HomeMy WebLinkAboutLot 26, 35Lo]'
HEALTH DEPARTMENT
,327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
LIQUID C A PA C ITY__~t~_~': ~) GALLONS.
~,, .~"~/V ~il~-~ 7~-'~-- COMPARTMENTS__
MATERIAL
~NSIDE LENGTH_ INSIDE WIDTH__
LIQUID
DEPTH__ __
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OUTSIDE,.~D~METER __ ORWtDTH
NEAREST LO] LINE_ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION__ INE
NUMBER OF LINES_ DISTANCE B~~ TRENCH WIDTH.
ABSORPTION AREA __ S~,~.,~r~'l~ LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_
LENGTH ~'~ ~ ~_ L,
· DEPTH
BUILDING FOUNDATION ....
so. ET.
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE _
WELL: Typ~,/~'~.~'~'~,,~ , DEPTH_ '~'? DISTANCE FROM .L,~5-)~,~ WATER ~
x .BULDING FOUNDATION.. SAMPLE , NEAREST
NEAREST ~7~ SEPTIC j SEEPAGE ~-/ OTHER
LOT LINE /~ ' . SEWER LNE TANK ~7 SYSTEM / CESSPOOL ~ . SOURCES
DISTANCES:
DATE
APPROVED
GAAB-HD-2
GREATEI
327 Eagle Sro
279-25 ] ~
Case No. //~
NAME OF APPLICANT ,~/¢.:'~t~,/~-,~,, C:~*'£. _~. MAIMNE; ADDRESS./-~g,'~.:_:L~_:~ .... PHONE NO.')Z/
RESIDENCE ADDRESS_'Y/P'~ -': ~a/Jdl ............. LOCAIION OF ~NS1AN.ArlON. "- ~'', 2}"
LEGAL DESCRIPTION. /1"'~- ){' '" It}':' ~'"S~:6X~. </~.~/,'.,3.,.&~ ,~
APPLICATION TO INSTALL: SEPTIC TANK .... ~e'P';~¢{SEEPAGE~ ..... E~'-I .......... ,EIBA~N FIELD ,OTHER
TO SERVE THE FOLLOWING FACILITY ~2~ ~'~¢~-,'~ &~_~:L~::~:~.~_.,
FINANCED THROUGH /{~.: TO BE ]NS'IALLEB BY ,~2/ ~z,, ~{,,~
PERCOLATION TEST RESULTS ANTICffWi'EB DATE OF COMPLETION
BELOW TO BE FH. LED OUT BY HEALI'I-I BEpABTI~JjE~V
_AS DESCRIBED BELOW.
· SEPTIC TANK SIZE z~-,v~.,
DISTANCES:
.... /,, ~/ I
, PERIVIIT TO INSTAI.I. A -'"'->;-"~, ¢'~1~/,¢~!'¢-;"~,
SIZE OF UNIT TO BE! SERVEl3 =;~h_{f~>lgi-L~'~-.~. ~.*',
IYPE (?/~(-~;:l~ SEEP,AGE AREA .............. TYPE
B IAGBAiVl OE SYS'~'EB'i
/,, Health Authority
l/certify that I am familiar with the requffements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.