HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 1 LT 7AUPPER EAGLE RIVER
ESTATES
#050-781-33
GAAS-HD-I
G[;'-',~TER ANCHORAGE AREA BORO~'~'~iH
b,_¢ARTMENT OF EN¥1FIONMENTAL 0.UAb, t'
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~AEL WlLLiAII45
SEPTIC TANK:
MAILING j~ )(.' 5'~p~ PHONE__
ADDRESS --
LEGAL DESCRmnONJ~LI& it DOT -/) DPPE-I~. P-tV31-~ RIt/~P~ EST,
DISTANCE FROM WELt ¢.~ /
LIQUID CAPACITY_ J
MATERIAL (~)N CI~I~'J-E
.GALLONS. INSIDE LENOTH~/~JaIIa&~
NUMBER OF
COMPARTMENTS.
LIQUID
INSIDE WIDTH____DEPTH_
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PITS J OUTSIDE DIAMETER
LJNINGMATERIAL~I(-~'/~.'~-- ~" ~1~O,~2,
NEAREST LOT LINE ~ /
OR WIDTH Z.j / , LENGTH ~O/ , DEPTH
DISTANCE FROM WELL j C~2. ! BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 4~')~' SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGIH
DISTANCE FRO EL[ FOUNDATION ~ , NE ST LOT LINE , OF LINES
NUMBER F LINES__ DIS NCE BETWEEN LINES TRENCH WIDTH N IN. TOTAL EFFE7
DEPTH: TOP OF TILE TO FINISH GRADE _ DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
f~ J DISTANCE FROM J ~ / WATER /ik/~/~_ , NEAREST
WELL: TYRE id JJ~ , DEPTH. ~ -, BUILDING FOUNDATION._ SAMPLE
NEAREST SEPTIC ~ f SEEPAGE J OTHER
LOT LINE , SEWER LINE .. TANK (~) SYSTEM. J 0(~-* . CESSPOOL -- . SOURCES ~
DISTANCES:
&iOTF .' Lot
DIAGRAM OF SYSTEM
T
G.A.A.B.
GrE~Er ANCHORAGE AREA BO~/~OUgH
PER',T"O. /r/zF
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
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
FOUNDATION TO SEEPAGE PiT J~ ,, DRAIN FIELD
SEPTIC TANK TO SEEPAGE PiT WALL-- /-- '~'~!
SEPTIC TANK SEEPAGE PIT , DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ~1~ SEEPAGE PiT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
,EEPAGE AREA BIZ' .
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK,~ ~--I ., SEEPAGE PIT
TO RIVER, LAKE, STREAM.
SEEPAGE PIT
-, DRAIN FIELD
CAST IRON IN~O AND OUT OF SEPTIC TANK AND iNTO CRIB CROSSING GAP OF
EXCAVATION 5 FEeT INTO UNDISTURBED SOIL.
4 INCH DIAMETER~;~..4~J~LP~L~ ~6L~j~L~ SEPTIC TANK AND SEEPAGE PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
Depth .......
....... ~... oOl1 ~ha* ~,.,.e~'}.stlcs Location SKetch
' '~ ~ D~op
Test Performed