HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 2 LT 24
C~-'~,L~TER ANCHORAGE AREA BOR( ~H
" HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 338
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ('/~'20 l'~'
ADDRESS U~ PHONE
LEGAL DESCRIPTION
SEPTIC TANK:
D,STANCE FROM WELL
LIQUID CAPACITY ///~
MATERIAL ~¢~ ..~ ..~.~ NUMBER OF
COMPARTMENTS /
//~/~'~t,~-~ [~'7O LIQUID
GALLONS. INSIDE LENGTH. INSIDE WIDTH DEPTH___
SEEPAGE SYSTEM: SEEPAGE PIT:
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT,
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
, FOUNDATION ~ , NEAREST LOT LINE
DISTANCE BETWEEN LINES ~7. ~' ' '/~ TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE ~'V t ./~. /~/~ ! A
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH /~Z'
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
ff~.~ DISTANCE FROM WATER
WELL: TYPE DEPTH , BUILDING FOUNDATION. SAMPLE
NEAREST SEPTIC ~ ~ i SEEPAGE ~)C.~!
LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL
, NEAREST/~--
OTHER
, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPROVE ......... C .........
GAAB-I~,~D-2
GREATE~ -'XNCHORAGE AREA .. ')ROUGH Case
HEALTH DEPARTMENT '
327 Eagle St. Anchorage, Alaska 99501 279-2511 ~ '~ ( )
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NA~E OF APPLICANT )~/~ MAILING ADDRESS~~ ~/r~'~PHO~E NO.
RESIDENCE ADDRESS ~ ~~ LOCATION OF INSTALLATION~/~ ~7~ ~~
LEGAL DESCRIPTION ~ ~¢' ? ~/0 6~;~, . Z~'~ ~
APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT ,DRAIN FIELD ~' ,OTHER
TO SERVE THE FOLLOWING FACILITY ~ ~¢~L ~~
FINANCED THROUGH ~ ,j TO BE INSTALLED BY ~/~/~
~~XEST ~SULTS /~D~¢AASTIC~ATEn DATE 0F C0~LET~0S ,~/~/~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE /.I ~:~¢'O TYPFCZ~,,t/'c£z-- ~,¢'~-'SE-EPAGE-AREA
L/~/~'~-" DIAGRAM OF SYSTEM
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I certify that I am familiar with the requirements of Great~,~-Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code. //}1~7'~' ///~/.If) /~b2t,//~'~,(7- ¢;/L_ '--'~-'/E-~'"F\)
,aTF ~-~?',12~- /'7~ APPLICANTS GN TURE _ - ~'~ .:~_~/-~:-,;'~---
GREATER ANCMORAGE AREA BORO[ ..
HEALTH DEPARTMENT
32? EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
0o0
1o0
5,0
7.0
10 .O
~Performed For 5~r. Rodger Sullivan Date Performed June 17, 1,970
Legal Deseripti0n: Lo~' Z;+ ~l'o~'~"~Subdivision Lower Fire-'La~e .....
This Form Reports a: S~nog ~~... '-P~r%ol%tio~ Tes~
Depth
Feet
Soil CharacterisTics
organic
Small organic content.
CLASS "OL"
silty gravel.
well graded
3/8~. USCS CLASS
"GMd"
)arent lens of fine
to sandy gravel -
in color/USCS "GP"
Silty gravel with random
fractional rock 2" aver-
age maximum diameter.
USCS CLASS "GMu"
Location Sketch
LAKE
/
I
Was Ground Water Encountered? NO
If Yes, At What Depth
Reading
Date
Gross Time Net Time
}tlnute ' '
Depth To H20 Net D~op
P~oposed Instal~SeepaEe Pit Drain Field
Depth Of Inlet Depth To Bottom 0~ 'fit Or Trenc~
MM ' 'T~ · · · ' ·
CO ,EN.o. Entlre area str~
r-~-q~d° Reccgmme_~k% Dlacinz drain field
~~van plans .....
-EH~.3 ue~room Ior OO~ feet s~uareH ~otal '
Date: