HomeMy WebLinkAboutT13N R3W SEC 13 Lot 71B
G?-~&TER ANCHORAGE AREA BORO~'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N.° 535
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELt
LIQUID CAPACITY
MATERIAl ~'~7~ '~ / NUMBER OF
COMPARTMENTS.
GALLONS. INSIDE LENGTH. '~'~'e~T~/ INSIDE WIDTH.
LIQUID
DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR W,OTH ~ ~
O,S,ANCE EROM WELL /0~5 '
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
,LENGTH 1¢ ,DEPTH ~
BUILDING FOUNDATION '~'
s(~. ET.
TILE DRAIN FIELD:
DISTANCE
NUMB ER/gF LINES
ABSORPTION AREA
NEAREST LOT LINE Y
SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
O~ LINES
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE--
WELL: Typ E ~ ~/.j,~£/ ,DEPTH.
NEAREST SEPTIC
LOT LINE ~ SEWER LINE ,TANK
DISTANCE FROM WATER
-, BUILDING FOUNDATION. SAMPLE , NEAREST
~-~ / SEEPAGE /~[~,~ OTHER
, SYSTEM , CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED
HEALTH AUTHORITY
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
FINANCED THROUGH / TO BE INSTALLED BY /~//~/~-/~
SOIL TEST RESULTS ~/~ ~~~[~ NOTE= THIS PERMIT IS NOT VALID WITHOUT =OIL TEST
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
BEALTH DEPARTMENT AUTHORITY WILL BE EUBJECT TO PROSECUTION,
SEPTIC TANK SIZE ~ TYPE /'~ - ' ~'~ / . -~EEPAGE AREA
'
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
/
WATER mAIN TO SEPTIC TANK //~/ , SEEPAGE Pit
SEPTIC TANK,
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.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
28-68 AND THAT THE ABOVE
I CERTIFY THAT I AM FAMIL]A~;{ WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA OROUGH ORDINANCE NO.