HomeMy WebLinkAboutHIGHLAND PARK Block 6 Lot 2
G[ TER ANCHORAGE AREA BOROI 1-1
D~AflTMENT OF ENVIRONMENTAL QUALI, ~'
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC 'rANK:
PHONE
DISI'ANCE FROM WELL
LIQUID CAPACITY~'/z/) ~'") d2 GALLONS.
NUMBER OF
MATERIAL ~<"'~k'-~;-,~7--'7~ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH_
LIQUID
__DEPTH
SEEPAGE SYSTEM: SEEPAGE Pit:
NUMBER OF PITS /~ OUTSIDE DIAMETER
LINING MATERIAL ~
NEAREST LOT LINE__./
~ OR WIDTH ...... /'~:'" .... LENGTH , DEPTH_
DISTANCE FROM WELL c'D"'~, _,,~, zx~, , BUILDING FOUNDATION,'-~
TOIAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ ,=~ ~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL. / ON -~ , NEAREST LOT lINE.
NUMBER OF HNES / DISTANCE BETWEEN LINES N. TRENCH WIDTH /~
ABSOR~..O~ SO. FT. LENGTH OF EACH LINE ~ ~/
DEPTH: TOP OF TILE TO FINISH GRADE_ DEPTH OF FILTER MATERIAl BENEATH TILE_
TOTAL LENGTH
OF LINES
.-~.~ICqT~ZTAJ~E~ C T I V E
IN. ABOVE TILE__
WELL: ~..4_7,/,;~¢~_~z~ .x~.,,<'-~, DISTANCE FROM ,_ - WATER
TYPE Z~'~'~/z../.~-~.x~c~r' , DEPTH , BUILDING FOUNDATION ......... SAMPLE__
/ NEAREST ~./ SEPTIC ~ SEEPAGE ~
tOT LINE , SEWER LINE ., TANK , SYSTEM ..... CESSPOOL_
DIAGRAM OF SYSTEM
DISTANCES:
L.~ , NEAREST
OTHER
~ , SOURCES___
DATE
GREATER ANCHORAGE: AREA BOI~OUGH
DEPARTMENT OF' ENVIRONMFNTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELEPHONe 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
F'NANCED THROUGH
COMPLETION DATE ANTICIPATED _
SEEPAGE PIT ~ DRAIN FIE D OTHER
TO BE INSTALLED BY ~¢ '//'~ .....
0TE: THIS PEE~IT IS ~OT V&bI~ WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
/ (,-.d- TYPE
SEPTIC TANK SIZE ~ TYPE SEEPAGE AREA SIZE , '
DIAGRAM OF' SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO seePAge PIt
SEPTIC TANK TO SEEPAGE PIT WAle
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
· SEEPAGE PI'F
5-0/
, DRAIN FIELD
, SEEPAGE PIT /~)(~) 1
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK. ;~ ~ SEEPAGE Prr
TO RIVER, LAKE· STREAM.
, SEEPAGE PIT
· DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING GAP OF
EXCAVATION 5 FEET~I~;O~U__ND]__~T_~URB~$~)I~L_.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TAN_K~AbtD SEEPAGE P['r
FITTED WITH AIR_T~L~J:LT.J?LE~LQ_V_AB_LF~¢APS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
,// HEALTH (~URTHORITY
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCe NO. 28-68 AND THAT THE A~OVE
DESCRI SYSTEM IS IN ACCORDANCE WITR SAID CODE,
DATE / ~l[ APPLICANT'S SIGNATURE ~ ~'~:~' /A///~.'
GREATE[~ ANCHOPAGB AREA BOROU6H
Departmen!; of E. nvironmenta] Quslfty
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date
Time of Insoection
Date of Inso~ctzo~~-hc~
A. Tree B. Depth
C. Construction D. flacterial Analysis
Sewage Disoosal System."
C. Septic Tank~ 1, :;ize_. ~ 2. ~anufacturer ..... : . --- .
D. Seepage P~
Disposal F:eld~ Total Length of Lines
Distances:
A. Well To: , Absorption Area
, Sewer Lines
Sept.~ c 'rani<
,.,ir, e Or. her Contamination
, .Near~sf. Lot; ' , . ·
Abso,otior, Area t.o l,,eares~ Lo~, Line /0 ~ ~¢~,~ ..
RecTue~t for Approval of dividual Sewer & V~ater Factlit.
' 'Page T,~o
Ap?~'ova~ Valid fo'r One Y~a~ From Date
Gz'ea[e~ A~chorage A,-ee Rorouoh, 9eparU[~en~ of ~nv~.~'On~T. ental quality
I certifv that the lnfo~',nation contained in 'bhi.~ request for approval to be a true
and accura!;~ reprc.-.,ser.,tat~o~ of the s¢l:.~i~ct seweT' and wator facllfttes located at:
Signed Date
duly l, 1971
Federal Housing Administration
PoO. Box 480
Anchorage, Alaska 99501
SU ~JECI':
Dear Sirs:
~.Sewer Facil~)-~)r~Lot
t ~mand Park Subdivision ~ 2, Block
Public stayer is not available to the ubJec~ lot so Chat
$ ~
storage disposal must be by septic tank - soil absorption
system. A system built to this De.partment's specifications,
should function satisfactorily until public se.) .
able, ~ ~v(~r is avail.-
Central Alaska Utilities water is available to the lot,
which is an approved water supply by this Department.
Sincerely,
John R. Lee, R.S.
Sanitarian