HomeMy WebLinkAboutCORONADO BLK 3 LT 2o ron O_CI 0
S.D.
L
GRE'"':'-' ANCHORAGE AREA B0r
~ Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
H
NAME
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LEGAL DESCRIPTION
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER
MATERIAL~.~(-~
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH_
.LIQUID CAPACITY '~OO~) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION ~"0.~~,
ADDITIONAL ABSORPTION
DIAMETER11-3 ORWIDTH__, LENGTH , DEPTH
CRIB SIZE: DIAMETER'S,-/ DEPTH Gl DISTANCE FROM: WELL
NEAREST LOT LINE ~'1 TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~)~D
SQ. FT.
WELL: ~
TYPE ~ l~1,{
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
, LOT LINE
, OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
, SEWER LINE , TANK __, SYSTEM
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EO-031
DATE
' G.A.A.B.
GREATER ANCHORAGE AREa BOROUgh
DEPARTMENT Of ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK 'I ~ SEEPAGE PIT ~ , DRAIN/~IELD
_ _ / ,' , , /
OTHER
NOTE:: THIS P£RMIT IS NOT VALID WITHOUT SOIL TE:ST
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.
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK ~ ~'
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
/
FOUNDATION TO seePAGE PIT ~"~U , DRAIN FIELD
LICENSED DESIGNER
SEPTIC TANK , SEEPAGE PIT ~--~'~ ., DRAIN FIELD
TO NEAREST LOT LINE. ~..~~
WELL TO SEPT,C TAN ""
,f . SEEPAGE P T
DRAIN FIELD ALSO CONSIDER AREA WELLS.
w~. m~N ~O s~P~lC t~N~ /~ S~.~ Pit
DRAIN FIELD
SEPTIC TANK, /~ , SEEPAGE PIT F~0 DRAIN FIELD /O~
TO RIVER, LAKE, STREAM.
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 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.
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 SAID CODE.
FORM NO. EQ-016
~[ECEIVED
"0~ l~$1 t~ ~orth a ghou~and opinion~'
Performed For -Mr Halverson Date Performed June 17 197J~
Leaal ~escrintion: Lot 2 Block ~ Subdivision 0o~o~o
This form Renorts Soils Loo ~s Percolation Test
.nenth
Feet
Soil Characteristics
1
3
5
7
.... Reddish silt & organics__
Slightly damp
Well graded gravel (G.W.)
'85 S.F./B.R.
Bottom of test hole 1~'
Was Ground Water Encountered?
I¢ Yes, At wha. t Denth?
No
! j ,,
IReadinq Date Gross Time Net Time Depth to H20 Net Dron
I
t ''
Percolation Rate Minute
Proposed Installation: Seenaoe Pit Yes Drain Field
Deoth of Inlet Denth To Bottom Of Pit Or Trench
CoM!~ENTS: No groundwater or bedrock encountered .
Test Performed By
N~a~ Haus am
Data Certified BY:oo~%struction Test Lab
Da t e: June I 7 1974_