HomeMy WebLinkAboutHIGHLAND PARK Block 2 Lot 8
G'""C. TER ANCHORAGE AREA BORO,~'~H
HEALTH DEPARTMENT
327 EAGLE ST, ANCHORAGE, ALASKA 99501 279-2511
N? 755
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LO CATION cZ~
SEPTIC TANK:
...7..7~ --
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMB'ER OF /~/
MAT E R iA L/~'~.~-~'~-~ c'6~,//.~-~ ~/'/,.~:'~7- ~4.~' COMPARTMENTS
INSIDE LENGTH "'-~ INSIDE WIDTH______DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAl.
// OUTSIDE DIAMETER OR WIDTH //~'~
~Z~./.~'~- ,~-~",....y'~'~/~d'/ , DISTANCE FROM WELL
LENGTH /.~ /
, _ , DEPTH ~ /
BUILDING FOUNDATION~:''~'':~ ~,~
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA} ./--~/~ ~ SQ, FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~ ~--~'--~'~FOIJ-NDA.~ , NEAREST LOT LINE
NUMBER OF LINES ,-'/'// DISTANCE BETWEEN LIK~,ES~ _ ~D T~L~'~
ABSORPTIO~ SQ. FT. LENGIH O~~
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TO~VA~F F EC TIVE
IN, ABOVE TILE
DISTANCE FROM L~ WATER
WELL: TYPE ~ '-~' ~' DEPTH ~ , BUILDING FOUNDATION SAMPLE
NEAREST g..._~.~ SEPTIC ~ SEEPAGE
LOT LINE ~ , SEWER LINE , TANK /----~ , SYSTEM /-.--/~, CESSPOOL
DIAGRAM OF SYSTEM
, NEAREST
OTHER
, SOURCES
DISTANCES:
APPROVED/~~
HEALTH AUTHORIIY
3~? EAGLE STREET
dQ~km ANCHORAGE, ALASKA 99501
Performed For ~ ::z/~~~ Date ~erformed ~//) /?/
Le.g~l... Description' ....... Lot ~ Block :- ~(hv~s~on /-/z~//z'Wx?z~. .... ~
Th.~.s ~c~'m RepoPts a: ~olls kog~ ........ .~epcolatlon Test
D~'D+ h
Feel: Soil Charact:e~'istics Location Sketch
If: Yes, At What Depth
Reading
Date
Gr, oss T i me
Net Time
Depth To H20
Net Drop
Froposed Instal~'~,'~n?~Seepa~e Pit L/- Drain Field
Depth Of Inlet ,~ ~-'~/- ~ Depth To Bottom-'~'~it Or 'I'r~nc]~'--~
COM~,~E;,ITS :_~~-~6 ~ ~ / "'~~T~"i~-~/~'~' ~: '~ ............
Test Cerformed B), ~~ ~b¥
. .. ~ ~ , / ) "~
Date: ~
1'11
GREAFER ANCHORAGE AREA BOAOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
PERM,T NO.! 5"¢¢
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
~EEPAGE PIT ., DRAIN FIELD , OTHER
FINANCED THRO"GH ~X ~: TO BE INSTALLED BY ~t " '~ ~.
FINAL INSPECTION=
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE , TYPE
GE AREA SIZE
24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPEGTION BY THE
MINIMUM DISTANC. ES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK '/~ / ., SEEPAGE PIT TO NEAREST LOT L/NE.
WELL TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
, DRAIN FIELD
PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
., DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM,
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC 'rANK AND SEEPAGE PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONEORM TO E~OROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGB ORDINANCE NO. 28-68 AND THAT THE ABOVE
// / [ / ....
July 23, ]971
,lack Symonds
525 3rd Avenue, Apt. 207
Anchorage, Alaska 99510
Subject: Soil Test, Lot 8, Block 2, High]and Park Sub.
Dear Mr. Symons:
Please furnish this DePartment With a copy of the soil
test Performed on the above subject lot by Engineering
Services so that we may complete our On.-site Sewage
~lsposal System Inspection report.
Your prompt attention will be appreciated.
Sincerely,
Carro] Sue McKechnle
Environmental Control Officer