HomeMy WebLinkAboutLAMPERT ESTATES BLK 2 LT 2
GREA ' ANCHORAGE AREA BOR
of Environment quality
Department
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION 0 &)A~ /Z~/ LEGAL DESCRIPTIONJ~ ~ ~//F Z
SEPTIC TANK: (lC :¢' I$¢7J 1
PHONE
DISTANCE
FROM WELL
MANUFACTURER _,~/~/( ~eZ'MATERIAL ~7¢¢/~
INSIDE LENGTH_
INSIDE WIDTH.
LIQUID DEPTH
NUMBER OF
COMPARTMENTS ~'~
. LIQUID CAPACITY /¢¢/..~,gGALLONS.
DEPTH:
l'lLE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION
NUMBER OF LINES ~ DISTANCE BETWEEN LINES
ABSORPTION AREA 870 sQ. FT.
TOP OF TILE TO FINISH GRADE
TOTAL LENGTH ,~.~;0 '
NEAREST LOT LINE .~/./I _OF LINES
/~)i _TRENCH WIDTH'22~2 IN. TOTAL EFFECTIVE
LENGTH OF FACH LINE ,/-/~/ 't ,~¢ ~¢H~I~,f. TIIt~'
DEPTH OF FILTER ~/1
MATERIAL BENEATH TILE ~' IN. ABOVE TILE IN,
WELL:
TYPE _
BUILDING
FOUNDATION
CESSPOOL --
APPROVED
__CONSTRUCTION
NEARES'r NEAREST
LOT LINE , SEWER LINE
, OTHER SOURCES
DEPTH
SEPTIC SEEPAGE
TANK __. SYSTEM
' DISTANCE FROM:
DISAPPROVED ___REMARKS
DISTANCES:
DIAGRAM OF: SYSTEM
INSTALLED BY:
7
SEWER LINE DEPTH:
PIPE MATERIAL:
REMARKS:
Form PW*027
GREATER ANCHORAGE: AREA BOROUGH
DEPARTMENT OF ENVIRONMEi\ITAL QUALITY
3330 "C" STREET ANCHORAGE~ ALASKA 99503
TELEPHONE: ,~74-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO. _
INSTALLATION LOCATION ¢~ ~
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVE[)
FIHANCED THROUGH ....
SOIL TeST RESULTS
OTHEr
NOTE: THIS PERMIT I$ NOT VALI[:~ WITHOUT SOIL TE~T
FINAL INSPECTION: g4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY ,SYSTEM WITHOUT FINAl., INSPECTION BY THE
DEPARTMENT CE ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
. DRAIN FIELD
., SEEPAGE PIT
MINIMUM OI.~TANCES, REOLJIREMENTS
FOUNDATION TO SEPTIC TANK ~1
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
WATER MAIN TO SEPTIC TANK __ ., SEEPAGE PIT
DRAIN FIELD
SEPT,C TAHK,-l SEEPAGE P,T_/4¢ . .R^,N E,ELO
TO RIVER, LAKE, STREAM,
SEEPAGE AREA SIZE ../~~ ____ TYPE ,~~
GRAVEL B/~P~KFI LL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
I CERT~r' THAT [ AM FAMILIAR Wl'rH THE REQUIREMENTS OF GRE/)~-~'~HORAGE AREA BOROUGH OR[2/-~ANCE NO, 28.68 AND THAT THE ABOVE