HomeMy WebLinkAboutTRANQUILLITY HEIGHTS BLK 1 LT 30
GR~,TI-'R ANCHORAGE AREA BOROUC~H
HEAt,TH DEPARTMI:'NT
327 EAGLE sr. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL__ ,~-~- /
LIQUID CAPACITY~-- (.) _/~- ,,.'"2 _GALLONS.
NUMBER OF /
MATERIAL -,~<"' ~"~':~' COMPARTMENTS
INSIDE LENGTH_ ~' INSIDE WIDTH '~ DEPTH
SEEPAGE SYSTEM:
SEEPAGE PiT:
NUMBER OF PITS // __OUTSIDE DIAMETER_ --'~ __OR WIDTH ...2~'~ /, LENGTH -~2~; / DEPTH
LINING MATERIAl ~) ~' DISTANCE FROM WELL /~ BUILDING FOUNDATION
NEAREST LOT LINE ~ C~ / TOTAL EEFECTiVE ABSORPTION AREA (WALL AR~A) ~ ~ SQ, FT.
TILE DRAIN FIELD:
TOTAL LENGTH
D~STANCE FROM WELL .~ .. , FOUND TION_ , NEAREST LOT LINE , OF LINES
.,/..~.'~ )UND1 / '~]
WELL: TYPE~.~,~/~-~'~-'~ DEPTH ,~/ ~' DISTANCE FROM / WATER
_SAMPLE__ ~
, .BUILDING FOUNDATION.= /~' . , NEAREST
LOT LINE //~/2 / NEAREST j.~..,~. SEPTIC ~.~ / SEEPAGE ,/ / OTHER
~ _, SEWER LINE ., TANK_ SYSTEM ,~'~"~ , CESSPOOL. ~"'~ , SOURCES__
DIAGRAM Of: SYSTEM
DISTANCES:
DAfE
GIIEATE[ ANCHORAGE AREA '-9R. OUGH cases°.
IIEALTIt DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PI:lIMIT
NAME OF APPt ICANT~..~:~,~ ~/9~I~Z~ MAILING ADDRESS /-/6~/ ~.'~---d~ ~ PHON~ N0.~
RESIDENCE ADDRESS ~~-" LOCATION OF INSTALEAT
TOgERVETHEFOILOWIN6 FACItlTY , (~-2
PERCOLATION TEST RESULTS ,/~?~ -~/~/~() ANTICIPATEO DATE OF COMPLEFION ~' ~ JJ~ ~/ (,~ ....
,/~
BELOW TO BE FII. LED OUT BY HEALTH DEPAR'r~E~T
_AS DESCRIBED BELOW. SIZE OF UNIT TO BT SERVED
_, SEPTIC TAN K SIZE ~,.~//~"05).TYPE ,_~'f'~-fS E EPA G E A REA --~ TYPE - ' -~/~]
DIAGRAM OF SYSTEM
above described system is it, accordance with said code.
DATE 'L/ ~//;/ - APPLICANTSSIGNATURE
~EATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
877 EAGLE STREET
ANCHORAGE, ALASKA §9501
CASE
Pepfommad Fop Johm Groff Date Pemformed 8/6/30
~his Form Repomts a.
Depth
Feet Soil Cha~acterlstics Location Sketch
gray & brown silty sand
organic to 2.0 (i~L)
gray gravelly sand (SW)
gray silty sandy gravel
(GM)
Was G~ound Wate1~ Encountered?
If Yes, At ~;~at Depth
Readl.~.g ~ ,'~e [G~oss Time
Net Time
Depth To H,~O
Net Dmqp
t'roposed h~taila,:~on: Seepage Pit D~,a.in Field
COMM}NTS:/ .~ ~_~ ......... 7~ , ti. ora Of }zJ. Or I~ench
~f~.~~n~ge~face is re~ui~ed Der bedr~$~ ...............
Test Pemfommed By:.,~_Q~i~ ......... These recommendations are computed
from visual observation and based
Da'~a C~;mtif.[ed By: on the unified classification syntem~