~.;~z.~/r/j~ DISTANCE FROM /~"~ '? ?' ~ ' WA[ER
TYP~ ~~ , DEPTH. , BUILDING FOUNDATION.~SAMPLE
~ SEPTIC / ~, / SEEPAGE ~
..... ~ ~ NEAREST ~ ~
LOT L NE ~[,/~) SEWER LINE ~g ~TANK_ . , SYSTEM , CESSPOOL
NEAREST
OTHER
DISTANCES:
~/~-- /
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA BOROUGH
D~'PARTMENT OF ENVIRONMENTAL OUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
PERMIT No./3
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
TYPE
FOUNDATION TO SEPTIC TANK --~.+
FOUNDATION tO SEEPAGE PIT ~ ~, DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
WELL TO SEPTIC TANK
DRAIN FIELD /// ~¢-----~ , ALSO CONSIDER AREA WELLS,
/,¢ -
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT
,E~TIC TANK, %l%' /
SEEPAGe Pit ~ /
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.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
~/H EALTH AUTHORITY
or
LICENSED DESIGNER
DIAGRAM OF SYGTEM
DATE /~.~¢::=;~L~--~/~/APPLICANT'S SIGNATURE
GReATeR ANCHORAGE AREA BOROUGH
IIEALTll DEPARTNEHT CASE
327 EAGLE STREET
ANCHORAGE, ALASKA' 99501
Thi~ Forum R~pomts al So~ls Log. ~'~
Depth
Feet Soll Characteristics
Reading Date
Location Sketch
r. oposed Instal~Seepage Pit Dpaln. Field
Depth Of Inlet Dept~'~='£o B'o~tom O~=~Pit Or Tmench ~ .... -
, _ . .
. .. ~ ~ , , f...q ~ ~. . ....
'~"
Data Cer%ified By~
Date: ..... ~ .........
'if Yes, At What Depth.~ .
Gmoss Time ~et Time e To Ne'c Drop
OErE
Russell Oyster
694-2774
Soils Et Foundations
GEOTECHNICAL. 6' DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
688-2280
Land Development
Performed for:
Hatltng Add~ess:
Depth (feetL 5otl Charactertst~c~
0
mil
Tel. No,
1
10
11__
1~__
Ground ~ater Encountered:~es --. No /-~'~ If yes, whit depth
'P~oposed Installation: Seepage ptt....~_._ Drain Field.___
GREATER ANCHORAGE AREA BOR~]GH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL O?
INDIVIDUAl. SEWER & WATER FACILITIBS
Aopro,,al Requested By:
Address:
F OR
Selective Real%y,
2, Prooerty Owner: [)avid Sqt~0~
3, Legal Description:, I. et l~ Young Subdivision
4. Locatian:_ 5 ~jj~_Rived RD __
5. Type of Facility to be Inspected: Apartment_s____ ...........
Number of Bedrooms:
6. Well Data:
A. Type Drilled
C. Construction Standard
7. Sewage Disoosal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
9, Distances:
A, Well To:
,~ight
Phone:
Phone:
B. Depth
D. Bacterial Analysis__ ~atisfact,q~y,_
19TI B. Installer Dog ,~ellers
]., Size 200Q__ 2. Manufacturer ....
1. Size 14'x]4'x6'2. Material Steel
Total Length of Lines
Septic Tank 109' , Absorption Area , Sewer Lines
, Nearest Lot Line , Other Contamination
Foundation to Septic Tank "> Ab§orption Area .
Absorption Area to Nearest Lot Line .,
Rec~mst for Approval of Ir ,idual Sewer & Water Facilities
Page Two
9, Comments:
J./ , ~ Aporova] Valid for One Year From Date Signed
~e~er Anchorage Area Borough, De~rtment of Environmental qualtty
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate representetfon of the subiect sewer and water facilities located at:
Signed __ , Date