HomeMy WebLinkAboutWASHINGTON Tract A Lot 1
GREATER ANCHORAGE AREA BOROUGH
.~._,' HEALTH DEPARTMENT %./
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
- (2
LOCATION ~(~' ~ ~/~ ~/~/,~" LEGAL DESCRIPTION''''~--'/~ ~',~'~:~'~,~l .'-~'~,
SEPTIC TANK: ~ ~'~'~1 ~ ~
DISTANCE FROM WELl .~//"; "~4, ~: ~¢ ~"
LIQUID CAPACITY /~ d~'~ GALLONS.
NUMBER OF
MATERIAL I~ ~'~L'-~"~ J~'~' COMPARTMENTS
~,~5/p.//~'l~, ~.~/4.' l~,~ LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL.
NEAREST LOT LINF
SEEPAGE PIT:
OUTSIDE DIAMETER ~"~' OR WIDTH
~'>~. DISTANCE FROM WEL[
IOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH , DEPTH
BUILDING FOUNDATION
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL '~'~ FOUNDATION '~ !
/
J
NUMBER OF LINES ~'~
ABSORPTION AREA / ~
NEAREST LOT LINE
DISTANCE BETWEEN LINES '7, ~'~ j TRENCH WIDTH
SQ. FT. _ENGTH OF EACH LINE /~ !
/~ "~' DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH !
OF LINES ~- ~
N [OTAL EFFECTIVE
~ if ~N. ABOVE TILE ~jj
DEPTH: TOP OF TILE T.O ~INISH GRADE
WELL: TYPE~/~O~-'/'''V' ~'"~ DEPTH
NEAREST SEPTIC
LOT LINE SEWER LINE . lANK
DISTANCE F ~OM WATER
· 3UILDING FOUNDATION. SAMPLE NEAREST
SEEPAGE OTHER
· SYSTEM , CESSPOOL . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GAAB-HD-2
GREATEI - ANCHORAGE AREA L ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-25
SEW:A~E~OisPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS ~<_,~" LOCATION OF INSTALLATION.
LEGAL DESCRIPTION ~ //
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH TO BE INSTALLED BY
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
SEEPAGE PIT~ , DRAIN FIELD. , OTHER
THIS IS TO SERVE AS , PERMIT T0 INSTALL A J
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED: .
,, SEPTIC TANK SIZE '7~'~ .TYPE (~O~h SEEPAGE ~,REA' TYPE
F~ bO;//I~L~4 ~' L,~/.L. DIAGRAM OF SYSTEM
Hearth 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.
DATE ~ APPLICANTS SIGNATURE ~../
been conduoled on %he a~ove~en%loasd property.
that a Percola~io~ Test oo~ld no~ be prefoI~ed boc~o of ~lie high ~,~ater
~horefo~'e i~ is o~ r~o~enda~ion ~ha~ the ~e~ bo b~k filled with a
~dy g~ave~ ~d a 8~ain~ fi~td be ~ed ~tead of a ~eep~e pit, Location
of ~o ~a~e i~iold is sho~ on ~}le at%~eh~ Gl'~er ~noho~ Area Borou~
I~ea!%h ~par%men% for~
GREATER ANCHORAGE AREA BOROU,:L_,/
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
Performed For PreDennis Washington_.~Date Performed Ju~.8, 1969
Legal Description, Lot 17 Block Subdzvzszon A-Re Subdivision
- South Cambell Creek Tracts
Feet Soil Characterz~Zlcs Location Sketch
Overburden, Roofs, Moss, Etc.
Fine Sandy Gravel
Reading Date Gross Time Net Time
Yes, At What Depth~ 4~3''
Depth To H20
Net Drop
~ 1"/ --~--'-'-~--- ' '~'
Proposed Instal~Seepage Pit Drain Field.__~
Depth Of Inlet ~)ep%h To B~~it Or Trench8,
COMMEN~,~.~e~p~mend %ha% a ,~a%,~a6e ~ be ~~s
....... ~~d with olean, ~r~vel ,,
Data . y ~
Date: J~ly~ IU~'''~ .