HomeMy WebLinkAboutALYESKA Block 1 Lot 3
Name of Applicant
Residence Address Lop. atica of Installation
............ Legal Description / J) " /i' /
Application to Install: Septic tank~ , Seepage pit.....,. Drain fielders_, Other
To Serve the Following £acilAty
'- L.L' ,~" "7 ;.": ' ,, - !" ' ~ :' "- . '':X' t".t~:.' · ..... . .... . ~,
Financed Through _ To be ~talled by,,. 'i)z, ,,, 'i=; { ,~ r, !; ~,?
?ercolation Test Results__. Anticipated Date of Completion
BELO'; TO BE F]:tL;D our BY HE/~TN DEPAI~Tt~$1~r
I - ...... ' ,,,,, e .... IIIII IlX ;[}! ~I,' ''*,'! "',*!, '~ ':; .,- ,.':~ . , ;~=. ;i';~. ; I I I~
a~ described be~, S~ze o~ ~ ~o be ae~ed_.
DISTANCES:
.I, '..
· -- ~-'- ~-,~m AUthOZ, i t¥ 1_. ........ ........... :.. -, ............. ......
/x:--ce~tify that I qm familiar with the requirements of ~reater Anchorage Area Borough
Ordiqance No. 28-68 and that the above described system is in accordance with said code.
The attached form is to be filled out to the double line by the
person requesting the permit. After filling out the top portion
of the form, the individual should bring the form to the Health
Department and meet with one of the sanitarians. The sanitarian
will assist in laying out the design of the system and issue a
permit to install.
Final approval of the systemwill be given only after the sanitarian
has inspected the. completed system, prior ......... to covering it up. This
Ks a egal requirement and the system cannot be approved without
this inspection.
To avoid delay and related unnecessary expense, appointments for
final inspection should be scheduled as far in advance as possible;
at least 24 hours advance notice should be given.
*Percolation tests are necessary to determine the amount of seepage
area required to absorb the wastes from the septic tank. Percolation
tests my be performed by any professional engineer licensed to
practice in Alaska.
There are two local firms which routinely do percolation tests.
They are:
Alaska Testlab
530 East Sixth Avenue
Anchorage,
Phone: 272-3428
North Pacific Testlab
1020 East Fourth Avenue
Anchorage,
Phone: 277-7017
Evenings & Weekends: 277-1738
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ,~77
-:~ :, .,' .~'5~ 7F
Name of Applicant Mailing Add~ess ~--> N / ~ Z Ph. ~
Residence Address Location of Installation /~ [~/~.~
Legal Description LeV ~ ~ l.~ 1
Applicati~ to Install: Septic tank~ __:, Seepage plt~ .... , ~ain field, Other _..
To Serve the Following Facility ~ ~ ~ ~z, A' /'T~¢~/ .Z
Financed Through ...... To be Installed by_ _~o,3' /~/&~J,~O...
Percolation Test Resul~s~_ ........ ........... ~ticipated Date of
BELOW TO BE FILLED O~ BY ~TH DEPART~NT
........ ",,::,', : _ ~: ~,- ~ ,: ~ .;',':'.,~ _,: ,.,-" .....
' ' ' ' :~" "~ .:'"::L:
- .... ,,, ,~YP 7 .~
DIST~CES: -~ ~ .... DIAGRAM OF SYSEM
~- . ., ~ , '/ ..... ,
/
I certi~ that I am familiar 'with the req~re~n~s of ~eater ~chorage Area Borough
Ordin~ce No. 28-~8 ~d ~ha~ the ~ove described ~ystem is in accord~ce ~ith said code.