HomeMy WebLinkAboutT14N R1W SEC 7 SE4 SW4
G[ ~TER ANCHORAGE AREA BORO(' :H
DEPARTMENT OF ENVIfl0NIVIENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~/'/~
SEPTIC TANK:
ADDRESS
LEGAL DESCRIP11ON
DISTANCE FROM WELI//)O'~."-9
LIQUID CAPACITY /~/"? 4': GALLONS.
MATERIAL ('~(~','~--O~-K:~/'~'> NUMBER OF /
~, COMPARTMENTS /
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
NEAREST LOT LINE ~:'/
OR WIDTH /~'~' / ! /
., LENGTH :~'~:' , DEPTH ~'~
DISIANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, BUILDING FOUNDATION
~ 'r~?/ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LINES
ABSORPTION
.~-~-~'~, POUNDATIQ~N . NEAREST LOT LINE
DISTANCE BETWEEN LINES~'""~ TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE~
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
.DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE ///JO i1~ , DEPTH
- NEAREST
LOT LINE . SEWER LINE
DISTANCES:
'~ DISTANCE FROM - WATER
,BUILDING FOUNDATION SAMPLE , NEAREST
SEPTIC ~ )/ · ._ OTHER
. , , SYSTEM /~)/~'F:~/ , CESSPOOl , SOURCES
TANK ~. ~" SEEPAGE ~. · .
DIAGRAM OF SYSTEM
NAME OF APPL[CAN
[NSTALLAT]ON
LOCATION
LEGAL DESCRIPTION
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK /-' ~ SEEPAGE PiT /,~ DRAIN¢I¢ ........ ~-O'THER-~-- -
SOil TEST RESULTS ~- / NOTE= THIS PERMIT I$ NOT VALID WITHOUT SOIL TEST
., DRAIN FIELD
· DRAIN FIELD
-, SEEPAGE PIT.
ALSO CONSIDER AREA WELLS.
_, SEEPAGE PIT
, DRAIN FIELD
SEPTIC TANK SIZE
DIAGRAM OF SYST£M
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION ~ FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPT[(; TANK AND SEEPAGE PET
FITTED WITH AIRTIGHT REMOVABLE CAPS.
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA bOROUgh ORDINANCE NO. 28-68 AND THAT THE ABOYE
DESCRIBED SYSTEM ES IN ACCORDANCE WITH SAI~ CODE.
0 0 0 0
0 o o o
0 0 0 0 0 0
0 0 0 0 0 ~