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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 8CVo.7 GAAB-HD- I ^.CHOEAGE ^.E^ BO.O . H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE· ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME SEPTIC TANK: DISTANCE FROM WELL ~,'~'~) ~'/' LIQUID CAPACITY /0~ GALLONS. ~'~'~/ ADDRESS ~GAL DESCRIPTION MATERIAL COMPARTMENTS INSIDE LENGTH PHONE __ LIQUID DEPTH __ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH '//c:~-J', LENGTH. ~"~ /, DEPTH DISTANCE FROM WELl ~ ~/ ,BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~/ ~ ,SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ~ FOUNDATION DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE , NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH · OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TY~EE~// ~/7~./~"/,~ ~.~ DISTANCE FROM WATER , DEPTH , BUILDING FOUNDATION SAMPLE . NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE .. TANK . SYSTEM , CESSPOOL . SOURCES DIAGRAM OF SYSTEM GREATEL~?ANCHORAGE AREA ~.~.~ROUGH ll£ALTH DEPARTMENT $27 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No./'~ ? NAME OF APPLICANT, RESIDENCE ADDRESS Box 922 E.E. Laurence Williams MAILING ADDRESS, PHONE NO., LOCATION OF INSTALLATION E.R. Valley Ranchettes LEGAL DESCRIPTION Lot 8-C N~ of S¥t~ of Sec ? T14 N Range 1 ¥1SM ,SEEPAGE PIT X ,DRAIN FIELD , OTHER ~[ob[le Home TO BE INSTALLED BY, Dan C. Bell ANTICIPATED DATE OF COMPLETION 15 APPLICATION TO INSTALL: SEPTIC TANK X TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS ~1~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT June 69 AS DESCmBEO BELOW. S~ZE O, UNiT TO.,E SERVED ~ /~,~~ / TYPE · SEPTIC TANK SIZE/g'P4'Pt"P TYPE ~ SEEPAGE AREA ~ DISTANCES: DIAGRAM OF SYSTEM /~)v-H e-alt-h-A-u;h'0 ,ity ' ' ho g, rea Boroueh~rdmanceNo 28-68 and that the I certify that I am familiar with the requirements of Greater ^nc rage r g ' . above described system is in accordance with said code.