HomeMy WebLinkAboutNEVILLA PARK Block 1 Lot 9'SlD
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GR!:~TER ANCHORAGE AREA BOROU~,H
HEAl.TH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 2~9-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
PHONE____
TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
z 7'/ MATE, AL
GALLONS. INSIDE LENGTH
OUTSIDE DIAMETER
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
OR WIDTH /____.~/~'L/BfxJGTH , DEPTH
DISTANCE FROM WELl BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA),~_/4~(~,.,t,~,.o /- SQ. FT.
LIQUID
DEPTH
TILE DRAIN FIELD:
DISTANCE FROM WELL.
TOTAL LENGTH
FOUNDATION , NEAREST LOT LINE OF LINES
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 EILTER MATERIAL BENEATH TILE
IN. ABOVE TILE____
WELL: DISTANCE FROM WATER
TYPE DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
DATE
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GREATEr .4, NCHORAGE AREA 9ROUGH CaseNo.
ltEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511 /'2¢ ~
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SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT .~
APPLICATION TO INSTALL: SEPTIC TANK .... SEEPAGE PIT ,DRAIN FIELD ,OTHER
PERCOLATION TEST RESULTS_ ,_ ANTICIPATED DATE OF C~PLE'rlON
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
T.,S .s TO SERVE AS //?'~. Z,~,~,'~
., PERMIT TO INSTALL A "~[...~)~///;9~./~,~?~ L'~.~.'~
AS DESCRIBED BELOW. SIZE OF UNITTO DESERVED -~/~Z'~:~ ~ d~~
SEEPAflE A"EA./~ ~ /~ '.TYPE
. SEPTIC TANK SIZE ~TYPE ~ / DIAGRAMOF SYSTEM ~'~
DISTANCES:
above described system is in accordance with said code.
HEALTH THORIT¥
OR
LICENSED DESIGNER
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
GAAS Health Oapart~ent
327 Ea!lle Stt~eet
Anchorage, Alaska .99501
Gent 1amen:
SANITARY SEWER SERVICE - NEVILLA PARK SUBD. LOT 8 & 9, BLOCK 1
This is to conftr~ that a Lateral Xmprovement Dlstrt¢;t has been formed
,in the East Muldoon area for sanitary sewers to be constructed within
the 1971 o)nstr~ctton season.
This sanitary sewer service would serve Lots 8 a~ld 9 of the lievtlla
Perk Sub~tvision.
If you have further questions ~egardtn~ this matter, please contact
thtm office.
Y~rs truly,
(~REATER ANCHORAGE AREA aOROUmt
Department of Public Works
Robert H. t4~retss, Director
bert iq,, H~na11,
Administrative Assistant
James ~. Lan~
83~9 Rangevlew Ave. Apt. 8
Anchorage, Alask~ 9950a