HomeMy WebLinkAboutHUFFMAN #1 BLK 3 LT 5
GAAB-HD-I
Gp.r~TER ANCHORAGE AREA BORO~.L~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
MAILING ,.- .~ '
ADDRESS .' PHONE
LEGAL DESCRIPTION/~)t
COMPARTMENTS
~..~, / .~_ I LIQUID
~/')'~/~') GALLONS. INSIDE LENGTH / INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
/
NUMBER OF PITS. / OUTSIDE DIAMETER OR WIDTH /~'~ f' -- /"~
'~ . LENGTH , DEPTH
LINING MATERIAl /"~'~")C~'~''-~" DISTANCE FROM WELL /,~2~ / BUILDING FOUNDATION
NEAREST LOT LINE /~ / TOTAL EFFECTIVE ABSORRTION AREA (WALL AREA) ~2--' ~''~ ~ SQ. FT.
TILE DRAIN FIELD:
,./~ TOTAL LENGTH
DISTANCE//ROM WELL ./""""'-~O'I~qDATION ~E , OF.~'I'N~~
-_ ''
NUMBER
ABSORPTION AREA SQ. FT. LENGTH OF EACH _INE
DEPTH: TOP ..OF TILE TO FINISE GRADE
WELL: (..'?'~ ~ ~/~'~'&/))
TYPE DEPTH
/'~O" NEAREST
LOT LINE ,~ . SEWER LINE ~z:
.DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
DISTANCE FROM WATER
, BUILDING FOUNDATION. SAMPLE NEAREST
SEPTIC SEEPAGE ( OTHER
· lANK wt ~'' , SYSTEM /b ~ CESSPOOl ~ , SOURCES
DISTANCES:
-76~:
DIAGRAM OF SYSTEM
DATE
GAAB-HD-2
GREATEi~ANCHORAGE AREA >'-')ROUGH
HEALTH DEPARTMENT
327 Eag~. St. Anchorage, Alaska 99501 279-2511
Case No ~ //
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF ^PPL,CANT
RESIDENCE ADDRESS ¥ "~ I'Y"'LP -
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
PERCOLATION IESI RE80LIS.
MAILING ADDRESS ,;% 5~(" ? ~,~,;/X,, c"~PHONE NO.
LOCATION OF I~STALLATION ~t~/'' [~;1~ ~;r~ ,, (;"~'
SEEPAGE PIT ~ , DRAIN FIELD , OTHER
TO BE INSTALLED BY %"d;' b ~7~
ANTIOIPATEB DATE DF 6DMPLETION ,?~ '~ /'%~-' 1, ~¢)~ (',t ....
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
l/~/i l~-- , ~' C ~- , PERMIT TO INSTALL A
AS DESCRIBED BELOW.
,SEPTIC TANK SIZE ~? ~/)
SIZE OF UNIT TO BE SERVED ,~T~ j..~'~
TYPEd(;'/l!()~,i'l- SEEPAGE AREA/r. Yg~ TYPE
DIAGRAM OF SYSTEM
DISTANCES:
LICIJNSED DESIGNER . . ~¢' ' ~[~ :
I certify that I am familiar with the requkements of Greater Anchoragd Area
above described system is.in accordance with said code.
APPl ICANTg glGNATURE
(2; -,,.. (,_ ¢,
Ordinance No. 28-68 and that the
'-:::,, ,, z/-"':~- 2" ;'~'d~. ' .,: / [
3REATER ANCHORAGEAREA BOROU~H/~
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
3.0
!] .5
Performed For Mr. Nelson l-Tade Date Performed 5/5/70
Legal Description: f'~- 5 ~lock 3 ' ' S'~~n Huffm,~n -J"~o,'~_ .........
This Form Reports a: Sozls Lo .,XX , ,.Percolation Tes~
Depth
Feet Soil Charact eris[ics
Silt. Some evidenc
ne sand.
USGS Class "MI,"
trse ~"--
'~m size. USGS Class
small fraction of very
well graded sandy
R,~ndom stones
to Z~" d~ameter
USGS Class "GW"
Was Ground Water Encountered? ~__~
If Yes, At What Depths_
Reading Date
Gross Time Net Time
Location Sketch
LO[ l~ LO~ 5
~,
Depth To H20
Net Drop
Proposed Installation:'~Seepage Pit X]fXXX Drain Field
Depth Of Inlet ~ %0 ~
....... j)ep%'h T6 BottOm O~"Pit Or '!'renc~
TesZ Performed B),:DA'VID J. HARMAN
Data Certifzed By:DAVID J~HARMAN P E