HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 46
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 'I of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211181 PID Number: 015-123-01
Dwelling: FE] Single Family (SF) El with ADU n Duplex (D) F] Two Single Family Project: 0 New N Upgrade
Name
CALVIN & MARILYN KERR
ABSORPTION FIELD
❑
WN Deep Trench ❑El Wide Trench n Bed n Mound
Site Address
6520 CROOKED TREE DRIVE
El Other
Phone
lNumber of Bedrooms
Soil �Rating
Total depth from original grade
1.2 GPD/SF
13Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
6.0 Ft.
Gravel depth beneath pipe
7
Subdivision Block Lot
VALLI VUE ESTATES #2 1 46
Ft.
Fill added above original grade
Gravel length
Township Range Section
0 Ft.
30 Ft.
Gravel width
2.5
Beds: Number of Lines
NA
Distance between lines
NA
SEPARATION DISTANCES
Ft.
Ft.
To)
Septic
Absorption i Lift Station
I i Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
1 Tank
Line
420 Ft2
1
NA Ft.
Well
100*+
100'+ NA
NA
25'+
TANK 90 Septic El S.T.E.P. El Holding El Other
Manufacturer
GREER
Capacity
1000 Gal.
Surface Water
100'+
I 100,+ i NA
NA
Material
Number of compartments
Lot Line
5'+
10'+ NA
NA
NA
HDPE
2
Foundation
101+
10'+ i NA
NA
LIFT STATION
I
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
Tank to
PIPE MATERIAL Housetotank3034 drainfield 3034
A+ Home Services, Inc.
Drainfleld 3034 COIMT3034
Inspector PES
BENCH MARK (Assumed elevation) 102.9 ft
Inspectes:tion v, 08/31/21 2 ndO9/01/21
da
Location and description
3`d 12/2/21 4th
See Site Plan, Bottom of house trim @ B
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: DateP
OF
-y,
T_ H'
Septic System
%f7;�
P0 Ct,
r) E I J+9
Approved Date ?
"'D
Note: this approval does not include well permit requirements.
PROFILESCALE: NTS1000G GREERPOLY TANKPANNONE ENG SVC, LLC (C.I. 1088)SCALE:1"=50'
LOT 45
LOT 50
LOT 49
LOT 47
C R O O .E D
T R E E DRIVE30.0R.O
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YS34° 46' 20"W 33.63N
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N37° 26' 08"E 226.48N22° 59
'
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156
.02L=115.36R =205.0010' UTIL. ESMT.EG50.215
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Lot 46, Block 1
Valli Vue Estates Unit No. 2
22,147 Sq. Ft. +/-
6520 Crooked Tree Drive
2 Story Wood Frame House
With Attached 1 Car Garage
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PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Re-Certification Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
September 7th, 2021.
Legend:
Scale 1" = 30'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Lot 46, Block 1 Valli Vue Estates Unit No. 2
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Cal Kerr
21-667 09/07/2021
74-148 2538
Concrete
Water Valve
STA T E O F ALA
S
K
A49 TH
ROYEVRUSDNALLANOISSEFORP
DERE
T
S
IGER Pierre M. Stragier
NO. LS-9812
09/07/2021
G
E
S
Culvert
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PDBox n90650 4r0UElmore Road
Anchorage, Alaska eS5190O5U ph '7904 Fax: (8O7)343',9S7
Permit Number: DSP211181
Work Type: Septic Upgrade
Tax Code Number: 01512301000
Site Legal Address: VALL|VUEESTATES #2BLK 1 LT 46 G:2539
Site Mailing Address: 852OCROOKED TREE DR, Anchorage
Owner: KERRCALVIN L&MARILYN B
Design Engineer: pANNONEENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
7/2O/2021
7/20/2022
21 Disposal Field Z Septic Tank El Holding Tank n Privy 1771 Private Well 0 Water Storage
All construction shall beinaccordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (1 SAAC72) and Drinking Water Regulations (1 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.S5.Provide notification bycalling (SO7)343'79O4(24/7).
4. From October 15toApril 15.esubsurface soil- absorption system under construction during freezing weather
shall beeither:
a. Opened and Closed onthe same day, or
b. Covered, sealed, and heated tnprevent freezing
Received B
Issued By:
Date:
Date:
3
MUNICIPAUTY OF ANCHORAGE
Community Development Department s �` Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel 1. D. 015-123-01
Property owner(s) Calvin & Marilyn Kerr Day phone
Mailing address
Site address 6520 Crooked Tree Drive
Legal description (Sub'd., Block & Lot) Valli Vue Estates #2 131 L46
Legal description (Township, Range & Section)
Lot Size 22,147 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field X❑ Initial ❑ Single Family (SF) X❑
Septic Tank FK Upgrade X❑ (w/wo AD U)
Holding Tank ❑ RenewalDuplex (D) El
❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: `J Waiver Fees:
Date of Payment: 5Z 2 7 2 % Date of Payment:
Receipt Number: 07% �c�2 G Receipt Number:
Permit No. C 5 P'11 11 1 Waiver No.
Permit App_.;- :•
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211181, Deb Wockenfuss, 07/20/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211181, Deb Wockenfuss, 07/20/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211181, Deb Wockenfuss, 07/20/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211181, Deb Wockenfuss, 07/20/21
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Municipality of Anchorage Page ! of 'Z-
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection'Report
Permit Number: ~'t4~'~/Og(~0 PID Number:
.sma: , Wastewater System: ~ New ~ Upgrade
A~: ABSORPTION FIELD
Ph~C~O~ ~(~,~ ~ ~e~// No. of~drooms:. ~Dee~Trench ~ Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION so, Rating: /, ~ GPO/Sq. Ft. Total Depth from original/~, grade:
Lot: Biock: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe
~ / ~/ ~ ~T~ ~ ~ Ft. 7 Ft.
Township: Range: [ Section: Fill added above original grade: Gravel length:
~ ~~ / Ft. ~ Ft.
WELL: D New D Upgrade iravel width: ~,~Ft. Number of lines:/ Distancebe~eenlin~:~ Ft.
Classification (Private, A,B,C):~/~. Total Depth: Cased To: Total absorption area: Pipe material:
~1~ Ft. Ft. ~ SO. Ff. ~ ~
Driller: Date Drilled: Static Water Level: Installer: Date installed:
~i~,d:G,U ~,S~a~: ~. C~,i,~,~h~*~o~ou~:~. TANK
SEPARATION DISTANCES ~sept~o~ ~ Ho~di,g ~S.T.E.P.
To Septic Absorption Lift Holding )ublic/Private ~anufacturer: Capacityin gallons:
From Tank Fie[d Station Tank Sewer Lines ~C HO~ ~
Number of Compartments:
su,~c. ,w % LIFT STATION
Water /~ /~
Lot Size in gallons: Manufacturer:
Line ~/ ~G ~ ~
Cu.ainDrain ' NO~'~ ~OW~ ~~ IEloctricatlnspecti°nspod°rmedby:
Remarks: BENCH MARK
I Assumed Elevat[on:/~.~
S ~ $ ENGINEEEfNG ~.~z ,~
17034 Eagle River Loop Road, Ne. 2~ ~
Inspections performed by: ~,~, ,ive~. Alaska 99577 Dates: 1st P- c/- ~9
Department of Hea Human Services approval ,.
Reviewed and approved by: ~~/ ~ ~ Date: ~- ~- ~
72-013 (Rev. 9/91) MOA 25
Permit No.Sw940260
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:VALLI VUE ESTATES#2, BLOCK 1 LOT 46 PID No.: 01512501
NEW
CO1 C02
E~STING
1000 GAL
SEP~C
TANK
N.T.S.
EXIST. 1000i GAL:
SEPTIC TAN~
46
i/
MTso
(CO3&
C04)
81.9
(MT1)
· 75.7' NO WA"ER FOUND
A B
FC0 30.0 24.0
C01 26.0 32.5
G02 26,0v49:0
C03 60.0 47.0
C04 51.0 47.0
MT1 79.0 47,5
N
/
/
/
MUNICIPALITY OF ANCHOP~AGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGI~ADE) PERMIT
PERMIT NUMBER:SW940260
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:KERR CALVIN L & MARILYN B
OWNER ADDRESS:PO BOX 111293
ANCHORAGE, AK 99511-1293
DATE ISSUED: 7/26/94
EXPIRATION DATE: 7/26/95
PARCEL ID:01512301
LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK 1 L
T 46
LOT SIZE: 22147 (SQ. FT.)
ND-MBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE TRENCH MUST BE 50 FT OR MORE FROM THE CUTBANK.
RECEIVED BY: ~- , ~,~ DATE:
ISSHED BY: ~- DATE:
ROBERT SHAFER, P.E,
ROGER SHAFER, P.E.
July 09, 1994
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
,MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Valli Vue Estates Subdivision #2; Block 1; Lot 46
Request you issue a permit to upgrade the septic system serving the
three bedroomho~seonthe referenced property.
A test hole was excavated and a percolation test performed in the area
of the proposed upgrade. The approximate location of the test hole is
located on the attached site plan. The monitoring tube within the test
hole has been checked and found to be dry. Attached is the proposed
upgrade design.
We do not anticipate any adverse effects on neighboring properties by
the installation of the proposed septic system.
If you have any questions, or require additional information for your
review,~ contact us.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
o
m_~>.
~<o~
ooa.~
3a¥~odnJ
,OCj : ,,L~ .
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5-
8'-
9
~d
11
12
13:
14-
15
16
17
19
20
WAS GROUND WATER~
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth Il
S
SITE PLAN
Reading Date Time Ti~e Water Drop
.' ~ff ~ u ~ Y~ ~/~ "
~o~ ~o. : ~o ~ ¥~
COMMENTS
S & $ ENGINEERING
17034 Eagle River Loop Road No. 204 ~
PERFORMED BY: ~'~ ~¥~i, ,~[a~ka -~.~7~' I
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE
72-008 (Rev. 4/85)
PERCOLATION RATE ~r' ; ~.~-I ~. ~,
__ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -- FT AND ~ FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
ATE. DATE:
{_.] p '~'~ /~/'~ 'D/.~ ~", MUNICIPALITY OF ANCHORAGE
· D~. ,RTMENT OF HEALTH AND HUMAN SER ES
Environmental Health Division ,"
~(~"&~O Jr'! c ;'~m ~ ~, ly 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ DISTANCES
C~1 ~' ~ /4~ ~ SEPTIC ABSORPTION
A~ TANK FIELD WELL
Pho~e{s) WELL ~ 200
Permd NO. NO. of Bedrooms
L°t~C Bm°ck I ~}/I ~ FOUNDATION ~
Township, Range, Seclion -¢,
AS-BUILT DIAGRAM tShow iocatior) of well, septic system, property hnes, foundabon,
5' /+ '~ ~ ~ ~Z ~ O,,veway. waterboOies, etc)
TANKS
Manu~aclu~er Caoacdy m ~aaons
Material NO. of Compadments
~th to pmpe bottom from Total depth from original grade
Fal added above origmnal grade Gravel depth beneath p~pe
FT FT
Total absorption a~ami Distance between lines~(l ~ J
SO FT FT
WELLS ~
~ PRIVATE ~ OTHER fldentifv)
REMARKS: - ~
I~/1~¢ i'1/~'/f~ ¢+_ ~ ¢ ¢ . ~ cediiy that this JnspeclJ0n was ped0rmed acc0rdin9 to all
Municipal and State guidelines iff effect on this date: / = /j 8 / ¢ ~
72-013 (3~85)
DEF'ARTIvtEh. I]' GF I"tEAL. TH AND ENV]:RONIdENTAL PROTECTION
L:]25 L STREET.. ANCHORAGE,, AK 99501
264-472o
PERMIT lq[:::
DA]'E: I ,%~3UED [~
(~'IF'F:'L I CANI':
ADDRESS:;:
CON:' A(:]'F PHi)NE:
LEGAL L)ES[:R[F'~
L.O] S1ZE~
LGT LOCATION:
~,,.~,.. 7..:,~¢ '"lAND ¢~b, .L ] ¥ ~:.11
12 / ].6/85
CALVIN KIERR
BOX 11
At'4CHORAGE, AK 99511
.Z~46.- I624
SUBDI'VISION: VAELI :'VUE ESTATES ~2
SECTION: ].4 FOWNSHIP= 12N RANGE:: 3W
.75P (S[~.F'T. OR ¢4CRES)
RECEIVED
cer't i£y that:
I affl ~'amiliar. with t. he r'equir'ement~_=~ Cop on-site eewers and wells as set
¢erth by the Muriicipa].ity o[ Anchorage (MOA) and the State o¢ Alaska.
2. ] will Lnsta].]. the sys~.em ~ accopdanc:e with al'~ dOA codes and pegulations,
and ~.[ comp].].arice wi'th the design cr'ite~-i.a ef th:i.s permit.
I w:i. 1]. adhe~'e t.o al: MOA and State of Alaska r'equipements ~of the set bac:k
dJ.s'~;~.i]ces ~r'om any e).(i%~:].l'iq ~;el]., [~astewater, dispesal system or pub].ic
IF.['~ L.]]:"[ .c~'fY~f'IOIq ES II',IS]'AL[_ED IN AN AREA COVERED BY MOA BUII...D. ZNG
THE:Iq (1) AN ~:.L. EC fF~iUAL I E.RM.[] AND [NSF'ECTIOI~ MUST BE gBTAINED; (~) A ..... U: L..I,.~
[a~l..t IxlO] BE APF'Rr)VED WITHOIIT ~hl [:I..E.C, ~[CAL INSFECTIBN RIEPORT~i ANg (3) THE
l:,.,::..,lt~][ 4 I~1::: I"IUS] BE DONE ~Y ~ LICENSED ELECTRICIAI~I.
~:~ J: i~NE.D I')A-FE ~,
, ] I ,.1L.,~ - . I.Pd...v].l] ',[:.RI
,/
ANCHORAGE AREA BOIr'-' 'iUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MA LNG ADDRESS
LEGAL
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER.~'~-~C/~ ~?'-g / MATERIAL ~"~'~,~0 / COMPARTMENTsNUMBER OF
INSIDE Wl~ ~
LIQUID DEPTH LIQUID CAPACITY /~ ~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
DIAMETER __
OR WIDTH
..~,,v. ,
LINING MATERIAL O~¢('P;1'~/H'TgCRIB StZE: DIAMETER
/-
BUILDING FOUNDATION ~:~,f NEAREST LOT LINE ~ /
ADDITIONAL ABSORPTION
Le N GTI~", DEPTH /
DEPTH ~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION __ LOT LINE
CESSPOOl OTHER SOURCES
APPROVED DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
INSTALLED
PiPE MATERIAL: ~r// C''~f],~
LOT SLOPE:
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYSTEM
(;;REA, ER ANCHORAGE AREA BoR~dGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO.
blaME OF APPLICANT~ / MAILING
FINANCED TH"OUGH Z~/ ~ / TO BE INSTALLED BY
SOIL TEST RESULTS ~:~ '~ * NOTE:THIS PERMIT IS UT ~OIL ~
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTIOI~I BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUI3JECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREM/ENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~ / DRAIN F~ELD
SEPTIC TANK TO SEEPAge PIT WALL
SEPTIC TANK ~ .. SEEPAGE Pit ~ DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
TO RIVER, LAKE, ST~JEAht,
, ALSO CONSIDER AREA WELLS,
, SEEPAGE PIT ~ ~
/~'~ , DRAIN FIELD
C~ST 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
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYBTEM
I CERTIFY THAT I AM FAMILIAR VVITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE /