HomeMy WebLinkAboutTURPIN BLK 2 LT 10Anchorage, Alaska 99503
GRE:ATEr ANCHORAGE AREA BOROUGh
PERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 'C" STREET ANCHORAGE, ALASKA 99503
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
COM.LETION DATE ANTIC,PATED
SEEPAGE PIT -, DRAIN FIELD ., OTHER
· ~ ': ~ · ./~/?'~X~:-:x/
NOT~: THIS P~MI~ IS NOT VALID WITHOUT
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
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.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
SEEPAGE AF~EA SiZE -- TYPE
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE ~
G~6.TER ANCHORAGE AREA BORO,~'~H
SEPTIC TANK:
D,STAN EEROMWELL dA MATER,A OMPARTMENTsNDMB ROE z
LIQUID CAPACITY GALLONS· INSIDE LENGTH INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
OUTSIDE DIAMETER OR WIDTH ! , LENGI'H , DEPTH ,
t,., ~.,~;,.. . D,S,ANCE FROM WE" ,U,L?,,_~.. ~
roiA~ ~F~Cr~W A.sa~m~ON A.~A (WA~ A~A) S~. m.
TILE DRAIN FIELD:
D:~:ROM WELL
NUMBER OF, LINES /
ABSORPTION AREA
TOTAL LENGTH
FOUNDATION EST LOT LINE
DIST / ~-
SO. El. [ENGIH OR EACH lINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE.
IN. ABOVE TILE
WELL:
NEAREST
LOT LINE ~- , SEWER LINE
~DISTANCE FROM WATER
, BUILDING FOUNDATION. SAMPLE NEAREST
...--~-O TH ER ~
SEPTIC SEEPAGE
TANK ~ , SYSTEM -- , CESSPOOl , -, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
ii'
APPROVED
HEALTH AUTHORITY
GAAB-HD-2
GREATE!~-:'ANCHORAGE AREA ~ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case NO. //6~''~
i 1t¢I'?
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ~'' ' MAILING ADDRESS~'~-/ ~7~'~/,'~"PH'O~JE NO, ~ ~
RES..E~CE A~R~SS ~/Z '~ ~- L~CAT.~ ~F ~STAL~T.O. ~
LE.~L .ESCR,~T.O. ~ ~ ~ ' "~f~:L.' ~ ~/
PERCOLATION TEST RESULTS ~~ ANTICIPATED DATE OF COMPLETION .~)~' ~ ~¢' ·
mow ~o ,~ ,,~, ou~ ay .~m...~.mm ~
THIS IS TO SERVE AS
AS DESCR.~EO ,E,OW. S,ZE O, UN,T To ,E SERVED ~ ~~
SEPTIC TANK SIZE [~0~ TYPE -/~/(~/ SEEPAGE
' ~ DIAGRAM OF SYSTEM
DISTANCES:
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above des~bed system is in accordance with said code. ~¢ ~t q~/~ ?~~.t.,~ ~,g~/~ ~t~,
Hay 2, 1973
3tg ~iest FiFth ^venue
:>abjec'L; LtO,' L]Z, Turpin S//) Addi'~ion
6613 Donn~) ~riw
i)ear Si r:
U¥,on yo-~r request, the w~tor and sewer facilities Fop
s~bject lo~ were: inspcctc~ by this d~pa. rt;~,en~ oa T~ay l,
1973. The w4ter is via Central /alaska btiliCies public
l'he systa)~ was insp~cted by this dep,~Pt~;~e)It on Au~us~J ~
i970, and approved for a thr,~e.-be,Jroo~u dw~ltint~. ~ir.
sion [;ranch of Lh~ Public Sewer Divisi~n~ )>ubIic s~wer
he available to that lot this sk4mmer~ however, this will
hot be known un:il the end of ~ay of this yt)ar. Taerefore,
ti]is d~part~J~c))t will 9ive te~porary apt)rowel un the existing
sewer syste~) pendin~ the escrow of fu~ds n~ede~: tL~ buy
install a i,SOO-ualton septic tank. This installation should
take pl~c(~ by June 30, 1973. If public sewer i~ i])od~ available
to th~ subject lot this s~(~:r, the lot ~4;Jst be connected to
ti)u available public sewer and :he installation of the new
septic tank can be deleted.
if you have any questions, p'l~ase contact ~ais office at
274 -4561.
Sincerely,
Ti~nothy k. RumfelC,
SanlLarian
cc: VA
Vester Mull
