HomeMy WebLinkAboutT15N R1W SEC 8 LT 177T15N R1W
Sec 8
Lot 177
#051 - 154 - 24
Gr ~'ER ANCHORAGE AREA BOROI ~'-I
DLr/~RTMENT OF ENVIRONMENTAL QUAb, ,
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
NAME ..,,~.~,,,"'"~.,,'~,/ d'-"/'J.~--~-~'__--.r"-~4~"
'~.-"~-"~
LOCATION
SEPTIC TANK:
MAILING
__ A D D RE S~..~,z___~~_ __~HONE -"~
DISTANCE FROM
LIQUID CAPACITY
GALLONS.
NUMBER OF ~
.MATERIAL ...,~',,7-"-~,'~-~'Z--' __COMPARTMENTS
INSIDE LENGTH /iNSIDE WIDTH '----'--' DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT: /"C,//,/~/
NUMBER OF PITS_
LINING MATERIAl
NEAREST LOT LINE
OUTSIDE DIAMETER_ OR WIDTH LENGTH __, DEPTH
DISTANCE FRO .------- ~d~~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ,...~ / , FOUNDATION ~',--¢'~
/
NUMBER OF LINES ~'~"~ DISTANCE BEIWEEN LINESf --
ABSORPTION AREA ~-~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LO1 LINE /~,,~) / :~r,.~oFTOTALLINEsLENGTH
TRENCH WIDTH ..-.-~:~ __ IN. TOTAL EFFECTIVE
? /
DEPTH OF FILTER MATERIAL BENFATH TILE
__IN. ABOVE TILE ~'~ '/'''
W E L L: ..~,.).~z~'~'
TYPE ~'~--~",,~-.~-.,~--.,~ DEPTH
DISTANCE FROM WATER
BUILDING FOUNDATION ....... SAMPLE
~ NEAREST ~...._...---- SEPTIC / SEEPAGE /
LOT LINE SEWER LINE , TANK SYSTEM CESSPOOL
,,,~'/'~'~,.~..~/,Z-"~ DIAGRAM OF SYSTEM
~--'"'--' NEAREST
OTHER
'~"'"'-"~, SOURCES__
DISTANCES:
? '
DATE ~ ~..~..?
APPROVE~ 7 G~.A.~ - -
~Ri~^~'ER ANCHORAGE: AREA
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 1~-65'O
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAme OF APPLICANT , A
INSTALLATION LOCATION
PHONE
INSTALLATION OF: SEPTIC TANK /\ SEEPAGE Pit DRAIN FIELD ~ OTHER
F,NANCeD T.rOUGh " TO BE .NSTALLeD .Y
SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
!
FOUNDATION TO SEEPAGE PIT &::~U , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALl
:1o'
SEPTIC TANK , SEEPAGE PIT . ., DRAIN FIELD
TO NEAREST LOT LINE.
I
WELL TO SEPTIC TANK ~0
I
SEEPAGE PIT
ALSO CONSIDEr Area WELLS.
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO River, LAKE, STREAM.
SEEPAGe PIT
., DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 Feet INTO UNDISTURBED SOIL.
4~4 ]~NCH D~IAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIrTIGht rEMOVABLE CAPS.
GRAVEL BACKFILL
CONfOrM tO BOROUgh REGULATIONS rEGArDING iNSTaLLATiON.
HEALTH AUTHORITY
or
LICENSED DESIGNER
I CertifY THAT I AM FaMILIar WITH THE rEQUIrEMENTS Of GREATER ANCHORAGE Area BOROUGh OrDiNANCE NO. 28-68 AND THAT THE ABOVE
Performed For Larry l~amilton !)ate Performed 8/31/71
T15N R1W Sec. 8 Lot 177 Seward Mer.
~eprh
Brown gravelly silt
Brown and gray sandy gravel
(OW)
Was Ground ~,!ater Encountez',ed?__2Le~s~ ..... kb
iff Yes, At !.;r:a~ l~,ep~,h.~ ........ .5,~8'~. ..........
Reading
Location Sketch
Depth To H20
Net Drop
Prop.o,,~2r.~ ~nsta~.Lat~on: ::c~:r:,age t'i~ D~air, Field X
Pep~h Of in Le't ....~.%q,~; ';'e '~:~':,o,:m ~it Or Trench ...... ''
becausa of ~ater table.
Test Performed Bv:..&~.~Cjjg~)_~ .......... .
u.rtlfled Ey: Na___tio___n~l T.._.~q~t~in~Servi__~_._c.~j, Inc.
Date: