HomeMy WebLinkAboutTURNAGAIN #2 BLK 5 LT 8
GP~.TER ANCHORAGE AREA BOROP~H
~..,,; HEALTH DEPARTMENT ~.,~ -~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-251
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N.° 99
SEPTIC TANK:
DISTANCE FROM WELL
UQUID CAPAaTY
GALLONS,
7/ ~_.('r ~--t' LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE ~.
OUTSIDE DIAMETER OR WIDTH.
J~ '11~.~',~ DISTANCE FROM WELl //~ ?
TOTAL eFeecHve ABSORPHON AREA /WALL AReA~
BUILDING FOUNDATION. ~Z.~,'~".,
SQ. F~.
TILE DRAIN FIELD:
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
.IN, ABOVE TILE
WELL: TYPE V /_q~z DEPTH '1//~:?/ DISTANCE FROM WATER
, BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOt LINE sewer LINE lANK ~/ ~J/ SYSTEM //~2 /
CESSPOOl ., SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
~ '-~tt
.
V ~ Hea[m AUlHO~I; ~
APPROVED
GAAB-HD-2
GREATE[jANCHORAGE AREA., ~)ROUGH c,s~No.//~/~'
" HEALTH DEPARTMENT '~
327 Eagle St. Anchorage, Alaska 99501 279-2511 /:/~ ~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
APPLICATION TO INSTALL: SEPTIC TANK _,.<</, SEEPAGE PiT. /'~ , RAIN FIELD , OTHER
~ TEST RESULTS ANTICIPATED DATE OF CON1PLETION
BELOW TO lie FILLED OUT BY HEALTH DEPARTMENT
T..S.STO SERVE AS//,/>..,.~.,~ :,'~ c ,PE,~.TTO.NSTALLA
AS DESCRIyD BELOW. SIZE O~)UNIT T?BE SERVED
· SEPTIC TANK SIZE 5~'''~'''~ TYP~/~/~('/'"'~' SEEPAOE ARE
I certify that I am familiar with the requirements of Greater A~
above describe~sys: is in accordance with said code.
DIAGRAM OF z
Area Borough Ord~nce No. 28-68 and that{he