HomeMy WebLinkAboutHILLCREST BLK 4 LT 2
GP'ATF. R ANCHORAGE AREA BORO~'"';H
HEALTH DEPARTMENT
32.7 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
659
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
ADDRESS
-S-ET""tt'C- TANK:
//' z-~ ,~ './//~
DISTANCE FROM WELL ~".'~
LIQUID CAPACITY~r-~-~:::'gc~ d')C'~
GALLONS.
NUMBER OF
MATERIAL ,.-~"~'~--'/::-~"~"-' .COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH ____
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PITS
LINING M,.~I~
NEAREST LOT LINE
~-----01JffST~~ OR WIDTH
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH__ , DEPTH
BUILDING FOUNDATION
SQ. FT.
TILF DRAIN FIELD: /(///~
DISTANCE FROM WELl FOUNDATION , NEAREST LOT LINE
ABSO~A S
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN, TOTAL EFFECTIVE
IN. ABOVE TILE
WELL./-, ~.~.~;.-~-.~./~.-;~.<._z,.-~--~ ~,~.-z.~<--~.~- .,f,..-~..~./. DISTANCE FROM /,~'~.Z,'_-z.;~'; WATER
TYPE ~/z~~ DEPTH ~-~-~ ' ~ BUILDING FOUNDATION /~/~ SAMPLE ~ NEAREST
NEAREST ~EPT'~ ~/ / SEEPAGE ~,~QTHER
LOT LINE ./~ z~ , SEWER LINE./~ [~ ,TANK, , SYSTEM ~ESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
__' ___ /,~'_._~ -~__
DATE ./ / H~ALIPi AUIHORITY
GREAt'ER ANCHORAGE AREA BORDUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3soo TUDOR ROAD POUCH S-650
ANCHORAGE, ALASKA 99502
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
INSTALLATION LO A
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK .~ SEEPAGE PIT , DRAIN FIELD
FINANCED THROUGH ~/~ TO BE INSTALLED BY
SOIL TEST RESULTS '~
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION~ 2,4. HOUR NOTICE REQUIRED. SACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
SEEPAGE AREA SIZE
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
· SEEPAGE PIT
, DRAIN FIELD
., DRAIN FIELD
SEEPAGE PIT
., ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
SEPTIC TANK, , SEEPAGE PiT , DRAIN FIELD .
TO RIVER, LAKE, STREAM,
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB GROSSING 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 BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE