HomeMy WebLinkAboutDEBORA #4 LT 26Onsite File
Lot 26
#050-021-12
GRE' :R ANCHORAGE AREA BO` .'GH
GR�QDepartment of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITESEWAGE DISPOSAL SYSTEM
NAME �11 V• gmkt MAILING ADDRESS Ro EYgZ�W C&O /� PHONE rW_ 1 -712 -
LOCATION
-71t2- �J�
LOCATIONVUA1iorA Le fp LEGAL DESCRIPTION tT Z'(e "�I0CKZ . tM4 iNby �f 1
SEPTIC TANK:
DISTANCE 45r NUMBER OF
FROM WELL )W MATERIAL �COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY100Q GALLONS.
SEEPAGE PIT:
NUMBER OF PITS. DIAMETER Clay OR WIDTH IL, LENGTH -L21, DEPTH Int
- r r
LINING MATERIAL G CRIB SIZE: DIAMETER_ee1oEPTHJL DISTANCE FROM: WELL7.
p,, TOTAL EFFECTIVE �7�Q
BUILDING FOUNDATION_( 1, NEAREST LOT LINEl3t_. ABSORPTION AREA (WALL AREA) Ir SO. FT.
ADDITIONAL ABSORPTION
tot,
WELL: III (I a�\.nuv. nn
TYPE "( CONSTRUCTION StAl7DArLp DEPTH I wI DISTANCE FROM:
BUILDING s' NEAREST NEAREST SEPTIC ��-� SEEPAGE /
FOUNDATION ' LOT LINE , SEWER LINE , TANK t r SYSTEM --I%
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMA
DISTANCES:
-J/
\
INSTALLED BY:
e1C
J t
N
�LIr
PIPE MATERIAL:
I
/
C451 I'Qotj
r
•
A
LOT SLOPE:
,
REMARKS:
L
0
p
GATE
Form No. EO -031
DIAGRAM OF SYSTEM
� E r
¢l+
e�
APPROVED
/74sF
NAME OF APPLICANT
r
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
5570 "C" STREET ANCHORAGE. ALASKA 99503
TELEPHONE 214-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
MAILING ADDRESS
PERMIT NO.
L" PHONE � ��/Z
INSTALLATION LOCATION'
LEGAL DESCRIPTION &�, Z - --
INSTALLATION OF: SEPTIC TANK SSEyEPAGE PP!T-`� [,L, yj{(�/j/DRAIN FIELD OTHER
TYPE AND S12E OF FACILITY TO BE SERVED 2 I–aT
FINANCED THROUGH TO BE INSTALLED BY v
SOIL TEST RESULTS NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES. REQUIREMENTS
S'
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL—
SEPTIC
ALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE. �J /
////1�/
WELL TO SEPTIC TANK /(JO! SEEPAGE PIT .11
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK. �lmSEEPAGE
TO RIVER. LAKE. STREAM.
SEEPAGE AREA
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
PIT JME'E. DRAIN FIELD
_CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 6 FEET INTO UNDISTURBED SOIL.
A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.S.
OR
LICENSED DESIGNER
DIAGRAM OF
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIB SYSTEM IS IN ACCORDANCE WITH SAID CODE.
/0 147 /frn-.12
DAT! APPLICANT'S SIGNATURE a�ygc+k.c1. I .
FORM NO. EO -014
~ ' 0 & E ENGINEERING & DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 333-5240
Russell Oyster
694-2774 Earl Ellis
Civil Engineering 333-5240
Soils Et Foundations Surveying
SOIL LOG Land Development
Performed for: Name:_ 6� � OWE(Z Tel. No. 69'9--:?712-
Mailing
S$--:?7/ZMailing Address:_PD. AeX 92g rllG,LF RjOE2 414
Legal Description: 407- 1 G goojzk. 4 08.
Depth (feet) Soil Characteristics
0
1
2
3
4
5
6
7
8
9
10
11
12
ML 5/i r Ddi5e602oFN
4P 6/? -A G Ct),`eV 64Z -.41l3
.273 47//,.Z.
S's- a/G'.,e,
i6orr"" or- //arc
/aolci�riuni o� �HNU IAl ZOr7ZIJ 0,,- flez_C
Ground Water Encountered: Yes No P**' If yes, what depth
Proposed Installation: Seepage Pity' Drain Field
Comments: fi'f'o204-,-
iO4.r
/IV
G,oc,g7'eo
__l400%lr/Y��1Rr,FG f-'
/DD
=7- tAP7 GdPC f -g,,
-r P/T AT
A130a7— ZD FT
PerrOrmed by: _ Date: ?�%a�, /�"_ /y7cl
6dw�
�
P A'P1PLIIC`' T FILLS
OUT UPPER>HALT" 1NLY
Time
`ope.ry Own/,v/O GJ�/�/1E/` ID 6.J)r 2 /117 %l/11 2lq %
,I
Phone
Mailing Rddre C�o . ,y C S(f
L G zip Code c>' 7
fie/ �730J
Buyer //'1"7-1104I••N - D� oiU NC GC
Inspector
Inspector
Address
Zip Code
( APPROVED BEDROOM __COONDITIONS OF APPROVAL
Lending Institution / rC� t q T�
Phone
Address
Zip Code
Well Lop Received
Realty Co. d AgentC>.y 1T JX4 2/ 5C Cr Ac le—
61V. y 6Fi(,/
�; C f!,<i�
Phone
�0- /16X ?//7 141/1z,4 7
Address 17VI %e- Coe,
Zip Code rj'�j
Legal Description LO% 2GC/,�Q4�1/i -Z7
Y
Street Location 00
Type of Residence
'M,Single Family y
❑ Multiple Family No. of Bedrooms
❑ Other
Water Supply
)— Individual
ATTACK WELL LOG. A well log Is required for all wells drilled since June 1975.
Community
For wells drilled prior to that date, give welt depth (attach lop
It available).
O Public Utility
Sewer Disposal
❑ Individual C njLX
Year Individual Installed:
Public Utility
When Connected to Public Utility:
iJ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
a rn �.
n'q,
Date
Date
Date
Date
-11 •�'tl �upo
Inspector
Inspector
Inspector
Inspector
Field ,Notes/: ¢yr I / 7C. �/f��
I � � C. a vY+�1 Q1'MOrI,LJ►'s'� q,� �Q�� V"�/ �.[� IL.IJ.L Ll �' l0 "b �'I•
( APPROVED BEDROOM __COONDITIONS OF APPROVAL
DISAPPROVED J. r }
CONDITIONAL APP VAL'
DATE �� 1�1�_`` (/�� / _ �• _�Vl /rR,+.c^(n�n�,v, a•a.cia.+�n�cQ
BY:
Soles Rating
Date Sewer Installed
Well To Absorption Area
Well Lop Received
Septic Tank Site
Well to Tank