HomeMy WebLinkAboutALYESKA BASIN BLK 2 LT 14~o~S
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GreaTEr ANCHOrAgE Area BorougH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
LEGAL DESCRiPTiON '/-' /./7~ A.//r'
INSTALLATION OF: S~ TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT
SOIL TEST RESULTS
MAILING ADDRESS
__TO BE INSTALLED BY -
DRAIN FIELD ~ OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED //~7 ~:)
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~l~Ank SIZE ~i~O~) TYPE B~ SEEpA~L.A~kI~/~.~j~~. TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO ~ TANK ")
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL ~
I
SEPTIC TANK ~ --., SEEPAGE Pit
TO NEAREST LOT Line.
DRAIN FIELD ~
!
WATER MAIN TO ~ TANK /'~'~
DRAin FIELD
~ TANK. ~/~ , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
., DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
· 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.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A .B.
OR '
LICENSED DESIGNER
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 ~ ~f7 ."~ APPLICANT'S SIG NATU R E./~
FORM NO. BQ-01 6