HomeMy WebLinkAboutCOLONIAL PARK BLK 1 LT 3PARCEL. #050 30;L 1:3,000
10 ,
GOcAJER ANCHORAGE AREA BORO" 'i
- HEALTH DEPARTMENT NO 507
327 `tLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ®,v 16&-X Z J 7 SL
NAME CIO"d, c4Av1,o5 —ADDRESS PHONE Z-7'
LOCATION 4S/'e dfiLEGAL DESCRIPTION �411CO"
SEPTIC TANK:'
T
NUMBER OF
DISTANCE FROM WELL
_(_71
MATERIAL
llzPlb COMPARTMENTS
y a
LIQUID CAPACITY I zS O
GALLONS. INSIDE LENGTH
INSIDE IDTH
LIQUID
DEPTH.
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS ` OUTSIDE DIAMETER 7_,F_(
OR WIDTH, LENGTH DEPTH
LINING MATERIAL ?rr e�e' _. DISTANCE FROM WELL ��&, BUILDING FOUNDATION
NEAREST LOT LINE 4r, . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREAS !2? -42 SQ. FT.
,REATER A'NMORAGE AREA BOROUGH
?'_EALR11 DEPARP ENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
279-2511 DATE RECEIVED
INSPEC • �� •- /3- 7f
S11 f/7/
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
FOR
1. Approval Requested By
Address "" I
1
7Z -
Phone &'I" V— o2 It? 9-
2. Property Owner �Q QJ Phone
3. Legal Descriptionj� `
4. Type of Facility to be Inspected k Ct.�rl..!_.tJ STREET: OKI -
Number
of Bedrooms
S. Well Data:
A. Type
B. Depth 0,2 '
C. Size
ip
D. Construction
E. Bacterial Analysis
6. Sewage Disposal System:
A. Septic Tank (If homemade, show diagram on back)
1. Size ! c ('
2. Age 1g70
3. Manufacturer
4. Installer'�vf�,r�
Aliproval Request for Sew a $ Water Facilities
Page Two
B. Seepage Pit
1. Size
2. Liningc- 5
C._ Disposal Field
1. Number of Lines
2. Total Length
7. Required Measurements
A. Well to Septic Tank '12 /
B.. Well to Seepage Pit (�
C. Well to Sewer Line -
D. Well to Property Line
E. Well to Other Possible Contamination
F. Foundation to Septic Tank
i
G. Foundation to Seepage Pit %
H. Seepage Pit to Property Line
8. COMMENTS:
APPROVED:,
DISAPPROVED:
DATE.
�Z..41-z DATE:
APPROVAL VALID FOR ONE YEAR FROPI DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT
EDI 170
04/21/2005 12:19 9073436599
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MOA PROP APPRAISAL PAGE 02
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MOA PROP APPRAISAL PAGE 02
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I hereby certilY that I hivesurveyed the � ttollswlr
t described p crty: �•o ——pJ.tt"I< I ,
Anchorage Rerordidg"Yrecittct..:uss11 "ghat Al
�mprovements situated tbereon ere within itis prow
ines and do not Over�app or. encroach on the psvper
lying ad)acent thereto, that oo !triprovetnerla on Pro',
ertY lying ad)a^_ent thetroto asttxoaeh•on the vmwAmas
question and that there aremo
roadways. •;Iranseelssl'
lilies or other visible ess!meots on said pro¢argr ease
u indicated herowt.
Dated� �at yEagle River, 'Alaska
tblsll.a ' day or ism
• ROBERT C. JOHNSON e�•�•
Registered tAnd Survq of Na 04-1
sox fisq Eagle River, Alaska
Phone 694.3543
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I hereby certilY that I hivesurveyed the � ttollswlr
t described p crty: �•o ——pJ.tt"I< I ,
Anchorage Rerordidg"Yrecittct..:uss11 "ghat Al
�mprovements situated tbereon ere within itis prow
ines and do not Over�app or. encroach on the psvper
lying ad)acent thereto, that oo !triprovetnerla on Pro',
ertY lying ad)a^_ent thetroto asttxoaeh•on the vmwAmas
question and that there aremo
roadways. •;Iranseelssl'
lilies or other visible ess!meots on said pro¢argr ease
u indicated herowt.
Dated� �at yEagle River, 'Alaska
tblsll.a ' day or ism
• ROBERT C. JOHNSON e�•�•
Registered tAnd Survq of Na 04-1
sox fisq Eagle River, Alaska
Phone 694.3543