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Home My WebLink AboutBIRCH HILLS TERRACE BLK 1 LT 2GREA 1, ER ANCHORAGE AREA BORA JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME IA-)IO/"""a^'�^v' MAILING ADDRESS a�6 VC( PHONEr- LOCATION LEGAL DESCRIPTION SEPTIC TA DISTANCE -0 OF FROM WELL Z, 4S MANUFACTURER,/84 ' MATERIAL COMPARTMENTS Z INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY�GALLONS. TILE DRAIN FIELD: TOTAL LENGTH r / C/ DISTANCE FROM WELL _ _FOUNDATION NEAREST LOT LINE OF LINES 7 NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH_ IN. TOTAL EFFECTIVE ABSORPTION AREA oZ CDCv SQ. FT. LENGTH OF EACH LINE r DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: }�(y/(��,� +rt– TYPE�*—."""� - CONSTRUCTION '` DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION_, LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form Eq -032 DIAGRAM OF SYSTEM WPM DATES// (- APPROVED �gl kljdQ G.A.A.B. r•l u r�l I c I _ I=I � I T v �_� t= FI r.l � t � �_ Ft r c � �• 7l0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2516 E. TUDOR P.D. , ANCHORAGE, AF' 99507 r., 276-2221 ,"'• lIV('/'�_J Or -1—' I TE SEINER F•ERr•l I -T- PERMIT PERMIT PJO. ( 76645 ) APPLICANT 11ILLIAM OLMSTEAD 21644 G APRICOT ST LOCATION TEDROW DR LEGAL L2 E1 BIRCH HILLS TERR LOT SIZE TYPE OF SOIL ABSORETION SYSTEM IS: TRENCH t�f-a dr 2l�?LY�it�li/ 5290: SQURP.E FEET ey10L 07-0 Lt1 172.ucl(ia v MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FTtE:R)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C•EF•TH= 12 L_F"GTH= 4 � GRFIti.rEL C•EF'-r E - THE LENGTH DIMENSION IS THE LENGTH (IPJ FEET) OF THE TRENCH OP.. DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS PJO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IPJ FEET). REnIJ I RE=G SBFT I C' TFir4K OF -ll L_!Dr4:E3 TL10 C 2 ? I r4 F=*ECT I C31 N!=- FIRE F-:E:Q -I I AEC - BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL B4' THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A I -JELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERrl I T ti:'FIL I C� F= CIR Or -IE tr'ERIR F= ROP7 I=••'cIJE I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. s: I UNDEP.STAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE BORE THAN 4 BEDROOMS. SIGNED: ------ J<! -may-=z 2 APPLICANT WILLIAM OLM TEAD ISSUED B4' C�SL4Z�`~G%%�-�N---__DATE_ O ---� .1.� .. w GREAh'R ANCHORAGE AREA E30R JGH 1 � DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 •'C" STREET ANCHORAGE. ALASKA 99503 • TELEPHONE 274-4561 SEWAGE �,DISPOSAL _7tSYSTEM - APPLICATION AND PERMIT S NAME OF APPLICANT Wm /, 1 (//%*1 J/ eEt 4 MAILING ADDRESS) ^`� {,/L • r;Cv�PNONE ✓- I�- INSTALLATION LOCATION LEGAL DESCRIPTION 4 -1 - INSTALLATION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN TYPE AND SIZE OF FACILITY TO BE SERVED �'- / T/'1 �• �o/� / CZ�'11 % I' i FINANCED THROUGH /�/ //[//� TO BE INSTALL D BY/�^yJ SOIL TEST RESULTS / �f z /�/ �` h/NOTE, YA\P, MIT COMPLETION DATE ANTICIPATED / ` FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACK �IL LING OF ANY SYST 1 DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY W LL BE SUBJECT TO PRO E SEPTIC TANK SIZE TYPE�"e' I Ar PAI / MINIMUM DISTANCES. REQUIREMENTS S/ FOUNDATION TO SEPTIC TANK fx �n /Pl[LD /W ' FOUNDATION TO SEEPAGE PIT DRAIN SEPTIC TANK TO WeeFXCC TT WALL %G SEPTIC TANK SEEPAGE PIT N P.1' DRAIN F1�10 TO NEAREST LOT LINE. / WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD n ALSO CONSIDER AREA WEL/Lf p /` /C/ WATER MAIN TO SEPTICC TANK DRAIN FIELD SEEPAGE PIT O /y SEPTIC TANK. I SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE. STREAM. r CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP GF EXCAVATION S FEET INTO UNDISTV REED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEP IC TANK AND SEEPAGE IT FITTED WITH AIRTIGHT REMOVABLE CARPS.. ``,, GRAVEL BACKFILL Z, CONFORM TO BOROUGH REGULATIONS REGARDING IIINN^STALLATIO . &e'�56 61ZC / D i 7. 0 TM G1ly %, Tel FINAL INSPECTION BY THE "�'Z'• YYPE/. ;PtAM OF SYSTEM G A A.S. IC[N CD DES I M R I the undersigned dolhere�y cerlily that the information presented by me is true and correct. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM /-ISS IN ACCORDANCE WITH SAID CODE. /� //^/• DATE �`/L/1"/ /��APPLICANT'S SIGNATURE FORM NQ„j0 016 �'C n GRERT�R ANCHORAGE AREA BOROUGS{••ti / , ( HEALTH DEPASTISENT S J CASE A 327 EAGLE STREET ; ANCHORAGEO ALASKA 99501 i Perio"rmed For 'i I Date Performedte/F J,eRsl.Dascriptions Lot Z clock / Subo.vision�This; Form Reports at S -Orn Logue. •Perco ation d— I. Depth .' Filet Soil Characteristics Location Sketch' Top • Solc. jj 1 .e lam';CJ!SCdhha,eas 4" la}lers ozCSi/� - \ i i t"• Was Ground Water Encountered? �t•/Q 'rA-! ti - > 'If Yeso At 'What Depth' Reading •.';Date,"' Gross Time' :Net Time Depth To H2O Net .Drop'- I Percolation ,tate 1 ! 'Minute I Proposed Instal 4` onz Seepage Pit 'x Drain Field r ",Depth • Uepth.To bottom 'Of -Pit Or Trench ' ',.CONNEtiTSs'' .. 1?5" S. F'. laE�i i3s=•D2oQ,M- %�'• 5lGT /S i ;lIGQUtiP�IP S.F. AEK ?2L�,eo o Af /F NA C/4 T. '` " G. E -`NS !S EN S• o v Test'. r.rforti.a Ib ',,,Data certifies Byt • • r :•' • r,' I. i it,i f . i • , ,!t 4! Dates -� • 1�t.' `^, j J[ -�. - 'I l •MIS• t• \' Vim,•. � _.'..,. :'_.. ....�_....... ,. +. .1._, ii �_'. 1 -�-� LOG OF DR1;LING by A & L DRILLI}`;G COMPANY OWNER OF LANDV-.....�.IVIG/f-v.!...... 04AT!.,[.FAO DEPTH OF WELL ....... ADDRESS .. STATIC LEVEL OF WATER FT. WELL SITE.....!? K...L...L0Tv?......l�.I'�GN_N/LL,(;....TE,i(Rpf4RAW DOWN FT. DATE—STARTED... 3.-A-17me............................................ _............... GALS. PER HR. ... ................... ...... ................ DATE—ENDED .... 7./�.i/.l-f 4.............................................................. KIND OF CASING ..... W...Y._OQ.... _............................... KIND OF FORMATION: FROM ....... 12 ............ FT. TO ....... 3.............FT....L1.VEA',Pti!.!�`�=•^� FROM -13.2 ....... FT. TO..... FROM ........ ......... _... FT. TO......? . 17 ...... FROM ........ .�.r'.`.�'..._.._FT. TO ...... 3±( FROM...... .1 .......... FT. TO ..... ...........FT....... Cry•✓.0..... FROM ... JL� .........FT. TO.... ........FT.2�C:_....... FROM ...... 5-41 .......... FT. TO...... �Q..........FT.......f/ ............ FROM ... .....1 .._ ... FT. TO.....�3 FROM .........T.O.._ ... ". TO ..... $.:r .......... FT....j �V.�.'....0/L.A! FROM ......J............. .... FT. TO ............... _....... FT .................... _......... FROM....... J. .....FT. TO...............FT.....C��l//`!'t �M .C?. r'FROM..._,?..4... ......FT. TO .... 11a.....4...COC... //. 96. r. 8......... FROM !R.........17. TO...:! T %7,<j4Cr4Ae FROM ....... ....... FT. TO... . FT ....... ;(.�.P............ v.5-5I�?.i FROM..._ ...%- -- .....FT. . r� .gics+ FROM .....�a.� ........ FT. TO....�:�'.? .......... FT ....... CGi%/..... ...................FT. TO ........... _........... FT...._.._ ...... _.._....... MISCL. INFORMATION: DRILLER'S NAME ... ........... ...... ............ Mur -4 I C I ►.- FiL- I -r wl 01 F�fr-J _�F Zf=FGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 E. TUDOR P.D.. ANCHORAGE, AY. 99507 276-2221 LJELL F='EFRr'F I -r PERMIT NO.C76027> WILLIAM H OLMSTEAD 21 6446 APRICOT ST (ELMEN) 7530126 LOCATION TEDROW OFF E R LOOP RD LEGAL L2 61 BIRCH HILLS TERR LOT SIZE 49350 SQFT MINIMUM DISTANCE FROM WELL TO ANY SEPTIC TANK/PACKAGE PLANT OR SOIL ABSORPTION SYSTEM IS 100 FT FOR A PRIVATEWELL AND 200 FT FOR A PUBLIC WELL. WELL LOGS MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SETFORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IN ACCORDANCE WITH THE CODE. SIGFJED....1114.' . !.... ! . _i . .................... . ISSUED BY... DRTE.�'./...`.C� L,eop 'F1/1pn U L-i� 9 �o o sez