HomeMy WebLinkAboutELDON BLK 3 LT 15
'~(]REATER ANCHORAGE AREA BOROU~_I~A___
Department of Environmental Quality ~ll~I~'R ANCHORAGE AREA BOROI~H
3500 Tudor Road -- Pouch 6-650
A~;horctjge, Alaska 99502
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N°. 992
MAILING / .... · ~
ADDRESS,<C,,/-~/~: ~:'r/. -.Z., r-~:~/")r~ PHONE' ~/~
LEGAL DESCRIPTION ~L<:/' .- ;~... . ...., ~,? .:~.~... .:>.. , ......
DISTANCE~ FROM WELL ,.~'~'~;c~:;~. ,/z: ~ '
LIQUID CAPACITY ~/-)' ' ,... ~z', GALLONS.
NUMBER OF
MATERIAL -~:~'.': '~.~""'/ ~ ' /'~/~!~:L?>. COMPARTMENTS
/ > / ~.~--f'~
INSIDE LENGTH ~- "~' INSIDE WIDTH
LIQUID
DEPTH "--'"-
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PiTS
LINING MATERIAL
NEAREST LOT LINE
OUTSIDE D I~Aj~ET-ER~'- 0 R~'wqD'T~k,
,.~---~'~' ...... ' DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH , DEPTH
BUILDING FOUNDATION
SQ, FT,
TILE DRAIN FIELD: ..
, EOU NDA'TIO~N ............... ~'~'~]~ES T- L~T~ LL.N E
DISTANCE FROM WELL
NUMBER OF LINES .......... DISTANCE BETWEEN LINES TRENCH W
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL/ ~ ~ DISTANCE FROM
TYPE/~ ',r' ~' ~' ~ ,/-~?.,'?'.:- DEPTH / - ';~" · , BUILDING FOUNDATION.
! NEAREST _ SEPTIC :..../~, SEEPAGE
LOT LINE ~":;'.- , , SEWER LINE : TANK ' -': SYSTEM
WATER
SAMPLE -'~' ':; ~: , NEAREST
OTHER /~ "- t~;i
, C ESSPOOI/~ .;~;-r~-' , SOURCES:~
DISTANCES:
DATE
.~/ //
DIAGRAM OF SYS~J~EM
SEWAGE
Grea~Er ANCHORAGE AREA BORoUgh
DEPARTMENT OF' ENVIRONMENTAl. QUALITY
3500 TUDOR ROAD POUCH 6-550
ANCHORAGE, ALASKA 995102
TELEPHONE 279-8686
DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK ~ SEEPAge PIT X , DRAIN PIELD
/ ,
PINANCED THROUGH 54 TO BE INSTALLED BY
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
· OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ,DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINe.
WELL TO SEPTIC TANK
DRAIN FIELD
, SEEPAGE PIT
.,DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK . ., SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK,~0 SEePaGE Pit /0~ /
, DRAIN FIELD
TO RIVER, LAKE STREAM.
CAST lROJ~INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING gAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DI.AMETEr CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH gTHDRITY
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 23-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~"