HomeMy WebLinkAboutOLLIE WALKER #1 LT 7GREr-ER ANCHORAGE AREA B0r 'UGlt
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS ~r~¢-~/~r~-6 C1444~',(~,~; PHONE
LEGAL DESCRIPTION ~;r "~ (~/~-J/'~ FAK~
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS_
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY /O1~)(~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS__/
LINING MATERIAL
DIAMETER ?Z.
CRIB SIZE:
BUILDING FOUNDATION_
OR WIDTH ~)~?/ LENGTH f~/I, DEPTH
!
DIAMETER ~ DEPTH ~ DISTANCE FROM: WELL
NEAREST LOT LINE ~t TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
.CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
~"t ~ ~ ~'~.~ DEPTH
NEAREST SEPTIC t
SEWER LINE TANK I~ ,
DISTANCE FROM:
SEEPAGE
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
D I A. G__~/~I~IL.O F SYS~r'E M
G.A.A.B.
GREATER ANCHORAGF AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4~61
SEWAGE DISPOSAL SYSTEM APPLICATION AN[) PERMIT
PERMIT NO
NAME OF APPLICANT
INSTALLATION LOCATION ~ /'7 -~'P .~/¢~ /~t/'~=:/' ,*j.
LEGAL De SCRIPT lO. ~t 7 ~ ~Ja~ ~ ~'
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE Pit / , DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED ~' ~) ~
FINANCED THROUGH _ TO be INSTALLED bY
, OTHER
NOTE= 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 TA N K SIZE //~//'~L~ ~/~ TYPE .L~; .~ SEEPAGE AREA SiZE TYPE
/
MINIMUM DISTANCE.~, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~-'~
FOUNDATION TO SEEPAGE PIT ~;;~L) ~ , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIt WALL /~- /
SEPTIC TANK b0 ! , SEEPAGE PIT ~/} ~ , DRAIN FIELD
TO NEAREST LOT LINE.
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
//)~_)
__, ALSO CONSIDER AREA WELLS.
. SEEPAGE PIT
I~o" . ORA,N F,ELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION ~ 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 f~EGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
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
DATE APPLICANT'S SIGNATURE
D~PT. vr
Performed For H~. 9o~gko Dote Performed J~l~ ]_~ ~9~
Leq~l ~escr~nt~on: Lot
This I:orln Re~orts Soils Loq Y~ Percolation Test
neDth
Feet
1
?
10 ....
Soil Characteristics
Reddish Silt & Organics
Reddish Silty Sandy Gravel
Gray Silty Sand
200 S.F./B.R.
Gray Gravelly Sand S.P.
15o
1~' Bottom of Tesu Hole
Was Ground Water Encountered? Yes
IF Yes, At what Denth? 15'
ilea d i no Da te
Grass Time
Net Time
Denth to H20 Net Dron
Percolation Rate Minute
Prnposed Installation: Seeoaae Pit Yes Drain Field
Deoth of Inlet Deoth To Bottom Of Pit Or Trench
Ca~!~EN'¥S:
Test Performed By Ne,al A. Hausam Data Certified By:Construction Test Lab
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