HomeMy WebLinkAboutSEAVIEW HEIGHTS BLK 2 LT 6 (LT 11)oview
Height
lock 2
Lot 6 (lot 11)
011-261
-16
GAAB-HD-I
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
j.
DISTANCE FROM WELL '70
LIQUID CAPACITY /"6~C'g(~/e~'/~.GALLONS.
,,,~~ NUMBER OF
MATERIAL ,. COMPARTMENTS ~
INSIDE LENGTH. INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
OR WIDTH ' / LENGTH " , DL='PTH
LINING MATERIAL i~L..~"")E4~' DISTANCE FROM WELL //O '
BUILDING FOUNDATION. 6~'-"
NEAREST LOT LINE ;~"" . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /d"~g'~"-"~//)]T~r- SQ. FT.
.....
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FR~M WELl FOUNDATION NEAREST LOT LINE OF LINES
ABSORPTION A ~ H OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE' IN. ABOVE TILE
WELL: TYPE dj~;'/[~'~¢¢ DEPTH _~,vJ~'~'~e DISTANCE FROM WATER
BUILDING FOUNDATION SAMPLE NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE SEWER LINE , TANK SYSTEM , CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
x
DATE
APPROVED
HEALTH AUTHORITY
";' GREATEII I NCHORAGE AREA OUGH
HEALTH
DEPARTMENT
~ ,,.:>' · t ~' 327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM APPLICATION & PERMIT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
~ TEST RESULTS
LOCATION OF INSTALLATION
TO BE INSTALLED BY '~'
ANTICIPATED DATE OF COMPLETION
PHONE NO.'
,OTHER
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ~' (~A( /~PA/~,(J-,O'/~ -~ ,PERMIT TO INSTALL A
"~ N T TO BE SERVED
. SEPTIC TANK SIZE ~~ T~E ~-',~ SEEPA6E AREA TYPE
DIAGRAM OF SYSTEM
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordingnce No. 28-68 ~nd that th9
above described system is in with said code. . A. ¢'¢¢'L'~//- aC~W'¢?~~/~-7'''' ¢t.¢.
DATE
HEALTH DEPAi<YY~EW 7
327 EAGLE ffTREET
ANCHORAGE, ALAflF. A 99801
Perfor, med For
Was Ground Water Encounter. ed?~__.
Yes,, At 14hat Del)th
Net Drop