HomeMy WebLinkAboutWICKLUND LT 24G
GR"A, TER ANCHORAGE AREA BOROU~-H
i~.' HEALTH DEPARTMENT ~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS PHONE
LEGAL DESCRIPTION ~"-~CO~--,.:_-~ ~"~ /{/! ( /~.L,/~'J~
LIQUID CAPACITY / ~¢'~ ~'' ) (, 2
C?c ,4y /d'T- NUMBER OF /
MATERIAL COMPARTMENTS
,~J'~-I I C~ ~1 ( ~"~/(.//~/~- ~ ~'~ ~ LIQUID
.INSIDE WIDTH DEPTH ~
GALLONS. INSIDE LENGTH
SEEPAGE SYSTEM, SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAl (~'C~'~'fJ// ~'~ //~'~"/ ~TANCE
NEAREST LOT LINE c'~)
EROM WEU
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NEAREST LOT LINE
TOTAL LENGTH
., OF LINES
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENC ff WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA
SQ FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO e NISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
N. ABOVE fiLE
WELL:
LOT LINE
Type ~'~/~')-/~' /~ !~'/~DEPTH -"/ / ~ DISTANCE FROM
, . BU LDING FOUNDATION
NEAREST ~ ~/ SEPTIC / SEEPAGE
SEWER LINE ~ .~ //~ ,SYSTEM
TANK
-- OTHER ~
CESSPOOL . SOURCES
DISTANCES:
DIAG RAM OF SYSTEM
DATE
GAAB;HD-2 Case No.
GREATEL ANCHORAGE AREA .OROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ,~T~,.~'/-. /~,~.E'7-7-'
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY ~
FINANCED THROUGH
PERCOLATION TEST RESULTS
MAILING ADDRESS PHONE NO.
LOCATION OF INSTALLATION ~:~)"~'/:=
SEEPAGE PIT. ~/ , DRAIN FIELD
,OTHER
TO BE INSTALLED BY
ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS //~]'~' /~/1~L~'~'-T'I'~ , PERMIT TO INSTALL A ~,¢,z.J,,'~g-~ AS'DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
·
· SEPTIC TANK SIZE /o~'O TYPE SEEPAGE AREA
O,AGRAM OF SYSTEM
DISTANCES:
PPoR
Health Authority
~ certify that i am laminar wit~ the ~equ~ements of Great~ Anchorage Area Borough Ordnance No. 28-68 and thCt the
above described system is in accordance wit~ said code. /~ %O~ ~ ~O/
gATE APPLICANTS SIBNATU~E
~<EATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ~LASKA 99501
CASE
This Form Reports al Sozls Log ~ , '--~,~-~-~ _~" . ..
Sozl Charac~e,rzstzcs ....
Depth
Location Sketch
" Ti pth H20
Rearing Date Gross me Net Time De To Net Drop
,
Fropgsed Instalia--~ion~ Seapage ~it Drain Field
Depth' uf Inlet Depta To Bottom Of P~t.'Or T~.ench
Test Pemfo~d B).:.AL~S~ ~EOLOG?'C~L CO~SULTAUT~
ALASKA GEOLOGICAL CONSULTANTS
2227 SPENARD ROAD
ANCHORAGE, ALASKA 99503
August 13, 1969
Mr. Del Niblett
3136 East 46th Avenue
Anchorage, Alaska
Re: Percolation Test, Lot 24G, Wicklund Subdivision
Dear Mr. Niblett:
The results of the percolation test performed on your property
described as Lot 24G, Wicklund Subdivision, are shown on the
attached sheet.
The test was performed in accordance with the specifications as
set forth by the Greater Anchorage Area Borough Health Depart-
ment.
Respectfully submitted,
ALASKA GEOLOGICAL CONSULTANTS
HJM:js
Attach.
H.J.M 'g ~
cc. Greater Anchorage Area Borough Health Department