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HomeMy WebLinkAboutSIEFKER Lot A-7 6 TER ANCHORAGE AREA BORC H D,':..,-~RTMENT OF ENVIRONMENTAL QUALll, 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM / SEPTIC TANK? MAILING .... ADD RESS_-.J/<~' ~."~/~'/~'>',4"/,~/' r,~/J'/'x'~x/-~' PHONE_ .LEGAL DESCRIPTION___.~~ ~~F* ~.~ / ~' ..;,..f.~, - . NUMBER OF DISI'ANCE FROM WELL ..~2 / ~-cE' (~x'~_ ~ MATERIAL ~",~-~'~7,,~. -~'~ ~.ZT~¢,.x['~'~'/~'ZZ COMPARTMENTS LIQUID CAPACITY /~ ~2~> GALLONS. INSIDE LENGTH ¢~'INSIDE WIDTH ~- LIQUID DEPTH __ SEEPAGE SYSTEM: SEEPAGE PI'r: .~'~"//~'~,.~?-~J-~-?~ ~,~..-.'z'~-~/c,/~;//z~- / / NUMBER OF PITS_ ~ OUTSIDE DIAMETER / OR WIDTH /'~-~ , LENGTH /~- , DEPTH / / LINING MATERIAL ~~"~- ~/~' ' DISTANCE FROM WELL~._~"~ ~ , BUILDING FOUNDATION~ NEAREST LOT LINE ~/~' ~¢~ ~ TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) /~K)~¢~Q. Fl', TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSOR~ DEPTFI: TOP OF IILE TO FINISH GRADE_ --//~DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE . N~T LINE _TREN~T.~H DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH ., OF LINES IN, 1OTAL EFFECTIVE IN, ABOVE TILE WELL: LOT LINE T y p E ,,,~..-~//~ -/- ~'~7- ~ DEPTH_/~ / DISTANCE FROM WATER , , BUILDING FOUNDATION,.~./~) _SAMPLE /~, NEAREST / SEPTIC~ ~ SEEPAGE ./. : OTHER SEWERNEARESTLINE ~ , TANK_/~-.:/~ / , SYSTEM~ ~ ,~SSPO0~/~~: , SOURCES ~ DISTANCES: DIAGRAM OF SYSTEM APPROVED ~ ('G.A'.A.B. GREA!ER ANCHORAGE AREA BOA~)UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99S02 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF . / MAI lNG INSTALLATION OF: SEPTIC TANK ~/'~ SEEPAGE PIT DRAIN FIELD . OTHER FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS //~///~///J/A NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE '~'/ TYPE ~9'/~--"~---' ~3/~'~ SEEPAGE AREA slze ~/[-- ~ TYPE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS / FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT. . DRAIN FIELD SEPTIC TANK TO SEEPAge Pit Wall · . SEEPAGE Pit WATER MAIN TO SEPTIC TANK s~p~c TANX. ~/ ., DRAIN FIELD , SEEPAGE Pit TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST ]RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARD[NG INSTALLATION, j/'-- -- HEA,~:H/AdT~ORITY OR LICENSED DESIGNER i CERTIFY THAT I AM FAMiLIARIWITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDAJ~CE WITH SAID CODE. DATE APPLICANT'S SIGNATURE '