HomeMy WebLinkAboutNEAL Lts 1A and 3Onsite File
Neal
Lots 1A and 3
PID#
Both lots are now served by public sewer and water.
GC w ITER ANCHORAGE AREA B " 7H I
HEALTH DEPARTMENT® 725
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME C �• ./Sl/ ADDRESS —;Ze2l S�
PHONE
LOCATION LEGAL DESCRIPTION -Z4//7%
CCDTlr TA KIV.
NUMBER OF Y�
DISTANCE FROM WELL ':�/.Z MATERIAL COMPARTMENTS
LIQUID
LIQUID CAPACITYZ/%G�' GALLONS. INSIDE LENGTH `'�- INSIDE WIDTH DEPTH "-
SEEPAGE SYSTEM: SEEPAGE PIT:`��`"
NUMBER OF PITS OUTSIDE DIAMETER ' OR WIDTH LENGTH / , DEPTH
LINING MATERIAI_—"D--' i/' �X'X�' DISTANCE FROM WELL G'/�/�'�-a� BUILDING FOUNDATION
NEAREST LOT LINES ��� s' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) i�,.l!a SQ. FT.
TILE DRAIN FIELD: /l/�
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES
NUMBER OF LINES
ABSORPTION
NCE BETWEEN LINES
SQ. FT. LENGTH OF EACH
TRENC'1'i WIDTH
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:, DISTANCE FROM TYPEe4?%' �`'_ DEPTH .,BUILDING FOUNDATION. SAMPLE NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE SEWER LINE TANK �"' SYSTEM CESSPOOL SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
DATE !�� zzzi APPROVED '-'`
-� HEALTH AUTHORITY
�D
I
/
V
f__Z�
s <-a1PwYe
•
DATE !�� zzzi APPROVED '-'`
-� HEALTH AUTHORITY
l GREATER ANCHORAGE AREA BOROUGH
i/ DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
I/ ANCHORAGE, ALASKA 99502
9/ TELEPHONE 279-8686
`� I }•{�� SEWAGE ®ISP®SAL, SYSTEM - APPLICATION AND PERMIT
PERMIT NO. e
.XE OF APPLICANT MAILING ADDRESS PHONE
.�
INSTALLATION LOCATION /Z2
LEGAL DESCRIPTION '--�j -
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TOy PROSECUTION.
SEPTIC TANK SIZE "f TYPE S EPA E AREA SIZE ` ETI/,/
MINIMUM DISTANCES, REQUIREMENTP
FOUNDATION TO SEPTIC TANK ""
FOUNDATION TO SEEPAGE PIT L� DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.71
WELL TO SEPTIC TANK `SAGE PIT
(�
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
SEEPAGE PIT
DRAIN FIELD
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 REGULAT ONS REGARDING INSTALLATION.
C�
j�AEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
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APPLICANT'S SIGNATURE
INSTALLATION OF: SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD
OTHER ,
✓Yj {' L1 `�` -r
/ C�� p 111 C�Zf�,j
��/ �� I� 1jI ' 7f
TYPE AND SIZE OF FACILITY TO BE SERVEDl%
L �
FINANCED THROUGH
TO BE INSTALLED BY
� � �� %ti12. �f4Cei
/ z' y % 1
tic,
so1L 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 TOy PROSECUTION.
SEPTIC TANK SIZE "f TYPE S EPA E AREA SIZE ` ETI/,/
MINIMUM DISTANCES, REQUIREMENTP
FOUNDATION TO SEPTIC TANK ""
FOUNDATION TO SEEPAGE PIT L� DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.71
WELL TO SEPTIC TANK `SAGE PIT
(�
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
SEEPAGE PIT
DRAIN FIELD
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 REGULAT ONS REGARDING INSTALLATION.
C�
j�AEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
dz17
APPLICANT'S SIGNATURE