HomeMy WebLinkAboutT15N R1W SEC 4 Lot 25 This may now be Panoramic Park Lots 25A and BLO'T'
GREA ANCHORAGE AREA
Departmen'c of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPEC ION
· OCA ,O
REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS /~l~'/~"/~'i~~' ~'~:~-~ j~'~dt PHONE
LEGAL DESCRIPTION~/~'~' 7-'/~'~' ~'"~/'(X'~/ ~/-
SEPTIC TANK: ~ c~ I C/ [13
DISTANCE q~ ~ ~,~ NUMBER OF
FROM WELl MANUFACTURER ~.~__. i,.-- MATERIAL ~L..- COMPARTMENTS ~
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~(~?~) GALLONS,
SEEPAGE PIT:
NUMBER OF PITS ( DIAMETER ~'~f OR WIDTH '~'~I LENGTH17', DEPTH 8'
LINING MATERIAL ~O?-'"- CRIB SIZE: DIAMETER DEPTH DISTANCE FROM:
TOTAL EFFECTIVE
BUILDING FOUNDATION ~, NEAREST LOT LINE~
WELL
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL: /',~'
TYPE ~[ CONSTRUCTION ~ DEPTH DISTANCE FROM:
BUILDING /~1 NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION __ LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLE, D BY: ~
PiPE MATERIAL:
LOT SLOPE:
REMARKS:
Form NO. E0-031
DATE
GREATEr ANChORAgE ArEa Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "'C'" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
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,
DIAGRAM OF SY'=TEM
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, ~ ~f~ r , SEEPAGE PiT /~) ! _, DRAIN FIELD ,
TO RIVER, LAK~. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEETINTO UNDISTURBED SOIL.
4 iNCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY FrHAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE