HomeMy WebLinkAboutLot 28A & Bbale Briggs
Block 1
Lot28A&B
#050-181-32
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
�a 7��
Name I�a1e--RV-?(;q`� Mailing Address S'�. ti's, �nV (,ti j °c' PhJ [%�� �`�
LocationFn ,L• 'Z . y e l' Legal Description LAT 0 9 31
SEPTIC TANK: Distance from we111?iD Material S±,:. Number of compartments
Liquid capacity DO C1 allons. Inside length Inside width Liquid depth
SEEPAGE SYSTEM: Seepage Pit: Number of pitsl_0utside diameter or
width—1g, length IL V , depth_._(_, lining material � 1-4 cr Distance from
well :�.5 ', building foundation67 D �., nearest lot line — Total effective
absorption area (wall area) _,'j R Ll sq, ft.
TILE. DRAIN FIELD: Distance from well , foundation , nearest lot line
'total length of lir.na Number of lines Distance between lines Trench
width in. Total effective absorption area sq. ft. Length of each line_
Depth: Top of tile to finish grade Depth of filter raterial beneath
tile in. Above tile
WELL: TypeI,- ( depth , d�s"�t nce from building foundation , nearest
lot line=, nearest sewer line/ �,
line/ tank/,3e2,seepage system
__
cesspool , other sources
DISTANCES:
B 4,
A k, -D> 5z1
DATE:f)[�' , I (1 11 1
APPROVED_WA
bealth Authority
•�.� SEWAGE DISPOSAL SYSTEM - APPLICATION E P RMT
Name of Applicant j)4LE' Mailing Addresm5/a.y/iI• 6,4,r Ph. $
Residence Address Jc'J,ic M likot': / Location of Ir�stallation �rrU r/k• wv
Legal
Application to Install: Septic
To Serve the Following Facility
IV* 4A1 S1[1N d, 7A,
✓, Seepage pit ✓ Drain fieldOther
Financed Through To be Installed by eS�s & o /
tel,
Percolation Test Results An Date of Completion O cdlllfG7'
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
This is to serve as , permit to install a
as described below. Size of unit to be serveta
d
ort �t/
Septic tank size ffC Tye Seepage Area Type
DISTANCES:
tee,
i/ r
c2r . l C, tyLL<.Ct
ealt Aut orr ty—^
I certify that I am familiar With the requirements of Greater Anchorage Area Borough
Ordinance No. 28-68 and that the above described system is in accordance with said code.