HomeMy WebLinkAboutWAKEFIELD LT 6B
Gp"'~,TER ANCHORAGE AREA
HEALTH DEPARTMENT
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADOREBB c; O/
SEP/'IC TANK:
INSIDE LENGTH
DISTANCE FROM WELL__ ~"~'"
SEEPAGE SYSTEM: SEEPAGE PIT:
LINING MATERIAL~
NEAREST LOT LINE
NUMBER OF
COMPARTMENTS
LIQUID ,,~/
DEPTH_~-!
BUILDING FOUNDATION
DISTANCE FROM WELL. /;2(; ~'
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_
SQ, FT.
TILE DRAIN FIELD:
DISTANCE M WELL , FOU ATI N . iST LOT LINE__ , OF LINES ,
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__
WELL: TYPE ~'~'f'~ DEPTH ~-~J~'~,, DISTANCE FROM :~/,~'~ WATER
· BUILDING FOUNDATION.. I"""C'~" SAMPLE NEAREST
NEAREST -~'//) ! SEPTIC (~,)~ '~' SEEPAGE //~ (~) /~/,~ OTHER
LOT LINE , SEWER LINE__!~" ,TANK , SYSTEM. . CESSPOOL ' , SOURCES
DIAGRAM GE SYSTEM
DISTANCES:
1¥
DATE
APPROVED
HEALJH AU[HORIJY
.STRUCTION INSPECTION QUALITY CONTROL
MATERIALS
SC)II- CONCRETE ASPItAL.T
NATIONAL TESTING SERVICES INC.
TELEPHONE 277-711 ~
April 17, 1.969
Mr. Bill Denton
3402 Dorbrandt 32A
Anchorage, Alaska 99503
Re: Percolation Test, Lots 2, 4 and 6,~Wakefield Subdivision,
Runamack Street
Dear Sir:
This letter is to certify that a percolation test has been performed
on the subject property.
The test was performed on Saturday, April 12, 1969, on the bottom
of a backhoe dug test pit. The soil conditions encountered'permit[ed
the one-hour test.
The test was conducted accordi}~g to Greater Anchorage Area Borough
Health Department specifications as prescribed in Appendix B of the
National Pl.umbiug Code, 1962 Revision.
Respectfully submitted,
NATIONAL TESTiNG SERVICES, INC.
WD:js By: William Dqncan, Manager
.............. DATE .................... ~UBJE~T ..........................................
................. DATF
~i ll
0
4
7
JOI) NO .................
'5
Hole
/2:45
t!
9.
5.
Oe~.~J'~~ ~ ~'~',/~2 REQUEST FOR APPROVAL OF
INDIVIDOAL SEWER a WA~ER FACILITIES
FOR
Phone:
Proo~rBv Owner,~~ ~ ~ ~/~ ,.Ph°ne ~
Leg e i Des c r~ pBx o n: ,, ,~/~/ /~/~-~/~ ~/~ -
Type of ~acilfty to be ~nspected:~.~~ "-~/~/
Numbe~ of Bedrooms: ~
6. Well Data:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received__~/
Time of Inspectlon~/~~_
Date of Inspection
o
A. Type v/~,//./?_//.~_~/~//~_._ .... B. Depth__ ....
0. Construction ..... D. Bacteria] Analyaia
Sewage Disooaal Syatem:
C. -Septic Tank: i. Size~ ~_~____ 2. Manufacturer
D, Seepage Pit: 1. Size /' 2. Material
Disposal Field: Total. Length~ , of Lines
B. Distances:
A. Well To: Septic Tank
, Absorption Area
, Sewer Lines
Neareat Lot Line
, Other Con'tamination
B. Foundation to Septic Tank
"~ Absorption Area
C. Absorption Area to Nearest Lot Line .
Request for ^pproval , .vidua] Sewer & Water Faciliti~
Page Two
I certify that the information contained in thio request for approval to be a true
and accurate represeDtat]on of the oubiect sewer and wager facilttieo located at:
Signed Date
Y- l]]~l S