HomeMy WebLinkAboutHILLCREST BLK 6 LT 8Oz' . 71
'R ANCHORAGE AREA BOR
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
D ISTA N C E /~/.) ~
EROM WELL MANUFACTURER
INSIDE LENGTH
INSIDE WIDTH
NUMBER OF /
--MATERIAL 5 '¢'/'(¢ "? / COMPA RTM ENTSL___
__ LIQUID DEPTH LIQUID CAPACIT'C~(]~C:"3C")GALLONS.
'rILE 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. LENGTH OF EACH LINE
DEPTH OE FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE _IN. ABOVE TILE IN.
WELL:
TYPE _~-'//~ CONST RUCTION
BUILDING NEAR EST NEAR EST
FOUNDATION LOT LINE ~ SEWER LINE
~'~"~"~"¢*- O E PT H ~'-
SEPTIC SEEPAGE
TANK --, SYSTEM
CESSPOOL
.... OTHER SOURCES
APPROVED DISAPPROVED ---REMARKS
DISTANCE FROM:
SEWER LINE DEPTH: __
LOT SLOPE: ,./t~-~']'¢¢--~'~-''~-¢
REMARKS:
Form EQ-O32
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3350 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 !
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPL'CANT ~"'-'~ (~/'>~,:~ MA,L, ..........
SOIL TEST RESULTS ~OT~s THIS P~R~IT
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.
-'E~l;~T4~ TC(NK SIZE __(~'~l:~Lm¢¢''~¢/ ,
~ SEEPAGE AREA SIZE
TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM Orr SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEpage Pit . DRAIN FIELD
BEPT,C TAN" TO SEEPAge p,T WALL
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK ~____ SEEPAGE PIT ~_
DRAIN FfELD ~~ ALSO CONSiDEr AREA WELLS.
TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF ' -
EXCAVATION 5 FEET INTO UNDISTURBED SOil, I
4 'NON DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
I ~' ........ l~
~ ~ ....
GRE~ :R ANCHORAGE AREA BOF JGH
--/~ 3330 "C" STREET ANCHORAGE, ALASKA 99503 7: ~__~--~ TELEPHONE 274 4~61
SEWAGE DISPOSAL SYS'rEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
LEGAL DESCRIPTION % ~ Z ,
TYPE AND SIZE OF FACILITY TO BE SERVED
PERMIT NO.
OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST REBU _ NOI'E~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE-'- A~]CIA T]CIPATED
FINAL INSPECTIONS.' 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNSPECTION BY THE
DEPARTMENT OF ~RONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK S[ZI ~ TYPE SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, R~QUIREMENT~ DIAGRAM OP SYSTEM
FITTED WITH AfRTIGHT REMOVABLE CAPS.
G~AVEL BACKFILL r ] ', ..... ~---: .....
~ ,G~ ONS REGARDING iNSTALLAT ON ........
I CERTIFY THAT I AM FAMILIAR WITN THE REQUIREMENTS OF ~REATER ANCHORCGE AREA BOROUGH ORDINANCE' NO 28-08 AND TH&T THE A OVE