HomeMy WebLinkAboutNORTON PARK LT 32BoGRE
ANCHORAGE AREA BOr'"*IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS /~O3Z .,Z/-/¢~/.-5 zC//Z~'.'¢'/~' PHONE
LEGAL DESCRIPTION /'~'-,~ ~; ,,"q/~ ,'( '~'¥ )/)/-,
SEPTIC TANK:
DISTANCE J
FROM WELL '/'/~-- MANUFACTURER
INSIDE LENGTH INSIDE WIDTH
MATER IAL .~*~L-~(:-~
NUMBER OF
COMPARTMENTS /
LIQUID DEPTH
LIQUID CAPACITY /'CO E-}C--' GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ( DIAMETER OR WIDTH
LINING MATERIAL~]~/~4/¢.~7~.~ CRIB SIZE: DIAMETER
BUILDING FOUNDATION ,/~//~,/~ NEAREST LOT LINE .~'(9 /
ADDITIONAL ABSORPTION
LENGTH DEPTH
DEPTH DISTANCE FROM: WELL ~.~"
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) l/g(g'
SQ. FT.
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
Er)/ /~' DEPTH 7'% ' DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK__., SYSTEM
REMARKS
DISTANCES:
INSTALLED BY: /~¢/}A /V
PiPE MATERIAL: d-'_i,,,~ ~'/,~¢,,,~/
LO-F SLOPE:
REMARKS:
Form No, LQ-031
DIAGRAM OF SYSTEM
~ ~ . _
DATE
G.A.A,B. (~
Performed For
Legal Description:
GREATER ANCltORAGE AREA BOROUGft
DEPARTMENT OF ENVIRONMENTAL QDALTTY
3330 "C" Street
ANC!tORAGE, ALASKA 9950S
Case #
/~ i ~.~_ Uo~ ~$ Dated Performed
Lot 3'Z~ Block ........... Subdivision
This Form Reports Soils Log? ............................... Percolation Test
Soil Test Must Be Logged To 4' 13eiow Proposed Seepage System -
Depth
Feet Soil Character' sticq
~ ............................................. F-T-i-T--F-'
5~
67
8 :~.'.
14H
~("~ Was Ground Water Encountered?
If Yes, At What Depth?
Reading
Date,i '' s~ lime Ne'c Time [lei)th to H20
Percolation Rate M~nu;:e
Proposed Ins~-~'-l~ll-~-lY~F: Sc~'i;~/gc' Pit 7 Drain Field
Depth of Inlet 3e~'3th to BotEom of Pit or Trench
.. .
Test Performed BY '
.............................. ~ ........... ~.t.. {,u.I L~,:cd B,.
Date:
Net Drn~