HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 7 LT 32
GAAB-HD'I
GP. FF~TER ANCHORAGE AREA BORO?~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEI~TIC TANK:
MAILING .~--
ADDRESS~'-5-'/~/ ~f~/~-~-'~;~'~-~' ~'~'-' PHONE__
LEGAL DESCRIPTION
NUMBER OF ///
DISTANCE FROM WELL~=-'~,~''' ~ ~-~ ~ ~"/~'~"~'" ~"~ ~ ~ LIQUID
. MATERIAL ~ ~~ COMPARTMENTS
LIQUID CAPACITY ~ ' GALLONS. INSIDE LENGTH ' ' INSIDE WIDTH. ~D[PIH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMeER OF PITS ~DIAMETER / o ~.~.J~ ~% ,LENGTH .DEPTH
NEAREST LOT LINE ' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD: '
DISTANCE FROM WELIC~-''~''~'~'~ ,/,/'~ ~. FOUNDATION. ~ , NEAREST LOT LINE ¢~ / ~, oFTOTALLINEsLENGTH'~/~'?"~',
NUMBER OF LINES ~'~ ~ DISTANCE BETWEEN LINES ~ TRENCH WlD!H IN. 1OTAL EFFECTIVE
ABSORPTION AREA ,,~t'~ ~' SQ. FT. LENGTH OF EACH LINE /'~"~ ~" '~' ,.,,,2 ~ ~'~,~ '
DEPTH: TOP OF TILE TO FINISH GRADE ~ J//2. · DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN. ABOVE TILE ,
~". '~/~/",,.~_ ~' DISTANCE FROM WATER
WELL: TYPE : DEPTH -- , BUILDING FOUNDATION.. SAMPLE .. NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE . SEWER LINE "-'-'-' , TANK '--"'""-- . SYSTEM "~ CESSPOOL ", SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE
~/°*^"~-:. GI~EAYER~',NCHORAGE AREA ~I~DROUGH
/ ,x~l~]' ~ '~ " IIEALTil D~ARTMENT
~J ~' ~fi~glest. Anchorage, Ah~ 99501 g79-gSll
~ ~ t'.~~ .,~ ' ~
'"~ ~ ' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESmENCE ADnRESS LOCATIO. OF ~NSTAL~,T~ON
!
LEGAL D~ESCmPTmN ~/'n' .~z ~'~ 7
APPLICATION TO INSTALL: SE~IC TANK ~ , SEEPAGE PiT, , DRAIN FIELD~, OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED TH,OUGH TO BE iNSTALLED BY
~co~,o~ TEST ~SU~;~ ; ~;~C,~TEO O~T~
Case N o.
BELOW TO BE PILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS '~'f'~ ~
PERMIT TO INSTALL A .,,,d,Z~f. ~,/_ _ .r~..,
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
DIAGRAM OF SYSTEM
DISTANCES:
I certify that I am familhr with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described eystem is in a~:cordance with ~aid code.
GREATEI ANCHORAGE AREA !OROUGH
llEALTtl DEPARTMENT
327 EngldSt. Anchorage, Alasl~ 99501 279-2511
Case No.
SEWAG'E DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT./-/)/~'I~/'-''~,-/~-':': ;'~, ?' ~-. MAILING ADDRESS 6~.~e~/~Ff/- - PHONE NO. '
'-- ~ ~ ~-~ ~ , ~ ,
APPLICATION TO INSTALL: SE~IC TANK ~ , SEEPAGE PIT. ' , DRAIN FIELD ~ , OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH TO BE INSTALLEO BY .~r~:~ ~; ,, ~,~ ~ ~ ~,
P~N TEST RESULTS ANTICIPATED DATE OF COMPLETION ~ ~//~ ~~'
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ /~'"'~---?')/~'
.SEPT C TANK SIZE /;I(~CT) TYPE(~A'/(',,~TZ~SEEPAGE AREAP'"d'"? OF SYSTEM
DISTANCES:
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 a~cordance with said code. ,,,~? //L//o7._//,.~'L/~ ¢"£/¢7(7- ~c-,~/.~_~ '/'~-~'7~'.
DATE APPLICANTS SIGNATURE c- (/_g_: ...... : 1~ //<.',
~'~iGREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTHENT
327 EAGLE STREET
ANCHORAGEs ALASKA 99501
Performed For I')~, ~ ~ ~ ~,
Legal Descriptlon: Lot_.~2._Block ., .
This Fcr~. ReTorts a: Soils Lo~
~p~h
S~tl Characteristics
Was Ground Water Encountered?
If Yes, At What Depth
CASE
Location Sketch
t I
Proposed Ins~al~Seepage Pit Drain Field // .,
Depth Of /nl~t, ~ 7 Depth To Bottom Of Pit Or T~nch
Test Perfor~d
Reading Date Gross Time Net Time Depth To H20 Net Drop
),~. L~nald ~. Davis
8524 R~,~y. cvicw Drive
f~JECT: (~-Sitc Scwu3o Disposal
Lot 52, Block 7, Ca~..i~bell I~i~ts
Subdivision.
7l~c Greater N~cl~cl-o~c Arco ~orou?.h I~ul~ ~pa~nt has ~vcd
'u soil t~st in conj~iun ~t~{ ~lo on-site so-aZc disposal systc~
pxop~cd for ~c s~Ject lot.
~[s soil [c~ shy'cd ~ ~c sure,cc ~tcr t~Ic Is so ~r thc
~r~d surf~ ~d the soil so saturated ~i~ ~*atcr than un on-site
~spos=l systc= ~'ill not f~ction sutisfa~orily.
~wcr systc~ to thc ~,~5t c~ yo~ I~l~Y have failed ~ith thc
water table ~i~ considerably l~c~ ~{an ~ )'o~ lot.
i~c ~2~t to inEo~ you that based on tl~ soil test from this lot,
~{-sito sc~vaf, e dis~sal {scs,tlc tm~; - drain {icld) ~.ill not ~
Sine,ely,
CLIFFORD P, JUDKINS, R.S-
^~inistrativo Di~cctor
R~:rn
cc: Fl~nnin~ t)cportr~'nt