HomeMy WebLinkAboutT12N R3W SEC 35 NE4NE4SE4NE4 PARCEL 2TI N R3W
ction 35
12
N
1/4
#017-091-04
Municipality of Anchorage
Development Services Department n
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page / of3
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 5'k101041,5_3 PID Number: Of 7 - D 9 / - O y
Name
Mark' av�k M otic,, e2
Wastewater System: ❑ New ®
Wastewater Upgrade
Address /yyZO ocrken SA
ABSORPTION FIELD
Phone
Number of Bedrooms:
X Deep Trench ❑Shallow Trench E) Bed C1 Mound ❑Other:
Soil Rating:
Total Depth from original grade:
LEGAL DESCRIPTION
`
o• 6+ GPO/Ft'
a
/ • 7';' Fl.
Block, Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
Pet,-re
Ft.
?-S Ft.
Townsnip Range:
Section:
Fill added above original grade:
Gravel Length:
`
/7. /Y 3w
�.S
!f• S Fl.
/to FI.
Well: EwST. El New Upgrade
Gravel width:
2. S
Number of lines:
1
Distance between lines:
Ft.
-- FL
Classification (Private, A, B, C):
Total Depth:
Cased to:
Total absorption area:
Pipe Material: r, _8 /G pe -F
Ft.
Ft.
7U Ft'
0-307Y /1(can Pe—j
Driller
Dale Drilled:
Static Water Level:
Installer.
Ca !'s E6C,2,1 h�"q
Dale Installed:
10 / 71 / G /
Ft.
t
I
Yield.
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft,
FL
SEPARATION DISTANCES
R Septic ❑ Holding ❑ S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
Public/Private
f}nGho�a e -%n k
Capacity.
/
From
Tank
Field
Station
Tank
SewewerrLineManufacturer,
Line
(%CO Gal.
Well
1 3 2 1
i 31C,
-
--
> Z,s
Material:
S fP e/
Number of Compartments:
2
Surface Water
>
> ,
_
.,
LIFT STATION
Size:
Manufacturer:
Lot Line
ere
YO 1
—
Gal.
'Pump on' level at:
'Pump off level at:
High water alarm at.
Fouccauon1
�
1
t G s'
.�
in.
in.
in.
Pump Make 8 Model
Electrical Inspections performed by:
Curran Drain
Remancs
r1tY�nCi � ,se �c e
ctnolonod
BENCH MARK
TLocation
and Description:
b IKV nOel,n >rja, a44,n1?,,gIE
Gokh:,w cdC Srclln N lv la�n••-
Assumed Elevation:
)oac4 Ay/Iih 1-,, ft SU//
A, 1
of /IvurC' /GO.pFI.
JAS ((e of f -,4r(- b,e� h -e^ ch /6�, a llc.c,,
V
(eQ�rn 0c I
Engineer's Stamp
G et %2 In e
_' <
�e
;�°•__\":ti oeoo®essay .w° ,���
Inspections performed by: Fl14-
a f�
_)_004 9-a c, Dates: 1st 167 /�/
a +
_ 4�'F� y�j g�
•L i + Ir �-
2nd /o /31/G/
la uoco�eoee.e........ee.o YRh
Development Services Department Approval
>�•®•••••••��••••
�� yU�-/
THEODORE F. MOORE roP
C 35€39 `` `
Reviewed and approved by:
Date: - - Off-
- •
"PERMIT NO: SW010453e'y PAGE 2 OF. 3
PID NO: 017-091-04 , o~
,
"-.~' FROM: COR."A" COR."B" COR."C" ',
c.o.--~..:. ..
· -. TO: ,
, '-. S.T.C.O. "D" 22. 13.5' ,
' S.T.C.O. "E" 25' t9' ' - ' ' '
DBL C.O. "F" 27' 21' -
T.H~ : DBL. C.O. "O" 113' t37'
TR. M.T. "H" 116.5' 140' '
~ ~ TR. C.O. "1" t36'
TR. C.O. "J" 1t3' ,
M.T. DBL ',
: .
:, c.o.
: SOIL ABSORPTION TRENCH ~m~ TIC T~K '
T. ' W. 3.5 FEET G~L EFFECT~ ~ ~ ~ ~a?A~ ',
- ~_BDRM ~ -. ,
...... ~HOUSE ~ . ,
, ~,.~ 49-1% ~ ~ :
,,' :..';.,%. c~- ~s, ~.' i~' : ",
,' '/~ '.-T" ....... '";~ · ' '
, . ,._ ~..-. -. <~ _ PARCEL 2, NE 114, SEC. 35, TI2N, R3W, S,M.
~ I,,.,.~ .r...~ ~,,r 8EPTI~ SYSTEM
' WELL AS-BUILT INSPECTION P~N VIEW
' (IN PIT) ~
~ R 100' ~ ~OP ~Ct~1C~ SEDUCES SC~E: 1" ~ 30'
~ -- 14~30 [CLIO S~ET D~WN BY TFM
' ~CHO~G~, ~S~ ~ 16 NO~MBER, 2001
PERMIT NO: SW010453
PAGE 3 Of 3
PID NO: 017-091-04
2'+ SOIL COVER
-2" RIGID INS.
93.7'
IO00-GALLON INV.
94.0'
2" RIGID INS.
80.5'
EFF. SEWER GRAVEL
BOTTOM EXCAVATION
ELEVATION 77.0'
TEST HOLE # 3
GROUND ELEVATION 81.75'
HARD BEDROCK ELEVATION 70.75'
NO GROUNDWATER
PARCEL 2, NE 114, SEC. 35, T12N, R3W, S.M.
SEPTIC SYSTEM UPGRADE
AS-BUILT INSPECTION CROSS-SECTION
FLAI'~OP T~CIINICAL SERVICES INOT TO SCALE
14530 ECIIO STI~ET ]DRAWN BY TFM
ANCI IORAGE. ALAS Y~ 99516 NOVEMBER, 2001
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 29, 2001
Expiration Date: Oct 29, 2002
Permit Number: SW010453
Legal Description: T12N R3W SEC 35 NE4NE4SE4NE4 PARCEL 2
Design Engineer: 0019 Flattop Technical Services
Owner Name: MarkMowery
Owner Address: PO Box 520947
Big Lake , AK 99652-0000
Parcel ID: 017-091-04
Site Address:
Lot Size: 108900 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank ~; HoIdingTank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under Construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-Fhepit Well serving this property shall be upgraded to m6et municipal code requirements prior to the approval,of !he
installation of this system.
Received By:
Issued By:
Date:
MUNICIPALITY OF ANCHORAGE
Development Sen4ces Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 29, 2001
Expiration Date: Oct 29, 2002
Permit Number: SW010453
=Legal Description: T12N R3W SEC 35 NE4NE4SE4NE4 PARCEL 2
Design Engineer: 0019 Flattop Technical Services
Owner Name: Mark Mower~
Owner Address: PO Box 520947
Big Lake, AK 99652-0000
Parcel ID: 017-091-04
Site Address:
Lot Size: 108900 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
~.The pit well serving this property shall be upgraded to meet municipal code requirements prior to the approval of the ,
installation of this system.
Received By:
Issued By:
Date:
Date:
Municipality of Anchorage
Development Services Dep. artment
Budding Safely Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 995'19-6650
www.cLanchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLI'NG
Parcel I.D.
Property owner(s)
Mailing address (1)
Dy
f'. o. Cot 5--'7_o?5,7
Mailing address (2) ~.~ ~ t<-~ ;
Legal description (Lot, Block & Sub'&)
Legal description (Section, Township & Range)
Lot Size ~.~ ~...
THIS APPLICATION IS FOR: '
Permit Number SW~) l~) q.~' ~
Day phone ~
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool ·
Therapy Pool
· Zip Code 9 ~'~'~"7_
Number of Bedrooms --~
[] Well Only []
[] Water Storage []
Jacuzzi []
Water Softening Unit []
I certify that the above information is correct. I fudher cedify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: ~ ~ C:D' ~ Waiver Fees:
Date of Payment: 14)~ z..C' / O ! Date of Payment:
Receipt Number: 11707 ~C', Receipt Number:
(Rev. 17./00)
OP NI &L SEffVtCE
C~ & EN~ON~NT~ ENG~E~G * ~ERGY CONSERVA~N &
~O~RE F. MOORE, P.E. 14530 ECHO ST.
PH: ~07) ~45-1355 ~CHO~GE, ~KA 99516
October 25, 2001
M.O.A. DSD
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to upgrade the wastewater disposal facilities on Parcel 2 of Section 35, T12N, R3W, S.M.,
located at 14420 Hosken St. Soils logs, perc test results, a site plan, design drawings and specifications
are enclosed for your review.
The proposed system will be constructed in the vicinity of test holes #2 and//31 As can be seen from
the soil logs, the native material between approximately 3 and 7 feet is a gray gravelly silt with a
measured pete rate of 24 minutes per inch. This is overlain by silt gravel and loam strata with measured
pete rates of less than 5 minutes per inch. Angular gravel was encountered below 7 feet and then hard
bedrock that could not be dug with a backhoe was encountered between 11.0 and 11.5 feet. Using a soil
application rate of 0.6-gpd/sq. fi. specified in the wastewater ordinance for soils with pete rates between
16 and 60 minutes per inch, this 3-bedroom residence requires a total absorption area of(3 x 150)/0.6 =
750 square feet. The proposed 108-foot long trench design with 3.5' ofeffective gravel between 1.25
feet and 4.75 feet below ground level has a total absorption area of 756 square feet.
The topography ofthe lot in the area ofproposed construction slopes gently towards the west at 5%.
Because of the presence of shallow bedrock the total necessary trench length slightly exceeds 100 feet,
but by "feeding" the trench in the middle the effective length ofeach trench segment is only 54 feet.
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor will it have any significant impact on
reserved space-surface and subsurface, or on drainage. While no formal lot survey has been found, it is
apparent from available aerial photo-mapping that separation dista,nces from property lines will not be a
problem.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
LOT 2 ,
T.H. , ,-
'.,.. I I ~ .-'
I I ,
INST~L I, I ',
CONSTRUCT 108-FOOT LONG~ C.O. ~ ~DON
SOIL ABSORPTION TRENCH
W. 3.5' G~L BELOW PIPE I ~ o ~ ~ISTING ',
~ ~.S~L / ~ /SEPT~CTANK:
1000~LON-/ ~ ~.~
I
· '.~ ~ ." a ",~*~ ..- ~3-BDRM:~ -.
.. t m~ '..
' ~ C~-35~ ~&~ ,' '
..., : ,
~ ', ~ WELL
NO -.. / ..
THE LOCATIONS OF F~TURES SHOWN ON ~IS..~/ ..
SITE P~N AR ~ BASED ON M.O.~ PHOT~BASED~ -..-'
U~P[N~. NC P.OPeRW CO.NeRS We.E--t ' ......... ~' ,;
~OUR I~ ERVAL: 20 ~ PARCEL 2, SEC. 3S, TI2N, R3W, S.M.
~ ~ WELL AND SEPTIC SYSTEM
~ SITE P~N
~ ~ 14~30 ECIIO S~ET D~WN BY TFM
~ ~ ~ ~CIIO~OE,~516 OCTOBER, 2001
~ IS NOTA SURVEYED P~T.
NOTE:
THIS
~ ~L LOCATIONS SHOWN ARE APPROXIMATE.
INSTALL FDN. C.O. --
INSTALL NEW
1000-GALLON --
CONSTRUCT 108-FOOT LONG SEPTIC TANK
SOIL ABSORPTION TRENCH t
W. 3.5' EFFECTIVE GRAVEL
\ INSTALL DBL. C.O.-~/
108'
PLAN VIEW
SCALE: 1" = 10'
MONITOR TUBE
~ ~10 ~ PI~~
1~- 2 1~ S~ G~L~
BOSOM OF ~CAVATIO~
SECTION"A"-"A"
SCALE:l"=5'
PARCEL 2, SECTION 35, TI2N, R3W, S.M.
SEPTIC SYSTEM UPGRADE
PLAN AND CROSS-SECTION
FLATTOP TECIINICAL SERVICES ] SCALE: AS SIIOWN
14530 ECIIO STREET [ DRAWN BY: TFM
ANCHORAGE, AK, 99516 OCTOBER, 2001
JTEST HOLE #1 J
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
DEPTH --
(feet)
1-
4-
11
12
17-
18-
19-
20-
COMMENTS:
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG - PERCOLATION TEST
Parcel 2, Se~on 35, TI2N, R3W, S.M.
October 18, 2001
Mark Mowery
SLOPE
PLandloam
GP/GM Black, somewhat silty sandy gravel
Dry, loose when excavated
MI/GM Gray gravelly silt
Dense, moist near bottom of stratum
GP Black angular gravel
B.H. Bedrock
Depth to Groundwater Date
No_groundwater 10/I 8/01
"--I-VI o n~t~ ~ b~-d ry 10/25101
Date Reading Clock Net Time Percometer Net Deop
Time (minutes) Reading (inches)
10/19 1Z'Presoak 27 1/2
Add water & start 11:42:45 23 3/8
#1 11:5255 10 19-318 4
Add water 11:53:--30 23-318
~ 12:03:30 10 19 318 4
Add water 12~04~0 23~1_8
#3 12:14:30 10 19 318 4
2nd perc
for T.H. #2
PERCOLATION RATE 3 (minutes/inch) PERC HOLE DIAMETER 5
TESTRUN BETWEEN 1.5 FTAND 2.0 FT
This parc test was performed to assess the permeabitity of the shallow loamy soils at T.H. #2.
The depth to bedrock is too shallow to aTIow constnJc'don of a conventional soil absorption system in the vicinity of T.H #1.
PERFORMED BY FLATroP TECHNICAL SERVICES. I ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALI. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: .. i/¢O'/' g-.C- ,/~__.),)
TEST HOLE #2 J
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
DEPTH ~
(fe~t)
5-
6-
7
8-
COMMENTS:
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Parcel 2, Section 35, T12N, R3W, S.M.
October 18, 2001
Mark Mowery
SM Reddish sandy loam
MI/GM Gray gravel/'/silt
Lenses of cleaner GM above 4'
GP Black, angular coarse gravel
Easy digging in upper part of sb'atum
SLOPE
B.H. Hard Bedrock
Depth to Groundwater Date
No_groundwater 10/18/01
'--M(~ n R ~- ~b~-d ry 10/25/01
o,
J Dele Reading Clock Net l~me Percometer Net Drop
: Time (minutes) Reading (inche~)
...1_0118 1Z' Presoak 27 7116
11" r~soak 26
Add water & start 3:39:15 23 1/2
#1 4L09:15 30 2274 1 114
Add water 4:12 23 7_~/16
#2 4:42 30 22 1/8 1 5/16
Add water 4:42:15 23~-/2
- #3 5:12:15 3(~ 22~1'/4 I 114
PERCOLATION RATE 24 (mlnutesJinch) PERC HOLE DIAMETER
TESTRUN BE'WEEN 2.75 FTAND 3.25 FT
Cleaner GM material not encountered in perc test hole.
PERFORMED BY FLATTOP TECHNICAL SERWCES. I~'"" "~/'~.4~,(~._ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /O/~..~' ~' O/
JTEST HOLE t/3 J
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
DEPTH
(fee)
1
2-
S-
4-
5-
6-
COMMENT~:
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Parcel 2, Section 35, T12N, R3W, SM.
October 18~ 2001
Mark Nlowery
SM Reddish sandy loam
GM/ML Silty gravel
Indistinct ~'ansitJon to underlying layer
MLIGM Gray gravel/y silt
Dense, lenses ofsi/ty gravel
GP Coarse angular gravel and cobbles
Hard digging wi~ backhoe
SLOPE
B.H. Hard Bedrock
Depth to Groundwater Date
~N0_groundwater 10/18/01
--M~n~t~-~b~-dry 10/25101
Date Reading Clock Net Time Percometer Net D~op
Time (mlnute~) Reading (inches)
10118 12" Presoak 31
Add water & start 4:14 27 118
#1 4:29 15 23-~18 3 314
Add wa[er 4:29:30 27 118
ir2 4:44:30 15 23 1/4 3 7/8
Add water 4:45 27'~/16
#3 5:00 15 2~-114 3 15116
PERCOLATION RATE 4 (minute~lnch) PERC HOLE DIAMETER 5"
TEST RUN BETWEEN 3.5 FT AND 4.0 FT
PERFORMED BY FLATI'OP TECHNICAL SE RVlCES. I ~.,~ J~ '//7.~*.,,*.~L_ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
GRE' rER ANCHORAGE AREA BOP' UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMEf~/~ _/'./'~..~'/~2/~ ~'-//,-/ MAILING ADDRESS /7/~d~-/~_~ ~'-~"'~ ~ PHONE
LOCATION ~/~'~' /_~L~/./_j" ~/-~'~ LEGAL DESCRIPTION ~-_~-B~.~'~, ~-~/.~/~,'~>./~-),~,
SEPTIC TANK:
DISTANCE .-'~/~/ /~.~./.~-~ NUMBER OF
FROM WELL/'/~ /'~ MANUFACTURER ~'~/'~/'-/-~J'~ MATERIAL~2/,P//~/~/~ COMPARTMENTS
INSIDE LENGTH ~ INSIDE WIDTH -- LIQUID DEPTH -- LIQUID CAPACITY ./'/g~ /~ GALLONS.
SEEPAGE PIT: /'.~ ~ ~ ~/~4/~//~.//~-.~.
NUMBER OF PITS // . DIAMETER ~-OR WIDTH ~, LENGTH~"~, DEPTH
LINING MATERIAL ~d~Z'/~~''~-~ CRIB SIZE: DIAMETER"~ DEPTH ~ DISTANCE FROM:
/~'-~Z, TOTAL EFFECTIVE
BUILDING FOUNDATION 7~- , NEAREST LOT LINE~'~ /
ADDITIONAL ABSORPTION
WELL/~ ~--
ABSORPTION AREA (WALL AREA) ~/~/' SQ. FT.
WELL:
TYPE //~'~////~//-~'~ CONSTRUCTION .~'~./~/'/~/~'~
BUILDING ~, NEAREST /--< ~/--~ NEAREST
FOUNDATION ./~ LOT LINE ~ ~'-~', SEWER LINE
C ESSPOO L///~2/;/z~
APPROVED
DISAPPROVED.
DEPTH ~'~"'~'"~:' ' ~ DISTANCE FROM:
SEPTIC ~_ SEEPAGE ~
TANK /~", SYSTEM /~
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM OF SYSTEM · ,~.~
.~'~ ~ ,, .:,,.~ ~.. ~-., .. ~..~.,. ~
Form NO, EQ-031
GReATEr ANCHORAGE Area BorouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
"0-0 I ~'"
PERMIT NO,
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
COMPLETION DATE ANTICIPATED
"INIMU" DISTANCES, REQUIREMENTS
SEPTIC TANK TO SEEPAGE PIT WALL
SEPT{C TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
/5/
/~ ~ . SEEPAGE P,T /'~ ~'~
WATER MAiN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK· . SEEPAGE PIT
TO RIVER, LAKE. STREAM.
· SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE A~OVE
DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE.
,EATER ANCHORAGE AREA BORO
DEPARTMENT OF ENVIRON~!ENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
m
Performed For b~/~ -~-~ Date Perfor ed
/~Le~al Description: ~ot__Block __Subdivisi°n ....
(,~.~his Form Re~orts Soils Log ~ ......... Percolation Test
Feet Soil Characteristics
CASE #
.Was Ground Water Encountered? ~ ....
If Yes, At what Depth?
Readin~
Date Gross
Time
Percolation Rate Ninute
Proposed Installation: SeeDaqe Pit
Depth of Inlet Depth
Net Time
Depth to H20 Net
Drain Field
To Bottom Of Pit Or Trench
Dronl
Test Performed By ~ __
Data Certified By:_~"'~. ~ .]~
· Date: