HomeMy WebLinkAboutSUNNY SLOPES LT 490~0
GRI~ATER ANCHORAGE AREA BORO'~H
~ HEALTH DEPARTMENT ~j
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK:
MAILING
NUMBER OF
DISTANCE FROM WELL ~,'"'~' ~/,'"'~ ~ MATERIAL -~7'-'~' COMPARTMENTS
LIQUID CAPACITY .,/,g/~2 ~ GALLONS. INSIDE LENGTH INSIDE WIDTH.
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS. /' OUTSIDE DIAMETER
LINING MATERIAL d~g'/
NEAREST LOT LINE ~ ~2 /'~"
OR WIDTH .~ ~'' . LENGTH ..~'~-'~" /, DEPTH ~/'~ '/
DISTANCE FROM WELL ~_~"~'~'_-x~ ~) . BUILDING EOUNDATION~' ~.
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~.~ SQ. FT.
TILE DRAIN FIELD:
WE /~I.k'/ ~ TOTAL LENGTH
DISTANCEFROM , FOUNDATION . NEARES~LLO~kh"qC~'~ . OF LINES
NU E BETWEEN LINES ENCH WIDI'H IN, TOTAL EFFECTIVE
DEPIH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE ~./.~;'~:,, ~'.~'~ /--) DEPTH /.,,./ DISTANCE FROM ~ WATER /J~"/E)
, BUILDING FOUNDATION. SAMPLE NEARESt
j.,.../ NEAREST ~.........~SEPTIC / SEEPAGE OTHER
LOT LINE . SEWER LINE , TANK , SYSTEM ~'~'"~ESSPOOI '~'"-~' . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE
GREAT~.~),NCHORAGE AREA%f]~)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchor~e, ~a~a 99501 279.2511
SEWAGE DISPOSAL SYSTEM -APPLICATION & PERMIT
NAME
OF
APPLI
LOCATION OF INSTALLATION
RESIDENCE ADDRESS LEGAL DESCRIPTION ~ /~) ~'~'4/"/L/g'f] ~'~"~/~'~"
APPL CATION TO INSTALL: SEPTIC TANK ~ , , SE.~PAGE PIT /."/', , DRAIN FIELD , OTHER.
TO SERVE THE FOLLqWING FACILITY ~7 ~-~ . ; ,0
FINANCED THROUGH! ~/~ ~/~ '~ TO BE INSTALLED BY~~
~TEST ~ESULTS ~ ~* ANTICIPATED DATE OF COMPLETIO~~~
BELOW TO BE FILLED OUT BY HEALTH DEP~RTMENT
~. ~~ ~ERM~T ~--
THIfi
IS
TO
SERVE
AS
· . '; .,,.,,, ,
' ' AS DESCRIBE~ELOW sIZEO ~'I~TO DESERVED
DIAGRAM 0F SYSTEM
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
accordance with said code.
above described/stem/in
/ /
APPLICANTS SIGNATU R
ANCHORAGE AREA BOi..flGH
HEALTH DEPARTMENT
~ ~ ' 327 EAGLE STR~:ET · P. O. BOX 968 · ANCHORAGE, ALASKA 99501
DAi'E:AUgUSt 14, 1970
FROM: ~olf ~. S~ickla~d,
~nvi~o~en~al Health Supe~viso~
A~inis~attve Assistant-Public ~o~ks Dept.
su835c~: SanitaPy S~em Semvioe-Eagle Rive~ ~mp~v~]l Dis~. ~50; Semvice lo lot 59 Su~y
Sl~es Subdivision
The Greafem Anchomage Amea Borough Health Depam~aent has ~eceived you~ leltem of August 11,
1970 ~ega~dlng the subject p~opemty.
Shall we assume that now there will be semvice to all lands within the subject disl~ict without
any mesemvations?
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