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HomeMy WebLinkAboutMANDELL LT 52A GRE~,,ER ANCHORAGE AREA BOR,.~JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 _ .ms, c .ON RE.O.T ON-S ZE s w^o, ms,os^. LOCATION MAILING ADDRESS ~'~/'~, PHONE LEGAL DESCRIPTION ]~'~'7-] F~ I {JLfl ~_L¢¢¢~.~ f'-/ /-~"T" ~..~L~ SEPTIC TANK: DISTANCE FROM WELL /g~o INSIDE LENGTH ~(~ ~ ~,~f~.~/'~- NUMBER OF MANUFACTURER ,)1~./] ~ :~1 MATERIAL F I ~"¢¢q~'~) //'1~-~' COMPARTMENTS % INSIDE WIDTH LIQUID DEPT~- LIQUID CAPACITY/~¢ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL /(t~/f FOUNDATION TOTAL LENGTH.--,.. ? NEAREST LOT LINE ~ '7 / OF LINES '~'~ /' ~ ' ---- TRENCH WIDTH,~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ~"'~ / DEPTH OF FILTER ~ ! MATERIAL BENEATH TILE ~ 6~- IN. ABOVE TILE ~,~ IN. NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA ,~ '/~- / DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE ~'~,Ad,) ~ F i f~)¢ CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE__ SEWER LINE , TANK DEPTH SEEPAGE SYSTEM DISTANCE FROM: CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: ~¢/~¢¢*~F.'¢(¢ ~F.:- SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE:--~/'N REMARKS: DIAGRAM OF SYSTEM G.A.A.B. LEGFIL '[ :t._ 14R:t.~!_, 4 L 3TS::-E: T'¢PE OF :SOIL I IE,...,uF, E,T] JN ,:,T::,TErl IS I"IFi~-::]:HLIH ~LlrlE, ER OF E, EBF,.uuH- = LOT .:,Iz..E '_t. Ei?'SEE SI~J..II~RE FEE]' ';FIIL RFtTtNG ,::SET.! F'T,-"E:R>= '::'=' THE REQUIRED SI~E OF THE SOIL.. RDSORP'FION S'¢STEM IS: TNE LENGTH [:,IHENSION t$ THE LENGTH <IN FEET'.) OF THE TRENCH OR E:,~INFIEL[:'. THE DEPTH OF ~ TRENCH OR PIT I~ THE E:,IST~NCE BETNEEN THE SIjRF~CE OF THE GROUND RNE:, THE DOTTOH OF THE ENC~V~TION (IN FEET>. THE TRENCH WIB, TH FOR [:,R~INFIEL. E~ I$ ~: FEET. TNE GRR'v'EL DEPTH I$ THE HINIHUH DEPTH OF GR~'v'EL BETWEEN THE OUTF~LL PIPE FINE:, THE: BOTTObl OF THE E:~.03~',,,'~TtON ,::IN FEET>. E',FICKFILLIr. JG OF ~N'T' S'~STEM WITHOUT FINal INSPECI'ION ~N[:' FIPF'RO',,"~L E:'T' THIS DEPRR'FMENT WILL BE SLIBJECT TO PROSECL..ITION. I"iINtHUH [)IST~NCE BETHEEN F~ [4EL-L ~N[:' ~N'T' ON-SITE SEWAGE DISPOSRL SYSTEH IS · 13El FEET FOR ~ F'RtV~TE WELL OR ~OE~ FEET FOR ~ F'USLIC HELL SF'ECIF'ICWEIONS ~N[:' CONSTRUCTION I::'I~GR~HS BRE R'v'BILBE:LE TO INSURE PROF'ER I Ni5-FSLLWF I ON. :L: I FIH FHH.LIHR 1.4ITH THE REI-]UIREMENTS ~JF.. ON--,:,ITE .)EHER-, FIND 14EL!..S H:, FORTH E:'T' ]'FIE MUNICtF'FtL. IT"? OF RNCHCIRRGE. ;E:: I WILL. INSTRLL ]"FIE _,T_TEII IN RCF:FIR'E,FiNC:E L,IITH THE _,J[.E .... :-;: ~ UN[)ERSTRN[) THRT THE UN---.I [E E;EWER _-.T-,TEH MR'T' RE6!UIRE EI'4LRRGEHENT IF ]'HE RESI[,EN]:E IS REMODELED TO INCLU[)E MORE THRN 3: EE[)F.:OOr4S. '.:.; ): GNE[>: ......................................................................... PPL [ _.PI 4 F GORDON HFINE:,ELL i ':-;':; U E:[::,_._ .P.,'¢. ........... _..~....__ _G ........................... [:,RTE ............................. GReA, ER ANCHORAGE ARea BONoUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. TYPE AND S,ZE OF FACILITY TO BE SERVED ~ ~~ ~ CO M PLeTION DATE ANTICIPATED ~'~ ~'~ '~'~ 7? FINAL INSPECTION: ~:4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL E~E SUBJECT TO PROSECUTION. TYPE DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. · SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEeT[NTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. OR DIAGRAM OF SYSTIZM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS O~F GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. EQ-016(3-75) ,. ,O~E Russell Oyster 694-2774 Soils ~ Foundations Performed for: Legal Description: Depth (feet) GEO', :CHNICAL ~ DEVEL~ ?MENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl Ellis 688-2280 SOIL LO(~ Land Development So_it ~h~ecte~ 15 16 Ground Water Encountered: Yes ........No=~=~/ If yes, ~hat depth~ Proposed Installation: Seepage Pit_~ Drain Comments'. Performed by:~ ~,--- O e Russell Oyster 694-2774 Soils ~ Foundations Performed for: E GEO, ECHNICAL ~ DEVELdPiVIENT Box 90, Davis St., Eagle River, Alaska 99577 694 2774 or 688-2280 CO. Earl Ellis ,~O~L LOG 688-2280 Land Development Mailing Add~ess: /-,-{, ~',~__~.,~=...~/.L>L,/ , Z~-/-?~¥L Z: ~n ,:/.' /X ~ , ~ y 7 13_~ 15 16 Ground Water Encountered: Yes No____/ If yes, what depth__~ Proposed Installation: Seepage Pit__Drain Field ..... Comments: Perforraed by: l- / ~"/:~'