HomeMy WebLinkAboutAURORA PARK TR A
oGRE"
_R ANCHORAGE AREA BOF~ GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
NAME {_~
LOCATION
/~. INSPECTION REPORT ON-,SITE_SEWAGE DISPOSAL SYSTEM
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
F.OM WELL /c~ /
INSIDE LENGTH
MANUFACTURER - -- ~-~/~' MATERIAL COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY f -'~'.,~-(} GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER __ OR WIDTH
LINING MATERIA L~'~_-~-~-~ CRIB SIZE: Dt AM ET ER
BUILDI.G FOUNDATION NEAREST LOT
ADDITIONAL ABSORPTION
de~t~. DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) SQ. FT.
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
/
DEPTH 'q,~ ~ DISTANCE FROM:
SEPTIC SEEPAGE
TAN K __ SYSTEM
DISTANCES:
INSTALLED BY:
LOT SLOPE:
REMARKS:
Form No, EO-O31
DIAGRAM OF SYSTEM
DATE APPROVED
G.A.A.B.
GreaTEr ANchorage ArEa BOrough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE~ ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO.
L[gAI DESCRIPTION ~. /~ ~~--5' ~ ~'
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT- ~ , DRAIN FIELD ., OTHER
FINANCED THROUGH TO BE INSTALLED BY ~~
SOIL
TEST
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY W~2 2% 2~=aggT ~ ~¢' ' ~
SEPTIC TANK SIZE ~J--~)' TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ /
FOUNDATION TO SEEPAGE Pit ~ ~ /
septic TANK ~O SEEPAGE PIT Wall _ ~ /
TO NEAREST LOT LINE.
water mA~n TO SEPTIC tank. /~2 ×__
TO RIVER, LAKE, STREAM.
, ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT /~
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.
OR
LICENbED DESIGNER
SEEPAGE AREA SIZE 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.
FORM NO. EQ-OI 6
GRFr "R ANCFORAGE AREA BOROUGH
Depar :nt of Environmental Quality
3220 "C" Street
Anchorage, Alaska 99503
for ~L~,~:'L;F~--~ ,~' ~ ,
reports: Soils log .~
Date performed
Percolation ' ,':~
~:ept!l
i: eq (~
It -
'13 -
'14
,,~.~ ground water encountered?
._ : Date Gross Time
!~,~' ", '! i ns
Net Time Depth to H20 !,let [:'r/.,p
I J
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