HomeMy WebLinkAboutHILLCREST BLK 2 LT 7c s Jo-
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GREA, iR ANCHORAGL: AREA BOR,. uGH
~ ~ Department of Environmental Quality
~.~.~'~.,,- ~'~ 3330 C Street
INSPECTIOi~ REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
DISTANCE ~.~ NUMBER OF
FROM WELL ~ MANUFACFURER ..... MATERIAL__ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH __ LIQUID DEPTH LIQUID CAPACIT~GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO PINISII GRADE
FOUNDATION __
[DISTANCE BETWEEN LINES
NEAREST LOT LINE
tOTAL LENGTH
_OF LINES
TRENCI4 WIDTH____ IN.
SQ. Fq. UI:.NGTH OF EACH LINE .
DEPTH OF FILLER
TOTAL EFFECTIVE
MATERIAL_ BENEATH FILE _IN. ABOVE TILE .
IN.
WELL:
TYPE
CONSTRUCTION
DEPTPI DISTANCE FROM:
BUILDING NEAREST NEAREST
FOUNDATION .___ LOF LINE SEWER LINE ....
SEPTIC SEEPAGE
, TANK _ SYSYEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: .....
LOT SLOPE:
REMARKS:
GREA 117 ANCHORAGE AREA BOF
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE ~
a.¢ A /
JGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT
TYPE AND S'ZE OE FAC,L,TY TO BE SERVED
., DRAIN FIELD
SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED ~ ~ ,~¢~ '~'C*¢~'~,,~¢ ~
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
/~i~NK SIZE_~' ' ~//~/TYPE P/~--~-~ ~'~'~ SEEPAGE AREA SIZE TYPE
MINIMUM DISTAN.CE,~, REQUIREMENTS
4-'
FOUNDATION TO
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAge PIT WALl
SEPTIC TANK ,SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
.. SEEPAGE Pit
, [)RAIN FIELD
CAST IRON rnTO AND OUT OF SEPTIC TANK AND INTO CRib CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTight REMOVABLE CAPS,
GRAVEL I:~A(:::K FI LL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
''ENSE'O;ES'G"'R
DIAGRAM OF SYSTEM
I CERTIFY THAT { AM FAMIL]AR WITN THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUgH ORDINANCE NO, 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE,
DATE APPLICANT'S SIgNATUR ~'
PORM NO, EQ-01 6