HomeMy WebLinkAboutELMORE #2 BLK 11 LT 1S/ ~GRE.' .,-R ANCHORAGE AREA B0.r'-',JGH I~ Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME_~'d\ LOCATION EIr~.~c~r£ ~, MAILING ADDRESS S~.~ ~,~,H1] PHONE LEGALDESCR,PT,ON L~t \ R(k II El~,n~r4 SEPTIC TANK: DISTANCE ~,, I FROM WELL INSIDE LENGTH NUMBER OF MANUFACTURERS~ MATER,AL,~ kc \ COMPARTMENTS INSIDE WIDTH ' LIQUID DEPTH I IQUIO CAPACITY\~-S O GALLONS. SEEPAGE PIT: .UMBER OF P,TS I . .O,AM~ER OR W,DT.~.' '~' I~,' LENGTH, DEPTH LINING MATERIAL[~o, q~t~ CRIB SIZE: DIAMETER DEPTH ~* DISTANCE FROM: WELL ~ t BUIEDIN~ FOUNDATION NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) S~. ~, ADDITIONAL ABSORPTION WELL: TYPE~,~,m t3 ?¥',k~,~ff- CONSTRUCTION ~D~1 C~LS'~ I~5 DEPTH DISTANCE FROM: ~,LD,NG ~ NEAREST NEA.EST ' SEPT,C 5~' 13H' FOUNDATION ,LOT LINE SEWER LINE ~ SEEPAGE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES:~'LO ~J k) PIPE MATERIAL:t~ LOT SLOPE, REMARKS:~ Form No. EQ-O31 DI/~Gr~.AM OF SYSTEM DATE ~' I k' q "~ APPROVED --~, ~ ~, ~'~ G.A.A.B. GrEkTEr ANCHORAGE AREA BoROuGH/~,,~ DEPARTMENT OF' ENVIRONMENTAL QUALITY lA PERMIT NO. $330 'C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM , APPLICATION AND PERMIT .A.L'.G AODRE,. -I ?c EEERAGE PiT. DRAIN FIELD , OTHER NOTEr THIS PERMIT IS NOT VALID WITHOUT SOIL TE:ST FINAL INSPECTION: Z4 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, RKQUIREM~._~ DRAIN FIELD DRAIH FIELD GRAVIr L BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, TYPE DIAGRAM OF SYSTE:M Performed For Leaal This - ~.? IIECEi VED' ~Z~ ~. ~o~e Date Performed 6-6-73 ~escrJ~t~on: Lot ~ Block~ Subdivision ~mo~e ~b~v~o~ ~2 ror~ Renorts Soils Loq Percolation Test ~enth Feet Soil£.haracter~stics' 2 ~ 2~0 200 1ri__ },'as C-round Water Encountered?_i..~.__ Ir YeS, At uhat Pe,~l~? _Dat.e._- Grnss Time.J " ] Percolatinn Rate qinute ProPosed Installation: Seenaoe Deeth of Inlet CnHPENTS: 18~ sq. ft. drain_age area required per bedroom No bedrock or water table 4' below seepage pit Denth..to Pit Drain Field Denth To ~-~om Of Pit Or Trench H20 . tlet Drop Test Performed By Data Certified. By:Construction TeJt~&b 6 8 ?3 " Date~ ....... Date Drilledt Kath~ Elmore Elmore Road S~atic Water Level 37 feet Gallons Per Minute 10 Draw Down N/A feet Total Feet of Uaaing 73 .Type Material Drilled~ to · ~& e~lev to Hefty Drilling S.RA. Box 1553 H Anchorage,Alaska