HomeMy WebLinkAboutSOUTHWOOD PARK #1 BLK 5 LT 39I
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GREATEY ANCHORAGE AREA, OROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS ~.~,/-////Z '~F"~ LOCATION OF INSTALkATION ~-~/,'"'~
LEGAL DESCRIPTION ~ ~.~'/~ ~/
APPLICATION TO INSTALL: SEPTIC TANK /~ , SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER.
TO SERVE THE FOLLOWING FACILITY ~
FINANCED THROUGH ~ ,/~, TO BE INSTALLED BY
BELOW T~ BE PILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS .' g./://~Z 7'Z: ~ ,,PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE O_F UNIT TO BE SERVED ,~, '2~7~ , , ,;...-.P'- .f~
r--' SEPTIC TANK SIZE '"~'"~ .TYPE /D'gRUT'&'~'.SEEPAGE AR
DIAGRAM oF SYSTEM
HEALTH AUTHORITY
OR
~ ce~,~ 7~7~Tm~;~'~a; ~th t~ ~q~m~n~ o~ ~re~t~ ~o~ ~ ~orou~ O~d~nc~ ~o. ~8-~ an~ ~ ~e
above described system is in accordance with said code. ~ ~ z "/0 gL3 ~ZT ~'/~ ~ W
DATE '~'~ ~' /~
App LICANTS SIG NATU R~4/~; ~
:Performed For ~U_, ~c~q.(> !.'~,f~, '. ,. Da~2e Pe~fopmed____~.~ ~- 7 ~'
This Form Reports a. So~ls Log , .,~ . .Percolation Tes{'' '.
Depth
Fee~'Soll ChaPac~episzics Location Sketch
...... _...._, .....
Was ~round Watez, Encountered? c,+
, . , j~--~.~_~ . ,
Reading Date Gross Time Net
~ .- : , · S~ f .... ~'~
......... , ,,
F~oposed Instal~ibn:'~ SeepaEe Pit D~ain Field
Depth Of Inlet '~ ....
COMMENTS: . , , Dept~ T~f~ O~ Trench
., '.._~..,, . ~', -.,( .,/-,,~
......,. _ ~~, ,,,
Certlf, ed By; ] ~ ,-~~ '
GREATER ANCHORAGE AREA BOROUGh
HEALTH DEPARTMENT
327 EAGLE STREET · P, O. BOX 968
January 18, 1971
2541 ~. 67th
Anchorage, Alaska 99502
SUBJECT: Permit and Application for Sewage Disposal
System, Lot 39, Block 5, Southwood Park
Dear lqr. Scholte:
June 50, 1970, you obtained a permit from this Department
for the installation of a sewage disposal system. As of
this date, the permit is still outstanding.
Please advise this Department if you have installed, or
still intend to install, a sewer system on the subject
property and wish your permit kept pending in our files.
Sinc?ly,
sLaYnn:tari~' CanOad ! I ",