HomeMy WebLinkAboutHILLCREST BLK 4 LT 3
oGRE/
SR ANCHORAGE AREA BOP'-'JGH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
E~:FI C TAN K:
DISTANCE
MAILING ADDRESS__ ']"~- f:'~'~/,-~-,
LEGAL DESCRIPTION L~ ~<¢-
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH ____
PHONE
NUMBER OF
COMPARTMENTS
LIQUID CAPACIT¥-~-?(*O GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NEAREST LOT LINE
TOTAL LENGTH
OF LINES
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT,
DEPTH: TOP OF TILE TO FINISFt GRADE_
LENGTH OF' EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH "FILE
IN. ABOVE TILE IN.
WELL'
TYPE k_C~(,~k.~¢J~ f,~O.,~____ CONS [' RUCT ION _
BUILDING NEAREST NEAREST
FOUNDATION__ LO']' LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED .REMARKS
DEPTH
SEPTIC SEEPAGE:
, TANK__ , SYSTEM
DISTANCE FROM:
DISTANCES: C¢~'~' L-
INSTALLED BY:
SI--WER LINE DEPTH:
PIPE MATERIAL: (~Lq(!I~f~L3~ "~
LOT SLOPE:'-' ................................
REMARKS:
DIAGRAM OF SYSTEM
G.A.A,B.
Form PW-02?
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO
NAME: OF APPLICANT . ''-~'~'~'V/~ MAILING ADDRESS
INSTALLAT, ON LODAT,ON q
INSTALLATION OF: K SEEPAGE PIT
DRAIN FIELD , OTHER
PHONE
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS
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
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WiLL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCJ~S, REQUIREMENTS
FOUNDATION TO SEEPAGE PIT
· DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL.
-<,
To NEAREST LOT '~NE.
WELL Ti' ~-I~PTIC *raNK ¢~O C~
DRAIN F]ELD
, DRA]N FIELD
SeEPAge Pit
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PIt
DRAIN FIELD
SEPTIC TANK, ((3 ~ , SEEPAGE PIT / b () ' ., DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO 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
PITTED WITH AIRT]GHT REMOVABLE CAPS
GRAVEl. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING I~ALLATION.
OR
TYPE
DIAGRAM O1'- SYSTEM
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
SYSTEM~ ~lS IN ACCORDANCE WITH SAID CODE.