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HEALTH DEPARTMENT NO 505
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME y
LOCATION -L
SEPTIC TANK:
MAILING
33 3-56z00
2y 3G 2L f�CIPHONE
t 7,4 Q lk I s7PQ C1 l' 1Y,1_1
DESCRIPTION O /
C NUMBER OF '
DISTANCE FROM WELL MATERIAL COMPARTMENTS
/QQ� Pr'e - CB'�� LIQUID
LIQUID CAPACITY J GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH /cs-- , LENGTH DEPTH C/�
jr
LINING MATERIAL DISTANCE FROM WELL BUILDING FOUNDATION
NEAREST LOT LINE -Z TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -,360 SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
, FOUNDATIO
NEAREST LOT
TOTAL LENGTH
OF LINES
NUMBER OF LI DI NCE FxWEEN LINES `TIFENCH WIDTH \ �F<T(STAL EFFECTIVE
ABS ON AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: __57eG cli I✓R Q✓' DISTANCE FROM WATER
TYPE -, DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE-, TANK , SYSTEM , CESSPOOL , SOURCES_
DIAGRAM OF SYSTEM
DISTANCE
C
�3
DATE 1 / I APPROVED V457e lz `-
HEALTH AUTHORITY
lil'tll,lffivnAkyn A%il' A _Jnuul n t;ase Ivo.
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANTP-4 l`i W� - MAILING ADDRESS12:2q5,e ft PHONE NOI-IL "24�
RESIDENCE ADDRESS 1 L" LOCATION OF INSTALLATION `L�" ""u`�
LEGAL DESCRIPTION Z,`1 7A
APPLICATION TO INSTALL: SEPTIC TANK X SEEPAGE PIT DRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH r1 -11q
PERCOLATION TEST RESULTS
BE INSTALLED BY Z,
FICIPATEO DATE OF COMPLETION :7`7
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS 't PERMIT TO INSTALL A��
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED 'L'�tC��JU7j2c-
SEPTIC TANK SIZE /606) TYPE SEEPAGE AREA 4WC2L TYPE��
�l DIAGRAM OF SYSTEM
DISTANCES:
�0L
/ HEALTH AUTHORITY
OR ^ I
LICENSED DESIGNER
tify that i am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
o described system is in accordance with said code.
DATE f, �` APPLICANTS SIGNATURE
e ')L%'1
, •pT
FE._..o_.�..
Pclil2 cr'r:�d For Ed's
Excavating
Lef
:Date
r; ;:; ed 5/14/71iu1
Thise;nr Sea Clift
_
�.
X w-- w.. - ter=ir.t,eTzs.
uet- th
l _ gray clean sandy gravel
(GW)
2 becoming more sandy with
depth from 6.0' -
3 }
4
5
6
7
8
9
10
i.ocati:Dn S,<etch
Was >round 'dat .r l:n..r.intered? c
Tf
i Te
avr�.�.-...
4 77-
E. Jept 1 ! t ?iet Drop
K_ 2
' X Drain "Tela
c C :,iet
`,,�.•.. ,_ — .. e. + To ttom. Of Fit rnr,ci� 10.0'
8.5 s ware feet of drainaaa ,Q
fy Te"t Performed !,v:yr,-se recommendations are computed
' R. E. Carlisle vx y: from visual observations and based
(c' ` on the unified classification sy-t-e�,,. •
Date: _ - -
April 2f 1971
pederal Housing Administration
Post Office Box 488
Anchorages Alaska
Subject. aaerrar and Water for Lot 7A Block 1 Seacliff Subdivision
Dear Sirt
Public sever is not avttI3AblA to the subject lot so sthat sewage dinPOORl
must be handled by an on-site septic tank - .:soil absorption system
soil conditions in this area are generally very goad uo that onsite
sewage disposal should function satiefactorily if installed to our.
six Cificat:ions ,
The water, for tbn lot mill be served by a corminity well approved for
such use: by this department.
Sincerely,
John Ho Lee
Sanitarian
JRLI xv