HomeMy WebLinkAboutALYESKA Block 15 Lot 12
GREI 'R ANCHORAGE AREA BOR' SH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
...... TAN K:
DISTANCE
FROM
INSIDE LENGTH
MAILING ADDRESS ~:)- (~'
LEGAL DESCRIPTION
MANUFACTURER
INSIDE WIDTH.
MATERIAL
LIQUID DEPTH
PHONE
NUMBER OF
COMPARTMENTS ....... '.zt
LIQUID CAPACITY~o° GALULONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NEAREST LOT LINE
TOTAL LENGTH
OF LINES
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT.
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE_
IN. ABOVE TILE IN.
WELL:
TYPE_~ CONSTRUCTION
DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION__, LOT LINE__, SEWER LINE__, TANK__, SYSTEM
DISTANCE FROM:
CESSPOOL
, OTHER SOURCES
APPROVED ~ I DISAPPROVED REMARKS
PIPE MATERIAL:
LOT SLOPE:
DATE ¢""'/3-- 7~b, PPROVED ~
Form EQ-O32
GREATEr ANCHOrAgE ArEa BOrOUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
NAME OF APPLICANT
INSTALLATION LOCATION
INSTALLATION OF: ~I_~T4C TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOil TEST RESULTS ____.
COMPLETION DATE ANTICIPATED~.
~/~ PERMIT NO. . '
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PHONE
~ ~;~ D~FIELD
TOBE,NSTALLEDBY D':I/
, OTHER
NOTE: THI~ERMIT IS NOT VALI,D 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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION T~Li~P_~T~ DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANk ~ ., ~eEPaGE PIT
// /TO, NEAREST LOT LINE.
WELL TO S-=P~IC TANK .
DRAIN FIELD
WATER MAIN TO SEPTIC TANK // ~
SEPTIC TANK, r~, .~ ,. SEEPAGE PIT
TO RIVER, I.AKE, STREAM,
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
S E L~S'A-G'~ Pit ~
., DRAIN FIELD
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
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE I~EQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ~:~DINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBEI~SYSTEM IS IN ACCORDANCE WITH SAID CODE. ; ~ ~ ~ ~--~. --