HomeMy WebLinkAboutSTOCKHAUSEN LT 19'lq
, ~ ~GREA
ANCHORAGE AREA BORbuGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAG_..F~pJJS~,O_,._SAL SYSTEM
NAME
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
NUMBER OF
MANUFACTURER f..~./~.gt.~'~'eSMATERiAL. ~'~/ C COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIOUID CAPACITY '/4~'~"-~/ GALLONS,
SEEPAGE PIT:
NUMBER OF PITS z( DIAMETER
LINING MATERIAL~---~ ~/~""~/ CRIB SIZE.
BUILDING FOUNDATION , NEAREST LOT LINE
.~/ / /
OR WIDTH LENGTH~ ~, DEPTH
DIAMETER DEPTH ~7 DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL: ~
TYPE
BUILDING
FOUNDATION --
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
~/G .A.A.~3.
GREA' ~' ANCHORAge AREa BOP(~
PERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
5330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHO E 274'4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT d
INSTALLATION OF: SEPTIC TANK / SEEPAGE PIT
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DA~E ANT]CIPATED
OTHER
NOTE: THIS pERMIT I~ NOT VALID WITHOUT BOIL TEST
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.
SEPTIC; TANK SIZE
MINIMUM DISTANCES, REQUIREMENTB
FOLJNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
/~ /
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
SEEPAGE PIT. , DRAIN FIELD .
/
SEEPAGE Pit
ALSO CONSIDER AREA WELLS.
tO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD /'~
WATER MAIN TO SEPTIC TANK ., SEEPAGE PIT
DRAIN FIELD
· , SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB cROSSING GAP OF
EXCAVATION ~5 FEET INTO UNDISTURBED SO]L.~
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT
SEEPAGE AREA SIZE TYPE
DIAGRAM OF SYSTEM
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GRE
DESCR~EO SYSTE~ IS ~N ACCOR~ANCZ WITS S^m COD~. ~
DATE // ~/TJ APPLICANT'S SIGNATURE
NCH~AGE AREA ~OROUGM ORDINANCE NO. 2E-68 AND THAT THE ABOVE
/
Russell Oyster
694-2774
Soils Er Foundations
EGEOTECHNICAL ~ DEVELOPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
CO.
Earl Ellis
688-2280
Land Development
SOIL LOG
Performed for:
Matltng Address:
Legal Description: ~-~ \c~
Depth (feet)
So~1 Characteristtc~
0
1
7
Ground Water Encountered: Yes~No
Proposed Installation:
Corm~ents: 'X'~'
vJ If yes, what depth
Seepage Pit ~ Drain Fie~d
$~:oclehau/Jen 5u~d.
MUNICIPALITY CF AF'C'r'.ORAG,~