HomeMy WebLinkAboutT12N R3W SEC 33 LT 20 N66'
GRr-~TER ANCHORAGE AREA BOROI"~.H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION '7"J
SEPTIC TANK:
MAILING iL.~ ~,/~,.
ADD RESS ~'v'4x'~ ~l~ ~/ PHONE
LEGAL DESCRIPTION_ ~
DISTANCE FROM WELt
LIQUID CAPACiIY_ ~7'~-K~) GALLONS.
NUMBER OF
MATERIAL (.. O ~'~ 6~- ~7-~,- COMPARTMENTS____/'
INSIDE LENGTH INSIDE WIDTH_ DEPTH_____
SEEPAGE SYSTEM:
NUMBER OF PITS_
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PiT:
OUTSIDE DIAMETER
_ .OR WIDTH. _ /'Z_ , LENGTH // , DEPTH ,~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,~'7(~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL_.
NUMBER OF LINES
ABSORPTION AREA_
TOTAL LENGTH
FOUNDATION NEAREST LOT LINE___ , OF LINES
DISL~ LINES ~ TOTAL EFFECTIVE
Q. FI.
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: TYPE J~D[' ~)ghLIJ54) b'/'~/~DEPTH DtSTANCE FROM WATER
, BUILDING FOUNDATION. SAMPLE
NEAREST SEPTIC SEEPAGE'
LOT LINE , SEWER LINE , TANK , SYSTEM .... CESSPOOL
DIAGRAM OF SYSTEM
DISTANCES:
. NEAREST
OTHER
, SOURCES
DATE
APPROVED~
GREATEI. ,NCHORAGE AREA ..;ROUGH
ItEALTtl DIgPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
CaseNo. /7 .
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS_
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS.
MAILING AODRESS--~?/z~''~'~-' ~;~(~ PHONE NO..~
LOCATION OF INSTALLATION [F¢~~ ~z~ ~"g'~/
/ ., OTHER
~ SEEPAGE PiT_ , DRAIN FIELD
TO BE INSTALLED BY.. ~.~L~-.~L.,~.
ANTICIPATED DATE OF COMPLETION ~'~'/~'~'~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
ASDESCRIBEO BELOW. SIZE OF UNIT TO BE SERVEl]
_, SEPTIC TANK SIZE _ ~,~)
.TYPE ~5-~;/ _ SEEPAGE AREA. ,~ 8; g- £~ ' _TYPE L~'~,~'''~-'''~/~ DIAGRAM OF SYSTEM
DISTANCES:
/.,~///
Health Authority
1 certify that 1 am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance ~vith said code.
,_ APPLICANTS SIGNATU RE
DATE ~)/ --
P(, ", I
/\NCi
(90~') 264 il i ~
x,[ ;',?}K.'x .~9502 0t}(0
September 10, 1982
Robert/Debbie Mc Ewen
Star Route A Box 254
Anchorage, Alaska 99507
subject: T12N R3W Section 33 N66' fo Lot 20
Two(2) large concrete structures were unearthed and their
covers removed on the above subject property. This was
referred to our office as Complaint ff8223710 As discussed
in the Septembeu 8, 1982 phone conversation between Debbie
Mc Ewen and Lynn Lindquist, this situation conshitues a
nuisance violation and potential hazard. The violation may
be rectified by either replacing the covers or backfil]-ing
the structures(as explained by the enclosed copy from the
Uniform Plumbing Code). As discussed during the above
mentioned conversation, a compliance date of 5:00 p.m.
September 15, 1982 was established.
If there are any further questions, pi. ease call this office
at 264-4720.
S incex_ ely,
Larry Montg6mery
Code Enforcement Officer
LM/ljw