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HomeMy WebLinkAboutMURRAY Block D Lot 1 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL $YST, EM ,~S~P¢~t'O-T~: Distance from well Material Number of compartments Liquid eapaclty ~ .. gallons. Inside length ..... Inside width ...... Liquid depth SEEPAGE SYSTEM: Seepage Pit: Nu~er of pits .... ~u~side dia~er. width ~ length , depths, lining material Distance from well _~ building fo~dation_.. _~ .~ nearest lot line ........ Total effective absorption area (wall area) ....... sq. Distance from well _, foundation ~ ~, nearest lot llne .... Total length of lin~s ..... Nu~er of lines Distance between lines Trench widths, in, To~al effec~iva absorption area sq. ft. Length of each line Depth: Top of tile to finish grade~ Depth of filter m~erial beneath tile .... in. Above ~ile ~ Type ......... , depth , distance from building fo~da~ion .... , nearest lot line ~ nearest sewer line~, septic tank ~, seepage syste~, cesspool~. ~ other sources 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 Depart- ment 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 system will be given only after the sanitarian to has inspected the completed system ~iop ~ c~y~ring it up, This is a legal require~,ent and the system' canh~%'~approved~ without this inspection, To avoid delay and related unnecessary expense~ appointments for final inspection should be scheduled as far in advance a s possible; at least 2~ hours advance notice should be given. ~Percolatfon tests are necessary to determine the amount of seepage area required to absorb the wastes from the septic tank. Percolation tests may be performed by any professional engineer licensed to practice in Alaska. There are sev ,~r al firms which routinely do percolation tests, They are: Alaska Testlab 580 East Sixth Avenue 272-3428 North Pacific Testlab 1020 East Fourth Avenue 277-7017 or evenings and weekends: 277-1738 Alaska Geological Consultants 2227 Spenamd Road 272-~11~ E DISPOSAL SYSTEN - APPLICATI[ PERMIT ' .Legal D~scription_L.O'R- ~ ~ L_~.. ,~-~ ~ ':~-~ ........................ , . _ ~. __. Application to Install: Septic ~___ ., Seepage plt_%_, D~ain To Serve the Follo*~ing Facility Financed Through ...... To b~ Installed by ~'~ ~-~. _ Percolation Test Results~ Anticipated Date of Completion~~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT , as described b~low. Size of _ 7~ se~ved_~~__., DIST~CES: --'~' ' ~' ~, DIAGRAM OF SYSTEM /I ~%rtify that I am fa .... - : / ...... ~' / , .ixizar 'with the~equire ~,~ ~ ~ ......... __ . m..~ u~ %rea~er ~cnoPage Area Borough OPdin~ce No. 28-~8 and that the ~ove described system is in accomd~ee with said code, Street Address:_-B X ~o0 Phone No, o Description of Complaint: Name of Person Against Whom Complaint is Made:~j. ~ .._ Owner of Property Where Nuisance Exists: Owner's Address: ._ . .' . Phonef. l?No, Location of Complaint ,. ~. f~,, i ~y~~./ , .~i'(~/_~_A ledge, I request that the foregoing matter be investigated and that appropriate action thereafter be taken, I am willing to testify to the facts stated in the foregoing complaint in court if necessary, REPORT OF ACTION TAKEN ~'/ t /' .- Action Taken: DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: