HomeMy WebLinkAboutSEAVIEW HEIGHTS BLK 2 LT 6 (LT 3) �oauwuD hAs
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GAAB•H41 C ITER ANCHORAGE AREA BOR H
- tL,r'ARTMENT OF ENVIRONMENTAL QUAL i r
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME GNOY'en 19Oeci5 MAILING ADDRESS ce707 5rw,P�/5f�QC PHO
NE_397D
LOCATION /J 7�7 S0/77.€ //q6 e LEGAL DESCRIPTION 4 o 3 01- LO t6 /k 2,s eG U;IoLJI/r,
SEPTIC TANK:
DISTANCE FROM WELL /O 3 MATERIAL -Z n1V'E / e NUMBER OF I
Q/ COMPARTMENTS
LIQUID CAPACITY / Z 7 0 GALLONS. INSIDE LENGTH E '`'INSIDE WIDTH LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / / X /
OUTSIDE DIAMETER
OR WIDTH LENGTH DEPTH l0
LINING MATERIALOIJ(Yele /'�fS . DISTANCE FROM WELL / /l� BUILDING FOUNDATION � 7 '
NEAREST LOT LINE /_ -'/ / . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) q..32 SQ. FT.
TILE DRAIN FIELD:
TOTAL'LENGTH
DISTANCE FROM WELL FOUNDATION , NE EST LOT LINE , OF LINES
NUM:ER OF LIN DISTANCE B EEDES TR CH WIDE
. -.-----------'\. TOTAL lN. TOF�CTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
WELL: IN. ABOVE TILE
TYPE C( ✓.; //ed DEPTH 2- 5`J/ DISTANCE FROM Z.-07
_ "' WATER
BUILDING FOUNDATION. ( —' SAMPLE NEAREST
LOT LINE ET WERS LINE ,TANK �0.-1 SSYSTEM E / /-'
OTHER
, CESSPOOL SOURCES
DIAGRAM OF SYSTEM
DISTANCES: - ',..1
3U- 542;I f * 4
-� g ra v P:f -i- 4# cast
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to
o �„ 1
. 7 U\ I
0
s I
DATE v C'fr Gr, /qiz_. 6i-er--2 ,
APPROVED
A.
if
• ? GREA I ER ANCHORAGE AREA B'� 6- 14 �� OR.�UGH
�� �a �' DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
01(/
3500 TUDOR ROAD POUCH 6-650
�� ^� 11/ k ANCHORAGE. ALASKA 99502
r11 1�ri TELEPHONE 279-8686
I �f SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT � M/ s /n'�^' MAILING ADDRESS �7D7 5-01-1-.4-1- 147-494-(4-' PHONE I��'3�7v
INSTALLATION LOCATION/)�r'��" - '� /
LEGAL DESCRIPTION - gy ( Z S�G�-r/t2ctr �' IA—
LEGAL
OF: SEPTIC TANK X SEEPAGE PIT Y DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TOLLrBE SERVED ��tl - (5-4 ��
�" - s.
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE AL/41TYPE 5.t-4449
SEEPAGE AREA SIZE
tOil/(44L
TYPE
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM ///
FOUNDATION TO SEPTIC TANK
5 '
FOUNDATION TO SEEPAGE PIT , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /s- '
Ci 1
SEPTIC TANK I . SEEPAGE PIT �O , DRAIN FIELD
TO NEAREST LOT LINE. ,
I
WELL TO SEPTIC TANK Rii , SEEPAGE PIT /O
DRAIN FIELD , ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK 7O ' SEEPAGE PIT /O`
DRAIN FIELD
SEPTIC TANK. �� , SEEPAGE PIT oo , DRAIN FIELD ,
TO RIVER, LAKE, STREAM.
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.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
f / /
if 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
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
�j//� / 2
DATE oV, V/ 0'7/ APPLICANT'S SIGNATURE �_ / .�