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HomeMy WebLinkAboutALYESKA BASIN #4 BLK 14 LT 10 GRE"-C.R ANCHORAGE AREA BO ' 'JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ~_~'~ LEGAL DESCRIPTION PHONE DISTANCE FROM W E L L(--~ INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH LIQUID CAPAC. I.TY ~ GALLONS. LINING MATERIAL ~ CRIB SIZ~EPTH DISTANCE FROM: WELL BUILDIN ....... ~ TOhw"AL'"~F F ECT I V e ADDITIONAL ~ ~ SQ. FT. WELL: TYPE ~ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION __, LOT LINE , SEWER LINE TANK __, SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES:*~'~ ~ LOT' INSTALLED BY: L lt "t'o PIPE MATERIAL: LOT SLOPE: ~' REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM DATE APPROVED G.A.A.B. GREATEr ANCHORAGE ArEA BOROUgh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! PERMit NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION lOCATION PHONE I~ld/~9 INSTALLATION OF: ~ T'ANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS ~ COMPLETION DATE ANTICIPATED /~/ ~X~ SEEPAGE PIT DRAIN FIELD OTHER TO BE INSTALLED BY NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. SEPT,C Tank S,ZE ~o©o ~ TYPE 4tVVJe~rC~~EEPaGE aREA S,ZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK u% FOUNDATION TO SEEPAGE PIT ~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / SEPTIC Tank ~ . seePaGE PIT ~ , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANk //?~4~/t~v~SEEPAgE~ PIt / / DRAIN FIELD ----'"- ~ALSO CONSIDER AREA WELLS. ( WATER Main TO SEPTIC TANK /0 SEEPAGE Pit DRAIN FIELD SEPTIC TANK, I /~ 0 I, 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. 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. TYPE DIAGRAM OF SYSTEM G.A .A .B. OR LICENSED DESIGNER GREATER AN GE AREA BOROUG RDINAN NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. FORM NO. EQ-OI 6