HomeMy WebLinkAboutDRAKE BLK 4 LT 2~ ~00
GAAB-HD..I
~F' \?EI~ ~NCHOI~A~E A~E~ BO~Oi
3500 TUDOR ROAD A~CHORAGE, ALASKA 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N AM E
LOCATION_~ /' ? ?' 44~.~
ADDRESS ~
DESCRiPTiON
PHONE__
SEPTIC TANK:
DISTANCE FROM WELL ~7
LIQUID CAPACITY ....
~LONS.
/
MATERIAL- . ..... COMPARTMENTS
iNSIDE LENGTH_C ~ INSIDE WIDTH
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF P~lS
NEAREST LOT LINE
_OUTSIDE DIAMETER _ OR WIDTH LENGTH_ , DEPTH
~/~~-- BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
ABSORPTION AREA_
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE
__DEPTH OF FILTER MATERIAl. BENEATH TILE
IN. ABOVE TILE~
NEAREST
LOT LINE SEWER LINE
DISTANCE FROM
BUILDING FOUNDATION
SEPTIC SEEPAGE
, TANK SYSTEM
WATER
SAMPLE
CESSPOOL
NEAREST
OTHER
, SOURCES~
DISTANCES:
DIAGRAM OF SYSTEM
DATE
GREA'l"ER ANCHORAGE AREA BOROUGH
3500 TU~OR ROAD POUCH
ANCHORAGE, ALASKA 99502
TELEPHONE
PERMIT NO. I¢--4 A
INBTALLATION'OCATION
INSTALLATION Of' SEPTIC TANK
BOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
OTHER
FOUNDATION TO SEPTIC TANK~'
FOUNDATION tO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
~, DRAIN FIELD
TO NEAREST LOT L~NE.
WELL TO SEPTIC tANK' ' , SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TaNK
DRAIN FIELD .
SEPTIC TANK,--~¢~ ~ ., SEEPage PIT
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.
CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATiON.
HEALTH ~THORITY
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE