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HomeMy WebLinkAboutSCHROEDER EAST BLK 7 LT 16Onsite File Schroeder East Block 7 Lot 16 #050-071-18 If well on property is inactive, it shall be decommissioned prior to COSA approval. P�,.Jb c o 3 L_ � 3 �r Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 11;Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211288 PID Number: 050-071-18 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name SPRING BROOK CHURCH OF CHRIST ABSORPTION FIELD Site Address 12731 SPRING BROOK DRIVE, EAGLE RIVER, AK 99577 0 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Phone❑Other Number of Bedrooms Soil Rating Total depth from original grade 830-6053 3 1.2 GPD/SF SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot SEE DWGk.. SCHROEDER EAST 7 16 Ft. 5.02 ]Ft fn N ` Township Range Section Fill added above origina�G. SEE DFt. Gravel length 38 Ft. Gravel width Number of Lines Distance between lines SEPARATION DISTANCES 2.5 Ft. - Me P tic Abso tion rp Field Lift Station��To Holding Tank SewerTank Line Total abso tion area 380+ Ftz Number of trenches Ft. Dist, between trenches I Well 100,+1 100'+- _ 25'+ Ft. TANK M septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER TANK 1000 Gal. Surface Water 100'+!' 100'+ - _ Lot Line i 5'+ i *5'+ - - NA Material PLASTIC Number of compartments 2 Foundation 10'+ 10'+ - _ 2 ATION Manufacturer Capacity Gal. Remarks -----4 )aN VSQ 0SW zI t ply Alarm location Elect, ailed by PIPE MATERIAL House [o tank Tank to Installer D3034 grainfield D3034 NORTHERN EXCAVATION Drainfield D3034 Co/MT63034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 93.96 ft Inspection ectio1st 9/29/21 2 ,9/30/21 Location and description 3rd 9/30/21 ¢,h - TOP OF MANHOLE LID (MH1) ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ,�ofioo��44 Conditional Approval: Date o �F.. � ... ....:..... ,t.. :... �n Septic System 4 f� A`'ea ss. Approved 5 CE --7953 3 s Date �2. �p� P e •.l��a�, ��� �o -_.�:v___._ — �,---Note:_this approval-does--not-include-well-permit-requirements: TyN v �ap� c fe55to�° #AECCO84 (Rev 05/02/18) PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: OSP211288 1R050-071-18 A B C DBL1 38.5 25.4 52.5 DBL2 39.1 25.8 54.0 MH 54.3 40.8 77.0 ST1 57.7 44.3 81.3 DBL3 59.7 46.6 84.D DBL4 61.1 48.0 85.4 C01 69.9 56.7 91.0 MT1 71.0 58.1 94.8 CO2 85.3 75.3 123.0 IMT 2 85.6 1 75.3 122.6 10' UTILITY EASEMENT NEW DRAINFIELD SHED r . I i ( INSTALLED DOUBLE i r CLEANOUTS (DBL3 & DBL4) Ir NOTE: PIPE LOCATIONS ARE IF - SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO to S910 LASER DISTANCE 5 FOOT LOT LINE i METER. SWING -TIES TO WAIVER GRANTED— Is'— HOUSE CORNERS WERE GENERATED IN AUTOCAD. i NOTE: PER THE CONTRACTOR, THE OLD SEPTIC TANK WAS FILLED WITH CONCRETE. THE OLD CRIB WAS DECOMMISSIONED PER THE CONTRACTOR / / / I \ / i SPRING BROOK / \ CHURCHOFCHRIST BOARDWALK y 1 I 11 SCHROEDER EAST; BLOCK 7, LOT 17A CONTRACTOR LOCATED THIS WATER LINE. APPROXIMATE LOCATION IS SHOWN 1 I 1 NOTE: LOT 16 AND LOT 17A ARE O ED BY SPRING BROOK CHURCH OF CH IST =W 1000- GALLON GREER PLASTIC SEPTIC TANK I - Z w 2i w U) LU INSTALLED DOUBLE�\y�� \ CLEANOUTS (DBL1 & DBL2) CARPORr i B A co I� O � i 0 LU m� C) �0 z u, C, w i a / co / SHE@ / I / EXISTING / WELL r 1 I o I I SPRING BROOK DRIVE ENGINEERING SALES CONSULTING - _M.. 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE. ALASKA -PHONE (907) 337-6179 ' WEBSITE: mgames engineering.com PREPARED FOR: C/O RONNIE GOULD PHONE NUMBER: PAGE NUMBER: SPRING BROOK CHURCH OF CHRIST 830-6053 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: SCHROEDER EAST; BLOCK 7, LOT 16 J.L.M. TYPE OF WORK: DATE - RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 8/23/2022 A IF - I i I I I i i I \ i \ y SCALE: l 1" = 30' — — — — - �$p©b4$ oil rt................0 y A. Garn sS�a c LICENSE e 41��uuv'u1 1 , #AECC884 CM PERMIT NUMBER: OSP211288 RECORD DRAWING V I1 G TOP OF MANHOLE FINAL GRADE = (MH1) = 93.96--\ 93.83 -94.33 - TOP OF TANK @ INLET = 89.93 - INVERT OF BUNG @ INLET = 89.26 - FINAL GRADE = 93.87-94.29 NEW 1000 -GALLON GREER PLASTIC SEPTIC TANK TOP OF TANK @ OUTLET = 89.93 4IGINAL GRADE = 94.50-95.50 TEST HOLE 91 TER FABRIC -INVERT OF PIPE = 88.54 -BOTTOM OF TRENCH = 83.52 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE (NO GROUNDWATER) _ INVERT OF BUNG @ OUTLET = 89.06 PARCEL ID NUMBER: 050-071-18 � NES G U ENGINEERING : SAL ES - CONSULTING -� 3701 E. TUDOR ROAD, SUITE 701 'ANCHORAGE, ALASKA •PHONE (907) 337179 •WEBSITE: Hnrw.gamessen nee' � 9 nng.can �..'�.. n ... . . ........ .........a...� PREPARED FOR. C/O RONNIE GOULD PHONE NUMBER: PAGE NUMBER: JG'@j! Garn 5 SPRING BROOK CHURCH OF CHRIST 830-6053 3 OF 3 �� ; C _795:: PROJECT/LEGAL DESCRIPTION: of SCHROEDER EAST; BLOCK 7. LOT 16 DRAWN BY: / TYPE OF WORK; DATE: LICENSE 4�ROESS�®®®� RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 8/23/2022 PAECC884 �%s Chain link fence Lot 1 Lot 17A O O O r -- N iR O O 0 O O Z Debora Subd. No. -4 — Lot 2 S89052'50"E 90.00 10' Utility Easement — — — ----------- CP ----------C Shed 1� 7rn c a) Im 1 N M ° W O Lot 16 1 � to Manhole 1 r Septic vent "yp) 1 13.8 -119..9-- 27.8 1[6-2 - Boardwalk l� Carp�- J N o ` o rn i r"7.0 cu o t- LL ra " 7.0 0 9.d .CD r�� a� 13.8 6.7 1 Greenho,se I O C'7 S89052'50"E 90.00 SPRING BROOK DRIVE THOSE SHOWN ON THE RECORDED FB 22-2 71 PLAT ARE NOT SHOWN HEREON p9 UNLESS OTHERWISE NOTED. FB 21-2, pg 36-37 Lot 3 Lot 15 Shed encroaches 0.4'± C:) SCALE: V= 30' _O N C:) � POF • ,q��s �� CD �'. • 49th • •��' �� O ��'�• 00 ✓. . 00 Z 00� •; , 0� lizabeth L. Wolatko .'10 00 �`�i� • , 8036 - LS . • AW 5AW �p�.a • o ® ���E'SSIONA�•��® RECERTIFIED 8-31-22t�� AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 16. BLOCK 7 SCHROEDER SUBDIVISION EAST ADDITION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying C) adjacent thereto encroach on the premises in question and Cn that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 25th day of MAY 2021. FRED WALATKA & ASSOCIATES, L.L.C. BE907-248-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211288 Work Type: Septic Upgrade Tax Code Number: 05007118000 Site Legal Address: SCHROEDER EAST BLK 7 LT 16 G:0353 Site Mailing Address: 12731 SPRING BROOK DR, Eagle River Owner: SPRING BROOK CHURCH OF CHRIST Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Z Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 8/9/2021 8/9/2022 18900 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: �J Issued By: Date: 3 Municipality Anchorage P.O. Box 196650 e 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Xxx ARIAMALI./AIVER REVIEW Waiver#: OSV211046 COSA#: Permit#:OSP211288 PID#: 050-071-18 Legal Description: Schroeder East Block 7 Lot 16 Engineer: Garness Engineering Group Applicant: Spring Brook Church of Christ 1\CIIt '1 n Deparnnent. Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the west property line has been approved. The approved separation distance is 5.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the proposed absorption field only. Any fixture upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ■ 0®® 0 a a a a 0 a 0 f a 0 a a a a■■ a 0 C■■ a a a a a 0 a O a M 0 0 a a a a a M a a a 0 a a a a a a 0 a a 0 a a a 0 a 0 0 a 0 a 0 a a 0 a a 1 Waiver is Granted: X Waiver is not Granted: Date: 0 oC 0 1 Approved by: 9�&= "S Name of Reviewer M a min a a a 6 a a 0 a a a a a 0 a a a a 0 a a 0 a a 0 9 a a a 0 a 0 a a 0 a a a a a a a 0 0 a a 0 0 9 0 a a 0 a a a a 0 a 0 a a a 0 a a 0 a a a a a a a 0 1 'IFFIALITY OF ANCHORAGE 0 Ivy R1 EkL-1p �r...�,.��.T.'�a`:-.`,3a'T: Development SeR ices Department % Phone. 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 050-071-18 Property owner(s) SPRING BROOK CHURCH OF CHRIST C/O RONNIE GOULD Day phone 830-6053 Mailing address 12733 SPRING BROOK DRIVE, EAGLE RIVER, AK 99577 Site address 12731 SPRING BROOK DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd_, Block & Lot) SCHROEDER EAST; BLOCK 7, LOT 16 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx_1 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade 0 (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings F-1Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: LOT LINE WAIVER Distance: 5' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. e (Signature of property owner or authorized agent) Permit/Rush Fees: S Waiver Fees: Date of Payment: 7 y 0 1 Date of Payment:/140a r Receipt Number: ��� �� Receipt Number: � I I Permit No. 05/021 !2� 8 d Waiver No. _0.5 V 2 I /C) `-f 6 G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211288, Rebecca Carroll, 08/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211288, Rebecca Carroll, 08/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211288, Rebecca Carroll, 08/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211288, Rebecca Carroll, 08/09/21 Chain link fence I Debora SWW. No. 4 Lot 2 Lot 1 S89052'50"E 90.00 Lot 17A • • Til 0 10' Utility Easement --------------7 Shed�1 �. 7I Lot 16 a� E M UJ a, b Lot 3 Lot 15 13.8- - Shed encroaches 0.4't ' I� 27.8 LO Cl) Carport M w` 24. Qs � LL 7•p ccc X70 i 4� Boardwalk' 13.8 Greenhouse SCALE: 1"= 30' Note: There is no apparent evidence of existing seepage pit or septic tank. N CD �F , 4F • A,L�S S� AW C:) ` 49 th ;� d 0• o p /{00 • Elizabeth L Wolatko oo *� ����, • , 8036 - LS • • ��® r v0FEss10100-� � AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASKS Standards of the following described property: LOT 16 BLOCK 7 SCHROEDER SUBDIVISION EAST ADDITION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying C:)adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as Indicated SPRING BROOK DRIVE hereon. Dated at Anchorage, Alaska this 25th day of MAY 2021. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON BEEngineers and Surveyors UNLESS OTHERWISE NOTED. FB 21-2, pg 36-37 907-24&1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. GRE)'' R ANCHORAGE AREA BOR( '3H Department of Environmental Quality 0 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME_�IUVd-f—OL aVtvl MAILING ADDRESS PHONE sr- LOCATION- JqM1{ LEGAL DESCRIPTION �oI �G atoti< 7 lliwdl r SEPTIC TANK: DISTANCE // NUMBER OF FROM WELL MANUFACTURER it acC MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY_ GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER LINING MATERIAL �cy(�P[(_ CRIB SIZE: BUILDING FOUNDATION, NEAREST I ADDITIONAL ABSORPTION i OR WIDTH LENGTH 21, DEPTH I DIAMETER _DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE T LINE ABSORPTION AREA (WALL AREA) 3�0 SQ. FT. WELL.: (( C TYPE 11p /r __CONSTRUCTION 6S11wuCl/ . rbj DEPTH ---DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION -,LOT LINE_, SEWER LINE_ TANK, SYSTEM ZU� CESSPOOL _ OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ -031 REMARKS DIAG GREATER ANCHORAGE AREA BOROUGH :�' •'o DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. L ( O 3330 ^C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT �0� lJ'—_L-- MAILING ADDRESS ®��e... PHONE �_- INSTALLATION LOCATION LEGAL DESCRIPTION 61 INSTALLATION OF: SEPTIC TANK _ ! ov /9 SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED V 1 FINANCED THROUGH_ ,(/n TO BE INSTALLED BY . SOIL TEST RESULTS fgn,"'u''` — NOTE: If COMPLETION DATE ANTICIPATED DRAIN FIELD OTHER THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK S17E — TYPE SEEPAGE AREA SIZE TYPE Z/9 MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM �� / r—r-r--1�•—r---r—r°r6-i�e�-r�r^r--r--rv^��•r��� FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL — t SEPTIC TANK _ SEEPAGE PIT —vO /__, DRAIN FIELD I'D NEAREST LOT LINE. WELL TO SEPTIC TANK �D ! SEEPAGE PIT DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE, STREAM. ALSO CONSIDER AREA WELLS. 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 REGULATIONS REGARDING INSTALLATION. ��L G.A.A.B. 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 DESGRIB ED SY TEM I IN ACGOR DANCE WITH SAID CODE. DATE /O �� �� _ APPLICANT'S SIGNATURE GF 'ER ANCHORAGIE AREA BOROL DEPARTMENT OF ENVIRONMENTAL QUALII Y vMnn rllnn0 EvnAn Al%lP If)n A(:F Al AQUA QQ[;fl7 97Q.AR5:t(i INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /0,C) it/�tJ.S /0,J _ -- --- LOCATIONh _ SEPTIC TANK: MAILING =�J0O lyrl - ---ADDRESS-- Ct-'-' t?/ -- ----- PHONE1%Z. P 3' LEGAL DESCRIPTION1M' __/dZ/K%.SCi%:Ub= C=fvjU 17//s 4 A,% .5eL ',f % /moi/1J /<22,10 '/v! %%// NUMBER OF DISTANCE FROM WELL_ r..C'.. MATERIAL 'Sri-!` COMPARTMENTS LIQUID CAPACITY__(_,ALLONS. INSIDE LENGTH____ -INSIDE VIIDTH_ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS- __-__ — _OUTSIDE DIAMETER - � OR WIDTH ___.___, LENGTH_/�� , DEPTH_`'' , pyiG� LINING MATERIAL��__..__t//� ('X��"lo DISTANCE FROM WELL_____BUILDING :(F`OUNDA ONO)/et- /0 NO)/et•92r NEAREST LOT LINE f _��l TOTAL EFFECTIVE ABSORPTION AREA (W/;II AREA)__ '7_SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL _----- FOUNDAI�N NEAREST LOT LINE—_ OF LINES LIQUID DEPTH. NUMBER OF LINES_,__-_ DISTANCE BETWEEN LINES ABSORPTION AREA -_ SO. FT. LENGTH OF EACH LINE TRENCI-I WIDTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE / DEPTH OF FILTER MATERIAL BuNFATH TILE_ __iN. ABOVE TILE_--. WELL: TYPE l�!'i�/E/� DEPTH r�G / DISTANCE FROM WATER NEAREST BUILDING FOUNDATION SAMPLE LOT LINE DISTANCES: (1(76= - _, - ---- - - -- NEAREST SEPTIC �/- SEEPAGE __ OTHER SEWER LINE______, TANK__ lf' SYSTEM- �J _., CESSPOOL , SOURCES_ DIAGRAM 01 `;YSTEM rrivK LAI lEf Pill- DATE1. <, /�/ f•/ APPROVED___ GREAT ER ANCHORAGE AREA BORuUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMITNO.r �4 (19 3500 93500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279.8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT c Lc1 U r , NAME OF APPLICANT--=--�P /17 MAILING ADDRESS a5 "�/>-%��h/ PHONE / L INSTALLATION LOCATION�le �C� LEGAL DESCRIPTION I-G�/� .()l GIY(i ec LAY �� h�Z S7 //ll-Clr �l?_ /V ���C l ��7 �V ,j� lU ✓✓' INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED -4A FINANCED THROUGH-` TO BE INSTALLED BY �„ a Liu 1 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 TO PROSECUTION. SEPTIC TANK SIZE / _ TYPE `% "' /� SEEPAGE AREA SIZE - TYPE MINIMUM DISTANCES, REQUIREMENTS_ FOUNDATION TO SEPTIC TANK f/ 6 FOUNDATION TO SEEPAGE PIT «"�- DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK 1=5 , SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. % �") WELL TO SEPTIC TANK � � SEEPAGE PIT / - DRAIN FIELD _ WATER MAIN TO S DRAIN FIELD - ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND, INTO_CRIB CROSSING GAP OF E CAVATION 5 FE%7 INTO -UNDISTURBED SOIL. 4. INCH DIAMETER CAST IRON SIPHON. PIPES. ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTLGHT-REMOVABLE CAPS. GRAVEL. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. r HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAI' 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. DATE APPLICANT'S SIGNATURE