HomeMy WebLinkAboutT13N R3W SEC 13 Lot 115
OAAB-HD-J
GR,"~-~?'~ ANCHORAGE AREA BOROU~'~''''~-~,
DErARTMENT OF ENVIRONMENTAL QUALh,
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
PHONE
DISTANCE FROM WELL~'/~y~/j
LIQUID CAPACITY '7~) GALLONS.
MATERIAL ~i~.~.ET I ~ NUMBER OF
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
SEEPAGE PIT: ~f/~//~
/ /
OUTSIDE DIAMETER OR WIDTH
~ ~ DISTANCE FROM WELL~~I t:J~.-~ , BUILDING FOUNDATION
.... TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~12~ ~ SQ, FT.
~-L,~ FIELD:
DISTANCE FROM WELL ION ,NEAREST LOT LINE~
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTION AREA SQ. FI. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
., OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
DISTANCE FROM
TYPE (/~-[/....~.~-~¢V~/~. DEPTH . BUILDING FOUNDATION.
/
NEAREST SEPTIC SEEPAGE
LOT LINE ., SEWER LINE .TANK , SYSTEM
WATER
SAMPLE~ ., NEAREST
OTHER
, CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
N
G.A.A.B.
DATE
GREATER ANCHORAGE AREA BORdb,..~H
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME Of APPLICANT t/~/}//~)~
INSTALLATION LOCATION
LEGAL DESCRIPTION ~/~
PERMIT NO.~
PHONE
INSTALLATION OF: SEPTIC TANK ~ sEEPAGE PiT t~~/ DRAIN FIELD OTHER
//
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION.
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK '~7~
fOUNDATION TO SEEPAGE PIT ;~1
SEPTIC TANK TO SEEPAGE p,T WAl~ /~
, DRAIN fIELD
TO NEAREST LOT LINE.
WELL TO PT,O T^NK EE,'AGE PI:'-
DRAIN FIELD ALSO CONSIDER AREA WELLS,
WATER MAIN TO SEPTIC TANK SEEPAGE PiT
DRAIN FIELD
SEPTIC TANK, * -, SEEPAGE PiT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INT A~[LLT~O~F SEPTIC TANK A~ND INTO~CRIB CROSSING G~AP~Of
4 ,[NC~ER~ ~ CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
PITTED WITH AIRTIGHT RE~VAb~S~
TO BOROU H~EG LATIONS REGARDING INSTALLATION.
/ / HEALth AUTHORITY
