HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 8D2_ZI
o,,,,B..~-~ .. GREATER ANCHORAGE AREA BORO~H
· , /"1~'~,~ t' ~ HEALTH DEPARTMENT , ~
., 327 EAGLE sr. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~
.AME /7/~,,~,U' (..,,.~.s AD.RESS ¢~'~ ~','4.,."." ,.(./ P"ONE
LOCAT'O'E'e :~//~." ~,,,..-,/,.._"~; ~.. L LEGAL OESCR,PT,O. ~+ ~-h
SEPTIC TANK:
!
D~STANCE FROM WELl .~':'~/)'/"
LIQUID CAPACITY / ,~.T'~'~'~ GALLONS.
MATERIAL COMPART,~NTS
~ LIQUID
~NS~DE LENGTH IN$~D£ WIDTH DE~H
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
/¥'
oR W,DT, · LENGTH / '7 ', DEPTH
~/_..~ ¢~'./~ D,STANCE FROM WELL ~ ~ / . ~U.L~,.O ~OU.~O.
TILE DRAIN FIELD:
DISTANCE FROM WELT
NUMBER OF LINES
· FOUNDATION
DISTANCE BETWEEN LINES
NEAREST LOT LINE
,IRENCH WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
ABSORPTION AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE . , DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYP DEPTH . BUILDING FOUNDATION S~PLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINF TANK , SYSTEM , CESSPOOl . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE
GREATEI'. NCHORAGE AREA ROUGH Cc,,a.'
tlEALTII DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT 7800 Debarr Rd
NAME OF APPLICANT Richard Copas MAILING ADDRESS Anchorage, A3.~,~NE NO.
RESIDENCE ADDRESS LOCATION OF INSTALLATION £.R. Valley Ranehettea
LEGAL DESCRIPTIONL°t 8-D N~ of SW~ of Sec 7 Ti~ N Range 1 WSM
APPLICATION T0 INSTALL: SE~IC TANK ~ ,SEEPAGE PIT X ,DRAIN FIELD .,OTHER
TO SERVE THE FOLLOWING FACILITY Hob[~e ~ome
FINANCED THROUGH TO BE INSTALLED BY Den C~ ~e~
PERCOLATION TEST RESULTS
ANTICIPATED DATE OF COMPLETION 15 June 60
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBF.,D BELOW.
..SE.lC TANK SlZ/~'4~
DISTANCES:
, PERMIT TO INSTALL A
SIZE OF UNIT TO BFvSERVED
TYPEI~"J~/~ff/SEEPAGE~ AREA
DIAGRAM OF SYSTEM
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE
APPLICANTS SIGNATURE