HomeMy WebLinkAboutBOULDER SPRINGS LT 29
GRE
'=.R ANCHORAGE AREA BOP-
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIALCIQ~/4 ~-~
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH_
.LIQUID CAPACITY (o~-' ~7_~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
f ,. DIAMETER--OR WIDTH
g)( (~'~g CRIB SIZE: DIAMETER__
NEAREST LOT LINE "¢'2.~:~ .
ADDITIONAL ABSORPTION
DEPTH
.DEPTH . DISTANCE FROM: WELL
TOTAL EFFECTIVE !
ABSORPTION AREA (WALL AREA) }_'~ '2~,
SQ. FT.
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
, TANK __ , SYSTEM
REMARKS
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE
APPROVED
G.A.A.B.
GreaTEr ANCHORAGE Area BorouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PERMIT NO. __,
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
INSTALLATION OF; SEPTIC TANK ~ii~i~ ~) SEEPAGE PIT OTHER
FINANCED THROUGH
SOIL TEST RESULTS
DRAIN FIELD
TO BE INSTALLED BY
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 DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ___
FOUNDATION TO SEEPAGE PIT
_ , DRAIN FIELD
sePtiC TANK TO SEEPAGE Pit WALL ....
DRAIN FIELD
_., SEEPAGE PIt _ L ~3 (
ALSO CONSIDEr AREA WELLS.
, SEEPAGE PIT
, DRAIN FIELD
SEPTIC tANK U , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL tO sePtiC TANK ~,~, c~ '~
DRAIN FIELD
WATER MAIN TO SEPTIC TANK /0~
DRAIN FIELD ~4~ __
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.
G ,A.A .B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
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. / ~, /' /
FORM NO. EQ-OI 6 / /