HomeMy WebLinkAboutSOUTHWOOD PARK BLK 3 LT 32
~TER ANCHORAGE AREA BOR~'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N? 610
NAME H~/~bL~r~;
LOCATION ~8~?
MAIL,NO 40Iq l~Cr0'tLOC~ ¢,r~e-I¢. P.ONE ~k~
ADDRESS
LEGAL DESCRIPTION ~/-0'(,'3~, ~J~...~(,'~oo~ ~i~
SEPTIC TANK:
DISTANCE FROM WELl t~/~/')lo/~.,'
LIQUID CAPACITY '~-~' 0 GALLONS.
MATERIAL ~'~(~.i~'~-)~COMPARTMENTsNUMBER OF //
,~/0~/~'00~'-/~ ~J-- ~ 0,~,/9 ~ J¢ ~o ~?~--~ ~). LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAl ,~ cOG ~'
/
NEAREST LOT LINE (~ /~) /
ORWIDTH , LENGTH , DEPTH
. DISTANCE FROM WELL (~ ~Jl/Ijl/J/Y)U~'J/4 , BUILDING FOUNDATION
/
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~'~"~"~'~I~R~TION ~ NEAREST LOT LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: Typ E (~,0/V/pq/) ) U i.JO DEPTH
/ DISTANCE FROM
, BUILDING FOUNDATION.
~....~-SEPTIC SEEPAGE
, TANK /, SYSTEM
WATER
SAMPLE
~,,CESSPO01
NEAREST
OTHER ,-.
SOURCES
DISTANCES:
)IAGRAM OF SYSTEM
HEALTH AUIHORIIY
GREATER ANCHORAGE AReA BorOUgh
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TAN~ / se~PAG~ PIT DRAIN FIELD OTHER
FINANCED THROUGH TO ~E INSTALLED ~Y
CO M PLET[ ON DATE ANTI Ci PATED ./~' ,~ /
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATiOI~I TO SEPTIC TANK
WELL TO SEPTIC TaNK C'~'~z'~'
SEPTIC TaNk, ~;-~ ~ /
., DRAIN FIELD
, SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
, SEEPAGE PiT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
DIAGRAM OF SYBTEM
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORD[NANCE NO. 2fl-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE
July 12, 1973
Mr. James ~arner
2B07 bi. 67th Avenue
Anchorage, Alaska 99502
SUBJECT: Public Sewer Available to Bloc'k 3, Lot 32,
Southwood Park Subdivision
Dear Mr. Garner:
Borough sewer is now available to you. Your present sewer
system is located to close to the community well, which
serves you. Due to the location of your sewer system, you
will need to connect to borough sewer by October 31, 1973.
You will need to obtain a sewer connect permit f~mmse~er
maintenance at 3500 Tudor Road before the connection is made.
If you have any questions concerning this matter, please
contact me at 274-4561, extension 137.
Sincerely,
Robert C. Pratt
Environmental Control
lb
Officer III
R~ECEIPT~m TO FOR CERTIFIED .... MAIL.~ ~30~,~ (plus postage)
r~u! FOR INTERNATIONAL MAIL [See ofher $1ge)
~NCHO~GE, ALASKA 99501
279-2511
DATE RECEIVED
INSPECT:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE ~{D WATER FACILITIES
FOR
Approval Requested By
Address .~z~;/~ ~/_z~/'--'/~//_>~),x~ ~..//'~_~_.~-~'~
Phone _,~/--/~--~
2. Property Owner ,,~O/.-~'~--~'' Phone
3. Legal Description/_~?~,~/~. ~C~,~,,-3~/~'
4. Type of Facility to be Inspected STREET:
Number of Bedrooms
Well Data:
B. Depth
C. Size
D. Construction
Bacterial Analysis
6. Sewage Disposal System:
A. Septic Tank (If homemade, show diagram on back)
Approval Request £or Se~
Page T~o
Water Facilities
Seepage Pit
1. Si=e.
2. Lining
C. _.Disposal Field
1. Number O£ Lines
2. Total Length
7. Required Measurements
A. Well to Septic Tank
B.. Well to Seepage Pit
C. Well to Sewer Line
D. Well to Property Line
E. Well to Other Possible Contamination
F. Foundation to Septic Tank
G. Foundation to Seepage Pit
H, Seepage Pit to Property'Line/~
8. CON~ENTS:
DATE: ~, ~ ~/~/ DATE:
APPROV~ ~ALID FOR ONE YEAR FRO,~I DATE SIGNED.
DISAPPROVED:
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT
EDll70