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HomeMy WebLinkAboutJOHNSON-YOUNG BLK 1 LT 2Bml GRE '..]R ANCHORAGE AREA BOR( GH Department of Enwronmental QuahW 3330 C Street Anchorage, Alaska gUS03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION '~/~O~' ~' ~LZAYb~ MN. ~ ~GAL DESCRIPTION ~ T~ANK DISTANCE /J, ,J FROM WE,LU ' /4 O U INSIDE LENGTH MANUFACTURER ~' INSIDE WIDTH J~T ;$ ~C i MATERIAL LIQUID DEPTH NUMBER OF j COMPARTMENTS LIQUID CAPAClT~ GALLONS TILE DRAIN FIELD DISTANCE FROM WELL FOUNDATION _NEAREST LOT LINE NUMBER OF LIIN'E~--"'"~ DISTANCE BETWEEN LINES_~TH-- ABSO RPTI~A~ EA ~"~'--,.~ q~O F EAC H L I N E --~'-- ~ DEPTH OF FILTER DEPTyTOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN ABOVE TILE TOTAL LENGTH OF LINES IN TOTAL EFFECTIVE IN WELL BUILDING NEAREST FOUNDATION LOT LINE __ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH NEAREST SEPTIC SEEPAGE SEWER LINE__ TANK__ SYSTEM REMARKS DISTANCE FROM DISTANCES INSTALLED BY SEWER LINE DEPTH PIPE MATERIAL LOT SLOPE DIAGRAM OF SYSTEM GAAB Form EQ 032 GREATER ANChOrAGe Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT PERMIT NO / v/r NSTALLATION OF E.~T~C . [K- SEEPAGE PIT DRAIN FIELD FINANCED THROUGH TO BE INSTALLED BY ,O,L Te,T RESULTS ' PHONE OTHER THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 24 HOUR NOTICE REQUIRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DIAGRAM OF SY'::TEM FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO ~NSIDER AREA WELLS WATER MAiN tO SEPTIC TANK /~/ SEEPaGe PiT DRAIN FIELD SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO RIVER LAKE STREAM /dO / CAST IRON INTO AND OUT OF SEPTIC TANK ANB 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 REGU/I~ATIONS REGARDING INSTALLATION I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE IUGH ORDINANCE N( THE ABOVE GreaTEr ANCHOrAgE Area BOrOUgH pERMIT NO DEPARTMENT OF ENVIRONMENTAL ~/UALITY ~ ~' / 3330 "C' sTREET ANCHORAGE, ALASKA 9950~, L,.~. ~ , ¢~ / I / T SEWAGE DISPOSAL SYSTEM APPLICATION ~ND PERMI ~ INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED P,NANCEOTHRO'GN sOIL TEST RES.LT. ~-- ~ I SEEPAGE F . TO INSTALLED COMPLETION DATE ANTICIPATED FINAL INSPECTION 24 HOUR NOTICE DEPARTMENT OF ENVIRONMENTAL QUALITY A SEPTIC TANK sIZE TYPE MINIMUM DISTANCES, REQUIREMEN~TS BACKFILL 'HORITY WIL FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT. ~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK /~ ~ FIELD DRAIN FIELD OTHER IS NOT VALID WITHOUT ~OIL TEST rHOUT FINAL INSPECTION BY THE TION TYPE ~ D~AGR~M OF SEPT'CT, ,K SEEPAC P,T---- -- DRA' P' ' ' 4 INCH D:A~~l~.PHON PIPES ON SEPTIC TANK AND .EEPAgE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS GRAVEL BACKFILL CONFORM TO BOROUGH/RE~t~ATIONS REGARDIP~I~ iNSTALLATION I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO28-E8 AND THAT THE ABOVE DESCRIB SYSTEM IS IN ACCORDANCE WITH SAID CODE ~---3 ~:~-~ DAT ~/~ ////~,~APPLICANT S SIGNATURE