HomeMy WebLinkAboutLot 03, 04i A K.
't"St
GREA
..R ANCHORAGE AREA BOR
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
',H
.~.,,~/ ~/~''~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
NAME ,~- F'g/~// ~)~/-//-L ~/~ MAILING ADDRESS /
SEPTIC TANK:
DISTANCE
FROM WELL. ~¢~
INSIDE LENGTH___
NUMBER OF
.MANUFACTUI~ER_-~]~ICg ~L¢(), MATERIAL .~'/e~ / COMPARTMENTS ~
INSIDE WIDTH ~-- ~LIQUID DEPTH~ '~ _LIQUID CAPACITY /00~ GALLONS.
SFEPAGE PiT:
NUMBER OF PITS / DIAMETER __-- OR WIDTH /~'/'/~/? LENGTI~7 'F4 DEPTFI ~t.~.~26~,~_[~X_/~]./ ¢~ t
MATERIAL/.~¢~'~Vl~CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL //0
LINING
TOTAL
EFFECTIVE
BUILDING FOUNDATION ~/' NEAREST LOT LINE ~¢
~ . ABSORPTION AREA (WALL AREA) ~ ¢2~ .SQ. FT.
AODITIONAL ABSORPTION
WELL:
BUILDING ~ / NEAREST /
FOUNDATIONI'~'~), LOT LINE /~ '~ ,
~0'
J ~ "~ctu¢(l I,'0
CESSPOOL _013~: co OTHER SOURCES
NEAREST / SEPTIC
SEWER LINE /~ ¢ TANK
APPROVED ¢/_ _DISAPPROVED _____REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
PIPE MATEBIAL: ~//
DIAGRAM OF SYSTEM
LOT SLOPE:
REMARKS~
Form PW-026
DATE _/~ ,~. /F/7~ __ APPROVED
I G.A.A.B.
GREATE'R ANCHORAGE AREA EBOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO
L.- ¢~-' ,~',," - '~' , ,
TYPE AND SIZE OF FACILITY TO BE SERVED __~ ~ -~ / 3' ~?~1 t
?
~{EATEI? A!,ICI/ORAGE AREA
DEPAR1HEIIT OF EN\/IRONHENiA[ QUA! iTY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Leqa'l Oescrintioni ~'~i.~?~[R6ck ~ ~bdivision ~c;o/,'~.~cl~-
This Form Reoorts Soils Lo~l_ ~_ Percolation 'Test
Qeoth
Feet Soil Characteristics
9--
1N--
Was Ground Water Encountered?
Yes, At what Denth?
Readinq Date
- Gross Time
li ill- 21
Net Time
Denth to it20
Net
Dronl
Percolation Rate qinute
Proposed Inst~71~iio~i-: Seemaqe Pit Drain Field
Der) th of Inlet Den'SY-?o B~t-i;oln Of Pit 0];' Tr~n-~ ....
Cn ',_ ......... S ~ ~ ~_ ~v.~U,~ ..... ~* .... ~ .............
Test Pexfomned By~~_~ .......... - ' - '
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
279-8686 DATE RECEIVED:
INSPECT:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
1. APPROVAL REQUESTED BY:
ADDRESS:
PHONE:
NUMDER or BEDROOMS:
WELL DATA:
B. DEPTH //~/
D. CONSTRUCTION
BACTERIAL ANALYSIS
SEWAGE DISPOSAL SYSTEM: ~/~
A. SEPTIC TAN~ (I: ,OMEMADE, SHOW DIAGRAM ON
~. AG~ /¢7/ J/~ ~"
3. MANUFACTURER
4. INSTALLER
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
SEEPAGE PIT
1. SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
REQUIRED
A. WELL
B WELL
MEASUREMENTS
TO SEPTIC TANK
TO SEEPAGE PIT
C WELL
WELL
WELL
FOUNDATION
FOUNDATION
TO SEWER LINE
TO PROPERTY LZNE j~c~'
TO OTHER POSSIBLE CONTAMINATION
TO SEPTIC TANK ~,~ ·
TO SEEPAGE PIT
H SEEPAGE PIT TO PROPERTY LINE
·
COMMENTS: .,~ // , ~ /~
APPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENI' OF ENVIRONMENTAL QUALITY
Hatioral ?.ank of /'alaska
P.O. ~]ox 600
Anchora.r!e, Alaska 9!~501
Stlbjcct:
Lot~: 3 al',d ~!, ~lock 2, Zodiak l.~anor Subdivtstol~.
Dear Sir~'.,·
An insrectiol~ of l;t'm stfl),lect lot revealed t~lat the ~,.v, Lr ...tei~l
exten,:ied olli;fl trll. lots ,, al~d 4 ar, d that I:}~¢~ well is too close
to t;h[ setpag~ pit.
Our files (lo l~o?. show ?.hat a final inspection had boc'n made on
t~e sewer sys, tem. Bi, fora ~}tlr approval for the sew(2r and water
sVs l;cms can be qi yen, ~roper dl stance~ from tho wel] to the
sewer ~;ys:t. em n~':ed to be (~}ltatned alid a fir/ill lnsp,'~ct'ion will be
hesl!:.ate to c(~ntact gJ~t~.; office.
'.ii necrcl y,
· d
Lynn S. (,ea.
[nvi ronnmntal Special
st