HomeMy WebLinkAboutNEVILLA PARK LT 270,S¥
GPr' ~TER ANCHORAGE AREA BOROU"'~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 207
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE FROM WEL[
LIQUID CAPACITY
MAILING ,~ , --
ADDRES~.~.~'z'/'~/~'~. ~~, PHONE~-~
LEGAL DESCRIPTION~ ~ ~/~
NUMBER OF
~ MATERIAL ~ COMPARTMENTS
GALLONS, INSIDE LENGTH ~ INSIDE WIDTH ~DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL ~-~ ~ ~'--~"
NEAREST LOT LINE /~ /
, LENGTH ~ , DEPTH
· DISTANCE FROM WELL .~/~/-~ /J~-'-.:~ ~/'~ . BUILDING FOUNDATION /~''~ ~'~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) c-~/~"~' SQ, FT,
TILE DRAIN FIELD:
DISTANCE FROM WELL/ _, FOUNDATION , NEAREST LOT LINE / ,OF LINES ~ ,
~PTH., TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN, ABOVE TILE
DISTANCE FROM · WATER
WELL: TYPE ['~./~/~./Z'~/?_ _, DFPTH ~ ., BUILDING FOUNDATION /"'"'"-- .SAMPLE ~ , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE /,SEWER LINE /'"~-, TANK x_-.--- , SYSTEM ~ CESSPOOl ~ , SOURCES__
DIAGRAM OF SYSTEM
DISTANCES:
DATE
HEALIH AUIHORITY
GAAB-H D-Z
GREATEE
327 Eagle St.
ANCHORAGE AREA
ItEALTH DEPARTMENT
Anchorage, Alaska 99501
)ROUGH
279-2511
SEWAGE DISPOSAL SYSTEM ~ APPLICATION & PERMIT
NAME OF APPLICANT 'lllbtv,~x~
RESIDENCE ADDRESS~] ~,
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ~.;~
PERCOLATION TEST RESULTS__
MAILING ADDRESS~('V~?, F~t31'7 .'PHONE NO
LOCATION OF INSTALLATION_~r-~dLI ~,
SEEPAGE PIT. , DRAIN FIELD , OTHER
TO BE INSTALLED BY
· ANTICIPATED DATE OF COMPLETION_
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
AS DESCRIBED BELOW. SIZE 0F UNIT T0 BE SERVED .P~--'~/~- '~/ / ' -'-:-
. SEPTIC TANK SIZE TYPE SEEPAGE AREA_ TYPE / ~' ~ ....
AUTHORITY
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.
BATE f APPL, CANTS SIC NATU, ¢fi~/'~.~..
GREATER ANCHORAGE AREA BOROUGH
2207 McRAE ROAD
ANCHORAGE~ ALASKA 99503
272--1577
DEPARTMENT OF PUBLIC WORKS
August 20, ~L970
GAAB Health Department
327 Eagle Street
Anchorage, Alaska 99501
Gentlemen:
SANITARY SEWER SERVICE - NEVILLA PARK SUBD. LOT 27
This is to confirm that a Lateral Improvement District has been
formed in the East Muldoon area for sanitary sewers to be constructed
within the 1971 construction season.
This sanitary sewer service would serve Lot 27 of the Nevilla Park
Subdivision.
If you have further questions regarding this matter, please contact
this office.
Yours truly,
GREATER ANCHORAGE AREA BOROUGH
Department of Public Works
Robert H. Morriss Director
Robert M. Hudnall, Jr.
Administrative Assistant
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