HomeMy WebLinkAboutCRICKETT Lot 1
GAAB-HD-I
GL,~TER ANCHORAGE AREA BORO~..~H
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
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MAILING
ADDRESS ~-~-
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL ~:~. -,~,.~---L/,
LIQUID CAPACITY /,'~ ~.)/J GALLONS.
NUMBER OF ~
MATERIAL ..--~_~"~:~-~ COMPARTMENTS
INSIDE LENGTH / INSIDE WIDTH ~ DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PiTS // OUTSIDE DIAMETER ~ OR WIDTH//-~)('/~, LENGTH ,,'/P , DEPTH
/ / i
LINING MATERIAL-~-~-fl~; ~/~-- ~/~J/K/~ . DISTANCE FROM WELL ~/~ ~, /--~'. , BUILDING FOUNDATION~
NEAREST LOT LINE ~'~'/~/,,~. I:~ . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '-~ /~'/--'') SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL ~'7'F"~DATION ~ , NEAREST LOT LINE ,OF LINES
NUMBER OF LINES /'~'""'~ DISTANCE BETWEEN LINES X TRENCH WIDTH IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE ,DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
~.~L~/~.,~', //'~'-./.P'"~'~--'P K DISTANCE FROM WATER
WELL: TYPE ~"~'-'/~""~//~-~ ; DEPTH BUILDING FOUNDATION. ~ SAMPLE ~ , NEAREST
~ NEAREST ~ SEPTIC . SEEPAGE ~ OTHER
LOT LINE SEWER LINE , TANK ~ , SYSTEM , CESSPOOL ~ , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GReaTER ANChORaGE ARea BOROUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 2:79-8686
PERM,T NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PHONE
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE PIT
DRAIN FIELD OTHER
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VAUD WITHOUT ~OII. TEST
FINAL INSPECTION, : 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PiT WALL
SEPTIC TANK ., SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
/
. DRAIN FIELD
~F~oE PIT
SEEPAGE PIT
SEPTIC TANK, ., SEEPAGE PIT /~/~ DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEeT INTO UNDISTURBED SOIL.
DIAGRAM OF SYSTEM
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.
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /,~/ ,
DA // APPLICANT'S SIGNATURE ~
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