HomeMy WebLinkAboutSUNNY SLOPES LT 54Lo'
GP; TER ANCHORAGE AREA BOROI' ~1
~_./ HEALTH DEPARTMENT ".~.~/ NO. 20
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ~/ ' - ,2/7 c ..,-'~ PHONE~?--.,~:~--~/'
ADDRESS //-'//)"~)~/'~ "~'~."
LEGAL DESCRIPTION '"'~-/~q~'~/ -C''~/'~///~?~' ~/~'~/~':~£' -':~'"
SEPTIC TANK:
DISIANCE PROM WE[[ MAIERIA[
LIQUID CAPACITY ~ GALLONS. INSIDE LENGTH
NUMBER OF ~
~OMPARTMENTS
LIQUID
DEPTH __
INSIDE WIDTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
'~ OR WIDTH /~/~" , LENGTH /2~4/' , DEPTH
D, TANCE FROM WEL, BU,LD,NG FOUNDAT,ON
'~ .SQ. FT.
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~ *
TILE DRAIN FIELD:
~ O~11 TOTAl LENGTH
DISTANCE FROM WELL , F N £, NEAREST LOT LJj~IE~'~ ~ OF LINES ,
SO FI LENGT OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
F TILE TO FINISH GRADE ABOVE TILE
//~-~iSTAN C E FROM /_.~ WATER
WELL: TYPE~/~/~/~//~/ , DEPTH , BUILDING FOUNDATION. SAMPLE ., NEAREST
LOT LINE ~ NEAREST ~SEPTIC SEEPAGE OTHER
_, SEWER LINE , TANK /~":'""~'~, SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
DATE
APPROVED
~:ANCHORAGE
GREATE[ '
AREA ,<>ROUGH c~ N0.
HEALTH DEPARTMENT
327 Eagle St. Anchor~e, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
HESIDENCE ADDRESS ~-:~'~ ;~, ~, LOCATION OF INSTALLATION ~,~/~-:'~ ~
LEGAL DESCRIPTION ~ ~ + '~'~ ~?~
APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT. , DRAIN FIELD. , OTHER ~'[
TO SERVE THE FOLLOWING FACILITY ~ .~"~*¢~'~/ .~'~'/~;~,~
TO BE INSTALLED BY ~. ~/', ~~X~
FINANCED
THROUGH
PEaCOLATmN TEST aESULTS ./~n ~/~/Z~ ANTm~PATED DATE OF CO~PLaTmN ~/~:..~,;'~ ,
saLo~ TO aa mLaO 0~ BY HaALYH DSPAamaNT
~ ' "; PERMIT TO INSTALL A
THIS IS TO SERVE A ,
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE
DISTANCES:
.TYPE /- SEEPAGE AREA J.~,-~-~.//A- L TYPE
DIAGRAM OF SYSTEM
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 m/:?//://APPL, CA.TS S,GNATO.E '
GREATER ANCHORAGE AREA BOROUGH
272--1577
August 31, 1970
GAAB Health Department
327 Eagle Street
Anchorage, Alaska 99501
Gentlemen:
SANITARY SEWER SERVICE - EAGLE RIVER SUNNY SLOPES SUBDIVISION LOT 54
This is to confirm that the Greater Anchorage Area Borough
Department of Public Works has formed a sanitary sewer improvement
district in the Eagle River area which includes Sunny Slopes
Subdivision.
These lateral sewers are to be constructed within the 1971
construction season and when constructed, will service Lot 54
of the Sunny Slopes Subdivision.
If you have any further questions regarding this matter, please
contact this office.
Yours truly,
GREATER ANCHORAGE AREA BOROUGH
Robert H. )lorriss, P. E.
Director of Public Works
Robert C. Phil lips
Right-of-Way Superviser
RCP/jt
cc: Donald A. Straub
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TiME TI~VI E
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
O~)~"' ~r ANCHORAG.
MUNICIPALITY OF ANCHORAGE ENViRo,.Z OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~XMENTAL P~(OTEcTIoN
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 R E C E l V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete ail parts on page 1. Incomplete reques~ will not be processed. Please allow ten {10) days for processing.
1. PROPERTYOWNER ] PHONE
PROPERTY RESlDENT (If different from above) :~k, ::~':d PHONE
MAILING ~DDRESS
MAILING ADDRESS '
5. LEGAL DESCRIPTION
6. TYPE OF RESIDENCE / -
[] SINGLE FAMILY
~ MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[] Three ~ Six
[] Other
7. WATER SUPPLY
[] INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
~ COMMUNITY since June 1975, For welis drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.)
8, SEWAGE DISPOSAL SYSTEM
~,,,~ YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE ~ FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] StX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
~}INDIVIDUAL/ON -SITE DATE INSTALLED I~ .
~3PUBLIC UTILITY~ ~'d~.
Connection Verified. INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area\ Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
~APPROVED FOR d~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (bev. 6/79)