HomeMy WebLinkAboutREED Lot 1, 2, 3, 12, 13 & 14
oGREA
~cR ANCHORAGE AREA BORuuGH
Department of Environmental Ozuality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
MAILING ADDRESS ~7~¢0°/2e'/~'C'4w/¢
~' F'~¢~ LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTN
NUMBER OF
MANUFACTURER ,~(,,,..:,- 5 ~T-//¢/'¢~?"-/'6 MATERIAL/~/'¢''''/( ,~/"//~"~' COMPARTMENTS~)''
INSIDE WIDTH LIQUID DEPTH __LIQUID CAPACITY /F~'~ GALLONS.
.S~E--CPA-G~:
NUMBER OF PITS __ DIAMETER--
LINING MATERIAL ~'~'~/)~ ~''('' f CRIB SIZE:
BUILDING FOUNDATION
OR WIDTH
DIAMETER
NEAREST LOT LINE ~/ ~
ADDITIONAL ABSORPTION
.// /
LENGTH DEPTH
DEPTH 2 ~"DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) / ~
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION --
CESSPOOL
APPROVED.
CONSTRUCTION
NEAREST
LOT LINE_
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PiPE MATERIAL:
REMARKS:
DIAGRAM OF SYSTEM
~ ~ .,/ ~t~h~'
NAME OF APPLICANT
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
~ "C'm STREET ANCHORAGE, ALASKA 99503
~ TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
,NSTAL'At,ON LODAT'ON
INSTALLATION OF: SEPTIC TANK
TYPE AND SiZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
SEEPAGE PIT ~ , DRAIN FIELD
COMPLETION DATE ANTICIPATED (~-t) ll"K"'('w¢"~"~- 5~'/'~'~1 I~'1¢'/
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.
/
TANK SIZE . TYPE AREA SIZE TYPE ~-¢ ~' ~
NOTE= THIB PERMIT I~, NOT VALID WITHOUT BOIL TEE~'
.,..M"M D,.TANCE', .EO.,.EME"T' /'< *"' o,:11 , ;
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT , DRAIN FIELD
SEPTIC TANK TO SEEPAGe PIT WALL
SEPTIC TANK , SEEPAGE PIT ·
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATer MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC tANK, , SEEPAGE PIT
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
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
J G.^;:...
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIt
., DRAIN fIELD
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND that THE ABOVE
DESCR]BED SYSTEM IS IN ACCORDANCE WITH SAID CODe.
DAte
0SE
GED,
_CHNICAL ~ DEVEL,.2MENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
CO.
Earl Ellis
Russell Oyster 688-2280
694-2774 S01L LOG Land Development
Soils ~ Foundations
Performed for:
Legal Description:
0
.S.o_~L] Characteri st_tc~_
lO
11~
12
15
Water Encountered: Yes
Ground
Proposed Installation: Seepage Pit ...... Drain Field
Comments: ' ~'~'-~:
No ~// If yes, what depth_]_~
Performed by: Date:~H~ ~u.,_~ ~q'~'d..
SIGNED
nl:r~r-~-~M ~t ~ carbonless POLY PAK (50 SETS~ 4P472