HomeMy WebLinkAboutT15N R2W SEC 25 LT 59
N.° 931
MAILING ~
ADDRESS ~'//~ '~"~/--~?'
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL.
LIQUID CAPACITY / ~"'/~' '/) GALLONS.
NUMBER OF
MATERIAL ~ ~,,c/~/~,~-~'~ ~r;-~- COMPARTMENTS
INSIDE LENGTH. ~ INSIDE WIDTH
LIQUID
DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PITS ,/ OUTSIDE DIAMETER OR WIDTH
LINING MATERIAL -/~/~/~ ~- DISTANCE FROM WELl /'~
NEAREST LOT LINE
· LENGTH ,~2,~ , DEPTH ~/'
BUILDING FOUNDATION /--~'/, /
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,~/~'~2 SQ. FT.
TILE DRAIN FIELD: ///~
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OE TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
., OF LINES.
IN. TOTAL EFFECTIVE
IN. ABOVE TILE --
WELL: //./~,/z//~.~-.~z- ~/-~'~-~-/~-'~ DISTANCE FROM
TYPE-~-~'//~/-'~ ?' ., DEPTH -~'~ / ., BUILDING FOUNDATION.
NEAREST SEPTIC ~ SEEPAGE
LOT LINE //~ ~ . ~ :WER LINF r~/ ~-~ TANK /~ . SYSTEM
WATER
SAMPLE /'1/;~'/~//~'~-, NEAREST
OTHER '~/D~/~-
CESSPO0~/'~/~-"~/~"-, SOURCES'/(
DISTANCES:
,'f* 7~?~ /~.~ ·
DIAGRAM OF SYSTEM
DATE ~ ~ APPROVED ~'
/ HEALTH AUTHORITY
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK~/~
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
SEEPAGE PIT X , DRAIN PIELD , OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TE~T
COMPLET]ON DATE ANTICIPATED
FINAL INBPECTION~ 24 HOUR NOTICE REOUIRED. SACKFILLING O[~ ANY SYSTEM WITHOUT FIN~I~-L INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~ TYPe ~ SEEPAGE AREA SIZE TYPE
/~00
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE Pit
SEPTIC TA~K
TO NEAREST LOT LINE.
, SEEPAGE Pit/~¢--0
ALSO CONSIDER AREA WELLS.
WATER MAiN TO SEPTIC TANK ., SEEPAGE PIT
DRAIN FIELD
_, SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST I~AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP ~OP
EXCAVATION 5 PEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
TO BOROU EGULATIONS REGARDING INSTALLATION.
CONPORI~ ".('?f~l/7 . ..
LICENSED DESIGNER
~ CERTify THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH O~DINANCE NO- 28'68 AND %HAT THE ABOVE
DESCribED SYSTEM ISiN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S ~IGNATU RE