HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 15Olq 3,0
GI~"~'ER ANCHORAGE AREA BOROI.~'~
DEPARTMENT OF ENVIRONMENTAL QUALI1Y
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK:
MAILING
.ADDRESS '~'~--~,-~--~--'¢',/¢~,.,~;~'~,,"~L~,,C~.~,~r PHONJ:-~",~
LEGAL DESCRIPTION ~/~ ~ ~~_ ~
NUMBER OF
DISTANCE FROM WELL ('~..z....~,.~.~}...,,~. ~ MATERIAl --¢',~""~"-'~-'-~-- COMPARTMENTS '"~
LIQUID CAPACITY /'~t") ~)~) GALLONS. INSIDE LENGIH ~"~INSIDE WIDTH LIOU~D
~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PJTS ? OUTSIDE DIAMETER / OR WIDTH /'"'~'" ,. LENGTH ..J~"~ , DEPTH ~ '~'
LINING MATERIAl .~-~ ~,~.~.~e. _ ~,,~..~¢~ t DISIANCE FROM WELL ~, ~ . BUILDING FOUNDATION~.
NEAREST LOT LINE /~ I ~ ~-- TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA) ~ ~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL . FOUNDATION , NEAREST LOT LINE
NUMBER OF LINES ~NES ~ WIDTH
ABSORPTON/,~'~ SQ. FT. LENGTH OF EACH LINE ~'
DEPIH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILF
TOTAL LENGTH
· OF LINES
IN, TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE ~'~,'~'~-"~-,'~"~' DEPTH / DISTANCE FROM WATER ~
. , BUILDING FOUNDATION. /'""'--- SAMPLE . NEAREST
LOT LINE / NEAREST / SEPTIC SEEPAGE OTHER
SEWER LINE . TANK ~ , SYSTEM ~ . CESSPOOl ~ , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
G.A.A.B.
GREAiER ANCHORAGE AREA BORuUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
/q Y
Wanda Norvelle
NAME OF APPLICANT
iNSTALLATiON LOCATiO.3506 East 64th, Anchorage, Alaska
LEGAL DESCRIPTION Block 8. Lot 15. Campbell I-Ielgh~'.'~ Ruhdlv{g{nn
~PZ AND S'ZE OF F^ClU~ TO SE SE"VED Trailer W/Lean To - 3 BedrQom$
FINANCED THROUGH Cash TO BE INSTALLED BY Duane Gorder
sozL TEST BESULTS
COMPLETION DATE ANTICmATED 10/2/71
MAILING ADDRESS 4225 Spenard Rd r Splp1HSoNE 277--5905
OTHER
FINAL. INSPECTION, 24 HOUR NOTICE REQUIRED. DACKFIL-L-ING OF ANY SYSTEM WITHOUT FINAL- INSPECTION I~Y THE
HEAL-TH DEPARTMENT AUTHORITY WILL BE SUSJ£CT TO PROSECUTION.
FOUNDATION TO SEPTIC TANK --I.~-/
FOUNDATION TO SEEPAGE PIT ~/
SEPTIC TANK~ ~/ SEEPAGE PIT
TO NEAREST LOT LINE.
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEar INTO UNDISTURBED SOIL.
A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
GRAVEL- BACKFILL.
DIAGRAM OF SYSTEM
CONFORM TO BOROUGH R LATIONS REGARDING INSTALLATION.
A HEaLtH AU~ORITY ~
OR
LICENSED DESIGNER
DATE ~2~/¢~/ APPLICANT'S SIGNATURE ~
Performed For
Legal Description:
This Form Reports
Depth
Feet Soil
Gray sand
G rER ANCHORAGE AREA BOROUC~L~
OEP. )MENT OF EtI¥IRO[IMEgTAL QUA ..~Y
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
ldanda Norvelle
Lotl5 Block 8
S o t 1 s-L-6'g x
Characteristics
(sP)
CASE
(ST~) and
Gray gravelly sand
sandy gravel
Date Performed 10/1/71
Subdivision Cambpell Heights
Percolation Test
Was Ground Water Encountered?.
If Ye~,'At What Depth?
' I
Reading . Date Gross Time flet Time Depth to H20 Net Drop
a nute
Proposed Installation: Seepage Pit x Oratn Fteld
Oepth Of Inlet Depth To Bottom Of Pit Or Trench
COMMENTS: ~
105 square feet per bedroom of drainage area ia required. Some of this materi~t
ms be used for backfill if selective~y handled.
les~ Performed By. R. E. Carlisle Dst8
N
Certified By:~ational Testin~ Svs. Inc.
Date: