HomeMy WebLinkAboutNORTON PARK #1 BLK 1 LT 2L
I
GR~:~.TER ANCHORAGE AREA BOROI. J~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING
LEGAL DESCR,PT,ON
SEPI'IC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
*~(~'qi '/~'~ NUMBER OF
MATERIAL '2 t'/~ 12 f' COMPARTMENTS
!
INSIDE LENGTH ('~- INSIDE WIDTH ~3
LIQUID ;7 z
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL ~"~'~/~'(~4;' C ~
/
NEAREST LOT LINE_ ~')',~'
OR WIDTH /~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
/
LENGTH /~ !
SQ. FT.
TILE DRAIN FIELD:
DISTANCE EROM WELl
NU/¢,BER OF LINES
ABSORPTION AREA
DEPTH,. iOP OF TILE TO FINISH GRADE
FOUNDATION . NEAREST LOT LINE.
DISTANCE BETWEEN LINES TRENCH WIDTH.
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE ~)~,~/r ,/ DEPTH (z~"2/ DISTANCE FROM ; WATER
· BUILDING FOUNDATION ,'~ ~,) SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE , SEWER LINE , TANK "'l ~ , SYSTEM / ? ~) , CESSPOOL
DIAGRAM OF SYSTEM
DISTANCES:
, NEAREST
OTHER
, SOURCES___
C
P/7
DATE
GAAB-HD-2
)ROUGH
GREATEk ANCHORAGE AREA: casino.---
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
~q IL ~/ ~ ~)[ qlL//)ttJLOCATION OF INSTALLATION
NAME OF APPLICANT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTAl_L: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
SEEPAGE PIT t-~"' , DRAIN FIELDL
TO BE INSTALLED BY ,.'~(' ,,
FINANCED THROUGH '..~ I ~
-t:~O,O~-~t,@N TEST RESULTS ~r.,~ ~ _ ANTICIPATE[:) DATE OF COMPLETION
l ~,- j. ~2 t
,.~:)d~' ~':~ ~7r~:''~, ~:~")'~/B~LO~TO BE FILLED OUTBY HEALTH DEPARTMENT
,, OTHER
AS DESCRIBED BELOW. SIZE OF UNIT TO B,E SERVEl]
.. SEPTIC TANK SIZE. X~C~- ">&/ __TYPE f ~--4~41¢"'~:' ~,;SEEPAGE AREA TYPE.
DIAGRAM OF SYSTEM
I certif that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No. 28-68 an~ that th}
ab;veclYescribed/ ~)' ' '~system is in accordance with said,.~d,p//Y~i:::>c°de'
DATE ~/.*'"',/& ~, APPLI;ANTS SIGNATURE
i Ov,~ ' . [:o',h' ()' ·
~;::. Sf~W/~GE DISPOS/-.I_ S"*'S FELl ~
~,~'l'"~h'.' '"~[~.~'lfdSP:C",',()[~ ~'[:1: '.'it~:~' :.CUO'.~',,',:,V ':'~'~', ,' ~.1~' ' } ), I PI{OCt~S~;IFJ(] CAN BE
December 8, 1978
Larry Oliver
SRA 179A
Anchorage, Alaska 99502
Dear Larry:
Per percolation tests conducted on November 14, 1978, your
revised system percolated in excess of 450 gallons in a twenty-
four hour period. This is adequate for a three (3) bedroom
house under current Municipality of Anchorage regulations.
If you have any questions please call.
Yours very truly,
CONSTRUCTION TEST LAB
Neal A. Hausam, P.E., L.So
NAH/dt
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
Phone 344-0114
[tl-Y, PRICE
2047
TAX
TOTAL
All claims arid returned goods
MUST be accompaniod by this bill,
SERIES 610
AMOUNT
Drinking Water Analysis Report for
Inorganic, Organic, and Rad~ochemical Contaminants
PUBLIC WATER SYSTEM:
I.D. NO.
L Z¢~__~ I ld~r ,~,~
15~i~-Water System Name
Address
TO BE COMPLETED BY PUBLIC WATER SUPPLIER
7 '::-' I
/V 0
~/ /~ ~, .:
City
Note: Check box to left of contaminants listed below for the
analyses desired.
SAMPLE DESCRIPTION:
Collected By
Sample Location
Source Type D Surface Water
Sample Date ~]
MO.
[] Routine Sample
:~.Special Purpose Sample
[~ Ground Water
Day Year
~Untreated Water
[] Treated Water
TO BE COMPLETED BY CERTIFIED LABORATORY
Laboralory Name
Address
...... State " -zip Code
City
INORGANICS
Limit Mg/I
[4 Arsenic (0.05)
I ] Barium (1.) ~~~~I-
~ Cadmium (0.010)
13 Chromium (0.05)
E] Fluoride (2.4)
:~. Iron (0.3)
Ei Lead (0.05)
~ Manganese (0.05)
[3 Mercury (0.002)
4~rate (10.)
[~-Selenium (0.01)
[] Silver (0.05)
[3 Sodium (250)
[]
ND Indicales Not Delected
ORGANICS
Limit lvlg/I
[] Endrin (0.0002) - ~: --
f~ bindane (0.004)ili.~i~l
[] Methoxychlor (0.1)
[] Tox~,nene (0.005)
[] 2,4,5 - TP Silvex (0.01)
t2 ...........
RADIOACTIVITY
Limit
IL3 Gross Alpha (15)
[] Radium 226 & 228 (5)
L3 Gross Beta (50)
[] Strontium - 90 (8)
[] Tritium (20,000)
pCi/I
[)ate Analysis Compleled
Form No. 1B-316(Rev, 9/78)