Loading...
HomeMy WebLinkAboutJAMES HOLT LT 1dames Hoft s/D LI * o9-7 141 0(0000 Department of Environmental Quality 33;30 C Street Anchorage, Alaska 9950;3 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME i~oW P~-/£RS£P/~X?$~'.~"~,/zd~ILI~,~DRESS ~/~g~ ~ ~.~ /~/Fg/$~ PHONE LOCATION LEGAL DESCRIPTION ,,'g'.~' / SEPTIC TANK: DISTANCE O~~ FROM WELL INSIDE LENGTH MANUFACTURER ~-~'*/¢~ ~/'~ MATERIAL ~-~// NUMBER OF COMPARTMENTS / INSIDE WIDTH -- LIQUID DEPTH. ~ .LIQUID CAPACITY//--~)~ GALLONS. SEEPAGE Pit: NUMBER OF PITS __ LINING MATERIAL BUILDING FOUNDATION~L~ ADDITIONAL ABSORPTION DIAMETER -- OR WIDTH__ CRIB SIZE: DIAMETER / NEAREST LOT LINE pd~/1i~c, DEPTH ~ DISTANCE FROM: WELL//O TOTAL EFFECTIVE ./~R~d~ ABSORPTION AREA (WALL AREA) ~'",2~ . FT, WELL: TYPE D ,. Z TRUCT,ON BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOt OTHER SOURCES ~¢ ~'f DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK__ SYSTEM APPROVED DISAPPROVED REMARKS DISTANCES: . L' F- ~/4/£ PIPE MATERIAL: LOT SLOPE: REMARKS: DATE DIAGRAM OF SYSTE~/ }io '-'"" .~ .~.~ _y~, .'/'7' ~ .~o' /iii III1~'~\~.\ ,~ ~b' :3330 "C" STREET .ANCHORAGE, ALASKA 99503_~____~ ~, ' ' ' - ~ SEWAGE DISPOSAL SYSTEM w APPUCATIOH-~D PERMIT NAME OF aPPliCANT ~ INSTALLATION LOCATION iNSTALLATION OF: SEPTIC TANK SEEPAGE PIT---- DRAIN FIELD TYPE AND SIZE O~ FACILITY TO ~E SERVED . ~ - be INSTALLED BY --- f~NANCED ThROUgh ~ I ~/ / PHONE _, OTHER-- __ NOTE: THIS p~RMIT I~$ I~lOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRON~4ENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. TYPE MINIMUM BISTANCEB, REQUIREMENTS; FOUNDATION tO SEPTIC TaNK FOUNDATION TO seEPage PIT ~I ~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TA~K SEEPAGE PIT . DRAIN FIELD TO NEAREST LOT LINE. DRAIN FIELD (~}i~? WATER MAIN TO SEP+IC TANK DRAIN FIELD-//~ ! TO RIVER, LAKE, STREAM. ALSO CONSIDEF- AREA WELLS. DRAIN FIELD SEEPAge AREA · ~// . w / J/ r)IAGRAM OF ~;Y~¥E~ 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 AIR'right REMOVABLE CAPS. CONPORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED OESIGNE I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRISED SYSTEM iS IN ACCORDANCE WiTH SAID CODE. ~,~ ~.~ ~~~J~~/r ' Performed For ~7~rc~.. Legal Description: %his Form Renorts "Ome tesf is worth a ~housand opiniomg' Soils Loq ~ e~ Percolation Test 2 3 Qeoth Feet 8 91 Was Ground I¢ Yes, At Soil Characteristics Water Encountered?__~ what Depth? Reading . Date ' Gross Time Net Time Depth to H20 Net Drop Percolation Rate tlinute Proposed Installation: Seepage Pit ~CS Drain Field Depth of Inlet Depth To Bottom Of Pit OF~Tr~nch test Performed By ~',w~. //14.c~ Data Certified By:~ · ~m ~~ Date: Mr. Les Buchholz Greater Anchorage Area Borough Dept. of Environmental Quality 3330 C Street Anchorage, Alaska J~EPT. OF ENVIRONMENTAL SUBJECT: Lot I, James Holt Subdivision Dear Mr, Buchholz: We have no objection to the subject semi-public we I being upgraded to meet the requirements which were in effect pr~or to the promulgation of the Alaska Department of Environmental Waste- water Regulations. It is understood that it may be necessary to allow the septic tank to be approximately 8 feet closer than was allowable under those regulations. Based on the fact that this water system serves one house and 3 other small units and also due to the fact that it has evidently performed without contamina- tion in the past with waste disposal systems a much closer distance from it, we have no objection to allowing this 8 to I0 foot en- croachment. The well should be put on your list for sampling with frequency considered in light of the above. Yours truly, ~he~rr~ Regional EnviYr~nmP~nEta~Engineer ~__~_.,, HEALTH DEPARTMENT ~r 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 683 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY MATERIAt ~'~'~/~'~"~'~ ~/~ NUMBER OF // COMPARTMENTS GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH_ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL /~(tS' / NEAREST LOT LINE OR WIDTH DISTANCE FROM WELL //-~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH /' '''~ / , , DEPTH BUILDING FOUNDATION '~ /, SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ,.FOUNDATION NUMBER OF LINES ~~ STANCE BETW~ ABSORPTIO SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE , NEAREST LOT LINE TRENCH WIDTH DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES EFFECTIVE IN. ABOVE TILE WELL: TYPFp~.~///Z=/}) DEPTH //-~'~ / DISTANCE FROM / WATER , , BUILDING FOUNDATION .~ SAMPLE -,J/?~.~/~"~ , NEAREST ~/~ ',~ NEAREST SEPTIC //~' SEEPAGE / OTHER LOT LINE ~/~-) , SEWER LINE ~ , TANK , SYSTEM /-~ , CESSPOOL -- , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE H~j~d~T H AUTHORITY ~i'li GRE,~i"~R ANCHORAGE AREA BO~'O-'~GH .,C;~ "\~\i~ DEPARTMENT OF ENVIRONM~NTA~ OUALl~ PERMIT NO. ~~/~ 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 27~-8686 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT NAME OF APPLICANT ' MAILING ADDRESS ~:~' ~'~/~2 [ ~'~'~/. PHONE '"~J-~' G~J7 SOIL TEST RESULTS NOTE~ _1~ PERMIT IS NOT VALID WITHOUT ~OIL TES~ COMPLETION DATE ANTICIPATED FINAL INSPECTION; 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE Pit . SEPTIC TaNK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK~l DRAIN FIELD WAter MAiN TO SEPTIC TANK DRAIN FIELD TYPE ~iI ~/~ SEEPAGE AREA SIZE TYPE , DRAIN FIELD , DRAIN FIELD . SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT . SEPTIC TANK, .:~- ~ ., SEEPAGE PIT/~)----~ , DRAIN FIELD TO river, LAKE STREAM. CAST IRON iNtO and OUT OF septic TANK AND INTO CRIB crossING GAP Of EXCAVATION 5 FEEt INTO UNDISTURBED SOIL. 4~ IN__CH DIAMETEr CAST irON SIPHON PiPeS ON SEPTIC TANK AND SEEPAGE PIT FITTED With AIRTight ReMovABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATiON, I CERTIFY THAT I AM FAMiliar WITH THE REQUIREMENTS OF GReater ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DEscrIBED SYSTEM IS~IN ACCORDANCE WiTH CODE. DAte . APPLICANT'S SIGNATUR ,- ~ '. ......... " CASL ~? - s&~d ~1 hen]. I-lUc~ ' ~o ~i~L ma,'~re conTen~, il---- ~- ~ .... ] ..... ~ ~n H.)O ,~et Drop Reading Date "~ ~xon ~ ~ / ...t., Drain Field . ~r: Depth ~o ~o, to ......... G~-E~TER ANCHORAGE AREA BOROUGH- DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAL REQUESTED BY: ADDRESS: PHONE' 2. PROPERTY OWNER: 3. LEGAL DESCRZPTZON: WELL DATA: A. TYPE B. DEPTH C. SIZE D. CONSTRUCTION E, BACTERIAL ANALYSISC.~'~ 6. SEWAGE DISPOSAL SYSTEM: Ae SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 2. AGE 4. INSTALLER APPROVAL REQUEST~ffbK SEWER & WATER FACILITIE~'-~'~ PAGE TWO B. SEEPAGE PIT 1. SIZE 2. LINING C, DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK__ B. WELL TO SEEPAGE PIT FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEEPAGE PIT TO PROPERTY LINE C. WELL TO SEWER LINE D, WELL TO PROPERT'< LINE_ E. WELL TO OTHER POSSIBLE CONTAMINATION F. G, COMMENTS: APPROVE~ /~'~¥~-~::~ DISAPPROVED: DATE: ~ ~ _ / ~, DAT APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY