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HomeMy WebLinkAboutVANS BLK 5 LT 7B GAAB-HD I Gp~ATER ANCHORAGE AREA BORQI-L.~H HE~TH 'DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPg~S~ StYS~EM~ LOCATION , ~ "" (,-! LEGAL SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY SEEPAGE SYSTEM: SEEPAGE NUMBER OF PITS / LINING MATERIAL L~t NEAREST LOT LINE J~'-~' ~ TILE DRAIN FIELD: ~MATER~ /ALLONS. INSIDE LENGTH~, OUTSIDE DIAMETER OR WIDTH/~ DISTANCE TOTA~L EF.~'~"~RPTION AREA (WALL AREA) DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE NUMBER OF COMPARTMENTS INSIDE WIDTH , FOUNDATION , NEAREST LOT LINE DISTANCE BEIWEEN IDTH SQ. FT. LENGTH OF EACH LINE ] DEPTH OF FILTER MATERIAL BENEATH TILE LIQUID DEPTH____ LENGTH /~*~ , DEPTH · BUILDING FOUNDATION SQ. TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE~_Jl,;j/~:~ DEPTH NEAREST LOT LINE SEWER LINE DISTANCE FROM · BUILDING FOUNDAHON. SEPTIC ...... .. SEEPAGE TANK ......... .~ SYSTEM WATER · SAMPLE , NEAREST OTHER , CESSPOOl /,,~ · SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE GAAB-H~~2 GREATEr ANCHORAGE AREA =' OROUGH 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 /~9~,(_? , SEEPAGE PIT. TO SERVE THE FOLLOWING FACILITY ''g 7"/~,/q/ L-g/q.~' MAILING ADD RESS-~¢,¢' '~-~ LOCATION OF INSTALLATION.~''/'' 7//~' 7z~' FINANCED THROUGH PERCOLATION TEST RESULTS , DRAIN FIELD , OTHER TO BE INSTALLED BY .~' ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /'f~w /L-~¢~ , PERMIT TO INSTALL A · AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE /~"~ TYPE SEEPAGE AREA TYPE · , . DIAGRAM OF SYSTEM DISTANCES: above described system is in accordance with said code. /~%~GREATER ~or ANCHORt .... AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE m~,~ .... ~ For Dr] O._m~.,. O ..... ~,~c, Date Pem~o~med ~.{ t~,.,, 970 Legal Desc~qpt~on: Lot~lock~,~dzvls~on~~__ ,~ q~ V~m R~O~S a: So~ls LoK ~ · ~Pe~olation Tes~ DepTh ~haz=~e,~s~c Location Sketch Feet Soil ........ ' ' s ~aosc I~ ~ ~,1~'~ Was GPound Watem Encountered?_~_~ If Yes, A~ .nat Depth Reading Date G~oss Time Net Time Depth To H2O Net Drop Proposed Instal~Seepage Pit 4/ P~ain Field Depth Of COMMENTS: /A~ · 'Data Certified IN THE SUPERIOR COURT FOR THE STATE OF ALASKA THI~D JUDICIAL DL~TR.~C. FRANCIS M. NEILL, et al., Plaintiffs, Ro GLENN ASh~;ILL, RON ASHWILL,) JACK NIELSEN and EULd% M. NIELSEN, Defendants and Third Party Plain- tiffs, WILLIAM WALLACE, etc., Third Party Defendant. No. 70-2886 SUBPOENA TO: Mr. Roll Fo Strickland Enviromental Health Supervisor Enviro~lental Quality (GAAB) 3330 C Street Anchorage, Alaska YOU ARE HEREBY REQUIRED, all business and excuses being laid aside, to appear in the superior Court, Courtroom F, for the Third Judicial District of Alaska at 941 Fourth Avenue, in the City of Anchorage, on the 1st day of July, 1974, at the hour of 10:00 a. m. to testify and give evidence pertaining to any issues relative to the above-entitled cause; and for failure to attend you will be deemed guilty of contempt of court, and liable to pay the party aggrieved all loss and damage sustained thereby° This subpoena is issued on application of the defendants and third party plaintiffs. A. M. VOKACEK, Clerk