HomeMy WebLinkAboutLot 02
3500 Tudor Road -- POuch 6.650
nchoraqe,/~!~1~ 99505 ~ ~ - ....... ~ ~.~
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N°. 855
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
ADDRESS
MATERIAL
GALLONS. INSIDE LEI~tGTH
NUMBER OF
COMPARTMENTS
LIQUID
INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAME:rER
OR WIDTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH X~.~ , DEPTH
, BUiLDiNG FOUNDATION
TILE DRAIN FIELD:
DISTANCE FROM WELL /'""'"'~, FOU~ ' , NEAREST LOT LINE
NUMBER OF LINES / DIS. TANC E BETWEEN LIN ES'~ TRENCH WIDTH
ABSORPTION AR// SQ. FT. LENGTH OF EACH LINE'~--~.~
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
~ DISTANCE FROM WATER
WELL: TYPE ~)~" , DEPTH , BUILDING FOUNDATION J l SAMPLE.
LOT LINE IOo~ NEAREST SEPTIC · SEEPAGE /~'~ "CESSPOOL
, SEWER LINE , TANK '-~-~-~-~-~-~-~-~-~--/ SYSTEM ,
NEAREST
OTHER ~
SOURCES
! DISTANCES:
3
DATE
DIAGRAM O/F SYSTEM
APPROVED
GREATEr ANCHORAGE ArEa BOROUGh
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH E-6§O
ANCHORAGE. ALASKA 99502
TELEPHONE 279-8(~86
PERMIT NO, ,'
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
LEGAL DEBCRIPT,ON L- ~
¥
INSTALLATION OF: SEPTIC TANK .~. SEEPAGE PIT /% . DRAIN FIELD - OTHER
NOTE: THIS PERMIT 15 NOT VALID WITHOUT ~IL
C~MPLETION DATE ANTICIPATED .
FINAL IN~PECTION~ ~4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK~ ~!
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
£
FOUNDATION TO SEEPAGE PIT ~ DRAIN FIELD
!
SEPTIC TANK TO SEEPAGE PIT WALL / ~-
SEPTIC TANK ,. SEEPAGE Pit a~ I . DRAIN FIELD
TO NEAREST LOT LINE.
t
WELL TO SEPTIC TANK SEEPAGE PiT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
EXCAVATION $ FEET INTO UNDISTURBED ~OIL.
eRAVEk BAGKFI~
I CERTIFY THAT f AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 2S.SEI A~ND THAT THE ABOVE