HomeMy WebLinkAboutTHOMAS L BOYLE BLK 1 LT 16AThomas L.
Boyle
Block
Lot
16A
#015-283-01
OAAB'HDI GPt':PTER ANCHORAGE AREA BOROK-H ✓
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 2i9-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
,1
LOCATIONS 'Q T
SEPTIC TANK:
W,= OfA
N
M•tt
MAIL
DISTANCE FROM WELL s MATERIAL C 6 NC Ve to
LIQUID CAPACITY- / z 4�;-o GALLONS. INSIDE t -1
S
SEEPAGE SYSTEM: SEEPAGE PIT:
/6.a4 /.
ER OF
E --
m
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH Z' Z , LENGTH Z S DEPTH
LINING MATERIAL O� s . DISTANCE FROM WELL , BUILDING FOUNDATION
NEAREST LOT LINE / 7� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL_
NUMBER (F'LINES
ABSORPTION AREA_
FT. LENGTH OF EACH LINE
TRENCH
TOTAL LENGTH
OF LINES
TOTAL
DEPTH: TOP OF TILE TO FINISH GRADE I �''` DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL` nvE �� / P DEPTH / . S� DISTANCE FROM Z S WATER
BUILDING FOUNDATION. SAMPLE , NEAREST
NEARELOT LINE - �C, SEWER SLINE SEPTIC
� f / , SYSTEMSEEPAG" 1w' OTHER ��
,CESSPOOL ,SOURCES_
DIAGRAM OF SYSTEM
DISTANCES:
'48= (091
Ac_ =too e
ru; �Pr 3 S
C:7, 7, —
f
e
jrSee- 4 C : IQ►1/� : i �,��
o l,;el/: I _
DATE cTa . // I 7!'// II �' APPROVED_4
/� HEALTH ADIHORIIYAWHORIIY
1
f.AAB-fID•2 _ GREATE;f'"'"CHORAGE AREA IT 9ROUGH Case No...l1'C
HEALTII DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANTgf,—cc._pp&_o6e,0', vr,fZ MAILING ADDRESS PHONE NO
RESIDENCE ADDRESSf6/, LOCATION OF INSTALLATION
LEGAL DESCRIPTION G� CtLlx*c
APPLICATION TO INSTALL: SEPTIC TAN i / , SEEPAGE PIT_ , DRAIN FIE'L'D_, OTHER
TO SERVE THE FOLLOWING
U
FINANCED THROU
BE INSTALLED BY
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION
THIS IS TO SERVE AS
DISTANCES:
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
, PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
SEPTIC TANK SIZEZ&V2 TYPESEEPAGE AREA_
nIAnn... w- .....-
TYPE
HEALTH AUTHORITY
OR
LICENSED DCSIONCR
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code. p
DATE ! / " 7Z APPLICANTS SIGNATURE
GARB -H 2
« - I
GREATE'"rANCHORAGE AREA, OROUGH
!. - HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION &1 PERMIT
Case No. x
NAME OF APPLICAN E7 ?" MAILING ADDRESS PHONE NO�-'��^�
/�ii�.E i1�y
RESIDENCE ADDRESS �%''%�" '/ LOCATION OF INSTALLATION'S«ici!/%!/ QsfJL'
LEGAL DESCRIPTI
APPLICATION TO INSTALL: SEPTIC TANK L�_-SEEPAGE PIT 4-�ORAIN FIELD , OTHER v
TO SERVE THE FOLLOWING FACILITY err���/�
FINANCED THROUGH J TO BE INSTALLED BYZ%; �
�r"�/O. t/mac— Ci.
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ��-��iYi' , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
.SEPTIC TANK SIZE,TYPE C'<�e• SEEPAGE ARE,<' TYPE
����- �•�-
DISTANCES:
,ew;orev,5/ T
�� Thi/fE
,4,;z
HEALTH AL
on
LICCNS[D DCSIGNER
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 anll that the
above described system is in accordance with said code.
DATE ��/��/�� APPLICANTSSIGNATURE
..)' REATER ANCHORAGE AREA BOROUGH n^
r HEALTH DEPAF:TMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
Performed For Roy Anderson
Leal Description: Lot
This Form Reports a: Sois L
Depth
Feet Soil Characteristics
tan silty fine sand (SM)
8
s
10
Was Ground Yater rrcountered? +o —
If YP>. , -at Depth
Date
VIS
gray fine to medium sand
(SP) 1y0
3.4—
1
_,...i -L{_,
-� ,. i
. i .
'--L I
CASE Y'.
Location Sketch
tie; TiMe1 Depth To H20 ' Net Drop
.1nu e
Seepage Pit Drain rield
Deyc) If Inlet Depth To Bottom Pit Or Trench
COMMENTS:
_150 sm+nrn Fee+. „c J ------ _
Test Performed By: R. E. C rliole These recommendations are computed
from visual observations and based
Data Certified By:National TPsting c on the unified claosification system.
Date:_Inc.
,
lli
NOV 1 2 1970
CREATY:I ANC--Ol'kC1• ATEA
BORCUCII-17-UT' nFSA11r1��
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