HomeMy WebLinkAboutALYESKA BLK 3 LT 9
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GR' 'ER ANCHORAGE AREA BOROLw '~
DEr~r1TI91ENT OF ENVIRONMENTAL QUALll,
3600 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSIEM
LOCATION__
ADDRESS
,./,
SEPTIC
TANK:
"'-c'(' "-).,...,. ,-~ ..
DISTANCE FROM WELL.
lIQUID CAPACITY
GALLONS.
NUMBER OF J
COMPARTMENTS
/ ~i~/_~. //~:'~';',,~)"~ LIQUID
INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL '~"'-
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER_ OR WIDTH <-- , LENGTH , DEPTH
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION
E BE~VEE'I~' L-INES
NUMBER OF.klIqES
A,J~S'~PTION AREA SQ. FT.
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST
LOT LINE SEWER LINE.
TRENCH
LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
.... IN. ABOVE TILE~
DISTANCE FROM
, BUILDING FOUNDATION ....
SEPTIC SEEPAGE
, TANK , SYSTEM_._
WATER
SAMPLE
, CESSPOOL
NEAREST
OTHER
, SOURCES .
DISTANCES:
P -- ~7"Z'~
DIAGRAM OF SYSTEM
C_
DATE
GrEarEr ANCHOrAGe Area BoRuugh
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
LEGAL DESCRIPTION
inSTALLATiON OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH, ~
SOIL TEST RESULTS
SEEPAGE PIT ~/'
TO BE INSTALLED BY
DRAIN FIELD OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANk
FOUNDATION TO SEEPAGE PIt ~_~,1
SEPTIC TANK TO SEEPAGE PIT WALl
SEPTIC TANK ~E Pit
WELL TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER A~rEA WELLS.
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN Field
SEPTIC TANK, ~ ~-I /~t) t
., 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,
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.
HO
ICENSED DESIGNER
I CERTIFY THAT I Am FAMILIAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA~OROUGH ORD~YANCE NO. 28-68 AND THAT THE ABOVE