HomeMy WebLinkAboutSUNNY SLOPES LT 45ACOT
GP,-~,TER ANCHORAGE AREA BOROU~,H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION %~-~}C~J ~ LEGAL DESCRIPTION
SEPTIC TANK: j/
DISTANCE FROM WELL
LIQUID CAPACITY
~ 7 NUMBER OF
,,,") (~ - MATERIAl COMPARTMENTS.
'~- ~ C~) GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTS,OEO,AMETER OBW,OTH LENOTH /g DEPTH
(/~ OC~ . DISTANCE FROM WELl '~F?F: ~ /
. BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
, FOUNDATION ., NEAREST LOT LINE
DISTANCE BETWEEN LINES .TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
. OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
.DEPTH OF FILTER MATERIAL BENEATH TIL[
IN. ABOVE TILE
WELL: TYPE ~DEPTH
NEAREST
LOT LINE . SEWER LINE
(?~'"~///~'/D I ST A N C E FROM WATER
· BUILDING FOUNDATION SAMPLE NEARES1
SEPTIC SEEPAGE OTHER
· TANK . SYSTEM CESSPOOl , SOURCES
DISTANCES:
J")'- 7z
DIAGRAM OF SYSTEM
DATE APPROVED
GREATEI~.~ANCHORAGE AREA ~)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH /~
PERCOLATION TEST RESULTS ,/~0 J~
NAME OF APPLICANT/'~6 ~J~ LZ~ ~"~C~/+~ MAILING ADDRESS
RESIDENCE ADDRESS ~ LOCATION OF INSTALLATION
TO BE INSTALLED BY
O,
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
/V', ,'~,~,~'~ PHONE NO.
THIS IS TO SERVE AS ~ ~ ~-"~)~C/'~, PERM IT TO INSTAL L A
.AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE /~) TYPE ~-~ '/)¢¢~'7-SEEPAGE AREA
~/gD_/~! TYPE~- 0~/4~/~
DIAGRAM OF SYSTEM f2,,,t/~.~
DISTANCES: ~"'~: / t~
h Authority
c=- /~- .b
DATE
the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
system is in accordance with said code.