HomeMy WebLinkAboutSWANEE SLOPES LT 12
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
MAILING ADDRESS PHONE
LEGAL DESCRIPTION ~'~:''f' ~'~'~l'l~ ~11%~i<: t~
DISTANCE
FROM WELL
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
IJQUID CAPACITY / O(~ f.~ GALLONS.
SEEPAGE Pit:
NUMBER OF PITS --
LINING MATERIAL
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETER __ OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE__
LENGTH , DEPTH
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE
DEPTH
SEPTIC ~0~ SEEPAGE
TANK SYSTEM
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. LQ-031
DIAGRAM OF SYSTEM
DATE /~/2-~/"7 ~'[ APPROVED/¢/~'''~ //~ '~),
GReATEr ANCHORAGE AREA BOROUGh
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION LOCATION ~'~ U('~U/Ak~'
MAILING ADDRESS PHONE
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS i
COMPLETION DATE ANTICIPATED
SEEPAGE PIT ~ , DRAIN FIELD OTHER
TO BE INSTALLED BY
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL
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
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~) I _, DRAIN FIELD
sePtiC TANK TO SEEPAGE PIT WALL / ~!
SEPTIC TANK SEEPAGE PIT ~) / DRA[N FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK /~)/ , SEEPAGE P'T /~'
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , 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 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FI~TED WITH AIRTIGHT REMOVABLE CAPS.
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-08 AND THAT THE ABOVE
Performed for
Legal Description:
This form reports:
, ) GREATER ANCHORAGE AREA BOROU .
~_~/Department of Environmental Qu~'r~y
3330 "C" Street
Anchorage, Alaska 99503
~9 ~SOII~S.LOG - PEROLATION TEST
.~..~~.~. . Date Perform~d~;~
Soils lo~- ,/~E~. '- ' P~'rcolation test
lO-
ll -'
12-
13~
14.-
Was ground water encountered?
If yes, at what depth?
Reading Date
Gross Time
Net Time
Depth to Water
Net Drop
Percolation r-at~ mi nute,
· ~ ...... ~--[ p' Drain Field
· Proposed lnstalla~tl~n. Seepa]e it
Depth of Inlet ~", , .~. D~ptl~ to bottom'oT p~ or trench
.
EQ-040 (6/74)