HomeMy WebLinkAboutRABBIT CREEK BLK 1 LT 6A
OAAB-HQ- I
"ER ANCHORAGE AREA BORO
uEI-/~FITI~ENT OF EI~VIRONMENTAL QUALIT'~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING _ _ ~ .
ADD RE S S ~/J/~": -- '"'/"~'~/>.~'/.~ ~""~//~ ~,.,z~/, p H O N E ~
LEGAL DESCRIPTION ~~.~ ~ ~- ~¢
SEPTIC TANK:
DISTANCE FROM WELL_
LIQUID CAPACITY ·
GALLONS.
NUMBER OF
MATERIAL ~' ;;~'-z.~'- '~="~':- COMPARTMENTS
INSIDE LENGTH ~ INSIDE WIDTH · .... DEPTH ~'-
SEEPAGE SYSTEM:
NUMBER OF PITS__ /
LINING MAI'ERIAL.~.-'c~' ~'""~
NEAREST LOT LINE__ /// z
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH__ , LENGTH ,/"~' / , DEPTH
DISTANCE FROM WELl
BUILDING FOUNDATION~'~' '~"~-
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL~, FOUND O EARESI' LOT LiNE , OF LINES
DISTANCE BETWEEN lINES ~TRENCH WID[~.,~.~~--~ IN. TOTAL EFFECTIVE
NUMBER
OF
LINES.~ /
ABSORPTIO~AREA__. SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF T~LE TO FINISH GRADE
DEPTH OF FILTER MA1ERIAL BENEATH TILE
IN. ABOVE TILE___ _
,,.*%,~'/z¥.~ ;4,~.: DISTANCE FROM WATER
WELL: TYPE ~p~.,..r; DEPTH /~/' ~ , BUILDING FOUNDATION.._ ~- SAMPLE ~/~ , NEAREST
SEPTIC / SEEPAGE ~ OTHER / ¢/~ ~
LOT LINE /Z; /~ NEAREST "'5- ~ , TANK ~'~ , CESSPOOL/~/)/~ ,
, SEWER LINE -~- , SYSTEM~ /~ . SOURCES~~'
DIAGRAM OF SYSTEM
DISTANCES:
,.~ 7'~,4/~Z~' '
/;~ ;~"~ ~:. ~/~ '
~.A.A.R.
GAAB-HD-2
GREAT
327 Eagle St.
SEWAGE
ANCHORAGE AREA 3ROUGH
HEALTH DEPARTMENT
Anchorage, Alaska 99501 /~}) 279-2511
DISPOSAL SYSIEM - APPLICATION & PER, MIX
No.-/~-~ L')--'~
NAME OF APPLICANT_ ~,,~_,7,,/ ,.~:/~/:,-~:~// MAILING ADDRESS~'c~A''~? '-~-/ PHONE NO.~/~7-
R ESI DENCE AD D R ESS ~~ a~ ~- -- LO CATI 0 N 0 F I NSTA LLATI 0 N~~/ ~
LEGAL DESCRIPTION~ ~ ~-~' ,~~' ~' ~/~'
APPLiCATION TO INSTALL: SEPTIC TANK ~ SEEPAGE PIT ~ DRAIN FIELD OTHER
TO SERVE THE FOLLOWING FACILITY Z~~ ~~/~
FINANCED THROUGH -~- TO BE INSTALLED BY_ ~
PERCOLATION TEST RESULTS ~/~ ~/~ ~NTIOIPATED DATE OF COMPLET ON~~ ~~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS _ ~/~-~-,z~~,/'J-~' , PERMIT TO INSTALL A ~,~
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
SEPTIC TAN K SIZE ~/~ TYPE ~ ~ ~//~ -
~EEPAGE AREA
DIAGRAM OF SYSTEM
DISTANCES'.
HEALTH AUTHORITY
LICENSED DESIGNER
! cer~i£y tl}at I am f'amHia~' with ~h¢ requi~'ements o£ G~eat¢r Anchorage ~rCa Borougt~ Ordh]anc~ No. 28-68 and ~hat tho
DATE_ ,.:~:~'/ APPUCANTS S
.... i'ER ANCHORAGE AREA BOROUC'
DE MENT OF E~VIRONMENTAL QUA.. -v CASE #
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For Clem Tellman Date Performed 11/1/71
Legal DescripT-{on: Lot 6ABlocl< i Subdivision Rabb±t Creek
This Form Reports Soils-T-6-g ×
Depth
Feet Soil Characteristics
i --- Brown silty sand with gravel
2~
Gray sand and red sandy gravel
with occasional silt seams
(sw) & (ow)
Was Ground Water Encountered? no
If Yes, At What Depth?
Reading
Gross Time
Net Time [ Depth to H20
Date
Drain Field
]5-~-~~ -~-a t e
Proposed InstaT]-~TTon:
~FTnute
Seepage Pit ×
Depth Of Inlet __Depth l'o Bottom Of Pit
COMMENTS:
145 .s_quare feet of drainag~ area is_r_~u_i~red__per bedroom. The genera.1 area
is to be raised with fill after system is completed.
~t~'"'IT~~Y R. E, Carlisle ~-d--~Y:National Testin~_~_vs, Inc.
Date:
DEPAF(TMIEIqT OF HEAI,,.TH AND ENVIRONMENTAl_, F:'RC)TECTION
825 L STREIE'I~, ANCHORAL~E, AK 99501
264,-4~720
Date grilled~
S~tic Water Level__ :: feet
Callons Per Minute
Draw Down '-/''' feet
Total Feet of Casin~__
Ty~e Material Drilledl
0 feet
MUNICIPAt. ITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
NOV o ....
1nn fops' 1:¢ !I.q Clay, "~:'*"eJ' . ..........................................
Hefty Drilli~
S.R.A, Box 1553 H
A~ho~ge,Alaska
99507