HomeMy WebLinkAboutSOUTHWOOD PARK BLK 4 LT 10 & 9E2I0
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the ~e(~) t~ o~ ~ not ~e~d
~e ~e~ ~ ~, ~, ~erefo~, ~u~ ~ ~ne~ ~' and
~' ~~ ~oat~ ~ the ~b]~ ~ to public ~ by
July ~,
RECEIPT FOR CERTIFIED MAIL--30~ (plus postage!
POSTMARK
SENT TO OR DATE
STREET AND NO.
P.O.. STATE AND ZIP CODE
hem and date delivered ........... 15¢
~ - ~ With de ivery to addressee only ............ 65¢
RcCE,PT ~1~ 2 Shows to whom, date and where delivered .. 35¢
· With delivery to addressee only ............
SERVICES
;~-ECIAL DEL~/~ (~xxtra fee qu' I ....................................
PS Form 3800 NO INSURANCE COVERAGE PROVIDED-- (See other side
Apr. 1971 NOT FOR INTERNATIONAL MAIL *o~o:~s?2 o-4e0-74:
~ 'GREATER ANCHORAGE AREA BOROUGH
D :YE TEST
Tax Code: I Date: _
Owner:
Ma/ling Address: '
User / Tenant;
Property Address:
r Subdivision:
.DYE TEST:
.. [] Pos/five
[] Negative
A DDI TIONA I
Office:
INF ORMA TI ON :
Fie/d:
Administered By:
· pW-062(7-74)
GN:6.TER ANCHORAGE AREA BOROI'~,H
~ HEALTH DEPARTMENT ....
327 EAGLE ST. ANCHORAGE, ALASKA 99501 2~'9-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
MA ILINO ~'/~".~ ill
ADDRESS/~' ~ ~ ~ ~ /1~.,~/~ PHONE.
LEGAL DESCRIPTION
SEPTIC TANK:
,~)D MATERIA[ _
LIQUID CAPACITY .r~,~(..) GALLONS. INSIDE LENGTH
NUMBER OF
.~ ~M, PARTMENTS ,//
4~~ ~''r'~' ' ~ LIQUID
INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
/
.OUTSIDE DIAMETER
!
~ OR WIDTH /S , ~NGTH fc~ f , DEPTH ~ j
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~ SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL , F~.UF, J%TJON N~NE ~.:
ABSORPTI~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: , DEPTH ~ ., BUILDING FOUNDATION. '~'"~-" - SAMPLE , NEAREST
NEAREST SEPTIC (,.~(~ j SEEPAGE ) ' OTHER
LOT LINE ~ , SEWER LINE ~., TANK "~ , SYSTEM ~'~./~'~ "'~' CESSPOOL '"'-"-' , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
HEALTH AUTHORITY
GAAB-HD-2
GREATEF ANCHORAGE AREA
~'" HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
] 9ROUGH
279-2511
Case No. /0~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
PHONE NO
RESIDENCE ADDRESSLEGAL DESCRIPTION /"-:: ?'-~ /"dLOCATIONL/-:,- ~:/OFL INSTALLATION._.~.._ Y/':/ ~;,~'-':': ' "'~,.· J ~Tt'"-"//~'~'7¢~(/"r/
APPLICATION TO INSTALL: SEPTIC TANK P'~ ,SEEPAGE.Pff .~ , DRAIN FIELD , OTHER
T0SERVETHEFOLLOWIN,~FACILITY '~:.~- ~'~' ' '~¢~;~-/' 'I&'~---
B,[LOW TO BE FILLED OUT BY HEALTH DEPARTN1E~NJ_T q ,/?
~.,~ ,s ~o s~.v~ ~s~¢:~ ,~,~,~ ~o ,~s~ ~ .% -~.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I certify that I am familiar with the requirements of Greater Anchorage Area.Borough OrOinance No. 28-68 and that the
above described system is in accordance with said code. .~,~d--, ~ ?¢~,/, , //~-,__
,_/.../ _/. -, ./..; ..
,,A~-E :F/C:" APPL,CANTSS,GNAT.R~ ¢ :,:,:~- /_,:;,': :.
Anchorage, Alaska 99501
SOi~ECT: Se~r and ~ater Syst~
for Lot 10 and
Block 4, Southwood Park Subdivision,
Ja~s and J~an~nti,
~ar Sirs:
An insl~cti~ of the s~ject r~sidenc~ revoaled that the s~,~r
sy~te~ for the house i$ a cesspool. To~et ~i~ out appro~al~
cosst~ol as cesspools alone do not c~titute an adequate at-
site sewage disposal systea as a~Iined in ~oreuah Ordinance
#28-68.
water is supplied viaC~ntral Alaska tltiIitieswhi~ is an
~.~prov~d source.
Sincer~ly~
CLIFFORD P.
cc: Jack ~aite C~mpa~y
James ~e~nti
Sanitarim~
July 10, 1970
Jean 9e~nti
Christ Chm'~ ~ssien
Anvik, ^la~ka 99558
There was a request for Veteram Administration approval
for your property at 2632 ¢~. 67'd~. t~e made al inspection
of the sewer system and because it is a ~s~ol, we
~t request that a septic tak be instalod, Act~lly,
a septic t~ ~d a new seepage pit (~ss'~ol) should
be put in, but it is our feeling that a septic t~ could
be installed ~tside the ho~e and the system ~pl~ed
to m into the septic tm~k ~d then ~to the existing
seepage area.
I~e are so~ to have to infom you of s~ sour news, but
~ere is little ~oice for m in these ~tters.
Sincere ly,
CLIUFOI~ P. JUDKINS, R,S.
Administrative Director
JRL/cm
(Fill out in Triplicate)
~_ lqame .of 'person requestin~ approval .... ..~
5, -Wate~.~ys is: - ~ ~" -
a. ~i~ ,, . , ~
. . .., .
b, Detergent . . .~- '
b, Dept~
c. Casing Size
d.
Distance from well to closest existinE or proposed:
1. Sewer line
2. Septic tank
3. Seepage Area
4, Cesspool' ,
5, Property Line
Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc.
Sewage disposal system,
a. Age of system~
b, Septic tank capacity in gallons
c, Name of septic tank manufactu~$m
1. If "home made" show dial. ram on reverse side of this form,
d,' Disposal field, o~ seepage pit-size and t~pe
V~~,~W.I~ 1. 'DLsta~ce to ~ope~-.~e )7/~-''
-e, Per¢~ ~tio~ Te~t A~esults ...... .
f. 'Percolation Test performed by ........... .
~ Use the reverse .side of this form to show diafPam. DiaGram should include
' . ..._~he foilowing information: ~mopePty lines; .well location, house location,
~pt:£c tank location, disposa'l area location, location of percolation test,
a~ direction of ground slope.
9. The~%l~ormatlon on this fops is true and correct to the best of my knowledge.
~ '$ig~a'~ure 'of Applicant' Date $iKned' "
TO BE FILLED OUT BY HSALTH DEPART!.IENT PERSONNEL
~e above described sanitary facilities are hereby approved, ,su~jec? to,~he
.......... ~l%owing conditions:
Conditions:
~The above described sanitary facilities are disapproved for the following
reasons:
· , -,.
.... '--App~val is valid fop one year following the date of approval.
.~ CPJ: cw