HomeMy WebLinkAboutJOHN WELLS 1952 ADDITION BLK 5 LT 29LoT
ANCHORAGE AREA B0( )JGH
Department3530°f EnvlronmentaIc Street Quahty
Anchorage, Alaska 99§03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME C'~ /~// ~"~?'~,Z-~-''~ MAILING ADDRESS /~J"~'/' ~' ,~'~ 2'~/ "'~/' PHONE
~ TAN K.
DISTANCE
FROM WELL /:/'~'"' MANUFACTURER ~/~'.~,:j4_/ MATERIAL
INSIDE LENGTH , ~ INSIDE WIDTH ~ LIQUID DEPTH ~
NUMBER OF
COMPARTMENTS /
LIQUID CAPACITY ~g~L~) GALLONS
SEEPAGE PIT ~
~'-~NUMBER OF PITS DIAMETER OR WIDT~ . ~
~TERIAL __ CRIB SIZE ~TER'DEPTH 'DISTANCE F ROM W~"~-'~EL
~ / TOTAL EFFECTIVE
BUILDING FOUND ON , N EST LOT L~INE ABSORPTION AREA (WALL AREA)
ADDITIONAL ABSORPTION
FT
TYPE ,~"'~'f]g//~/~ ~'(~' CONSTRUCTION
/
BUILDING / , NEAREST
FOUNDATION ~'/ LOT LINE
CESSPOOl --
DISTANCE FROM
NEAREST /~ ~ SEEPAGE
SEWER LINE :~ TANK ?~/ , SYSTEM
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES
DIAGRAM Of SYSTEM
INSTALLED BY ~
PIPE MATERIAL
LOT SLOPE
REMARKS
Form No EQ-031
DATE ,~L~, I?
I?::4" APPROVED __
/ '/
GAAB
GR r ANCHORAGe Area BOROUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C ' STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO
INSTALLATION OF .~,~:'T:~ TANK SEEPAGE PIT DRAIN F~ELD OTHER
TYPE ANDB,,EOFFAC'L,TYTOBESERVED z. X
BOIL TEST RESULTS ~
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
MINIMUM DISTA~N.C. ES, BEQUIREMENTS
FOUNDATION TO --. T-~ 'T-~NK
FOUNDATION TO SEEPAGE PIT.
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
~/~C NK ~'/ SEEPAGE PiT ~ DRAIN FIELD
WELL TO ~ ~C TAI~K SEEPAGE PIT
DRAIN FIELD ~ ALSO CONSIDER AREA WELLS
WATER MAiN TO S~PTTC/TANK
DRAIN FIELD '
/~/~/~ SEEPAGE Pit ~
'~*~K /
TO RIVER LAKE STREAM
SEEPAGE PIT
DRAIN FIELD
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
/ GAAB/
OR
SEEPAGE AREA SIZE
DIAGRAM OF SYSTEM
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM lB IN ACCORDANCE WITH BAlD CODE
DATE [ , APPLICANT S SIGNATURE