HomeMy WebLinkAboutHIGHLAND PARK BLK 3 LT 8
Gr'"~TER ANCHORAGE AREA BORO~'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 481
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
ADDREssMAILING ~'~' ~/"/~
LEGAL DESCRIPTION ~-¢'~--
DISTANCE FROM WELL ./"~-'~'~/d~. .,/-/...~ ~
LIQUID CAPACITY ./',~"J~' (-~ GALLONS.
NUMBER OF
MATERIAL ,,,..,s'/.~~ -~-'~--- -''~'~' __COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS /'
LINING MATERIAL..~ ~/~'
NEAREST LOT LINE ,...~ ~/ /
SEEPAGE PiT:
./
OUTSIDE DIAMETER ~':"~'-' OR WIDTH -~/~" , LENGTH ~"~"'-/ , DEPTH
(.'. ~/J/~",'~/, '~";'~'~'JDISTANCE FROM WELL _r/'~_~.~,/""""""""'~· ./-~'/~.~ ~,~/ , BUILDING FOUNDATION ~_.o -,
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Y"~""'~//'~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ....-.--~"~ FOUNDATION
NUMBER OF LIN~.,/ DISTANCE BETWEEN LINES
ABSORP~ AREA SQ. FT. LENGTH OF EACH LINE
/
DEPTH: TOP OF TILE TO FINISH GRADE
., N~NE
TRENCH %
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
W ELL: ~;/'¢/~'[~
TYPE//~./'-,,,/,~'~/~/'~'L~ _, DEPTH ~
/ NEAREST ,,~..,~ SEPTIC
LOT LINE , SEWER LINE. . TANK
DISTANCE FROM WATER
, BUILDING FOUNDATION '~-- SAMPLE
SEEPAGE
, SYSTEM ';'~" ,-'~C ESS P GOt
, NEAREST
OTHER
~' SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
ANCHORAGE AREA
HEALTH DEPARTMENT
Anchorage, Alaska 99501
OROUGH
279.2511
Case No. /'/'f':)/'_
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
,/¢
NAME OF APPLICANT
RESIDENCE ADDRESS
APPLICATION TO INSTALL: SEPTIC TANK.
TO SERVE THE FOLLOWING FAClLI,TY ~1~.
FINANCED THROUGH / ~?¢~f*
PERCOLATION TEST RESULTS
......... r:' · ,. ~ / ~ ;~ .~ I
~SEEPAGEPIT / ,DRAIN FIELD ,OTHER
A~TIClPATEB DATE OF COMPLETION
BI-'LOW TO BE FILLED OUT BY IlEAL'TH DEPARTMENT
THIS IS TO SERVE AS ,/~q/2 ~/" 'I , PERMIT TO INSTALL A .
AS DESCRIBED BELO~V. SIZE OF UNIT TO, BE SERVED ,.,~5
. SEPTIC TANK SI TYP . SEEPAGE AREA __TYPE
DIAGRAM OF SYSTEM
DISTANCES:
I certify that I am fa~niliar with the requfl'ements of Greater Anchorage Area Borough Ordinance No, 2~. 68 and that thc
above described system is in accordance with said code. )~,//~ )/ .~., /~ fl~:~¢"~/~ ::: ......
/
DATE ':' _ APPUOANTSSIGNATURE ~:: :>t-:e ~ :.< .....
l:e oo ::,
Lot Survey Certification
Lot,'~ , Block .~
Anchorage Recording Prec:nct:, Alaska
pREP~R:I) ~Y,
CO','tTI~ACTIriG ErlGIHE[RS ANt)ASSOC. 270
'1792
1"
It is tile responsibility of
the owner, prior to construction,
to verify proposed builuing graJe
and utility connections and to
determine the existance of any ease
Illeii~S ~ COVeiiaiits ~ or restrictions
which do not ~U)l~qA.g.on ti~e recorde,:
plat.
~i,.~t.
GREATER ANCHOF. AC, E AdEA
HEALTII i)EPAI,:TF, EWF CASE
327 UAGLE S]'REE~
ANCHORAGE, ALASKA 99501
Performed For ~, ),,~,/ ,' ~"~- ) .... ~:' iDat~ })er, forned
This Form Reports a: So~.ls Log h. .Fe~coJ. atxor lesz.
Depth
Soil Charac.eristics Location Sketch
Reacl2. np j lU. te Gross Time Net Time Depth To H20
.............. ..& .................. ~.~ . Net Drop
l)ata Certified By:
Date: ,, .. - ,. .-~ ,
§~70I Chivig;~o¥
~c~we:r, World yo~ pleas~ cheek ~o~r re~rds to vc~l~ that tho ~truetuuu(s) is
connectio~ h~;i b~en made,
Yc, u ~u',~t apply fi)r u oonneotlon permit from the po~tt officer for tho ~:1unieipattiy
of Anohorag~, 3500 l{aat q?udor Ro~d. ]fy'~l hnvo ~ny quesilo~m, r~ardin~ tho
~¢;ineo~'ely,
.Principal Envlrom~enti~l Control Ofileor
cO
P,O., STATE AND ZIP CODE
OPTIONAL SERVICES FOR ^DDITiONA[ FEI~.S --
RETUIIr~ N 1. Shorts to wi]o~ and date d~live[0d ....,.... ']5~'
RECEIPT. [~ With delivery to addressee on y ....... 65d
]/ 2. Shows to whom date and wllero del verec:' 35~
SERVICES ~, With deliveryto ~ddresseoony .......... 85~
OEUV~ff TO AOD[{ESS~E Om~
~'"': ............. z'"-":....-..; ........ 50d
s~c~ o~gw~v (~,o ~ ..... q.~,od; ..................................
PS Form
Ap~, ]o71 3000 r40 INSURANCE ~0VERAGE PROVIDED~
fla-( FO~ INTERNATIONAL UAIL
RETURN RECEIPT REQUESTED
O SENDER: Complete items 1, 2, and 3.
Add your address in ihe "RETURN TO" space on
1. The following service is requested (check one).
[] Show to whom and date delivered ............ 15¢
[] Show to whom, date, & address of delivery.. 35¢
[] RESTRICTED DELIVERY.
Show to whom and date delivered ....... :~ .... 65¢
[] RESTRICTED DELIVERY.
Show to whom, date, and address of delivery 85~
2. ARTICLE ADDRESSED TO: flK/lw
Evelyn Holland, 6701 Chevigney
Anchorage, Alaska 99502
3. ARTICLE DESCRIPTION:
REGISTERED NO. I CERTIFIED NO. INSURED NO.
I
740946
(Always obtain signature of addressee or agent)
I have received the article described above.
SIGNATURE [] Addressee [] Authorized agent
"/DAT~F DELIVERY
6. UNABLE TO DELIVER BECAUSE:
Address..
User / Tenant.. --
~ddres~.,
DYe' Y~'S'i'.,
[] Pos/l/ve
~-~ Negat/ve
~L INFOt~MA T~ION,_z
Off~ce..
~INICIPALITY OF ANCHORAGE
I)~J(:~ HEALTH &
I:NVJRONMJENI'AL PROT~Ci'ION
MAY 3 5
RECEIVED
Adm/nist~red By..
~o¥~mb~ 30~ 1970
tmcimrag~', ~kla.M~,~ 99501
~',o~r System for l,ot ~, Block
Park Subdivision
A sewer sy~;tem aptn'oved by tM.s Do'l)~r't, mont co,~ld bo
until public sewer is availablo.
It is projocted by tho Borough Public )qork$ ))epart~nent
ti~at pt,blic sower will bo available this next
Joha R. Lee, R.S.
,3ani tart an
Richard D. Black
July 17, 1970
Vetorans Administration
P.O. }}ox 1399
Anuhorage, Alaska 99501
Sirs
SOBjI~,CT: !'hi~ter and F~w~r
for Lot 8, IJlock 3,
Pork ~ubdivision,
Km~m~th h. Berg
~lhe subject lot is :in a lateral i: l,romnent district
and if constrtmtion goos ~ scheduled will be served
b)' p~lic sewer this fall. A temporary sewer syste~n
rmy ba installed and approved b7 thh; I~l.,arBmnt to
sarvo tho subject lot md:il the sewer is available.
l'hitor is supplied via Central Alaska Utilities whid~
is an approvod wt~tor supply.
Sinccrol.y
CLI FFORO I'..JLtDKI~-;, R.S.
Administrative Di~'octor
BY:
Sm~itari~
J RL: Z~