HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 39
GREA' '
ANCHORAGE AREA BOROUGH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE a.~ ~
FROM WELL ~'~,'(~/1~ MANUFACTURER -~'7/~:5~ "~/~J MATERIAL
INSIDE LENGTH "---' INSIDE WIDTH ~ LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY,~4:~ GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL~4' FOUNDATION~7''/A/
NUMBER OF LINES ,~ DISTANCE BETWEEN LINES
ABSORPTION AREA ~-~=~SQ. FT. LENGTH OF EACH LINE ~'~
~ DEPTH OF FILTER
DEPTH= TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE
· ~ TOTAL LENGTH
NEAREST LOT LINE /*~-~ OF LINES ;~,~
TRENCH WIDTH~/~ IN. TOTAL EFFECTIVE
WELL;
TYPE
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
IN. ABOVE TILE
·
NEAREST N~ SEEPAGE
, LOTLINE~ ~ ~.~ : SYSTEM--
DIS.;~.Pt~rO VE D ~ R EM A R KS
IN.
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL; ~'~ ¢~'~
LOT SLOPE~ ~N~,
REMAR~S~ ~
DATE ~ ~~]'2~ APPROVED ~
Form PW-027
GREATer ANCHORAGE ArEA Borough
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
LEGAL DESCRIPTION
SEEPAGE p,T ~" D.A'N ~'~.
~g/ ~ q / /~0 NOTE, THIS PERMIT IS NOT VALID WITHOUT ~i~
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY
DEPAET~ENTOFENVIRONMENTALQUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK o SEEPAGE PiT
TO NEAREST LOT LINE,
WATE..A.. TO ..T'C /
DRAIN FIELD
SEEPAGE AREA SIZE
DRA,. F,ELD /0 /
SEEPAGE PIT
ALSO CONSIDER AREA ~N~rLLS.
/
SEEPAGE PIT / ~)
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CRO$SINGGAP OF
/, , . .- -;, -,
GRAVEL BACKFILL ,- - '{ ~f." ~A .: ' .
CONFORM TO BOROUGH REGULATIONS REGARDING
,\
/
TYPE
DIAGRAM OF SYSTEM
DATE ~'~. 7--7~ APPLICANT'' ~;'GNATUR~i ~i~Z~ '/~~
G~EATER ANCHnRAGE AREA BOROUG~
DEPARTEEIIT OF ENVIRON~!ENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Per'formed For ko~--~-
Lepal Description: Lot ~ Block
This Korm ReQorts Soils Log ~
Date Performed ~-/~-~_~'
Subdivision ("~m~M~ ~')'~
Percolation Test
OeDth
Feet Soil Characteristics
6
7
10--
Was Ground Water Encountered?
If Yes, At what Depth? ~Y
Readin~ Date Gross Time Net Time Depth to H20 Het Dropi
I
! ,
Percolation Rate Hinute
Proposed Installa~on: Seenaee Pit
Depth To
De~th.~O.~nlet~ ~ .
Test
Drain Field
Botj~m Of Pit Or Trench
Data Certified By:
Date: