HomeMy WebLinkAboutSIEFKER Lot A-7
6 TER ANCHORAGE AREA BORC H
D,':..,-~RTMENT OF ENVIRONMENTAL QUALll,
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/
SEPTIC TANK?
MAILING ....
ADD RESS_-.J/<~' ~."~/~'/~'>',4"/,~/' r,~/J'/'x'~x/-~' PHONE_
.LEGAL DESCRIPTION___.~~ ~~F* ~.~
/ ~' ..;,..f.~, - . NUMBER OF
DISI'ANCE FROM WELL ..~2 / ~-cE' (~x'~_ ~ MATERIAL ~",~-~'~7,,~. -~'~ ~.ZT~¢,.x['~'~'/~'ZZ COMPARTMENTS
LIQUID CAPACITY /~ ~2~> GALLONS. INSIDE LENGTH ¢~'INSIDE WIDTH ~-
LIQUID
DEPTH __
SEEPAGE SYSTEM: SEEPAGE PI'r: .~'~"//~'~,.~?-~J-~-?~ ~,~..-.'z'~-~/c,/~;//z~-
/ /
NUMBER OF PITS_ ~ OUTSIDE DIAMETER / OR WIDTH /'~-~ , LENGTH /~- , DEPTH
/ /
LINING MATERIAL ~~"~- ~/~' ' DISTANCE FROM WELL~._~"~ ~ , BUILDING FOUNDATION~
NEAREST LOT LINE ~/~' ~¢~ ~ TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) /~K)~¢~Q. Fl',
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSOR~
DEPTFI: TOP OF IILE TO FINISH GRADE_
--//~DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
. N~T LINE
_TREN~T.~H
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
., OF LINES
IN, 1OTAL EFFECTIVE
IN, ABOVE TILE
WELL:
LOT LINE
T y p E ,,,~..-~//~ -/- ~'~7- ~ DEPTH_/~ / DISTANCE FROM WATER
, , BUILDING FOUNDATION,.~./~) _SAMPLE /~, NEAREST
/
SEPTIC~ ~ SEEPAGE ./. : OTHER
SEWERNEARESTLINE ~ , TANK_/~-.:/~ / , SYSTEM~ ~ ,~SSPO0~/~~: , SOURCES ~
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED ~ ('G.A'.A.B.
GREA!ER ANCHORAGE AREA BOA~)UGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99S02
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF . / MAI lNG
INSTALLATION OF: SEPTIC TANK ~/'~ SEEPAGE PIT DRAIN FIELD . OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS //~///~///J/A 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 ~9'/~--"~---' ~3/~'~ SEEPAGE AREA slze ~/[-- ~ TYPE
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
/
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT. . DRAIN FIELD
SEPTIC TANK TO SEEPAge Pit Wall
· . SEEPAGE Pit
WATER MAIN TO SEPTIC TANK
s~p~c TANX. ~/
., DRAIN FIELD
, SEEPAGE Pit
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST ]RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARD[NG INSTALLATION,
j/'-- -- HEA,~:H/AdT~ORITY OR
LICENSED DESIGNER
i CERTIFY THAT I AM FAMiLIARIWITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDAJ~CE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE '