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~,¥,-,~-~ , G',,~TER ANCHORAGE AREA BORO,..__jH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
· ,,r, ~ , ' ~ NSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LEGAL DESCRIPTION , ~.z-,r~-t/- /'Z ,~,~ ~/I =
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY /25'6 GALLONS.
MATER AL
INSIDE LENGTH
NUMBER OF /'
COMPARTMENTS
LIQUID
INSIDE WIDTH DEPTH_
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL (~O/L'~(~/L~'-~'~'- ~'/d:~;~:'(' .
NEAREST LOT LINE ~?~'' /: TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
OR WIDTH ,LENGTH ., DEPTH
DISTANCE F~OM WELL /'~() BUILDING FOUNDATION
SQ. FT.
TILE DRAIN FIELD:
~'"~, F ~ TOTAL LENGT~
DISTANCE FROM WELL / , NEAREST LOT LINE. OF LINES /
LIN~-~
NUMBER OF LINES × DISTANCE BETWEEN TRENCH WIDTH ~'fN/. TOTAL EFFECTIVE
ABSORPIION AREA SQ. El. [ENGIH OE EACH -'~'"~---~ .~.~ .
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: I, ;~., DISTANCE FROM .//.~ / WATER
~ TYPE.~J~'~'4,~ ~Sk',q DEPTH BUILDING FOUNDATION SAMPLE /L;'~')~ NEAREST
. NEAREST ~ SEPTIC ~.,.~ I SEEPAGE /~(. / ~ OTHER
LOT LINE ,~ ~ L SEWER LIN~ __ : TANK _ ' _ __ L SYSTEM% -. ' , CESSPOOL , SOURCES
DIAGRAM OF SYSTEM
DISTANCES: ~
I
DATE
Grea~eR ANCHORAGE AREA BO~bUgH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
PHONE
INSTALLATION OF: SEPTIC TANK 'l'~
TYPE AND SIZE OF FACILITY TO BE SERVED
SO,L test ReSUlTS~~?te~:h'~
COMPLETION DATE ANTICIPATED
SEEPAGE PIT , DRAIN FIELD ., OTHER
NOTE.' THIS PERMIT IS NOT ~ALIB WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK~'~ t
FOUNDATION TO SEEPAGE PIT ~)
SEPTIC TANK , , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SePTiC TANK----/~)~ DRAIN FIELD
sePTIC tanK,~--~' ., SEEPage PIT
TO RIVER LAKE STREAM.
DIAGRAM OF SYSTEM
, DRAIn FIELD
,~0/'
, DRAIN FIELD
SEEPAGE Pit /~
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT
/,~,~ '
, DRAIN FIELD
~CAS~T IRON INTO AND OUT OF SEPTIC TANK AND InTo CRIB CROSSING gAP OF
EXCAVATION 5 PEET INTO UNDISTURSED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SePTiC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAP~S.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATIOn.
HEALTH AUTHORITY
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
DeSCR't~D SYSTEM 1S IN AOCOROaNCE WITH Sa/D CODE'/~7/ /~ ~_~¥~/*"~) :/'/1~~ ' '
2Sl,q Linc6(~t: F;~rive
AnchoragF~, Alaska
sit{, S e,~,ya ~e
Clark?
Ti~i~ l~-~tter is i~] 'the for)-~ of a notification that a soil test
resui!: 'Fei" ~:S',~.: subject syste~ri has not l)e,,~ roci~.>w.:d by t?}is
office. Thermoforms, this office will not approve th~ said
syF;i;~::.F;i u~ti! such a time as a copy of the results are rect'.ived~
t(ow~ver, hhis of'F)o~ will ~'~ot require you to uncover the said
SV,;t~:-m, only dt,~,, to *t , . ,
....... ~,.e 'Fact that f4r ~wen King deserves such
action in light of yo;Ir previous landscapin~ attempts.
It should also be noted that if the said system fails to
Curm;:ion $1~roperty, this office will bring forth the facts con-
cernin? the excavat6mhs apathetic aStempt to provid~ soils
information for th(~ s'it~ of ''- r
t,~:~ subject system and its pro-
bably effects on the said system.
If .you i~ave any qtmsttons regarding the a. bove, [)lease do not
es~tate to co~tact this office.
Sincerely,
Timothy L. Rumfelt
Sanitarian
cc~ Mr. Owen l(in~