HomeMy WebLinkAboutLot 01 16 -
ER ANCHORAGE AREA BOp GH
Department of Enwronmental Quahty
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'~/~,~*./J~. /'~LO~/,--~ MAILING ADDRESS ~'/~/~ /~P/~ /B~7 ~,.rz~-J~ PHONE
LOCATION /--~7~2/ .~ /~A~,-/~' ~'~ ~<"~J~ LEGAL DESCRIPTION
SEPTIC TANK'
DISTANCE
FROM WELL MANUFACTURER ~U ~/~ ~"'~" MATERIAL
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY / ~'"~"'~ GALLONS
SEEPAGE PIT:
NUMBER OF PITS
DIAMETER OR WIDTH LENGTH DEPTH
LINING MATERIAL
BUILDING FOUNDATION__
CRIB SIZE DIAMETER
NEAREST LOT LINE~
DEPTH DISTANCE FROM WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ FT
ADDITIONAL ABSORPTION
WELL'
TYPE ~""~ ,O
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION P! ~
NEAREST NEAREST
, LOT LINE SEWER LINE
OTHER SOURCES
DISAPPROVED ~ REMARKS
DEPTH
SEPTIC
TANK
DISTANCE FROM
SEEPAGE ~//
SYSTEM
DISTANCES
DIAGRAM OF SYSTEM
INSTALLED BY
PIPE MATERIAL
LOT SLOPE
REMARKS
Form NO EQ-031
DATE
APPROvEO,~"'"-
GAAB
gre/~:R ANCHORAGE AREA BO~JGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT NO
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT.~¢j-~, .~
N~ME OF APPLICANT
'.STALLAT,O. LODAT'O. /ow
FINANCED THROUGH TO ~E INSTALLED ~Y
~ ~ ~P~ ~Fl~Q~NOTE~ THIS PERMIT
fINAL iNSP=CTION ~ HOUR NOTIE= REQUIR=D BACKFILLING
D=PARTM=NT OF =NVIRONMENTAL QUALITY ~UTHORITY WILL be
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK /~L~ / /~J /
CAST IRON INTO AND OUT OF SEPTIC TANK AND [NTO 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
DIAGRAM OF SYSTEM
GRAVEL BACKFILL,
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO 28 68 AND THAT THE ABOVE
DESCRIBED SYSTEM I$ IN ACCORDANCE WITH SAID CODE
DATE APPLICANT S SIGNATURE
FORM NO ED-016
December 6, 1972
~r. Ho~er Miracle
St. Rt. A, Box 133B
Anchorage, Alaska 99507
Subject: ~ater supply systel:~ on your property, Account ~01G-0Z1-
07, bordering the Old Seward Mlghway.
Peer Sir:
This Departrmnt has no tnfor~)atton on the well servtn9 the
residences on this property.
Would you please sketch a diagram indicating well location
and septic tank se~er syste~)s locations and the distance
between these two systems.
Your cooperation will be appreciated.
Sincerely,
Les ~uchholz
Envtronr~ental Control Officer
~b
RECEIPT FOR CERTIFIED MAIL-.-30~
~.~o , · ~ -, . ~ (plus pot
1071 3800 NO INSURANCE COVERAGE PROVIDED~ NOT FOR INTERNATIONAL MAIL