HomeMy WebLinkAboutPARK WOOD ESTATES Block 3 Lot 5
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
FT;C TANK:
DISTANCE
FROM WELL --
INSIDE LENGTH-
_ MANUFACTURER~;~ I~/~-[
INSIDE WIDTH
NUMBER OF
__5 _ MATERIAL ~_~ ~L~ ~'/~ cOMPARTMENTS --/
LIQUID DEPTH LIQUID CAPACIT¥-~<:~¢~ GALLONS.
S--~P3~2E-P ITT
DTH -~"~ DEPTH
C R I B.34' R_ _DEPTH__ _ D IST AN C ~-"'~-:--~-
LINING MATERIAL ~./'- TOTAL EFFECTIVE "LL AREA~ ~"~'~.SQ
BUILDING FOUND *T'tOCi~'~' , NEAREST LOT LINE . ABSORPTION AREA (WA ~ ' '
A~,~..C~B FI~ O N A L ABSORPTION.
FT.
WELL:
CONSTRUCTION -
TYPE --
BUILDING NEAREST NEAREST
SEWER LINE-
FOUNDATION LOT LINE- -,
CESSPOOL OTHER SOURCES
APPROVED- __ DISAPPROVED -- REMARKS.
· DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
SYSTEM
TANK, _ -,
DISTANCES:- ('~ i ~
INSTALLED bY:-~'~43.~-
DIAGRAM OF SYSTEM
DATE
APPROVED--
G.A.A.B.
Form No, EQ-031
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAI~E, ALASKA g9503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION Of: SE~PTI~ TANK SEEPAGE Pit , DRAIN FIELD , OTHER
FINANCED THROUGH TO BE INSTALLED bY .~~~ ~'/
SOIL TEST RESULTS ~ /~' )~P/Z: ~/TX~/' NOTE: THIS PEUMIT 15 NOT VALID WITHOUT 5OIL
COMPLETION DATE ANTICIPATED
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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO S~P~C TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAge PIT WALL
.o'~/_~/.aJ~. .~ f' ._
'-------~E~F'~IC TANK -5 , SEEPAGE PIT ., DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO S~C TANK ~ SEEPAGE PIT .
DRAIN FIELD
//~/~ / ....
s~ taNK, /~ ~Pag~ PiT
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRib CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED BOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
Fitted WITH Airtight reMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
SEEPAGE AREA SIZE
DIAGRAM OIF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE~e-6B AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /~' . .* - _~.-/
DATE APPLICANt'S SIGNATURE