HomeMy WebLinkAboutHANSHEW HEIGHTS LT 1'k~ E,~v
01¢ o: 1 2-I
GRE~-H~R ANCHORAGE AREA BOR~.JGH
Depsrtment of Environmental Quality
3330 C Street
Anchorage, Alaska ggs03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAT,ON LEGAL DESCR,PT'ON ....
SEPTIC TANK:
DISTANCE ~.Z. '".i'~ ,' .~,~'-~
FROM WELL(~' ?.-,/;~F'') IViA~F~JFACTURER F~'~--¢~ __~ MATERIAL
INSIDE LENGTH ,¢¢¢ INSIDE WIDTH LIQUID DEPTH
_..._.,~ NUMBER OF /
.~ COMPARTMENTS
LIQUID C APAC I TY/~'"~-~GA LLONS.
TILE DRAIN FIELD: /
,,,.~, ,ii~ '*" ,~;~/ , ~t-AL LENGm~?/
DISTANCE FROM WELL ~'~;-_/) FOUNDATION/';~ NEAREST LOT LINE_ /"~'"~' OF LINES
NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH 3 /
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE DOVE TILE
· IN.
WELL:
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE__, SEWER LINE__
DEPTH DISTANCE FROM:
SEPTIC~ ~L- SEEPAGE J
TANK ,,~ , SYSTEM
CESSPOOL
, OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
//.J~:~ .~'j~D, AG RAM 0 F SYST E M
I NSTAkkEO BY: ('~'~/~ '/~-~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
/ ,/ G.A.A.B.
Form EQ-032
[~lLir-~ I .5; ~: PAL I T"~' OF Rr-I~-:HI-IR.~''IoE
DEPARTMENT OF HEALTH RND ENVIRONMENTRL PROTECTION
~_~8 C STREET, ANCHORAGE, ALASKA
274-456i
~D~--~ I TE ~EL.~ER F'~RF~ I T
PERMIT NO. ( )
FREE WILL BAPTIST CHURCH 5~8 ABBOTT RD
LOC8TION oli~ 8BBOTT RD
LEGAL L~ HBNSHEW HGTS - ' ~,~
TYPE OF SOIL ABSORPTION SYSTEM... TRENCH
NUMBER OF BEDROOMS TH~SOIL ABSORPTION SYSTEM IS:PERTH= ~8 LENGTH= 28.
THE REQUIRE[:, SIZE OF
THE MINIMUM PERTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE E)~CAVATION BOTTOM
IS 8 FT
THERE IS NO SET WIDTH FOR TRENCHES. FOR DRAINFIELOS, THE WIDTH IS ~ FT.
THE PERTH OF TRENCH OR PIT IS THE DISTANCE 8ETWEEN THE GROUND SURFACE AND THE
BOTTOM OF THE EXCAVATION.
THE LENGTH DIMENSION IS THE LENGTH OF EACH SIDE FOR A SEEPAGE PIT OR THE
LENGTH OF THE TRENCH, OR DRAINFIELD.
THE REQUIRED SEPTIC TANK SIZE IS ~888 GALLONS
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THIS DEPARTMENT WILL
8E SUBJECT TO PROSEUUTION. ~ ._ ~ _rI~
..............tqT~ITllOI4 DISTAI~CE FROM. WELL TO ANY SEPTIC T~K?PA~_:KAGE_ PLANT. OR ~OIL ~8~O~PTIOf~- _ .
~p~c~C~T~6NS ~ND CONSX~:OCT~ON P~MS ~ ~W~LE To ~NSOR~ P~o~'~:
INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS
AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE BNO WILL INSTALL IN ACCORDANCE
WITH THE CODE.
..................
· ~..-,<-,~ ' , , r.)¢^TFR ANCIIORI\GE' AREA BOROUG.
/'2~~ ~ neDartment of Environmental Oua~ r~y
~/~ ~ ~)~-] .' .... . -" 3330 "C" Street _
Ttds form reports: . So~Is ,lou~ ,. t~ - -
12-
13-
d? If yes, at wi~at deptl~? ..
Was ground water en~ountere . .~ ~ . . ..... _
~]o be~o~ ~ ~cvo~rvred ............. ~ ............... ' ..... .
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........ ........... -
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