HomeMy WebLinkAboutNEVILLA PARK LT 204'3
O'"cATER ANCHORAGE AREA BORO'"'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N°. 1.12
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /~,.~/..~.x/~/~//~..~,),,x_~.?~,~,,~,~x~.~.. ~.,.,,.~g-,~5.,Z/~,,~.~. MAILING
. ADDRESS
LOCATION ~' ~".~'~ ?/~ ~-,~-LEGAL DESCRIPTION
sEm~c TANK: /~ ~ ~z~ ~ ~~
DISTANCE FROM WELL
NUMBER OF
MATERIAL COMPARTMENTS
LIQUID
LIQUID CAPACITY GALLONS. INSIDE LENGTH .INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER /OR WIDTH ~- '~ _, LENGTH ~'-Z~ , DEPTH
LINING MATERIAL /~--~ ,,~'_L~- (~X~ '). DISTANCE FROM WEU ~X~/~.Z/~) , BUILDING FOUNDATION
NEAREST LOT LINE . TO~AL EFFECHVE ABSORPTION AREA (WALL AREA) ~ SQ.~ FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FR _ OUNDATION. , NE ~ '" OF LINES ,
~EPTH: TOP OF TILE TO FINISH GRADE ~-DEPTH OF FILTER MATERIAL BENEATH TILE .IN. ABOVE TILE__
· ,', /,//DISTANCE FROM / WATER ~/
WELL.. TYPE ~'~'~/,',',',',',',',~,4'r'r'r'r'r'r'r'r~/z,~ , DEPTH , BUILDING FOUNDATION SAMPLE . NEAREST
LOI' LINE ~ NEAREST , ~SEPTIC L/ SEEPAGE / ,~.~...~- OTHER
., SEWER LINE ~'- ,TANK , SYSTEM. , CESSPOOL . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED ///"~'Z.?_~-----~:.~
H£ALIH AUTHORIJY
GAAB-HD-2
GREATEr'
327 Eagle ,St.
ANCHORAGE AREA
HEALTH DEPARTMENT
Anchorage, Alaska 99501
OROUGH
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT4//D~,__ /:U//~?~ ,< _ MAILING ADDRESS~ ~'~ -'///u¢& PHONE~?7:' ¥/~;::-NO
RESIDENgE ADDRESS LOGATION OF '"STALLATIO~,>/'//g
APPLICATION TO INSTALL: SEPTIC TANK < ,SEEPAG~PIT_ ~ ,DRAIN FIELD ,OTHER
TO SERVE THE FOLLOWING FACILITY ,.~g~"'~z~ ~'~"
THIS IS TO SERVE AS ~/.;., ~ /L//, , PERMIT TO INSTALL A ~Z,:/.(~/
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
~ ~,'/':
, SEPTIC TANK SIZE _ ~ TYPE SEEPAGEAREA~~'&TYPE'~
DIAGRAM OF SYSTEM
DISTANCES:
·/~ ---' ' ?" '9 ~
%"7 ,. . _,
kXrtffy ~'1~;~:~:~:1;' with the reqnh'ements of ~reater ^nchorage Area Boron:h Ord)nqnde. No. 28-68 and that the
above described system is in accordance with said code.
I -'"11/