HomeMy WebLinkAboutLAKEWOOD HILLS #4 BLK 1 LT 6
GAAB-HD-I
GREATER ANCHORAGE AREA BOROUr'-H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
~ ~ MAILING -~ :,
NAME ~7'~'.-'~'z.,'ir ~,'''f/' /"--'4'"'~.7~,~' ,~" .7~"~'2 ;'''''''''''''''''''~ ADDRESS ,.~ .,~ '~2--~ '/----~/'"J ~"~' PHONE_'~
SEPTIC TANK:
DISTANCE FROM WEE[ -.~---~
LIQUID CAPACITY ~'~_2~'2 0
MATERIAL 6"~ 0/'~ ~./> ~,z~ NUMBER OF
COMPARTMENTS.
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH_
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
,/ OUTSIDE DIAMETER '~ OR WIDTH .~.~ 6~
~'"-~-*~./"~'~.~~-(Z~.~''~ /'~/~'~?-.'~ DISTANCE FROM WELL .,,~.,~.-.Z~ /
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
/ /
., LENGTH /'C~ ,DEPTH~
BUILDING FOUNDATION '-'~/'") ~
'/--~"Z~~'''''~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~.~)...~DATION , NEAREST LOT LINE.
ABSORPTIOJ:~"'A~REA SQ. F~ LE~CH LINE
TOTAL LENGTH
OF LINES
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: ,'~'~' ~/" DISTANCE FROM
TYPE. ,,,.~,/~/...'~,(__~.2'~ DEPTH '~ , BUILDING FOUNDATION, SAMPLE
NEAREST SEPTIC '-.~) / SEEPAGE
LOT LINE '---'~' , SEWER LINE ~ , TANK ~ , SYSTEM ,."/-~'- CESSPOOL
DIAGRAM OF SYSTEM
, NEAREST
OTHER
, SOURCES
DISTANCES:
OROUGH Case
GREATEI ANCHORAGE AREA
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT'~'~/'//z~ ~'~.4~.:~ MAILING ADDRESS ~'?0~ ~',',-~-~ ~:
RESIDENCE ADDRESS S~ LOCATION OF INSTALLATION. ~"~
LEGAL OE$CRIPTION i~' ~, /~.~/~t~]~¢~4 ~_~,.
APPLICATION TO INSTALL: SEPTIC TANK__'~/ ,SEEPAGEPtY /~' ,DRAIN FIELD
TO SERVE THE FOLLOWING FACILITY J ~"-,~/¢--~~'' '~'c ~'"~ -- 0'") -~,'~,g'),,"~'P/'2'2
PERCOLATION TEST RESULTS
PHONE NO.
,OTHER
ANTICIPATED DATE OF COMPLETION ~-~ ~/ fi~ ~' /t)oFI~£Z
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
, PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
TYPE~ SEEPAGE AREA
DIAGRAM OF SYSTEM
· SEPTIC TANK SIZE ,/.o~;,~..; TYPE
DISTANCES:
'(/
~ Cel't1~y that ~ am familiar with ~he requ~eme~ts of G~eate~ A~chorage Area Borough Ordinance No, 28-68 and that the
above described system is in accordance with said code.
BATE AP~LIgANTS SIGNATURE
ALaSKa gl~oLoglcaL CONSULTANTS
__4--
ENGINEERING GEOLOGY ~ MINING I~' OIrOPNylllGI 1~ GROUNDWATIrR'I~ pETNOL.I'UM
TEI. EPHONEI 277.700!
277;7002
272.4 f !4
2227 9PENARD ROAD
ANCHORAGE, ACASKA 99503
June 29, 1970
HJM:js
Attachment
cc: GAAB Health Department
Tyson Whittock
3703 Lois Drive
Anchorage, Alaska 99503
Re: Soils Examination for Percolation Qualities: Lot No. 6, Lakewood Hills
No. 4
Gentlemen:
This is to certify, that we have investigated the soil conditions on the above-captioned
property, The soil profile consists of four feet of boulder till underlain by water
sorted gravels with minor silt lenses,
We recommend a seepage area of 150 square feet per bedroom for this installation.
Respectfully submitted,
ALASKA GEOLOGICAL CONSULTANTS
,
H, J. Moening -~-X
ItEALTH DEPAkTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99§01
CASF, ,/
Legal Desol,~txon: Lo~ G'~ Block ~ubd~v~s~lon~,.~./E~' %,~?(~c~ ' ~' ~
This Fo~m Reports a: Sozls Log
Depth
Feet S~il ChaPactePistics Looation Sketch
%,as!f Yes,O~°und Wate~At What DapthEnc°untered?_.__~. ::
Readlng Date , G Ti~[ ,.me. Depth T
.......... ::
~mo~sed Znstall~%~o~':' Seepaze Pi~,, D~ain Field
Depth'Of /nlet l)e~ TO ~~ ...........
COMME~ .~. ...~ ~ , .w ~ ~ --