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HomeMy WebLinkAboutALYESKA BASIN BLK 4 LT 5 6REA" c ANCHORA6E AREA BORL, Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 SEPTIC TANK: DISTANCE ~.~~ FROM WELL ~4,',,,- MANUFACTURER MATERIAL~-~t~ NUMBER OF COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY jOO~ GALLONS. NUMBER OF PItS __ DIAMETER OR WIDTH__, LENGTH , DEPTH . LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL NEAREST LOT LINE /c~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~(~ SQ, FT. WELL: BUILDING NEAREST FOUNDATION __ , LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK __, SYSTEM REMARKS DISTANCES: DIAGRAM Of SYSTEM LOT SLOPE: _ REMARKS: Form No. EQ~031 DATE APPROVED G.A., .B. GrEa ANCHORAGE Area BOR DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMit NO. SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~ SEEPAGE Pit , DRAIN FIELD SOIL TEST RESULTS (-~ U~'~ 7~ C~-~% -- NOTE; THIS PERMIT IS NOT VALID WITHOUT SOIL TES' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BESUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIt SEPV,C TANK TO SEEPAGE P,t WALL /~* / SEPTIC TANK I , SEEPAGE PIt TO~ ~E/~.REST LOT LINE. WATER MA,N TO SEPT Nk/ / 62 DRA,N F,ELD SEPTIC TANK, ., SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT In FIELD /~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S 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. LICENSED DESIGNER NO. 28-68 AND THAT THE ABOVE I CERTIFY THAT I AM FAMILIAR WITH THE ANCHO~AG~AREA BOROUGH~RDIN~/~C REQUIREMENTS OF GREATER ANCHO AG REA BOROUGH RDIN CE DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE. /7 ' DATE APPLICANT'S SIGNATUR - ~ FORM NO. EQ-01 6