HomeMy WebLinkAboutSTRUTZ TR 2AA
G ATER ANCHORAGE AREA B/' OUGH
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /~/~-O 5/'~C/v'/u'L-/G/ /'-~'/~. MAILING ADDRESS °<~qO ~ 'Z,,~.eL~ ~/'/J PHONE
LOCATION /~4/<C ~);'-'/$ f.~ ,~ 7-/4 LEGAL DESCRIPTION ~/'~C-7- ~'74 .~?~zT"~Z
~ TAN K:
DISTANCE / ~-
FROM WELt /~d~ MANUFACTURER
INSI~,E LENGTH
NUMBER OF
MATERIAL ~7--/.~L Z~ COMPARTMENTS /
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY ,2 o~/2 GALLONS.
NUMBER OF PITS --
LINING VIATERIAL
BUILDING FOUNDATION
ADDITION ALaN
SEEPAG~
LENGTH
DEPTH
DIAMETER _ ~DCbAUA.p___T H , ,
CRIB SI ZE: DIAM T~TM
NE~~ SQ. FT.
WELL:
TYPE -~'~// /~¢gl-I'C
BUILDING
FOUNDATION
CESSPOOL -
APPROVED
CONSTRUCTION ~/~IZ~LC°~/'~/¢/~'¢0d~'0 DEPTH /?¢O / DISTANCE FROM:
~,IEAREST 2~/~ NEAREST /¢ SEPTIC SEEPAG~
LOT LINE SEWER LINE /~ TANK SYSTEM /~¢
OTHER SOURCES.
DISAPPROVED
REMARKS ~,~'~z_ ~'~
DISTANCES:
INSTALLED BY: '~'~ ~
PIPE MATE RIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
< .ed ~ zo' '"
G.A.A.B.
Gr~.zl'Er ANCHORAGE AREA BONo'UGH
B,PARTME., OF E.,,.O.ME.TAL OUA''TY
3500 TUDOR ROAD POUCH 6-650
TELEPHONE 279-8686
DISPOSAL SYST[M ~ APPLICATION A~D P~RMIT
~'HON E
, OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
SEPTIC TANK , SEEPAGE PIT .
TO NEAREST LOT LINE.
DRA[N FIELD
DRAIN FIELD ,//!/)
TO RIVE~, LAKE, STREAM.
/40
., SEEPAGE PiT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CR[13 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 ~OROUGH REGULATIONS REGARDING INSTALLATION.
~HEALTH A U T~['~ R [TY
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.