HomeMy WebLinkAboutPROCTOR Lot 2 & 3
ER ANCHORAGE AREA BORk:GH
Depsrtment of EnvironmentsI Quslity
3330 C Street
Anchorage, Alask8 gg§03
I~SPECTION,.,~R~ORT ON-SITE SEWAGE DISPkOSAL 5YS.,T,EM~/ /
TILE g4~/~l~,l '.; ',,_LD:
/
TOTAL
LENGTH
/
DISTANCE FROM WELL'~"~ ~DATION '~ O / NEAREST LOT LINE_ ~ ~
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE ~
~ MATERIAL BENEATH TILE IN. ABOVE TILE_ ~
WELL:
TYPE _
CONSTRUCTION DEPTH
DISTANCE FROM:
BUILDING NEAREST
FOUNDATION LOT LINE
NEAREST SEPTIC SEEPAGE
SEWER LINE__ TANK.__ SYSTEM
CESSPOOl
OTHER SOURCES
APPROVED_ DISAPPROVED REMARKS
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL: ~-' '''~'
LOT SLOPE:
Form EQ-032
DIAGRAM OF SYSTEM
F'EF:H :t1T H':
I)EF'Fff:::THIENT ~:~':~ HEFIIZTH FIND EI'.¢,,,'Z[F~'.OI, q,IENTFIL.
t :F_Tr' F'. E E T., FiNC:HORFtEE.,
2 7'9---;.~:S&::L
_, I h. HI ,IL. :[ NC:.-F~:E:i.:;T
F-~'E, ,: .....
LTffJ.,:"'"':' .......
LCrT ::, :[ ,:.E.
27ff;
FLEET
i I1't,:-:,] I'1 Il I.H...I[ll..I_[.:. Cfi:'
-I"H[C F::EC:!L.I l RE[::, :, .. ,L[:{ O1::' THE 'j~:l".:l Zi: L FIE::'.?,OI'~:PT ]: ON .:, r :, I E.I 1 Z -,:
T]--ilE L.E:NEiTH D ]: I','tENE; I Oi'.,I ]: L:.; THIS I....ENGTH ,:: I I',1 FEET > C)F THE TREI'.,ICH OR E:,RF:I ]: IqF':[ ELI:::.
THE DE::F'TH O1::' [::~ 'I"F:ENCH OF?. F']:T ]:!5 THE: E:,L['_.E;TfflNC:E: E:ETHEEN THE: E';UF:'.FF:IrE:E OF' THIS
GF,:'.OLJI'-,:E:, Fal'qD THE: I-~:C)-FTOH OF:' THE E;:.:;CFIVFI'I":I:Oi',I (:iN F:'Ei:E:T).
THfEF:".E :t:~:; I'.,IO SET H]:DTH F'-OF:'.
TI~.IE:J GI:;?.FI',,,'b-__L DE:I::'TH :1: S THE: H :[ N :[ fqUH E:,E:i::'~rH OF' GF:'.FI',/EEL E:E-f'HEEN 'THE OUTFF~LI._. F' 3: F:'E:
FINE:, TFItF_' E:OT'TOH OF: THE EXC:FI',/FIT ]: Ol'.,I ,:: :[ N F_[EE-I" ).
E:FiCI.:::F:' Z L.L.]: NG OF: RN'./ 2;'gtE;TEH H ]: THOLJ'I' F :[ NI::IL 3: NSF'ECT ]: ON RND RPF'I;:O',/FIL. B'¢ "['H :['.E;
E:,EF'FIiRTHENT H:[L.L E',E :~;LIEhJrEE:T '1"O PRO:E;ECUT]:ON.
HLIr,1 D ]: ~(;TRI'.4E:E: E:ETHE:IEN FI HELL RN[::, F41'.,i'.~ OIq'--S ] TE SEHIaEiE [) ]: ~;PO2~;R[... :E;'./~;"I"EH ]::5
FEET FOB'. F~ I::'I:~:ZVRTE: HELL OR :~'.tDI2~ FE:ET F'OF?. R PUBLIC HIELL..
:~;F'IEC]:F]:CFITZOF,E:~; lai'.,l[::, CON:STF:IJC:T]:O['.,I I)ZRGI('.I:~HD; RF'.E Fi',,,'F4ZL.RE)LE TO ZF,I~SLIf4'.E F'ROF'E:R
"['FIL. I..F~ T' ]: Of-,L
]: CEI:~:T]:F"r' TI-IRT
::L: :l: FiH F'I::[H]ZL:[FIF;'. I.'.IZTH THE F?.EQLJ]:[REHEN'Tff; FOR OF,I'-ff;]ZTE E;D'I,.IE[q:ff; FINE:' HEZLI_.S FI'E;
FOR'i-H F_':'-r' "i"HI:E HUN :[ C .'[ PRL ]: 'f"¢ OF:' F:INCHCd;;tFI(-:iE.
2: 3: H]~I...L ]:I'.,I?I'FILL. THE '.5'.r'fJ;l'EH ]:t",I FICE:ORI)FINCE HZ"i'H THE E:CIDE%.
7;: :t: Ui",IDEI:;?.?f'fflND TFII:::IT THE: OH'-'[5]:Tf.:.: ~5[E!.,.IEIR '.F2¢:E;TEI"I I'"lF¢'r' F:'.IE6)U]:F:'.IE E:f.,II._F]Fd_'~EHF.:NT ZF" "FHIE
I::?.tE'.L:;]:E)ENC:E :[:E; F?.F. HODL::I..E:[:) TO ]:NCLIJDE I"'IOF4'.IE THF:IN 2!:
]: S:E;U El') E, 1'. ............................................................................................ [- I-~ 1 E...........................................
GRF' 'ZR ANCHORAGE AREA EOF- UGH
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
SO~L TEST RESULTS ~ ¢ NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL
COMPLETION DATE ANTICIPATED /~7 /~
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 SIZE ~/~ TYPE
MINIMUM DIBTANC;EB, REQUIREMENTS
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRA]N FIELD-
WATER MAIN TO SEPTIC TANK
SEEPAGE AREA SIZE ~ ~l.~ ~ TYPE
~ / . DRAI[~ FIELD f~ /~r
, ALSO CONSIDER AREA WELLS.
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.
I CERTIFY THAT I AM FAMILIAR WITH THE R'EQUrREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE A~OVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ ~~
E0-016{3-75}
. ,~ATER aNCSO~AGE Am]A Boflo(J~?~TER ANCHORAGE AREA BOROU~GH
Depa~ment of Environmental Qua~ty
' b: 880
3500 Tud°r Road-- Pouch 6-6 ~0~' __ _~ ~:~.. ,,,
....... u ....... ~u S~PEcTiON REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
MATERIAL ~' '~/~.~Z-~ NUMBER OF ~.
COMPARTMENTS.
~:~'~-?(~./~ ~C'~/~'~ - /~/~:)x%~:~J~ ¢~-'~) LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER "-- OR WIDTH
~-~/~(:~/~'="~= , ~ . DISTANCE FROM WELl
/ ~ J~ iOTAL EFFEC]IVE ABSORPTION AREA (WALL AREA)
LENGTH ,/'c~ , DEPTH
0
, BUILDING F UNDATIO
"'~'~-~'~ f- SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL _ --~-F~)UNE~A-H~N~ , NEAREST LOT LINE
IDTH
NUMBER OF LINES STANCE BETWEEN LINES
ABSORPTIO/~EA SQ. FT. LENGTH OF EACH ~
DEPTH: TOP OF TILE TO ~INISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. ABOVE TILE
WELL: DISTANCE FROM WATER
TYPE DEPTH , BUILDING FOUNDATION SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE , TANK , SYSTEM CESSPOOL
· NEAREST
OTHER
, SOURCES
DIS]ANCES:
DATE
DIAGRAM OF SYSTEM
'/
,'ER ANCHORAGE AREA BOL~'JGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION LOCATION.
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK A
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED.
DRAIN FIELD OTHER
FINAL INSPEGTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
DRAIN FIELD
MINIMUM DI~I'ANCEg, REQUlRIrMENT~
FOUNDATION TO SEPTIC TANK--g)-
FOUNDATION TO SEEPAGE PIT ~'('//
SEPTIC TANK TO SEEPAGE PIT ~ALL / ~- /
SEPTIC TANK . , SEEPAGE PIT
DRAIN FIELD
/¢0' D.Ai. P'ELD
CAST IRON INTO AND OUT O~ TANK AND INTO CR[t~ CROSSING GAP OF
EXCAVATION !5 FEET INTO UNDISTURBED SOIL,
4,~[IINDN D~IA?~.ET.~ETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
/
HEALTH ~[JTHORITY
I CERTI Y THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-08 AND THAT THE ABOVE