HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 17
GREA;~, ANCHORAGE AREA BOR~
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS
LEGAL DESCR,PT,ON
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER,~'/~--~Z /~/J MATErnAL ,5--/,'~C~ZCOMP^RTME~sNUMBER OF /
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY'''~'-~''~ GALLONS.
TILE DRAIN FIELD:
DIST~r~C,~BOM WELL (n~/'///~'2 FOUNDATION ,~'
/
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA ct~'~)O ! SQ. FT. LENGTH OF EACH LINE
· DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE ~'/ MATERIAL BENEATH TILE
' TOTAL LENGTH ~-.--i~)
NEAREST LOT LINE /// ;?/O /C'tOF LINES
TRENCH WIDTH IN, TOTAL EFFECTIVE
~ IN. ABOVE TILE ~ IN.
WELL:
TYPE
CONSTRUCTION __DEPTH
BUILDING J NEAREST .~ NEAREST ~. SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
SEWER LINE DEPTH: '~ ·
PIPE MATERIAL; /,'~,~// >C/~a
Form PW-027
DIAGRAM OF SYSTEM
DATE '//,~/~'~//"~'~PPROVED
G.A.A.B.:
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM I APPLICATION AND PERMIT
'\
praTT VAI 1~ ~NF YFRR
5
FOUNDATION TO aerie TANK ~,U:; ' .-
· ,,~,:,~?~ '""
_, .... . ......... ._ ,,~. ~/~-.,
20~
10
~ lATER ~-HC~ORAP,[ ARE:-~O,~,'.OU!
DEPARTMENT OF ENVIROIII~E:iiAL QUALIi'~'
3500 TUDOR ROAD
A.qCHORAGE, ALASKA 99502
CASE
Performed ForAllen Nelson
Legal Description: Lot 17 Block~
This Korm Reports Soils Log ~
Date Performed } Nov.
8 Subdivision Campbell Hts
Percolation Test
Qeoth
Feet Soil Characteristics
1
soil
2--
to
5--
6--
7--
9--
10--
Was Ground
If Yes, At what Depth?
The sediments were fairly
loose with a moderate
cobble ~nd pebble content.
Water Encountered?Yes
8 feet
FI-FlY-
slope-- south
L-L--I i- I i ,
n-F-I-d- i !
I Readin~ Date Gross Time Net Time Depth to 1t20 Net Drop
i
Percolation Rate )1inure
Proposed Installation: Se~nar~e Pit Prain Field XX
DeQth of Inlet ? Depth To Bottom Of Pit Or ~rench.
Test Performed By P~r~co .............. Para Certified £y'~.~K'_/]~x['~f/...~.____~.