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HomeMy WebLinkAboutPLEASANT GROVE LT 15B ~'~,~C',?:OT~:~GE ~aEA BO'flO~,''''''ATER ANCHORAGE AREA BORO""~H Tudor i:[oc~d-- Pouch 6.~5C~27 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 939 Anchorage, Alc~slcc~ 98~SPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL C""~- ,,.~. /~,4, LIQUID CAPACITY ./".~.Z._f'-~,' GALLONS. MAILING _~...G~.~ ..,,(.d~'~.'z-~-~ ~q_/~<w_~_~-~ ADDRESS NAME ~,K~~' ~~z/~:-~F~ . ~.~ ~ ......... LOCATiON/~ ~~ ~-~z~~LEGAL DESCRIPTION / -, 7~.:Z::L.:~__~L._~ ~'T. SEPTIC TANK: NUMBER OF MATERiAL//~/~ ~/~/~- COMPARTM~TS , ' / LIQUID INSIDE LENGTH. ~/ .INSIDE WIDTH L~ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH LINING MATERIAL .~" d~'":~'~'Y~'Z'""'~'~ '-/;~"~/ ~.'~'~t~'; DISTANCE FROM WELL NEAREST LOT LINE ,'"~,';/~'~'~' ~'?~> w' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH /~'~? , DEPTH ,~ BUILDING FOUNDATIOr'',~";''':2 ~.~' /~'-'-~% '~'-~ sq. ET, TILE DRAIN FIELD: ..,"f///~ ABSORP~ SQ, FT. LENGTH OF EACH LINi: DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. ABOVE TILE,__~ d'/~'-~/~''~'~ '/'~" ~'~''~': ~/. DISTANCE FROM ,.,~ WATER WELL: TYPE ~..~/~/.,~/.~-¥-...,.r- DEPTH. ., BU LDING FOUNDATION _SAMPLE_ NEAREST OTHER NEAREST SEPTIC SEEPAGE -~.~- - ~"~ , SOURCES LOT LINE ~ SEWER LINE ,r...-.-~-- , TANK SYSTEM , CESSPOOL DISTANCES: DIAGRAM OF SYSTEM Telephone 272-0561 SOLO TO · AIC',,xa INVOICE Aggregate Corpor~.,ion KEN HINCHEY, Presldent PRE-MIX CONCRETE GRADED AGGREGATES 7943 ADDRESS P. O. BOX 3-3788 ANCHORAGE, ALASKA NO. DATE /°A~,~ / . . - , ~0. ~0. UNIT AMOUNT DATE D E S C RI P T I O N PRICE : . ,,.,...- ~/~->_.. ,.-.../., KeEP THIS iNVOICE TO COMPARE With STATEMENT FITTED WITH AIRTIGHT REMOVABLE CAPS. SEP'r] C TANK, · ., SEEPAGE PIT/ __~2[j/ DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INtO UNDISTURBED SOIL. 4 INCH DIAMETER CAST ]RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGe Pit GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR I CERTIFY THAT I AM FAMILIAR WITH TBE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. E8-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE :Y///~//'~'~ APPLICANTS BIGNATURE ~/-~ FROM: TO: GREATER ANCHORAGF AREA BOROUGH DEPARTMENT .... - ~ .:~ , ~,:~ ~ SUBJECT: i"", ~ , . DATE ANSWER DEPARTMENT: ?:! ~:~ ~' ~ }~)/ ¢. ) ~: REQLJESTED: RECEIVER: ..... REQUESTED ACTION SCHEDULE FOR INFORMATION ONLY ~E~ARE BA~K-UP INFORMATION FOR IMMEDIATE ACTION CALL ME BEFORE YOU ANSWER FOR YOUR CONSIDERATION NEED YOUR RECOMMENDATION OTHER