HomeMy WebLinkAboutSCHROEDER LT 42Cj cnfoeder
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A1E12 AN11101AGE AREA E 101GH
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION RE _'N -SITE SEWAOE nISP®SAL SYSTEM
NAME MAILING ADDRESS-
I
LEGAL DESCRIPTION /X
LOCATION
--
SEPTIC TANK: NUMBER OF
DISTANCE -MATERIAL
�('i"j'f%COMPARTMENTS
C ����/'�
FROM WELL ,�C MANUFACTURER-
- INSIDE WIDTH - LIQUID DEPTH
LIQUID CAPACITY GALLONS.
INSIDE LENGTH __------
SEEPAGE PIT: OR WIDTH �
H �L, LENGTH, f DEPTH
_. •
NUMBER OF PITS L-• DIAMETER
_-
i
-M R - > DISTANCE FROM: WELL -
LINING MATERIAL�' ,1 L� CZRIB SIZE: DIAMETE_�_DEPTH
TOTAL EFFECTIVE _ SQ FT.
ABSORPTION AREA (WALL AREA)
BUILDING FOUNDATION- 1 , NEAREST LOT LINE
ADDITIONAL ABSORPTION
WELL:
TYPE =� _�C_(�-CONSTRUCTION _
NEAREST NEAREST
BUILDING SEWER LINE---
FOUNDATION
INE-FOUNDATION LOT LINE_
CESSPOOL ---- OTHER SOURCES
APPROVED- DISAPPROVED REMAR
DISTANCES:9' -- -��
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DEPTH - DISTANCE FROM:
SEPTIC SEEPAGE
TANK-') SYSTEM
DIAGRAM OF SYSTEM
YJ
DATE _. APPROVE
G.A.A.B.
7.7
w � � GRE "ER ANCHORAGE AREA BC )UGH
riEPARTMENT OF ENVIRONMENTAL QUALI'.'V PERMIT NO. a :-
3800 TUDOR ROAD POUCH 6.680
ANCHORAGE. ALASKA 88802 _
TELEPHONE 279.6686
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAM! OF APPLICANT) MAILING ADDRESS L.) HON
INSTALLATION LOCATION ---.-
LEGAL DESCRIPTION�-
INSTALLATION OFI SEPTIC TANK . /-''� SEEPAGE PIT_ �� DRAIN FIELD OTHER o
TYPE AND SIZE OF FACILITY TO BE SERVED L -
FINANCED THROUGH TO B! INSTALLED BY
J,- 7 T r- G - NOTEI THIS PERMIT 16 NOT VALID WITHOUT 601E "PEST
801E TEBT.RESU LTB "`-�"-------�_-"--'
COMPLETION DATE ANTICIPATED
FINAL INSPECTIONt 14 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
�(�` TVP!' t'/7i-C O1 i?e-�L' SEEPAGE AREA SIZE
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
/
DRAIN FIELD •�.�---•-•
FOUNDATION TO SEEPAGE PIT _-�`�
SEPTIC TANK TO SEEPAGE PIT WALL
'
/
FIELD
SEPTIC TANK 'E) , SEEPAGE PIT
=2E:,' DRAIN
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK SEEPAGE PIT l7 `
V'1�/.�,�-
DRAIN FIELD /��.6=�
ALSO CONSIDER AREA WELLS. '
/�-�
WATER MAIN TO SEPTIC TANK ��.5�/
SEEPAGE PIT
DRAIN FIELD /'41 / --
��' G� /
SEPPIC TANK, SEEPAGE PIT
-- DRAIN FIELD
TO RIVER, LAKE, STREAM.
_CAST IRON INTO AND OUT OF SEPTIC TANK__AN_D_. INTO CRIB CROSSLNQ-OAP-_OF.-
EXCAVATION 8 FEET INTO UNDISTURBED SOIL.
4
IN DIAMETER CACI_ IRON SIPHON PIPES ON_S_IPTIC TANK_AND KEP_AO_ 9- PLT
�ITT�D W�7K AI RTLQHTJI,EMOVABI.[ CAPS.
GRAVEL BACKPILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
'LLAXIL/I
/HEALTH AUTHORITY
OR
LICENSED DESIGNER
17
TYPE
DIAGRAM OF SY6TEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA KORO' OH
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
-� APPLICANT'S SIGNATURE J�_ -`� { L#
DAT! � - -
/I
NCE -NO. 28.88 AND THAT THE ABOVE