HomeMy WebLinkAboutT13N R3W SEC 24 Parcel 3A
$RF ER ANCHORAGE AREA Bor '"!UGH
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME/~-~,~ R~Z~/'~,S MAILING ADDRESS
LOCATION /"~-~/ /t~OJl~O~'c~ LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
MATERIAL
LIQUID DEPTH.__
NUMBER OF
COMPARTMENTS
_LIQUID CAPACITY
GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER ~;;I~OR WIDTH /~- ./LENGTH /~%,/ DEPTH ~ !
LINING MATERIAL/~ CRIB SIZE: DIAMETER~DEPTH ~ DISTANCE FROM: WELL/~ ~
] ~, ~TOTAL EFFECTIVE
BUILDING FOUNDATION~/, NEAREST LOT LINE~0 ~'~ABSORPTION AREA (WALL AREA) ~ .SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE /'"'""'~C 0 NST R U C t I 0 N--'----'""~ DEPTH
CESSPO/ , OTHER SOURCES ~
DIS?NCE
SEEPAGE/
SYSTEM /
FROM:
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:~.~
PIPE MATERIAL:
LOT SLOPE: FZ- T
Form No, EQ-031
DIAGRAM OF SYSTEM
DATE ~///J~// ~,~ APPROVED
G.A.A.B.
GreaTEr ANChOragE AREA borough
SEWAGE DISPOSAl. SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
TO BE
COMPLETION DATE ANTICIPATED
, OTHER
NOTE= THIS PERMIT 1~ NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
FOUNDATION TO SEPTIC TANK
, ALSO CONSIDER AREA WELLS.
SEPTIC TANK, '~ , SEEPAGE PIT/~~//~/ , DRAIN FIELD
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 A[RTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
