HomeMy WebLinkAboutSOUTHWOOD PARK BLK 2 LT 2· 012.0
GxPmATER ANCHORAGE AREA BORO;~GH
' HEALTH DEPARTMENT '~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS .
MAT ERIAL/,~I~.~
GALLONS. INSIDE LENGTH
~(,~_W? NUMBEB DP /
COMPARTMENTS
LIQUID
INSIDE WIDTH DEPTH
NUMBER OF PITS_
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER OR WIDTH
. DISTANCE FROM WELl
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH , DEPTH
BUILDING FOUNDATION
.SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER DE LINES P
ABSORPTION AREA / ~)O
· FOUNDATION /~ I
DISTANCE BETWEEN LINES 7
SQ. FT. LENGTH OF EACH LINE
,.~/
DEPTH: TOP OF TILE TO FINISH GRADE
!
NEAREST LOT LINE J4 I TOTAL LENGTH F3
, , OF LINES .
TRENCH WIDTH '~ ~ II IN. TOTAL EFFECTIVE
I ' z 7/ /
II ~ Il
DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN. ABOVE TILE.
WELL:
TYPE. DEPTH
N EAREST-
LOT LINE . SEWER LINE~
DISTANCES:
SEPTIC
TANK
DISTANCE :ROM WATER
· BUILDNG FOUNDATION, SAMPLE . NEAREST
SEEPAGE OTHER
. SYSTEM_ . CESSPOOL , SOURCES
D AGRAM OF SYSTEM
APPROVED
HEAL/H AU/HORIIY
~**"'""~'" GREATEi. ANCHORAGE AREA'_, .gROUGH Cas, N°.
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ~r~) L, '~/J~)lC_~
RESIDENCE ADDRESS ~7~- ~? ~ ~t)(:-~
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ~.~ I P ,
PERCOLATION TEST RESULTS I~'//
MAILING ADDRESS~ PHONE NO. ,
LOCATION OF mSTALLATmN&~ i~,~;~¢- Z~
,SEEPAGE PIT , DRAIN FIELD
TO BE INSTALLED BY ~e.I ~
ANnCmATE0 OATE 0P C0~PLET~ON
,OTHER
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ~A,~. "~u~c~t~.l~_.5 , PERMIT TO INSTALL Akl
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE ,'/':=~ ~-(~ ,TYPE ,"'~e¢~'~
SEEPAGE AREA
TYPE
DISTANCES:
I certify that i am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DIAGRAM OF SYSTEM
ADAMS · CORTHELL ° LEE ' WINCE
& ASSOCIATES
CONSULTING ENGINEERS
AFFILIATED WITH
303 EAST SIXTH AVE. - ANCHORAGE. ALASKA - 99501
TEL. 272-3428
Mr. Ronald I. Burdick
2732 West 65th Avenue
SUBJECT:
Percolation Test Lots I &
Southwood Park Subdivision
Dear Mr. Burdick:
A percolation test was gerformed on
1969. The test was performed in an
by you. The test data are shown on
The percolation rate was determined
1 minute.
very truly yours,
ADAMS, CORTHELL, LEE, WINCE
& ASSOCIATES
W. O. 9414
2, Block 2
the subject tract on April 14,
auger hole which had been dug
the attached data sheet.
to be approximately I inch per
Frank Wi Wince, P.
Enclosure
F~,IW: 1 d
RICHARD S. ADAMS. P,E, ALAN N. CORTHELL. P.E. HARRY R. LEE, P.E. FRANK W. WINCE, P.E.
~'~ 7.'*,~i[ '~ ~A LA S K A1940 PostT E S T L A F~-~Road
Anchorage, Alaska
FHA No.
Location, Lot/.ff~.o ,Block ?- ,Subdivision
Sheet / of / _
Date ~/ /i/hr/
T.H. No.
Tech.
PERCOLATION TEST
Depth Soil Class
Feet Visual - Unified Location Sketch
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation ob
,.~t.~ 1"/ /
,.,1nut,..