HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 11 GI~£*?~R ANCHORAGE AREA BOROL~._~A *' HEALTH DEPARTMENT 327 EAGLE'ST. ANCHORAGE, ALASKA 99S01 279-2~1 ,/ %,. INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~)~"/~ MAIL"NG ADDRESS. LEGAL DESCRIPTION __PHONE SEPTIC TANK: DISTANCE FROM WELL ,/~0~ ~ / C)~:)/U(', MATERIAl LIQUID CAPACITY /~) O GALLONS. INSIDE LENGTH NUMBER OF COMPARTMENTS INSIDE WIDTH :~ / DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: ~- ~?~ ~" DISTANCE FROM WELL ~4~ ~ TOTAL EFFECTIVE ABSORP~ION AREA ~ALL AREA) , LENGTH ,Z~ , DEPTH . BUILDING FOUNDATION so. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA ., FOUNDATION, DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE , NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH ,, OF LINES .IN. TOTAL EFFECTIVE DEPIH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE ~ ~ J~j~.~.~_/.~_ '~ DISTANCE FROM WATER WELL: TYPE ' !~" DEPTH ,BUILDING FOUNDATION SAMPLE ., NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE .. SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: . . [ DATE APPROVED 327 !;k,;',S :TRKKT ~ ~NCHDR/::r, !?.~:'Ki ~9501 Excavator . ~chackle · Pcr~cr'~ed rot ~er - Gordon Anderson T~is [cm, ~or~s , -<;~,c &::a~..'~v:sio= Cambell Heig :s '~ ' - .... .o~ xx -i'~ ' Depth ~'eet 4-- 5--- 6'-- 7~ 8--- brown silty sand (SM) loose gray gravelly sand (SW) and sandy gravel (GW) intermixed Was Ground Water Encountered? no If Yes, At Wkat "- · ,%.th ~ I.ocat f =n S~etch Reading ['ate C~oss 7i~e "' 7i~e D~pth To H20 Net-Drop Prcpo~ea Insral~seekage ri: xx Drain Yield Deo~L Of /r,~et ., - -. · .. .e,-ln ~o Bottom Of Pit Cr Trench 10 COM'-TI~T$: Test' Performed B'y:__RI E. Carlisle ~ These recomnendations are computed from visual observations and based Data Certified aY:~_~{oral Test{n~ ServiD~_ In~ the unified classification system. Date: G'~ATER ANCHORAGE AREA BORO"'~IH 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-25! ! INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION /~ I.._ _ ,~A,L,NO ~'/"t/~ I J~'~ ~ ~/-~'PHONE LEGAL DESCR,P,ON SEPTIC TANK: ~'/.~ DISTANCE FROM WELL~'~ lt/'l'~:/I~Z~7~,mATEelA~ ~' COMPARIMENTS GALLONS. INSIDE LENGTH. SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ',N,NG MATER,A, NEAREST LOT LINE O.TS,OE D,AMETER OR W,OT. / ~-' .. LENGT. / Z... DEP,. 7 0,STANCEFROMW L, "",,: ,"/' , ILDINGFOUNDATION TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA) / TILE DRAIN FIELD: , DISTANCEFR~I , ,FOUNDATIOhJ~TUNE N~INES ~ glST~~NES TRENCH WIE'H~'~/ ABSORPTION AREA SO. FT. LENGTH OF EACH LINE TOTAL LENGTH ,.,--'"O~LlhJES~'~ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYP ~:~1~-~ TH ' ATION. .SAMPLE ~ N~RF~T- $E~'i,C SEEPAGE: -- ~ OTHER LOT LINE . SEWER LINE , TANK , SYSTEM , CESSPOOl DISTANCES: DIAGRAM OF SYSTEM OAAB-H Do2 GREATE.V~. 'ANCHORAGE AREA ~...OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT A~'~/~, g"~(,~'~&~ RESIDENCE ADDRESS y,7~C ~ ~ ,~ ~ ~LOCATION OF INSTAL~TION APPLICATION TO INSTALL: SE~IC TANK ~ ~SEEPAGE PIT ,DRAIN FIELD uw PERCO~TION TEST RESULTS ~ ~ ANTICIPATED DATE OF COMPLETION '~?$- qT/q MAILING ADDRESS g'/'/~'! -~ 4/2 ~:,~/r"' PHONE NO. -- OTHER BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS '/~ ~/',P'~'~'~ . PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED . SEPTIC TANK SIZE /~f~ TYPE ~ SEEPAGE ~-'~.~ Lt~ DIAGRAM 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 accordance with said code.