HomeMy WebLinkAboutALYESKA BASIN #4 BLK 17 LT 2
GREA zr ANCHORAGE AREA BOA
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE P'74-456 !
JGH
~(J~ iERMIT NO
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PHONE
INSTALLATION OF: S'E"P'TT'~ TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
SEEPAGE PIT DRAIN FIELD OTHER
NOTEs 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.
~ TANK SIZE--~ ~ ~'
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO ~.'-~"T;C TANK
FOUNDATION TO SEEPAGE PIT.
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~ , SEEPAGE PiT . TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO ~C TANK
DRAIN FIELD
TO RIVER, LAKE. STREAM.
DRAIN FIELD
. DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
. DRAIN FIEL.-D
SEEPAGE AREA SIZE
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
LICENSEE) 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 APPLICANT'S SIGNATURE
FORM NO. EQ-01 6