HomeMy WebLinkAboutTROLL KNOLL BLK 2 LT 12
~-~,UNICIPALITY OF ANCHORAGE~
Hea. J and Environmental Prote~ 5n
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEm
N^ME
LOCATION
SEPTIC TANK:
DISTANCE ~J[O0 ~ MANUFACTURER
FROM WELL
INSIDE LENGTli INSIDE WIDTH
TILE DRAIN FIELD.'~.~
DISTANCE FROM WELL~'~4 FOUNDATION
F/'- NUMBER Of
~- MATERIAL [~- ~ -% COMPARTMENTS
~ of Lines I DISTANCE BETWEEN LINES
ABSORPTION AREA ~" '~ O SQ. FT. bENGTN OF EACH LINE
DEPTH OF' FILTER
DEPTIh TOP OF TILE TO FINISH GRADE '~'"~ ' MATERIAL BENEATH TILE
NEAREST LOT LINE "~'OI TOTAL LENGTH,,,~O~
OF LINE
~1~ TRENCH WIDTHS---~__ IN. TOTAC EFFEC~IV~
~ ~ IN. ABOVE TILE ~ IN.
SEEPAGE PIT:
Log Crib. Rings
BUILDING FOUNDATION
DIAMETER OR WIDTH
Crib Siie:I DIAMETER
NEAREST LOT LINE
[.ENGTH DEPTH
DEPTH . DISTANCE FROM: WELL
'I'OTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
I "1 .....
Well
Class: Co~'~.~,t~ Depth:
Pipe Materials: ~ 1~
# of Bedrooms: ~
Installer: ~%~
Remarks: ~. ~
. APPROVED.
3930 '*C' STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274"4501
SEWAGE DISPOSAL SYSTE,~ -- APPLICATION AND PERMIT
,NST^LLAT,ON OF= .E~,¢ TAN. -~ /~'~ I:-~-,,.-J-- DRA'N F'ELD oT..R
TYPE AND SIZE OF FACILITY TO BE SERVED ~ ~
TO BE INSTALLED BY
NOT~ THIS PERMIT IS NOT VALID ~4VITHOUT SOIL
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL sE ~UEIJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES. REQUIREMENTS
SEPT,CT^.K ~ ~ /~
DRAIN FIELD
DRAIN FIELD ,
SEPT,D T^"~. /~ SEEPAGE P,T
SEEPAGE PIT
DRAIN FIELD
, I
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCS NO. ES-6S AND THAT THE ABOVE
, / ( APPLICANT'S SIGNATURS
EQ-016(3-75)
~ ~ MUNICIPALITY OF ANCHORAGE
dL/dl.r, ,', ·., .... ~n(ll~J(,[ ~1' DEPT. Of: HEAL'n-I &
UcparLmenL o~ inv~ronmuhLal Qua11 ty ENVIRO~ENTAL PROItCTIC~
3330 "C" Street
Anchorage, Alaska ~9b03' DEC 1'3 1976
s...s ,.o,:- ,.,~no,.^'r,o..,',.ts,' R E CE I y]ED
e
?.his form reports: · Soils log' L./ Percolation test
Depth
Feet
- ~-
~' C\~.~.., ,~-~-g,~o_J.~,~ - ,.
~ <'~ ~ '~ ---
11-
12-
13---
'14 -
Was ground water encountered?
If yes, at what depth?
Reading Dbte Gross Time Net Time Depth to Waterl
Percolation rate ..... 'Tmi nu .re..-----
· Proposed installat-16-nT Seepage Pit I r'e,~c- bi . Drain Field
Depth of Inlet . ' . Depth to kottom of'-pit or_trench
Uet Urop