HomeMy WebLinkAboutWALTER G PIPPEL Block 2 Lot 9 W2 locL
G',:-"~TER ANCHORAGE AREA BORO:"~H
E,~I"ARTMENT OF ENVIRONMENTAL OUALll
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL_
UQU~D CAPAOiY /'Z
ADDRESS PHONE
LEGAL DESCR,P,,OZ'"4 Z
GALLONS.
MATERIAL ·
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH DEPTH.__
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEARESI LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH / ~ , LENGTH /Z.' , DEPTH
DISTANCE FROM WELL /'~ ~ /
BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ~ ~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELt
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TRENCH WIDTH
, FOUNDATION
DISTANCE BETWEEN LINES.
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES,
IN, TOTAL EFFECTIVE
IN. ABOVE TILE--
WELL: TypE~I(~2~i/'i//~c.~ ~:;~ ~ / DISTANCE FROM ,~,~( WATER
DEPTH , BUILDING FOUNDAT'O'._ SAMPLE NEAREST
NEAREST SEPTIC ~[ SEEPAGE / ~ I OTHER
LOT LINE /~ ~ SEWER LINE , TANK , SYSTEM ~ CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
Po, (z~ z~a,-~ .7~,1~,,~'
k/ 62' '(~ .A.A.B.
GRE,~.¢ER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE· ALASKA 99502
SEWAGE DISPOSAL SYSTEM w APPLICATION AND PERMIT
TYPE AND SIZE Of FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
PERM'TNO.
DRAIN FIELD
TO BE INSTALLED BY
COMPLETION DATE ANTICIPATED
, OTHER
NOTE~ THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION=
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
MINIMUM DISTANCES REQUIREMENTS/
FOUNDATION TO SEPTIC TANK
_, DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
WELL TO SEPTIC TANK
DRAIN FIELD
· SEEPAGE PIT~2 , DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, .~ SEEPAGE PIT ., DRAIN FIELD
TO R[VER. LAKE· STREAM.
CAST [RON I~TO AND OUT OF SEPTIC TANK AND [NTO CRIB CROSS[NC 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 BOROUGH REGULATIO S REGARDINg INSTALLATION.
LICENSED DESIGNER
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH OrDl~CE NO. 28-68 AND THAT THE ABOVE