HomeMy WebLinkAboutWILK LT 1A
GAAB-HD I
GP"ATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 '279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME '~'~C' '½:Kz't b':~
LOCATION ~;CL- ~//~-/~
SEPTIC TANK:
ADDRESS ~-~"~ ~ ~- PHONE
lEGAL DESCRIPTION ~- Y ~ Y [~Y/ [/~
.~(~.2/~/..~> .~ /' ";~-~ NUMBER OF
MATERIAl ( ~ '~' Z~/C. / COMPARTMENTS
/~ c~ / ~ ~2 u~u,~
GALLONS.
INSIDE
LENGTH
1NSID~ WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
OUTS,DE D,AMETER OR W,DT. /Z?I¢LENOT' .DEPT"
DISTANCE FROM WELL , BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) / ~3~' SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELT
NUMBER OF LINES
ABSORPTION AREA
, FOUNDATION
.DISTANCE BETWEEN x~ES
SO. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TRENCH WIDTE
TOTAL LENGTH
, OF LINES
IN. TOTALEFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: [_,
TYPE _, DEPTH
NEAREST
LOT LINE . SEWER LINE
SEPTIC
., TANK
DISTANCE FROM
BUILDING FOUNDATION
SEEPAGE
SYSTEM
WATER
SAMPLE_
CESSPOOL
. NEAREST
OTHER
SOURCES.
DISTANCES:
DIAGRAM OF SYSTEM
DATE
1~/~ 3'"'~/; /~>"~ APPROVED
HEALTH AUTHORITY
GAAB-~D-2 * Case No.
GREATE[ ANCHORAGE AREA I )ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS ~
LEGAL DESCRIPTION
APPLICATION TO INSTALL' ~SEPTIC TANK
MAILING ADDRESS /+~ /~' ~'/-~;~ '~0NE NO. .
LOCATION OF INSTALLATION ~/~Z-//L/.~ /~',~/ ~' ~'~
TO SERVE THE FOLLOWING FACILITY
DRAIN FIELD , OTHER
, SEEPAGE PiT
FINANCED THROUGH % ~iL-~ TO BE INSTALLED BY -.-~' ~-~
PERCOLATION TEST RESU:~LTS~D /:g~'£-/""""""""""""""""""~ ~_~V~ ANTICi~ATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ~,
.AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
.. SEPTIC TAN K SIZE ~'~'~ '~'-~ TYPE ~?/)'~F/-)~-SEEPAGE AREA
, PERMIT TO INSTALL A
DISTANCES:
.5~0
DIAGRAM OF SYSTEM
TYPE
Realth Authority
I certify that I am familiar with the requkements of Greater Anch~xage~a Borough Ordh~ance No. 28-68 and that the
above described system is in accordance with said code. ~ ~
DATE ' ~//--~ /~"~ ~ /~PPLICANTS SIG NATU R E ' '~.~ .~J~ ~ ' ~ ~ ....
December 7, 1972
(qr. Andrew Klingbeil
1039 Cameo Place
Anchorage, Alaska
Subject:
Up-date of letter
Depart~ent.
sent ~eptuJ~ber , 1972 fro;;~ this
Dear Sir:
In the letter sent to you.September 26, 1972, I mentioned
possibility of a holding tank ordinance being eJ~acted.
Si)~ce ti~at time, 'the ordinance h~s come into e~fect and .you
could use a systum of Chis type on Lot 2, of i-~ilk Subdivision ~l,
due to a high b~ater table.
A permit~ is required for installation of a holding tank
this office.
regarding ti~is matter, please do
276-4561, extension 153.
If yot~ have
hesitate to
any questions
contact me at
Sincerely,
Les Buchholz
Environmental
mb
Co~trol
Officer