HomeMy WebLinkAboutNORTON PARK #3 BLK 3 LT 55
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22
ANCHORAGE, ALASKA
'AUG ~ 1973
Performed For William Turner
~ ^~
This Form Reports Soils Log x ~~-~ Test
Soil Characteristics
.Oray and brown clayey
sil~ (~L)
Gray sa :' w/silt pockets (S?
no
'Gray sandy silt
De )th
Fe, t
2_
?--
1
Was Ground Water Encountered? No
If Yes, At What Depth? -
Time
Reading
1~ ~-'T~iT~ ~ '
Rate ~ ! .....
Proposed ~nsta'FT-~-t-i"6~..---Seepage Pit Drain Field
Depth Of Inlet
COMMENTS: I" I --Dep~-'-~-~-~-ottom Of Pit O~ Trench
~,e
· - on~ite
.... 'Nl.ia ]-oc~'t{O~ ~ ~o~m for
ALASKA MINERAL & MA'F~R~AT
,Net Time i Depth to H2Oi Net Dro~
GREATER ANgHORAGE AREA BOROUGH ,>
l)3oartment of ~nwronmen~a]
3500 Tudor Road, Anchoraqe, Alaska 99507 279-8686
Time of Inspection.
Date of Insoection
RF. QUESI FOR APvROVAL OF
IND!VIDJAL SHi¢¢ER & ~;,/ATER Ft%CI!,ITIES
2. P~oner%v ~mer: .~ ~ ~ C~ ~c~ Phone
// ' ]acte~a~ Ana!ysis
A. Installed ~. Instal]er
C c. · I .,..ze 9. Manufacturer
· oept/c Tank: . , '~ , ...
D, Seepage Pit: ]., ,Size 2. Material
Disposal S4eld; Tot:a] !,ength of Lines
Distances:
A. Well To: Ser~t~c Tank , Absorption Area
, Sewer Lines
, ,..e~w,e~t Lot TSne
9. F,;,_nr]ation 't.:2 :?°:',tic Tank
, Other Contamination .
';, Absorb}rich Area .
C. Absorotior~ Area to b!earesi Lot Line .
3I~gTER gNQ'iOI~gGE 3REg BOROU(
!!E3LTH DEP)RT,~NT
327 EgGL'F, STRE'ET
ANCHORAGE, ALASKA 99501
279-2511
DATE RECEIVED
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
FOR
Type of Facillty to be Inspecte~
Number of Bedrooms ..... ~)~ _
Size..
6. Sewage Disposal System:
A. Septic 'rank (If homemade, show diagram on back)
2. Age 2
3, Manu£acturer
4, Installer
Re(~est for ^porovat o~ ~dividua] Sewer & 'fiater Facilit
Page Two
the informat2on con't:~.ine-! in this request for approval to be a true
repx;-,;ent:atfo~ of the ?qb'i~c't se;ws:r' and writ;er facilities located at:
Signed Date
Approval Request for ~ ' 6 Water Facilities
Page Two
B. Seepage Pit
1. Size
2. Lining
C.. Disposal Field
1. Number of Lines
2. Total Length
7. Required ~easurements
A. Well to Septic Tank
B. Well to Seepage Pit
C. Well to Sewer Line
D. Well to Property Line
E. Nell to Other Possible Contm.ination
Foundation to Septic Tank
G. Foundation to Seepage Pit
H. Seepage Pit to Property Line
8. COMMENTS:
DISAPPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROH DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPAR~IENT
EDll70
