HomeMy WebLinkAboutMIDWAY LT 2Onsite File
Midway
Lot 2
PID# 051-293-50
Formerly T15N R1W SEC 30 LT 41
~./'o~ ,,~., ~ G?.C6,TER ANCHORAGE AREA BORQP-,~H
,.. ' HEALTH DEPARTMENT ' ~
327 EAGJ. E ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
MATERIAL_
GALLONS.
MAILING C/~~' /~/~ /
ADDRESS ,,~J~' ~/'~ L~,~/,,,4.. ~ - PHONE
.COMPARTMENTS
' ~ LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PI1':
OUTSIDE DIAMETER
OR W,D H
DISTANCE FROM WELL /~-/
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
· LENGTH /'t4/ , DEPTH ~'
BUILDING FOUNDATION
~ ~'~) sq. Fr.
TILE DRAIN FIELD:
DISTANCE FROM WELL
· FOUNDATION
, NEAREST LOT LINE
TOTAL LENGTH
, OF LINES
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENCH WIDTH
N. TOTAL EFFECTIVE
ABSORPTION AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE -- - ~-~ DEPTH OF FILTER MATERIAL BENEATH TILE
--- ~/ DISTANCE FROM - / WATER
WELL: TYPE ?)~//~ ~_. /z? "~ DEPTH.-'~ BUILDJNGFOUNDATION /'~'](~")
-. SAMPLE
_OTLINE /O~.~ / NEAREST //~-1 SEPTIC /,¥ -~(~,' SEEPAGE /~/ X
SEWER LINE TANK SYSTEM , CESSPOOL
N. ABOVE TILE
NEAREST
OTHER
SOURCES~
DIAGRAM OF SYSTEM
,4
DATE
APPROVED
GAAB-HD-2
GREATEr' .ANCHORAGE AREA/
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
9ROUGH
279-2511
Case No.
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE A D D R E 88~. v-~<:'~4~, v',-~r/,~/, ~
LEOAL 0ESCRIPIION
APPLICATION TO INSTALL: SEPTIC TANK X'
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS
MAILING ADDRESS ,.,~-f,.~,o/.w .):/'/,~;?./ . PHONE NO."
LOCATION OF INSTALLATION W~o ~:~ .~ ~/ ~/
, SEEPAGE PIT ~ ,DRAIN FIELD
,, OTHER
TO BE INSTALLED RY }/~ ~¢~//
ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
TNIS IS TO SERVE AS /~. i~o/J~'5 , PERMIT TO INSTALL A
AS DESCRibED BELOW. S~Z, O, Um~ ~0 ,~ S~,
. SEm~ TAN~ S~ZE /~aO~Y"" ~/~, . S,~,ASE
~'CE~
Health Authority
I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE
GREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
827 EAGLE STREET
ANCHORAGE~ ALASKA 99501
CASE #
Descrzp~on: Lot Block
Legal
This Form Reports a: S~Log ~ · -Percolation Test
Depth
Feet
Date Performed~<~
Location Sketch
Soil Characteristics
[if Yes, At ~%at Depth
Reading I Date Gross Time Net Time Depth To H20 Net Drop
~~ M~nu~e
Proposed ' ' ' ' - '
. Insral±atzon: Seepage Pit ~ Drain Field
Depth Of Inlet~i~',, Depth To Bottom Of P'it Or T~enc~
Test PemfoPmed