HomeMy WebLinkAboutT13N R3W SEC 13 S2 Lot 11013
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G~TER ANCHORAGE AREA BORO"~H
' HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING
,/~, /,~./'~/~/ ADDRESS ~J~'~2/~ ~ ~ ~ PHONE
~ ~ ~ LEGAL DESCR PT ON ..... ~--,, ~//~
SEPTIC TANK:
~_ ~/~" C~'~--'~"" NUMBER OF
DISTANCE FROM WELL (-Z'/'~/~'/,~ MATERIAL ~~ COMPAR?MENTS
LIQUID CAPACITY ~ GALLONS. INSIDE LENGTH ~NSIDE WIDTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
OUTSIDE DIAMETER ~ OR WIDTH //~-' , LENGTH /~-' , DEPTH '~
FOUNDATION~ 7~-
~~ ~' DISTANCE FROM WELL ~//~/~2 BUILDING ,
..
TOTAL EFFECilVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl , FOUNDATION , NEAREST LOT LINE
DISTANCE BETWEEN LINES ~ TRENCH WIDTH
SQ. FT. LENGTH OF EACH LIN
TOTAL LENGTH
, OF LINES
NUMBER OF LINE>C,,/ IN. TOTAL EFFECTIVE
AB~REA
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE.--
WELL:
TYPE ,/~>'~'~-/~-- , DEPTH ~
NEAREST SEPTIC
LOT LINE / , SEWER LINE ~ TANK
DISTANCE FROM ~ WATER
. BUILDING FOUNDATION. SAMPLE /c/z~ NEAREST
OTHER
~ SEEPAGE ~
SYSTEM , CESSPOOL ~'- , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED ._ HEALIH AUlJHORII[Y
GREATEF' -s. NCHORAGE AREA ' "gROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
MAILING ADDRESS '7,,~'~ ~-~'~ PHONE NO.
LOCATION OF INSTALLATION ~'~'*¢~'///~-
, SEEPAGE PIT /~ , DRAIN FIELD .,OTHER
TO SERVETHE FOLLOWING FACILITY .~].,.g,~ ~,.
FINANCED THROUGH //,-~'6'?~ ~ / / /
~' TO BE INSTALLED BY
PERCOLATION TEST RESULTS ~//~ ANTICIPATED DATE OF COMPLETION ~/~//~
BELO~TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SEBVEAS ~ ~'~ ,PERMIT TO I NSTALLA ~'~
AS DESCRIBED BELOW. SIZE OF UNIT TO SE SERVED
· SEPTIC TANK SIZE '7~'0 TYPE Z~7~¢4,¢~ SEEPAGE AREA /~t~ DIAGRAM OF SYSTEM
DISTANCES:
~'~ ce~fi£y that ][ am t'amJl~a~ with the ~equL~ements o£ C;~¢atez A~cho~e~¢ A~ea Borough O~d~ance ~o. 28-~8 and ~hat the
~boYe described syste~ Js i~ accordance w~th ~a[d code.
Oct. 29, 1970
Mr. C.Ro Kron
7529 E. 6th
Anchorage, Alaska 99504
SUBJECt: Abandoned ~osspool(s) Located at TlgN, R3W, Sec.
13, S 1/2, Lot 110
Dear Mr. Kron:
Enclosed please find your copy of the recently approved on-site
sewer system located on the subject property.
Any abandoned cesspool(s) located on this propexty should be
p~ped, if any residue remains, caved in and backfilled thus
preventing any future hazard.
Sincere ly,
Carrel S. McKechnie (Mrs.)
Sanitation Aide
OIIC.