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