HomeMy WebLinkAboutHILLCREST BLK 6 LT 3/.3
GE 'ER ANCHORAGE AREA BOROI. I
DEPARTMENT OF ENVIFIONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ,,'~/'/~-//~,~/(-'/~' '/;~c'/-~f~c~ ~/'/-'J~',//'~AL DESCRIPTION /--~/~'--J~ ~ ~ /~ ~,
~PTIC TANK: /~~ ~/~~~: ~ ~
DISTANCE FROM WELL .~. /~/.. /~ MATERIAL ~¢~¢//~) COMPARTMENTsNUMBER OF /
LIQUID
LIQUID CAPACITY /;~ ~GALLONS. INSIDE LENGTH ~ INSIDE WIDTH ~DEP~H
MAILING
ADDRESS ~:~--,'/'~:~/~'.,- ,,.~-/(~/~_/.z~z. PHONE
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS OU~ER
LINING MATER~.~_ ~
~ OR WIDTH ,LENGTH , DEPTH
DISTANCE ~ BUILDING FOUNDATION
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TrLE DRAIN FIELD:
DISTANCE FROM WELl , F...~_Fg.J~LI~^T!ON .
NUMBER OF UNES./.~-~/~DISTANCE BETWEEN LINES ~
ABSORPTIONc~..~A SQ. FT. LENGTH OF EACH LINE
, NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
OF LINES
__IN, TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE.____
WELL:
LOT LINE
TYPE ~'~-~'~-"/-~--~-~ DEPTH /'--~,~ DISTANCE FROM
, BUILDING FOUNDATION._/
/ NEAREST P'""'~""~"/" SEPTIC SEEPAGE
,~,-,-,-,-,-,-,-,-,~- H- , SEWER LINE '~'/~ '-~' , TANK ,"('///~ , SYSTEM
WATER ~..~/_./...~.. ,
_. S AM p t E _ ./(//~__..~/~6- N E A R E S p-~>'z~x~-z
~..4.'/-~.
OTHER ~...) .-
, CESSPOOL./--/~'/~/~''-- , SOURCES~:' ~
DIAGRAM OF SYSTEM
DISTANCES:
GREAFER ANCHORAGE AREA BORuUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELEPHONE 279-S686
D S,OS^, s'rs'r M --.
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORI'rY WILL BE BUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~-~ , SEEPAGE PiT
TO NEAREST LOT LINE,
WELLTO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK /
DRAIN FIELD
, DRAIN FIELD
· DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
· SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
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
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF ~YSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE,