HomeMy WebLinkAboutTURNAGAIN BLK 4 LT 14
GAAB-HD I
G?c ~,TER ANCHORAGE AREA BOROI' ~"'H
?
~,:.~.~, HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~.~
ADDRESS ~'~?~? ,~//~.-/"~'~/~ ~.z
LEGAL DESCRIPTION -/-~:~
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMBER OF
MATERIAL K'~/~//~'?/~4'~,~ COMPARIMENTS /
/~::~'~-~/~/'~ /~'~'~;~ '~'~ LIQUID
INSIDE LENGTH ~"- INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS ,/ OUTSIDE DIAMETER ~
LINING MATERIAL~)~/'/'~/¢'¢~'~.~ '~/'~'~- . DISTANCE FROM WELl ,/,~ ~
NEAREST LOT LINE ~_~" TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
OR WIDTH /~-'~/~ , LENGTH '~'~ , DEPTH
TILE DRAIN FIELD:
TOTAL LENGTH
FROM WELL ~ TION , NEARES~T~L-Off'~ ~'%. OF LINES ~- ~
DISTANCE
NUMBER 0~.~/~ DISTANCE BETWJ~EN LIN ES / ~RENCHWIDTH/ ) IN. ~O/TAL EFFECTIVE
SQ. FT. L OF EACH //
DL~TH: TOP OF TILE TO FINISH GRADE FILLER MATERIAL BENEATH TILE IN. ABOVE TILE
~-~'~d~-~c~' ./'~'/~ ~ ~'- ~ DISTANCE FROM ~ WATER
WELL: TYPE ,.~./z/~7~ DEPTH -~ ~ . BU LDING FOUNDATION -/~ SAMPLE NEAREST
SEEPAGE z ~.- OTHER
NEAREST SEPTIC ~'~ ' //'~ , CESSPOOL SOURCES
LOT LINE .///~ ~ /'~ S zWER LINE_ /-"~"~" .. TANK SYSTEM , --
DISTANCES:
/z) ~- ~//z~
DIAGRAM OF SYSTEM
GAAB-HD-2
GREATE[_iANCHORAGE AREA '~,~OROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
LEGAL DESCRIPTION "~?--
APPLICATION TO INSTALL: SEPTIC TANK~,~EEPAGE PIT- ~ ,DRAIN FIELD ,OTHER
TO SERVE THE FOLL~W~ FAC~UTY '~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
DIAGRAM OF SYSTEM
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above describedystem/s//in accordance with said code. ~' ~" ~/~'~'~
OA TE 7, APP L, CANTS S G NAT O R _