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HomeMy WebLinkAboutT12N R3W SEC 9 S2/5 of BLM Lot 90 Now Jennifer Park S/D Git TER ANCHORAGE AREA BOROI~' H DbrARTMENT OF ENVIRONMENTAL QUALI~,, 3500 TUDOR I~OAD ANCHORAGE, ALASKA 99507 279-8586 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM DISTANCE FROM WELl -~ (' /'"~::'CJ MATERIAL (";C/Z (/dZ z'"r-= ./'i~-~r.'~'~'~.'¢-..-' NUMBER OF ...... - __~_ COMPARTMENTS LIQUID CAPACITY /(//~? .... GALLONS, INSIDE LENGTH ~-"~ __. _INSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER ' OR WIDTH LINING (t ~'-~/) DISTANCE FROM WELT NEAREST LOT LINE. _~' / TOTAL EFFECTIVE ABSORPtiON AREA (WALL AREAJ ........ DEPTH_ //('2c"; ¢,~y' t" BUILDING FOUNDATION SQ. PT. TILE DRAIN FIELD: DISTANCE FROM WELL ~ ~--;'F~-0'~,~flO~--% . NEAREST LOT LINE ~ tRENCU WIDTH TOTAL LENGTH , OF LINES ,% r AAL [EFECt VE DEPTH: fOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TIle .... IN. ABOVE TILE____ WELL: _. DISTANCE FROM WATER tYPE-"'?,z(~'/z'",': DEPTH ,BUILDING FOUNDATION '- __SAMPLE~L:d//'~f:: , NEAREST __ NEAREST SEPTIC ,. / SEEPAGE . / OTHER . - LOt LINE SEWER LINE , TANB '~D'~ /JZ~ d.,. SYSTEM /(~( /~-'Z (.'; CESSPOOL_ ' SOURCES DIAGRAM OF SYSTEM DISTANCES: GREATEI 327 Eagle St. ANCHORAGE AREA IIEALTH DEPARTMENT A~chorage. AILa&a 99~L01/ OROUGH c.se No. Y'~/9~ 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICAI'ION & PERMIT NAME OF APPLICANT-,-.~-'~ r~'~ ~.5 RESIDENCE ADDRESS ~,tz ,-~'-'~ _ LOCATION OF INSTALLATION APPLtCATIONTO INSTALL SEPTIC TANK ~' SEEPAGE PIT ~DRAIN FIELD FINANCED THROU6H ~'~'~'~m TO BE INSTALLED PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION MAILING ADDRESS 0.,'~ /~ I '~,,<:'"' ' PHONE NO.~.~.~ , OTHER __ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~ f',~- AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED. · SEPTIC TANK SIZE /Z)~'-~/) TYPE ~,/~' ('7'~,'V ,~/'~EEPAGE AREA DISTANCES: /,,,A£.:z' ,- ..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 descr7 system is_ in accordance with said~>.~code. ~,,~ ~, ~u.c~.~..~~' .~ ~ '-/2 '~-LZ~.~ i(at g~op