HomeMy WebLinkAboutBOLING LT 1B
GAAB-HD-I
GRr'TER ANCHORAGE AREA BOROU"H
DL,~RTMENT OF ENVIRONMENTAL QUALr,,
3500 TUDOR ROAD ANCHORAGE· ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING .~ "~/- <L -
.ADDRESS 41~i /)l~['~f]-l"7. /,)g~A.L/- .... PHONE
LOCATION
LEGAL DESCRIPTION ~c~T /I-~ I~IL/,~,) ,,~i.~-~
SEPTIC TANK:
DISTANCE FROM WELL -7"/
LIQUID CAPACITY
GALLONS.
NUMBER OF
MATERIAL ~..~/1(/~-~ COMPARTMENTS
LIQUID
INSIDE LENGTH '- INSIDE WIDTH ~ DEPTH~
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL
NEAREST LOT LINE
OR WIDTH ~' "
· DISTANCE FROM WELL__
, LENGTH ,~(~"~ '~ , DEPTH
BUILDING FOUNDATION.
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION NEAREST LOT LIN.~
NUMBER OF LINES DISTANCE B~ TRENCH WIDTH
ABSORPTION AREA ~)~. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TQ'~'~ISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES.
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
· DISTANCE FROM
WELL: TYPE ~',,)~tt-.Lc~l-) DEPTH / 7Z; BUILDING FOUNDATION
LOT LINE /~ i'/' SEwERNEARESTLINE 2- (-)' t''~'''SEPTIC '7'~ ,, SEEPAGE
, . TANK , SYSTEM
WATER ~.>..~
SAMPLE
CESSPOOL /~,j/j ,AJ/..Z
NEAREST
OTHER
SOURCES
DISTANCES:
re. J)-,, = '77'
A, lb i) ~
DIAGRAM OF SYSTEM
L¢',~ i~
DATE
APPROVED
G.A.A.B.
/ G4~/~ Er ANCHOrage AREA Boruugh
/ ;EPA.TME.T of E.V..O.ME.TAL QUAL,.'¥
~,:., TELEPHONE 279.8686
'~/ ~E~ 'AGE DISPOSAL SYSTEM APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
BOil TEST RESULTS
COMPLETION DATE ANTICIPATED
SEEPAGE PIT ~X DRAIN FIELD
PErmit NO.
OTHER
NOTE: THIS PERMIT IS NOT VALI'D WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
;20'
., DRAIN FIELD
SEEPAGE PIT /O0~
ALSO CONSIDEr AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC T~NK, SEEPAGE PIT
TO RIVER, LAKE STREAM.
SEEPAGE PIT
100
., DRAIN FIELD
C~T 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 PIPe~ ON SEPTIC TANK AND SEEPAGE PIT
FITTED With AIrTIGht REMOVABLE CAP~S.
GRAVEL BACKFILL
CONFORM TO bOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTEM
GREATER /~GE AREA B~O--O~H ORDINANCE NO. 28-68 AND THAT ~;HE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
GREAi~ER ANCHORAGE AREA BOROUGH
DEPARTY 'T OF Eii~IF<a'~,~,~.~,L (Ti~.;A~ ~T CASE #
3500 TUDOR ROAD
ANCHORAGE, 4LASKA 99502
Performed For George B. Collins Date Performed 9/3/71
Legal Description: Lot 1~ Block ~Subdivision Bowling
This Form Reports Soils Log ×~ P-6-FT:-~]-~tiOn Test
Depth
Feet
Soil Characteristics
Brown sandy silt with gravel (ML)
Gray poorly graded sand
silty sand seams below 8'
(SP) with
W~s Ground Water Encountered? yes
If Yes, At What Depth? 10.0'
Reading Date Gross Time i Net. Time ;
~ ·
Depth to H20 i Net Dro
Pe rcol a't'i"on Rate Minute
Proposed Instai~iation: Seepage Pit × Drain Field
Depth Of Inlet Depth To Bottom Of Pit 'Or Trench
COMMENTS: --
16~ ~mmre feet of d~aina~e area is required per bedroom with the crib] set from 2'
to 8' 'below natural ~un~,
¥~st Performed By R. E. c'ariisl'e ......
NATIONAL TESTING SERVICES, INC. Date:
GRBAT~-R ANCHORAGB ARF-A BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of Inspection J,~ 0 ....
Date of Inspection.
R~QUEST FOR APPROVAL OF
INDIVIDUAL SEtNER & ~NATF. R FACILITIES
/
~ell Data:
A Type _~/~O/ B.
Bacterial Analysis',
Sewage Disoosal System: ) ~ '
A. Installed ~x /t~ 7F~/ . Ins o er
C. Septic T~nk: 1. Size / ~0 2. ~anufacture~
D. Seepage Pit: 1. Size ~Oy'2 07~ 2. Material
E. Disposal F~eld: Tot,a]. Length of Lines ------
Distances:
A Well To: Septic Tank__~_~ , Absorption Area //~-- , Sewer Lines
, Nearest Lot; Line ~1~/, Other Contamination -
B. Foundation to Seotic T~nk ~c)' "~ Ab'~orptton Area ·
C. Absorption Ares to Nearest Lot Line ~0 7~ .
R~quest for Approval of k _,ivtdual Sewer & Water Facilttt~
Page Two
Comments:
Date "~ ,
! !
Approval. Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTH~
I certify that the information contained in this request for approval to be a true
and accurate representation of the sub.iect sewer and water facilities located at:
Signed Date