HomeMy WebLinkAboutCORONADO BLK 1 LT 10GREA,~R ANCHORAGE AREA BOR~..GH
Department of Environmental Ouslitv
3330 ¢ Street
Anchorage, Alask8 gg§03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME _
LOCATION
SEPTIC TANK:
FROM WELL MANUFACTURER MATERIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /g~GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~"~/'"~ 114'~ ~r
FOUNDATION
NUMBER OF LINES
ABSORPTION AREA
DEPTH:
NEAREST LOT LINE
DISTANCE BETWEEN LINES . .TRENCH WIDTH L'~ /'IN.
!
3~//Y,~ sQ. FT. LENGTHOF EACH LINE DEPTH OF FILTER
TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
TOTAL EFFECTIVE
IN. ABOVE TILE
IN.
WELL:
TYPE _
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE__, SEWER LINE__, TANK__, SYSTEM
OTHER SOURCES
__ DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:~'''~-~
SEWER LINE DEPTH:
PIPE ~,AIE R IA~: ~ "~
~ .....7 '- T-'-
LOT SLOPE:
DIAGRAM OF SYSTEM
DATE ~/?h~APPROVED.
/ /
J' ' G.^.^.~.
Form EQ-032
PERMIT NO.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
25t0 E. TUDOR RD., ANCHORAGE, AK. 9950?
276-2221
ID[4--SITE SEWEF~ PER['1 IT
76;58 )
APPLICANT
LOCATION
LEGAL
ALICE CHOF'P
CELESTIAL STREET
LtO Bi CORONADO SUBD
BOX 902 E.R.
LOT SIZE
694-9270
i~2~0 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NLIMBER OF BEDROOMs = ~ SOIL RATING (SQ FT/BR>= 85
'THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EF"]-H= 2LE4 LEP41]TH= 32 6RA"..-'EL B, EPTH= 4-
THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
r~"EG!lJ f F-:E[:, SEPT I C TA[-41<: S I ZE= -~EtEtO 6RLLO[-4'_.=;
BRC:KFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILt. BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEE'T' FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
F"EF~r-1 I T %."AL I D FI:~" C~r~IE "¢EA~: FRnM I SSIJE
I C:ERTIFY THAT
±: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
RPPL I IZ:ANT ALICE ~0PP '
I .... LIE[., B"r' K
GREA'ILR Ai4CiiUi</\GL /',i<,_A UOROUGii
Depart. ment of Environmental Qua]
3330 "C" S~ree~
Anchorage, Alaska 99503
SOILS I,O(i - I)EROI.,ATION TEST
Performed for ~[~ ~4~ .....
This form reports:
L)ate
Soils .log . ~ Percolation test
Dep :h
Feet
10-
II -
13
14-
· /o~e 2
4
7
W
Was ground water encountered?
If yes, at what depth?
Reading
Gross Time
Net Time
__De_p__t,h',,t° Water, ,,
Net Urop
Percol ati on rate mi nute.
· Proposed instal 1 a~'i'~-n? Seepage Pinepl;~_(~._b_o_~.~_6~..~.f__pi. Drain Fi el d
Depth of Inle~ __. ~ or trenci~. _~
COMMENTS: ~J~ z~.2~ ~~.~~/~ _~ ~.~/~. =~~i~~.~ .....