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