HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 400/¥ 07 ' 0 GR~"'k~TER ANCHORAGE AREA BOROU~'~I D'~..,~RTMENT OF ENVIRONMENTAL nUALI'. / 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 27g-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING LEGAL DESCRIPTION ?x~/~z///~ NUMBER OF DISTANCE FROM WELL ~ MATERIAL ~/~//~/~//~/~'~-~/~--~ ~1 ~ , COMPA~IMENTS. -u~u~D CAPAC.~ ~ / /~ OALLO~S. INSIDE LENGTH INSIDE WIDTH LIQUID ,DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH LINING MATERIAL ~- NEAREST LOT LINE. , DISTANCE FROM WELl TO/AL EFFECTIVE ABSORPTION AREA ~VALL AREA) , LENGT. ~/ , DEPTH ~IN FIELD: DISTANCE F R0 ~ ~ EJL~~~- FOUNDATION. NUMBER OF LINES DISTAN~ ABSORPTION AREA SQ. FT. ., NEAREST LOT LINE. IRENCH WIDTH LENGTH OF ~ EACH LINE DEPIH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILLER MATERIAL BENEATH TILE TOTAL LENGTH ., OF LINES. IN. TOTAL EFFECTIVE WELL: LOT LINE TYPE~//~Z'~''~'/,ZZ~ DEPTH NEAR~ST ' · SEWER LINE DISTANCE FROM WATER , BUILDING FOUNDATION. SAMPLE , NEAREST SEPIIC SEEPAGE OTHER · TANK o SYSTEM , CESSPOOL , SOURCES__ DIAGRAM OF SYSTEM .DISTANCES: DATE GREAfER ANCHORAGE AREA BOROUGH PERMIT NO. SEWAGE DISPOSAL SYSTEM INSTALLATION LOCATION U ~C~ LEGAL DESCR,PT,O. ~ ~o ~ ~ .o,L T.T RESULTS APPLICATION AND PERMIT DRAIN FIELD OTHER TO SE ,.$TA'.LSO S¥ ,~'t ecoo,.v'tc ~'X. NOT~ THIS PERMIT IS HOT VALID WITHOUT ~OIL TEST FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SY~"rEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE 8UBJECT TO PROSECUTION. SEPTIC: TANK SIZE ~'/ ~''(~ TVPE ,~P~/~ FOUNDATION TO SEEPAGE PiT SEPTIC TANK TO SEEPAGE PiT WALL SEEPAGE PIT ~0 ~ DRAIN FIELD WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD "~ I sE.,¢ TA.K 5 0 SEE,'AGE ".T TO RIVER, LAKE, STREAM. CONFORM TO BOROU EGULATIONS REGARDING INSTALLATION. /// LICENSED DESIGNER GREATER AtlCNF)RAGE AREA BOROUGH DE~RTNErIT OF ENVIROHriENTAL Q~"LITY 3500 TUDOR ROAD .' ANCtlORAGE, ALASKA 995D2 'CASE P~rformed For~'~)AIp~VL~ ~AL~u~ .Date Performed~~ Lepal Description: L'ot~Block (~, Subdivision ~. This Korm Reoorts Soils Log X Percolation Tes~_ ~ ~e~th Feet Soil Characteristics Was Ground Water Encountered?.. If Yes, At what Depth? ' t i ~eading Date Gross Time Net Time Depth to H20 Net Drop ~ · ./ 'I n Rate tiinute Proposed Inst--: See~a~ Pit ~ Drain Field De~h of Inlet ~ Depth To Bottom Of Pit Ok Trench -ct~p~--.~-e.F_.]o_c._~_._.~l_~' ~ co ~ ' 'a.4L.~ ' Test Performed ByG.~.A.~. 6~S IA~. Data Certified ~y:~ Date~~~