HomeMy WebLinkAboutCOLONIAL PARK BLK 1 LT 8C, AAB-HD- I
G£ TER ANCHORAGE AREA BORO( -I
D~-i-~RTMENT OF ENVIRONMENTAL OUALI~t
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
LOCATION~D//-~.¢ /)F /1£L) [/~/-E ~/VER RO~gZ2 LEGAL DESCRIPTIONL6T'~
SEPTIC TANK:
DISTANCE FROM
LIQUID CAPACITY
/~t~ I C ~)/j,,C R~,~ ~.~..- NUMBER OF
MATERIAL COMPARTMENTS j
LIQUID
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PiTS
LINING MATERIAL
/
OUTSIDE DIAMETER.
OR WIDTH
DISTANCE FROM WELL //~
LENGTH /Z/~ /
, DEPTH
BUILDING FOUNDATION.
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM ~ FOUN~ON
DEPTH: TOP OF TILE TO FINISH GRADE.
TYPE DEPTH
WELL:
NEAREST
LOT LINE SEWER LINE
TOTAL LENGTH
NEAREST LOT LINE OF LIN,,,~S
TRENCH WIDTH .~.~ I~~,q. TOIAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
DISTANCE FROM WATER
· BUILDING FOUNDATION. !~',.5- / SAMPLE
SEPTIC ,R?.~0~.~ SEEPAGE,,.,..~_.~,,~,~t~Pl~OX '/
, TANK /'"J ~ SYSTEM ,ts~;~r-' "1/, CESSPOOL
IN. ABOVE TILE__
NEAREST
OTHER
, SOURCES~
DISTANCES:
~ D: I~~
DIAGRAM OF SYSTEM
DATE
APPROVED
G.A.A.B.
GreA-rer Anchorage AREA Bo~ugh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 995102
TELEPHONE 279-81~86
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION Of: SEPTIC TANK ~ BEEPAGE PIT ~ DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED ~~ ~ ( ,/~/~-~/~
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
P~ONE
OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT ~OIL 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 ~)
·
SEPTIC TANK TO SEEPAGE Pit WALL /~-
SEPTIC TANK
TO NEAREST LOT LINE.
Well TO SEPTIC TANK ~/
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE Pit
, DRAIN FIELD
., DRAIN FIELD
SEPTIC TANK, ., SEEPAGE Pit /~ .DRAIN FIELD
TO RIVER. LAKE, STREAM.
/
ALSO CONSIDER AREA WELLS.
/
SEEPAGE PIT
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.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
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. _~~:~~~
DATE~/~/7 ~ APPLICANT'S SIGNATURE - ~ ~ ---
./