HomeMy WebLinkAboutCORONADO BLK 3 LT 3
GREAI'ER ANCHORAGE AREA BORUUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME P~'~"'"~'~--' //~Z ~/~'~ ~'~/~/~' MAILING ADDRESS.
· OCAT,ON r- LEGAL DESCR,PT,ON ,Z T $
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY
GALLONS,
SEEPAGE PIT: '~ ~'~,//~ I~)
NUMBER OF PITS I . DIAMETER __OR WIDTH~/f,
LINING MATERIAL ~;~'~?'~z~/~CRIB SIZE: DIAMETER__
BUILDING FOUNDATION ~/g~ NEAREST LOT,~NE 7~
ADDITIONAL ABSORPTION
LE N GTH -:?)~:i/ DEPTH /g:~ /
,DEPTH__. DISTANCE FROM: WELL
TOT AL EFFECTI V E //~)C~
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL: ~ O/¢~/'/-'/,~,~'7 7-9'
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION __, LOT LINE
CESSPOOL ~///:~ , OTHER SOURCES
APPROVED ,. DISAPPROVED
NEAREST
SEWER LINE__
DEPTH DISTANCE FROM:
SEPT lC SEEPAGE
TANK_ , SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
~,/Tff ~?
LOT SLOPE:
REMARKS:
Form No. EQ~031
DIAGRAM OF SYSTEM
n. J ,f'u . .
,
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.
MAILING ADDRESS
LEGAL DESCRIPTION
INSTALLATION Of: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS /~/~/~
COMPLETION DATE ANTICIPATED
SEEPAGE PIT DRAIN FIELD OTHER
TOBE,NSTALLEDBY (' C--
NOTEz THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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 ~-~? E-0
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK SI
SEPTIC TANK TO SEEPAGE PIT WALL
TO NEAREST LOT LINE.
DRAIN FIELD
., DRAIN FIELD
WELL TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK, ., SEEPAGE PIT
TO RIVER, LAKE, STREAM.
, DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
E__XCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
//~'
DIAGRAM OF SYSTEM
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 SAIID CODE.
DATE APPLICANT'S SIGNATURE:
FORM NO. EQ-OI 6
Russell Oyster
694-2774
Soils ~t Foundations
E GEOTECHNICAL Et
DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
688-2280
Land Development
SOIL LOG
Perfomed for:
Legal
Depth
0
Name: ~:~'~'£~ ,/~L//£~ ~ ,
Mat 1 trig Address:
Description: ~o~ ~. ~ ~ ~~~
(feet) Sot1 Characte,~lstlc~
Tel. No.
3
5
6
7
8
lO
ll
12
fround Water Encountered: Yes
Proposed [nstallatton: Seepage Ptt
~No ~" If yes, what depth
~ Dratn Fte~d
Comments:
Perfomed by:
Date: