HomeMy WebLinkAboutLAKEWOOD HILLS LT 11A
GR,~.TER ANCHORAGE AREA BOROI'--'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCAtiON
MAILING
ADDRESS ,~-/C/
LEGAL DESCRIPTION ~"* //'
PHONE
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY (
.~ )- ~..~"~'L.. NUMBER OF
MATERIAL. COMPARTMENTS
GALLONS. INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH __
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OUTSIDE DIAMETER
LINING MATERIAL
OR WIDTH
DISTANCE FROM WELl i ~)(..,)
., LENGTH , DEPTH
BUILDING FOUNDATION
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~!~ ~"~
SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
~.~- ,~f~E:AREST LOT LINE , OF LINES.
DISTANCE FROM WELL , F~O~UN~]'tOI~1'*"'~ .... '~'~
NUMBER OF LINES ,~.~-"'~ .........DISTANCE BETWEEN LINES ,/ TRENCH WIDTH ,~,~.~--'~'~"'"~IN. TOTAL EFFECTIVE
A_.~SG~R'PTION AREA SQ. FT. LENGTH OF EACH LINE .
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILJ~:
IN. ABOVE TILE__
WELL: Typ~'~l/~L/~.,~---~ DEPTH ~'-/)'~)¢ DISTANCE FROM WATER
, BUILDING FOUNDATION. SAMPLE ., NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE ., SEWER LINE , TANK. , SYSTEM , CESSPOOL , SOURCES
DISTANCES:
~1:~- %-01
DIAGRAM OF SYSTEM
S~P~.
~ .__:~
HEALTH AUTHORITY
GREATE[ ANCHORAGE AREA ~)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case No.
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ,'T/q/KT~-% ~("~-
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
To SERVE T.E FOLLOW~N0 FAC,.TY
F.NANCED T.R0UG. /M:/~ //~ cL:~/
~~N TEST RESULTS
MAILING ADDRESS ~-'/-~ /~ ~/~.~. PHONE NO. --
LOCATION OF INSTALLATION
SEEPAGE PIT k~ , DRAIN FIELD
,OTHER
TO BE INSTALLED BY
ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
,f~),~o J'-~(:)~, , PERMIT TO INSTALL A
AS DESCRIBED BELOW· SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE
TYPE'- 6T~:~,L- SEEPAGE AREA
DIAGRAM OF SYSTEM
TYPE
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area BoroughjOrdinance No. 28-68 an :the
above described system is in accordance with said code.
ALASKA GEOLOGICAL CONSULTANTS
277-7602
October 27, 1969
2227 SPENARD ROAD
0(1' g$1969
ANCHORAGE
Mr. James S. Moa
514 West Fireweed Lane
Anchorage, Alaska
Re: Soil percolation characteristics for property located in S½ of
Lot 11, Lakewood Subdivision
Dear Mr. Moe:
This letter is to certify that an investigation of the soil percolation
characteristics has been conducted on the above-mentioned property.
It was determined at the time of the investigation that a percolation
test was not necessary and the information enclosed herein reports
the soil characteristics for the. proposed sewer system.' The location
of the septic tank and cesspool excavation are shown on the attached
Greater Anchorage Area Borough Health Department form.
This. investigation was made in accordance with the Greater Anchorage
Area Borough Health Department specifications.
JAH:js
Respectfully submitted,
ALASKA GEOLOGICAL CONSULTANTS
James A. Hamilton
g nc.
cc: Greater Anchorage Area Borough Health Department
~EATER ANC)IORA!i~E AREA BOROUGH
}tEALTH DEPARTHENT
32? EAGLE STREET
ANCHORAGE, ALASKA' 99501
Performed For James S. Moe
Legal Descrip~ioh:' Lo~--~f-~.l Block
This Fcrm Reports a: So~'-Log__
Soil Characteristics
Date Performed 10-18-69
'~Su~,~v~ on Lakewood Subdivision
Location Sketch
· if Yes, At Wha~ DepTh
h. To H20 Net Drop
....... -~ .L iX'_- _
DPain Field
Depth' Of inlet Depth. To Bot't~--~'i% Or T~ench
COMMENTS:
D~ta Certified ~y:~-~,~:::~