HomeMy WebLinkAboutSHAMAN LT 1Onsite File
Shaman
Lot 1
PID# 051-241-47
Formerly T15N R1W SEC 19 LT 30
GI?Er`.. ANCHOl?AGE Al?EA BO?
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS PHONE
LEGAL DESCRIPTIONLr 20 ,~ i~ '-~'~.~] ~i~',~,/' ,.~'~'~
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERiAL~4 C'~
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY I~) GALLONS,
SEEPAGE PIT:
NUMBER OF PITS i DIAMETER ~0' OR WIDTH 2~), LENGTH'2~), DEPTH
LINING MATERIAL~/~C~-~/rr~ CRIB SIZE: DIAMETER ~ DEPTH ~1 DISTANCE FROM:
BUILDING FOUNDATION ~7~ NEAREST LOT LINE-UP'/ TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) '7~'~-~
WELL /~Z ?
.SO, FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC Z?~' ~-" SEEPAGE
SEWER LINE TANK , SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
DIAGRAM OF SYSTEM
REMARKS:
Form No, kO-031
APP ROV ED~/G.A.A.B.
GREATER ANCHORAG[ AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Legal Description: Lot $~>___B~ock'
This Form Reports Soils Log ~
Soil Test Must Be Logged To 4'
Depth
Feet Soil Characteristics
Case
Dated Performed
Subdivision $~,~1~1TiBN
Percolation Test
Below Proposed Seepage System
Was Ground Water
If Yes, At What
Encountered?
Depth?
Reading Date
Gross Time
Net
Time
Depth to H20
Net Dro
I
Percolation Rate Minute
Proposed ~nstallation: Seepage Pit
Depth of Inle~ De~th to Bottom
COMME~TS:
Drain Field
of-Pit or Trench
Date: