HomeMy WebLinkAboutEAGLE CREST #2 BLK J LT 5: LK
GREA'm,-R ANCHORAGE AREA BORC. SH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~)~¢:: ~'",z:]~, ~('~/~¢~'~ ,~c'~,~/). LEGAL DESCRIPTION ~/0
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL ~'/¢' ~"/¢ '~' 7''°
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
I IQUID CAPACITY4(~O GALLONS,
SEEPAGE
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
, DIAMETER OR WIDTH LENGTH__, DEPTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA {WALL AREA) "~'~'~ ' SQ. FT.
ADDITIONAL ABSORPTION
TYPE CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST . NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED
DISTANCES:
INSTALLED BY:
DISAPPROVED REMARKS
DIAGRAM OF SYSTEM
PIPE MATERIAL; _.~'~ ''r'
LOT SLOPE:
REMARKS:
Form No. EQ4)31
DATE
" · GREA ANCHORAGE AREA BOR"'~GH ~
~ ~~, i PERMIT NO.
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
MINIMUM DISTANCES, REQUIREMENTS
DR2,'~'L/__,.' '
SEEPAGE P,T
TO NEAREST LOT LINE.
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSINO DAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
DIAGR, SYSTEM
~Z.o PL,CA.T'..,G.AT..EO4'
GREATER AfICIIORAGE ARIA DOROUGII
Department of £nvironmental Quality
3330 "C" Street
Anchorage, Alaska 99b03
SOII,S I,OG - I'EROI,ATION TEST
Perfornw~d for )-~t:l~-'~'~s~ Date Perfon;._'d
This form reports: Soils~og ~/ ' Percolationtest
Dep th
Feet AJ
4-
6-
I
L_,
10--
11-
12-
13-
14
Was ground water encountered?
If yes, at what depth?
Reading Date
Gross Time
_1 .....
Percolation rate minute.
-Proposed lnstallat-T6'n~ Seepage Pit
Depth of Inlet .
COI'~IENTS: . .~"'. __--.-__--__
Net Time
Drain Field
Depth to ~-6'E't-~of pit or trench
Depth to Water
Ilet Drop
Performed Dy: ~..Certified Dy: . Date:
EQ-040 (6/74)