HomeMy WebLinkAboutMCCAUGHEY BLK 2 LT 7 STELLA PLACE TOWNHOMES01 4
G~TER ANCHORAGE AREA .BORO H
_ HEALTH DEPARTMENT ~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-251!
N°. 38
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
' LOCATION _~;;~-.~¢-~/~,/_Z/? ~-~" ~/~./~'. ~
SEPTIC TANK:
D,STANCE ROM WELL i
LIQUID CAPACITY /,'/~""~ ~Z) GALLONS.
MAILING ~,~f..,.~..~/,> ,~.-~/~ PHONE~/_~
ADDRESS
LEGAL DESCRIPTION ~:~-~7
MATERIAL ~-~"'~-- NUMBER OF ~
, COMP~.RTMENTS
C-~'''7~''''''''''''''''~''''~ -'~'~ "~'~'~"~"') LIQUID
INSIDE LENGTH /-,/ INSIDE WIDTH. ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
~ OR WIDTH "~'~ ! /
LENGTH
, , DEPTH ~;~
/
DISTANCE FROM WELL ././~ BUILDING FOUNDATION~) ~,
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /'Z~ ~) .SQ. FT.
TILE DRAIN FIELD: ///~~ ,
DISTANCE FROM WELl ,/' , FOUNDA11JON ,NEAREST L LINagE ~ TOTAL LENGTH
, OF LINES__ .,
DEI~fH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:
LOT LINE
//~ / DISTANCE FROM . / ~ WATER
TYPE ~IZ'~/--~:~~ , DEPTH , BUILDING FOUNDATION.~9'.~'~/~'~ SAMPLE .,4/'~-) , NEAREST
/.~ //_..~ NEAREST ~ SEPTIC //~:~ / SEEPAGE / OTHER
, SEWER LINE , TANK , SYSTEM _~/~) ,CESSPOO[ ~/, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
HEALTH AUTHORITY
GAAB-H D-2
GREATEF?ANCHORAGE AREA gROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
No.
NAME OF APPLICANT~~
RESIDENCE ADDRE,~.~// ,~/~&
LEGAL DESCRIPTION
MAILING ADDRESS ~"~' ~'
LOCATION OF INSTALLATION.
APPLICATION TO INSTALL: SEPTIC TANK X , SEEPAGE PIT )( __, DRAIN FIELD
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH .X~b ·
PERCOLATION TEST RESULTS
PHONE NO,
,OTHER
ANTICIPATED DATE OF C N
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THISISTOSERVEAS ~ ~ ,PERMITTOINSTALLA
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE/,~ TYPE ~~DIAGRAM SEEPAGE AREA/~oF SYSTEM ~ .TYPE/~~
DISTANCES:
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.
(.nO
OZ
.-(
'-r
STELLA PLACE
Block; 2
I~IY ~,TT
STREET
I
I
r'rl