HomeMy WebLinkAboutALYESKA #3 BLK 19 LT 6
GRE/ :R ANCHORAGE AREA BOF 'IGH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska ggS07
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
5EIZT-tC TAN K:
MAILING ADDRESS~-~'~
DISTANCE .,/¢
FROM W E g t~¢//'"/.,~ MANUFACTURER
INSIDE LENGTH. ~ INSIDE WIDTH
MATERIAL ~.....~--.,¢, ? NUMBER OF
COMPARTMENTS
I.'IQUlD DEPTH ~ LIQUID CAPAClTY,¢'~.¢-'~"'?¢'~ GALLONS.
TILE DRAIN FIELD:
DISTANCE FR~
NUMBER OF LINES
,'-~UNUA, ,~r.,,~-~ NEAREST LOT LINE
DISTANCE BETWEEN LINES _..~TRENCH WIDTH
TOTAL LENGTH
OF LINES
iN. ~_~,~¢¢~,~:rIv E
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
BUILDING
FOUNDATION ,
NEAREST
LOT LINE_
NEAREST ~ SEPTIC
~.~. SEWER LINE , TANK
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DEPTH
SEEPAGE
SYSTEM
DISTANCE FROM:
DISTANCES: (~' ~.,
, NSTALLED By: '///~-.~ ,,.~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form PW.027
DIAGRAM OF SYSTEM
APPROVED ..... G.A.A.B. .~.~_.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO,
A!'4(THORAGE:. ALASKA 99502 t / ~
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
,_EGAL DESC.,,'T,ON. Z '/)19
INSTALLATION OFt"
TYPE AND SIZE OF FACILITY TO BE SERVED
SOIL TEST RESULTS
· ~ _~M.,., .,~, ~ -- OTHER
TO BE INSTALLED BY -- : ~''~'~
NOTE~ THI~ PER~ I~ NOT VALID WITHOUT ~IL ~T
COMPLETION DATE ANTICIPATED
PFRMIT VAI ID flNF YFAR
FINAL INSPECTION, 24 HOUR NOTICE: REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
DIAGRAM OF ~YSTEM
MINIMUM DIBTANCE$. REQUIR-~'-u='"-~,,~ '
FOUNDATION TO
FOUND'ATION TO SEEPAGE PIT'~"~ DRAIN FIELD
/'SEPTIC ~NK TO~[ PIT WALL --
DRAIN F~~ . ALSO CONSIDER AREA WELLS.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
4" £A.~T IRON .NIPfl0N
· SE'PT1C PIPE WITII AIRTIGHT CRIB
lA)H: ~../' CAPS
I~lO
<' .'" ,
required ~.~honevor l(ne crosses (CRIB 4' HINI~UH ABOYE' WATER
under driveway, TABLE)
4 ]riCH SE:.tEfl
CO~SI[;I~ AREA ~ELLS.
S[[PAC[ Pil F. XCAVATIO¢t RASED 0N ~:LL~e
SOII. TEbT.
HOUSE
CAST l~flH~ .q ~-'SEf'TIC ·
K
I'I P[' S'
If:TO UI;- / I'~'--"--~--,---,,~ 4 IHCH
!?,[,L._~. DISTUR~£~/~'---'-~ r ~C.~T IRON SIPIION PIPE
SOIL .,,~
PIT - 200' ~... I..
Grade: 2'.per
or I/4' p.r font
except 10' precrudir
tank & the. shoutd
eot exceed 7%,
6' per 100 on flat
te~ains.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
C ,': OR
~ . ~ ~ LICENSED DESIGNER ., ~
' " ~ ' ':" / AM ~ ' ~ '
, CERTIFY ~:T ~MC ~~; THE REQUIREMENTS OF ~ R EATER ANCHORAGE
D~S~RIB[D SYSTE~ IS IN A~CORDANC[ WITH SAID ~ODE,
DATE '=~{ APPLICANT'J ~IGNATURE ' '"