HomeMy WebLinkAboutHIGHLAND PARK BLK 5A LT 1C1.L
GP' TER ANCHORAGE AREA BOROI~'"~'H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N? 396
LOCATION
SEPTIC TANK:
DISTANCE FROM WELL g~"~'~'
LIQUID CAPACITY /~-~;~(.) GALLONS,
NUMBER OF
MATERIAL ..-~,.5"~.~cf~ COMPARTMENTS
INSIDE LENGTH ,r ,INSIDE WIDTH ~
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
,,,
NUMBER OF PITS / OUTSIDE DIAMETER
~.? C~ -?'~-~-~-~J ,.-~-'~'~
LINING MATERIAl
NEAREST LOT LINE t
OR WIDTH
· DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA}.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES /~'
ABSOR~
10 FINISH GRADE
DEPT~ TOP OF TILE
~'-'-"~"~'~..~ TOTAL LENGTH
~..-~/_, FOUNDATION NEAREST LOT LINE OF LINES
DISTANCE BETWEEN LINES ENCH WIDTH IN, TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE --~-~' ---
__DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WATER
SAMPLE.
WELL: ~.~-~.../,.~,~. ~.~r~,~ ~-~-.;-.~.,...,,~.-~.,~_~- .~'~..-'.,~-~.c,~_ DISTANCE FROM
TYPE ~b'~,~"../~,-~. ~ DEPTH ~'~"--' , BUILDING FOUNDATION· f~-
NEAREST SEPTIC SEEPAGE
LOT LINE /'"~'"~- , SEWER LINE '~--., TANK r.-~' , SYSTEM ,~'-"-- , CESSPOOl.
DIAGRAM OF SYSTEM
DISTANCES:
NEAREST
OTHER ~__
SOURCES.__
HI~AL]H AUTHORITY
GAAB-HD-2
GREATE
327 Eagle St.
ANCHORAGE AREA
HEALTH DEPARTMENT
Anchorage, Alaska 99501
)ROUGH
279-2511
Case No/~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT //-¢]/,,~.
RESIDENCE ADDRESS .,~ ~_(.dfi //~.¢/.
LEGAl. DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
MAILING ADDRESS ~.o'/_2¢;' /d",~,4-~ PHONE
LOCATION OF INSTALLATION
SEEPAGE PIT Z--..~--, DRAIN FIELD OTHER_
FINANCED THROUGH ;/~/'~'"'...~¢'~ ~'~'~,,,"~.(/.,,('" TO BE INSTALLED BY_
PERCOLATION TEST RESULT,e~?''~-'~//~,''~zz/-'¢ ;~7¢"~'" ANTICIPATE[) UATE OF COMPLETION./,~Jd~ ~ .,,,(//.~'7"~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS../~/, ,-,~g~J--/,f- ~
.AS DESCRIBED BELOW,
· SEPTIC TANK SIZE ..,'~,:5"'~/2
, PERMIT TO INSTALL A
SIZE OF UNIT TO BE SERVED
TYPE-~-.~-~ SEEPAGE AREA
DIAGRAM OF SYSTEM
DISTANCES:
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I certify that I am familial' with the requkements of Greater Anchorage Area Borough Ordinance No, 28-68 and that the
above described system is in accordance with said code. ...s.o ~"// _.~,.,,~.~.~/~/tf..,~-~£'-~- ~.7~.
r"~ATER ANCHORAGE AREA BOROUGH
HEALTH DEPAkYMENT
32? EAGLE STREET
ANCHORAGE, ALASKA 99§01
CASE
Perfommed For Alicia Crest Building Co. · Date Performed 11/3/70
gal Descrl tlo~T~Jot lC Block 5 Subdivision -H~ htand Park
b~,,, p ~ ~
This Form Reports a: So~Log x~._ ~ ~s~
6--'
7~
9'-~
10--~
Depth
Feet Soil Characteristics
brown fine to medium sand,
loose (SW)
Was ~' t~_
,,roU: d ~'~ ~ i'rcountered?
~ Yes. ~* -ar " ~ ~,
no
Location Sketch
F'"c~::,:,ed .nz..;l~ ~, ~c.u: Seepage Pit Drain Field
De~> ~ ~; .3f I n let Dep~o~om~i t Or '?ten c~ ..............
COMMEN'fS:
125 s uare feet o ' · ~ .................
Test Pe~for~d By:.~ . ._ ~7~ese reccmm~endations are core. ted
[~-om visual observations and based
Data Certified By:National Testinm Serv~ i.~n the uni I ied classification system