HomeMy WebLinkAboutSOUTHWOOD PARK #1 BLK 5 LT 2201°- -i3z -25-- ooo
~o. 740264
--di~-~ATER ANCHORAGE AREA BOROUGH
~ ~.'~ DYE TEST
Date:
Mailing Address;
User / Tenant:
Property Address:
Subdivision: ~.~ ' --
~ou Fd uJ~ PA"(~{~''
DYE TEST:
[] PosHive
"_.~i Negative
ADDITIONAL INFORMATION:
Off/ce:
Field:
Adm/n/sfered By:
' PW-062(7-74)
Municipalityof
Anchorage
POUCH 6-650
ANCHORAGE, ALASKA 99502
(907) 278-4531
GEORGE ~ SULLIVA~
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Environmental Sanitation Division
March 18~ 1976 (2510 East Tudor Road)
File No.:
4-1
Mr. Allen Sly
2420 Raspberry Road
Anchorage, Alaska 99502
Dear Mr. Sly:
It has been brought to our attention that public sewer is available to
Lot 22, Block 5, Southwood Park Subdivision.
According to the Anchorage Code of Ordinances "Sewage Disposal Practices",
Chapter 16, Article 16.45, Section 16.45.050:
"Septic tank-seepage system sewage disposal facilities shall not
be installed or used on any premises where sanitary sewers are
available within seventy (70) feet of the nearest lot line of
said premises...".
The Municipality of Anchorage Department of Public Works has
checked their records and they indicate that your structure (s) is
not connected to the sanitary sewer. Would you please check your
records to verify that the structure (s) is or is not connected and
notify us immediately if your records indicate that a connection
has been made.
If we do not hear from ~ou within seven (7) days, we will assume that
our records are correct. We, therefore, request you connect any and
all structures located on the subject property to public sewer by
July 30, 1976.
You must apply for a connection permit from the permit officer for the
Municipality of Anchorage, 3500 East Tudor Road. If you have any questions
regarding the above, please do not hesitate to contact the permit officer at
279-8686, extension 259 or the Department of Health and Environmental
Protection at 276-2221.
//Pr'mcipal Environmental Control Officer
JK/lw
GRr~TER ANCHORAGE AREA BOROUGH
~_: HEALTH DEPARTMENT ~.~.,.
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'-~ ~ ~,,,,,,
LOCATION
ADDRESS ~.~'~.Tr ~,,~ ' PHONE
LEGAL DESCRIPTION/c~7~ 2~- ~ ~7~---'! ~t/~ ,~. ~?~'~ZT'-'r~'£~.~>
SEPTIC TANK:
DISTANCE FROM WELL X'
LIQUID CAPACITY ~'~---~
GALLONS.
~/~.~,~ . NUMBER OF /
MATERIAL ~ ~--~ ~_~ COMPARTMENTS t
INSIDE LENGTH INSIDE WIDTH. DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
OUTSIDE DIAMETER
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ "~ G SQ. FT,
TILE DRAIN FIELD:
~....~ ~ .~/ ~OTAL LENGTH
DISTANCE FI;J M WELL F.~D~,TION ~.~._ _NEAREST LOT LI " ES
NUMBER OF~~/~~LIN ANCE BETWEEN LINES-- .TRENCH WIDTH: IN; TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
NEAREST
LOT LINE ~../~'"" , SEWER LINE
DISTANCE FROM WATER j/_
~' , BUILDING FOUNDATION. SAMPLE ,/J,/~" , NEAREST
SEPTIC SEEPAGE OTHER
TANK ~ /'~-.-- , SYSTEM ~' ~- . CESSPOOL , SOURCES
DISTANCES:
DATE
DIAGRAM OF SYSTEM
GREATEF . NCHORAGE AREA , 9ROUGH
~=t HEALTH DEPARTMENT ~ ~
327 Eagle St. Anchorage, Alaska 99501
279-2511
Case
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS ~'""~:~'~'~? LOCAT ON OF INSTALLA~'~ION~/~~'~T
APPLICATION TO INSTALL: SEPTIC TANK ~ ,, SEEPAGE PIT g// ,BRAIN FIELD ,OTHER
TO SERVE THE FOLLOWING FACILITY ~
FINANCED THROUGH ~~ ~ Z/ . TO BE INSTALLED BY ~
p~~TEST RESULTS /,~,/~' ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
, PERMIT TO INSTALL A
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF, UNIT TO BE SERVED
. SEPTIC TANK SIZE '"'~ ~-~' Ty p E ( ¢/UCX~-r~"~E EPAG E A REA
DIAGRAM OF SYSTEM
uc~.s~ o~s,~.~. , '~ ..... ~& "- '~-~' No 28-68 and that the
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance .
above described system i~ in accordance with said code.
DATE ,- - APPLICANTS SIGNATUR~ : :'