HomeMy WebLinkAboutT12N R3W SEC 8 Parcel 18 - No Longer Exists
GP~:ATER ANCHORAGE AREA ICURUi~,~:iH
HEALTH DEPARTMi!NT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS
PHONE
/
LIQUID
DISTANCE FROM WELL_ ~'~ ~-~; / MATERIAL__ ufl.~p j.,~6~.j..~ ,/~.~._ NUMBER OF
HQUID CAPACITY~ /~.-~ GALLONS. INSIDE LENGTH -- INSIDE WIDTH.
SEEPAGE SYSTEM:
NUMBER OF FITS.
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT: /¢L/-~-- ~,f./e~'-s',=.~-. ~'~/~r,-~;~ rpct"~ ,z4,,,.
OUTSIDE DIAMETER__. '~ OR WIDTH , LENGTH .... DEPTH
~ .DISTANCE FROM WELL~ ~/~ ~ , BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPtiON AREA (WALL AREA) ~Z~,~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LHxlES_
ABSORPTION AREA_
DEPTH: TOP OF TILE TO FINISH GRADE_
FOUNDATION ..... %':'~I'~'AREST LOT LINE
DISTANCE BETW~i'~k- I~ES_ TRENCH WIDTH
~-.~: F:: LENGTH OF EACH LI~E
DEPTH OF FILTER ~ATERIA[ BENEATH TILE~
TOTAL LENGTH
, OF LINES
__ IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
LOT LiNE
TYPE -I .f DEPTH 1/~-~:~ ( DISTANCE FROM WATER
, . BUILDING FOUNDATION.. ~
_ SAMPLE , NEAREST
~/ NEAREST ..~ J SEPTIC SEEPAGE OTHER
, SEWER LiNE , TANK_ ~ ~f t , SYS]EMJ~
DISTANCES:
DIAGRAM OE SYSTEM
DAlE
APPROVED / HEALTH AUIHOIRj1Y "
GAAB~IfD-2
~)ROUGIt c~ No.
GREATE], ANCHORAGE AREA
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMrI'
NAME OF APPLICANT--/~''g~/'/'~/
RESIDENCE ADDRESS__
LEGAl. DESCRIPTION.
APPLICATION TO INSTALL: SEPTIC TANK__ .
TO SERVE THE FOLLOWING FACIt. ITY.
'H
FINAl.CED THROUb ,.
~TEST R ESU LIS '~,qEt.--f"~ ~ ~
BELOW T0 BE HLLED
LOCATm~O~INSTALt. AT~ON '~' ~g ~ ~Z~
'TO BE INSTAkLED BY_ gk'/~)
ANTICIPATED DATE 01: COMPLE'rlON
OOT BY HEALTH DEPAR'rMENT
THIS IS 1'0 SERVE AS
_AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
DIAGRAM OF SYSTEM
dth Authority
I certify at I am familia]' with thc requiremeuts of Greater Anchorage Area Borough Ordinance No. 28-68 and that thc
above described system is in accordance with said code.
GREATER ANCHORAGE AREA BOROUGH
HEALTH DEPAETHENT
327 EAGLE STREET
ANCHORAGE~ ALASKA 99§01
Performed For Mr, Knud Nielsen Date Perforated 10/29/69
Legal Descrlpt~on: Lot
This Form Reports a: So~ls Log ..... .~'ercolat].on Te~ROUGH--H~MH
Section B Parcel l~~ ~ ..........
Depth 2186 East 88th St.
Feet Sell Char, ac~:eristics Location Sketch
Fine to coarse gravel
with cobble$ and sandy
gravel seams
Was Ground Water Encountered? No
if Yes, At What Depth .....
R
eacl[g Date Gross Time
Ne~ Time
Net Dmop
P~oposed '~'
Installatxon: Seepage Pi~ X D~ain Field
COMMENTS:
Test Performed B~: ~ones and CarHMe