HomeMy WebLinkAboutBRUCE Lot 1GRE/
ER ANCHORAGE AREA BOR' 'JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS ~'~.~"O
LEGAL DESCRIPTION
LOCATION
TAN K:
DISTANCE
FROM WELL/~O
MANUFACTURER t/~Z~l~
INSIDE LENGTH
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPAC
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
/~'~ TOTAL LENGTH
T LINE OF LINES
DISTANCE BETWEEN LINES ~WIDTH IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE --
DEPTH OF FILTER
MATERIAL BENEATH TILE_ __IN. ABOVE TILE IN.
TYPE_ ~ DEPTH _ DISTANCE FROM:
BUILDING NEAREST NEAREST SET~.¢~.~ SEEPAGE
FOUNDATION__, LOT LINE__, SEWER LINE , TANK , M
CESSPOOL OTHER SOURCES ~
APPROVED __ DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE: ~/¢N'~
Form EQ-032
F
DATE
G.A.A.B.~,.
GreaTEr AnChorage ArEa BorOUGh
DEPARTMENT Of ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
~z,,"/,*/~-
INSTALLATION OF: ~TANK ~ SEEPAGE Pit_ DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
S OIL TEST RESULTS
COMPLETION DATE ANTICIPATED
PHONE
OTHER
NOTEs THIS PERMIT I$ NOT YALID WITHOUT ~OiL 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.
SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SE"P=~C TANK
FOUNDATION TO~E-E-P~GE PIT DRAIn FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ,SEEPAGE PIT , DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
/ ____
WATER MAIN TO ~ TANK , SEEPAGE PIT
DRAIN FIELD
-- .___
~P~C TANK, , SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
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.
DIAGRAM OF SYSTEM
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
DESCRIBED SYSTEM 1~ IN ACCORDANCE WITH SALE) CODE.
FORM NO. EQ-01 6