HomeMy WebLinkAboutT14N R2W SEC 11 LT 15
GAAS-HO-I
G~ATER ANCHORAGE AREA BOROP~H
HEALTH DEPARTMENT ~
327 EA~.'LE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY.
MAILING -- ~' ~_~ ~
ADDRESS ~-'~"~'~:~ ~ ~ PHONF~-~'.-~'~.~ i'~
LEGAL DESCRIPTION./~-'-~'~'' ~ ~ ~/
NUMBER OF
MATERIAL ~ .COMPARTMENTS·
GALLONS. INSIDE LENGTH(~) INSIDE WIDTH~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF
LINING M~.RIAI . DISTANCE FROM WELL
~----.--.B~PTH
BUILDING FOUNDATION
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .SQ. FT.
FOUNDATION ~7...~ ~
DISTANCE BETWEEN LINES
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA c~ ~'~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE -~ 3;~ DEPTH OF FILTER MATERIAL BENEATH TIL~ _
NEAREST LOT LINE. ~'~'~"~ / TOTAL LENGTH :~,~ (
TRENCH WIDTH ~ ~ IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: T y p E ¢,~..~..,~.~'_.~-2 DEPTH ? DISTANCE FROM WATER ~,
BUILDING FOUNDATION. '-~/ , NEAREST
, : SAMPLE
LOT LINE ~ ~ ~ NEAREST SEPTIC ~ M SEEPAGE~ / . OTHER ~
, SEWER LINE · ,lANK , SYSTEM /~ , CESSPOOL ~ , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE
, ,,- REATEr '" ANCHORAGE
AREA - ,OROUGH
GAAB-HD-2
~.,~f- ~Y'~'" HEALTH DEPARTMENT
~ 327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT $¥aneis W. L~rkin
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS
MAILING ADDRESS
LOCATION OF INSTALLATION
PHONE NO.694 2237
Ea~le ~iver, Alaska
750 ,SEEPAGE PIT X ,DRAIN FIELD ,OTHER.
Provide second baShroom to existing home now cozmected to
another working sanitary sewage disposal s~stem
TO BE INSTALLED BY_ Excawtl;intZ Sarvice Company
ANTICIPATED DATE OF COMPLETION 10 dtme ~70
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE .TYPE SEEPAGE AREA
DIAGRAM OF SYSTEM
TYPE
DISTANCES:
HEALTH AUTHORITy
LICENSED DESIGNER
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE APPLI CANTS SIG NATU R E
April 12, 1978
Building Department
Sanitarian
~%vtronmental Sanitation
Lions Park - Eagle Park
T14~ R2W Section 13
This dep~Jctment has no objection to the addition of
a second story onto the existing building as long
as ~/qe occupancy does not increase.
If there are any ~lestions, please contact us at
264-4720.
Robert C. Pratt,
sanitarian
RCP/IJh
SOILS LOG CASING LOG
'rotal
Time Depth ._.._.___...~ Materials and Remarks Length Length
No. Degth Sample Description
5RIELER W" :
SUBSURFACE EXPLORATION
Shift Report of Operations
,th-Begin Shift
Depth Drilled
TIME DISTRIBUTION HOURS
Puli Casing
Pumping Standby
Surging
LABOR
Name
EQUIPMENT
Crane
Drill-Rig
Flatbed
Pickup
Boom Truck
We[der
~/fl'ima Depth , ~terials and Remarks Length Le~pth
' ~ -- SUBSURFACE EXPLORATION
MUNICIPALI~ OF ANCHO~
ENVIRONMENTAL P~OTE~ION
Depth-End Shift
TIME DISTRIBUTION HOURS
_
Pumping ~ Standby
Surging
~ LASOR EQUIPMENT
S> W?~'~ "~ Boom TrUCkwelder
~ ~ ~(~ Generator Pump
SOUTHCENTRAL RE6IONAL OFFICE Notes:
338 DENALI STREET
ANCHORAGE 99501