HomeMy WebLinkAboutEKLUTNA WEST LT 20l)
O'T
, 051
Depart me nt ;~3E0n;irs~rner~;nta I Quality
Anchorage, Alaska 99503
NAME
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUE^CTURER ff/eev MATER,AL
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /00~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /
LINING MATERIAL ~7
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER qB OR WIDTH /'~ ¢ LENGTH [~'/. DEPTH
CRIB SIZE: DIAMETER~DEPTH (¢~ DISTANCE FROM: WELL
2/I TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE (_~ ~,~t'~/~/~"~
BUILDING
FOUNDATION __
C'ESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE SEWER LINE
OTHER SOURCES
DISAPPROVED. REMARKS.
DEPTH DISTANCE FROM:
SEPT lC SEEPAGE
TANK __ SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAl ·
LOT SLOPE:
REMARKS:
Form No, EQ-031
APPROVED
3.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM ..... APPLICATION AND PERMIT
SOIL TEST RESULTS
OTHER
COMPLETION DATE ANTICIPATED pF, J~J~LT_~I T~ 0~IF YI~AR
FINAL INSPECTION: 24 HOUR HOTI~ REQUIRED. BACKFILLING OF ANY ~Y~TEM WITHOUT FINAL I~8PECTIOH BY THE
HEALTH DEPARTMENT AUTHORI~ WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT 20 ft. D,,N F,ELD ].0 ft.
SEPTIC TANK TO SEEPAGE PIT WALL ].5 ~t~ __
TO NEAREST LOT UNE
WELL TO SEPTIC TANK
D~AIN FIELD
TypE~L~ee] OT C~*IC'['P',-t~SEEPAGE AREA SIZE
. SEEPAGE P,T 20 ft DR^,N P,ELO ~ ft._
ALSO CONS,OE. AREA WELLS.
[DRAIN FIELD 10 ft.
25 ft. SEEPAGS P'T.100 £b--. DR^,N F,ELO 50_ ft.
TYPE
DIAGRAM OF ~.Y~,TEI~
SEPTIC TANK,
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
G~AVEL DACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
~0us£
TABLE)