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G,r \TER ANCHORAGE AREA BOROI'~'H
HEALTH DEPARTMENT ~1'? ~0J)
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~ ~?" ~:~'~?,,~-.9" ~'
ADDRESS ~ PHONE. '~
LEGAL DESCRIPTION /~//~:~:;'_,~-'?::?';: / ,~. ~ -
'.~'EP'T-I~ TANK:
DISTANCE FROM WELL
LIQUID CAPACITY ./' .~';r'~¥':' GALLONS.
NUMBER OF
MATERIAL /f:' '~ /~'."--~;"/t/,;"/-¢)/-¥~:-~'" COMPARTMENTS :' '
LIQUID
INSIDE LENGTH /-"~' INSIDE WIDTH ":' ~ DEPTH x-- --
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
OUTSIDE DIAME]ER ....... ~, OR WIDTH LENGTH_ DEPTH
~-~ DISTANCE FR WELL .... , ....... BULL) NG FOUNDATION____
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE
NUMBER OF LINES ~_,~-~' DISTANCE B EEN LINES -~ ~ ..... TRENCH WIDTH
ABSORPTION A~RE~ SQ. FT. LENGTH OF EACH LINE_
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
-":';'~""-: "=;" ' DEPTH / _.¢ DISTANCE FROM ~'~- ' WATER / .
TYPE , -,~ , ., ,BUILDING FOUNDATION _SAMPLE , NEAREST
NEAREST SEPTIC t- SEEPAGE , -' OTHER
LOT LINE 1,~- , SEWER LINE "~- . TANK , SYSTEM , CESSPOOL ~' SOURCES
DIAGRAM OF SYSTEM
DISTANCES: ......................................................................
./~,: ~
DATE
/'7
APPROVED. ,.t.: ~ - ' ~ :~' ~):_./~. ~"~, :--.~:'~ ,?
HEALTH AUTHORITY
GREA~ER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL OUALITY
3DOC TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA S9502
TELEPHONe 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
iNSTALLATION LOCATION
INSTALLATION OF: ~TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
SEEPAGE PIT
PHONE
TO BE INSTALLED BY
NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEslr
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
Heal.TH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE ~ SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALl
TO NEAREST LOT Line.
DRAIN FIELD
WATer MArN TO SE~C TANK
DRAIN FIELD
S~IC TANK, '~ SEEPAGE PiT
TO RIVer, LAKE, STREAM.
· DRAIN FIELD
, SEEPAGE Pit
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
, DRAIN FIELD
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 ~ACKFILL
CONFORM TO ~OROUGH REGULATIONS REGARDING INSTALLAT]ON.
H g-~'gT H AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
] CER'r]FY THAT [ AM FAMILIAR With THE REQUIREMENTS OF GREATER ANCHORAGE AREA BorOUGB ORDINANCE NO, 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
October 20, 1972
i.!r. Frank DeLaney
SRA Box 1325
Anchorage, Alaska
99502
SUBJECT: On-site sewer system inspection and approval.
[:loci< 7, Lot 1, Ilillcrest Subdivision.
bear Sir:
A coi~plaint has been filed against you r~garding illegal
sewer systeL installations associated with two trailers.
Ti~is Department has no record of a perL~it or inspection on
this proBmrty. If ~his system has been inspected you are
required to bring a copy of a final inspection to this office
for review. If the system has not been inspected, please
CO!ltact or stop by Chis office, where arrangements and
snecifications ,,~ill be available to designed an approved system.
haw.~ five 5) days after receipt of this letter to contact
office for proof and/or corrections to prevent legal action.
Sincerely,
Les BUCilhol z
Environi~ental Control Officer
mb
