HomeMy WebLinkAboutSCHROEDER LT 6Schroe-dtr 51,E
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GRE� `:R ANCHORAGE AREA BO" LIGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMEJ11VC-S KteSCY MAILING ADDRESS `SOX ��� Cr�UU�� � —� PHONE
�'rni EE% LEGAL DESCRIPTION
LOCATION A LUS -- --
SEPTIC TANK:
%/`� NUMBER OF I
DISTANCE �//'�/ 1-47106'e _COMPARTMENTS
&0 —
FROM WELL � MANUFACTURER MATERIAL -
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 000 GALLONS_
SEEPAGE PIT: Lf / ,
NUMBER OF PITS DIAMETER OR WIDTH_ LENGTH �� , DEPTH 6 --'
I��11L2o/4p CRIB SIZED: DIAMETER o r DEPTH-('.t
EPTH (''r DISTANCE FROM: WELL
LINING MATERIAL IES
TOTAL EFFECTIVE
BUILDING FOUNDATION z'I E , NEAREST LOT LINABSORPTION AREA (WALL AREA) %$8 SQ. FT.
ADDITIONAL ABSORPTION
WELL: r
TYPE _ ��Y `��--CONSTRUCTION _�rAfJn/}I�c� _ DEPTH
BUILDING
NEAREST
FOUNDATION
LOT LINE_
CESSPOOL
OTHER SOURCES
APPROVED
DISTANCES:
DISAPPROVED
INSTALLED BY:
PIPE MATERIAL:
CU (�'t I K
LOT SLOPE:
REMARKS:
&"My�
DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMA
DIAGRAM OF SYSTEM
DATE
APPROV
2
..
GREATER ANCHORAGE AREA BOROUGH
n
PERM]
----
�u`� Q a DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274.4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
vim- Lam_ ,�_ /It� ,� MAILING ADDRESS
PHONE
NAME OF APPLICANT—
INSTALLATION LOCATION
W�
LEGAL DESCRIPTION--
L� SEEPAGE PIT`��._�-_-�T------yl• DRAIN FIELD _.�--_----- OTHER
INSTALLATION OF: SEPTIC TANK _.-y.----
TYPE AND SIZE OF FACILITY TO BE SERVED ----=- w vv`--.�__•_-.-�t—
FINANCED THROUGH _-. -- TO 13E INSTALLED BY _
SOIL TEST RESULTS _.�---- NOTE::
COMPLETION DATE ANTICIPATEC
IS PERMIT 15 NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NO'T'ICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /I�a ;W— TYPE
MINIMUM D15TANGE5, REQUIREMENTS
FOUNDATION TO SEPTIC TANK —✓
FOUNDATION TO SEEPAGE PIT
IT WALL
rA
.:t f
1
DRAIN FIELD
SEEPAGE AREA SIZE =V _=C "'� TYPE ,r7� 7a
DIAGRAM OF .^�YS'rEm// //
SEPTIC (ANK 10 SEEPAGE
P
--
Z�'
SEPTIC TANI( _,
SEEPAGE PIT
DRAIN FIELD
TO NEAREST LOT LINE.
f
AO-
�Q
PIT
WELL�'
1 SEPTIC TANK —
--•
SEEPAGE
ALSO CONSIDER AREA WELLS.
DRAIN FIELD
-
WATER MAIN TO SEPTIC TANK
SEEPAGE. PIT
DRAIN FIELD_— — r
SEPTIC TANK, (00 SEEPAGF PIT /----. DRAIN FIELD
T'O RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF ,SEPTCDJJ`1T0 C4J.� CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DI_AML"T"FR-CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH R LAT'IONS REGARDING INSTALLATION.
z z
1—
G.A.A.B.
LICENSED DESIGNER
I CERTIFY THAT" I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
.
DESCRIBED////////////yyy���rrr STEM IS IN ACCORDANCE WITH SAID CODE.
DATE ��'����
( 7 2
APPLICANT'S SIGNATURE
\G "I I . - v - � - I / " v I 1
tiC.(k- P12A
MUNICIPALITY OP ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. O I TI I &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENYIRONic%ENTAL FICTION
825.L Street - Anchorage, Alaska 99501 -
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 EE ��[[
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER�A�., �E3
DIRECTIONS: complete all parts on page 1. Incomplete requests will not be processed. Please allow ten.(10) days for processing. - _ -
/ tI__ / yy' % -- — /PHHONE )(]p
1. PROPERTY OWNER CLT I` Ill/) _ �V / 4 ' (J 6 '�
MAI/(LING ADDRESS / r— / �j
l j Q Ir a4r6 �`h r. ? I—��—(1F, 0 e-l% lrl 1— / PHONE
_ PROPERTY RESIDENT llf different fro eta ee
0 co� -- PHONE
2. BUYER.
MGI LINADDRESS
PHONE
3. LENDING INSTITUTION
MAILING ADDRESS ---
_ / _/� / /[ // -- —'--/� PHONE
4. REALTOR/AGENT 2P C, ( �L -�ii'C.L.` �1 VAX C C�-�GL�LV�1� c3�
(e cZ Vvl —
MAtAPIGADDa SS
S. LEGAL DESCRIPTION iC` /ad
STREETCATIONCATION
�( a (< C ce =� NUMBER DF BEDROOMS
6. TYPE OF RESIDENCE E] One ❑ Four ❑ Other
SINGLE FAMILY ❑ Two ❑ Five
❑ MULTIPLE FAMILY Three ❑ Six
7. WATER SUPPLY
INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY depth (attach log if available.)
S. SEWAGE DISPOSAL SYSTEM O�
INDIVIDUAL/ON-SITE*" ! s2
**If individual/on-site, give installation date_
/ If system is over two (2) years old airadequacy test is required
❑ PUBLIC UTILITY by this Department.
NOTE;TH-E-INSPECTtGN-EEE MUST ACCOMPANY EACH REOLrEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
(�C� e rg c Is
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
--
DATE RECEIVED - -
TIME - -
TIME - -- -
TIME:
DATE
DATE
DATE
INSPECTOR
INSPECTOR
J
INSPECTOR -'
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified_ _
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOGZRECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
FERMI
NUMBER i
DATE INSTALLED - - -
1 �� m--13
INSTALLER
❑Septic Tank or ❑Holding Tank
Size: -1000 If Tank is homemade
give dimensions: _
SOILS RATING
S�
TYPE OF TANK
MANUFACTURER
LQ
TOTAL ABSORPTION AREA
-�
MATERIAL -
1
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line -
—,�--
-----
5. COMMENTS
APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter mu ccomnany certificate)
❑-p--DISAPPROVED C
DATE `^�P� I�
BY (Title)
LEGAL DESCRIPTION -
I - - 1. .v..//V/
STEVEN A. JOHNSON and Associates
P0. Box 76 • Chugiak, Alaska 99567 • (907) 688-3085
may 7. 1.979
�Rr. Al I,ar. son.
Team Reil ?state
P.O. Box 594
ag1e Pi.ver, AK 99567
Re; !results of an adequacy test performed. on
Lot 6, Schroeder. Subdivision
Dear ^sir. La.rsons
Transmitted herein are the results
by me on a. septic system serving a
the above -referenced location.
o:f an adequacy test performed
three bedroom residence at
xi.sti�n System r sign and _Condition
The system in service at 'the time of this test consisted of
1000 gallon, one compartment concrete septic tank: built by
Wallace Construction and a. seepage pit lined with a• l oad byes.
The septic system inspection report (copy
the Greater Anchorage Area borough indicates -that 'the system wa.cD
installed orr October of 1973 by Wall -ace Construction rj)uaren o'
this system was based. or a soil absorption area of 9 },
feet per bedroom. Four inch diameter. Cast iron piping was used
in plumbing the system.
uJ is
Ade urs ac -Y 7 eft
Procedure Res
Adequacy testing was beNgun and completed"
ompleted on riay 6, :1.r w Dadde
the course of the test, one thousandpallons of wate it
to
to the seepage pit- The fluid :Level„ in the, seepage p
septic tank were monitored continuously as the test volume was
aIP
dded. Approxcnittel
ankya teronettheStc t volume warhouand gallons of, , added.ntoNJttie `,erel�� d
from
age ;nit.
The a.bsorptiorr rate for the test volume was very high.i'hrou rough
-
The
the test, the incremental volumes of water added 'to the
seepage pit were completely absorbed within a, few pminutes.
i3ased
on my measurements of the fluid levcl.s i n the see r -e pit over
i;hc se -
course se of t}lis test T corrClude that the septic :system In its
present conditions
Consulting services for:
On-site water and sewer systems, geotechnical and mineral exploration programs, site suitability studies
Mr. .Al Larson , 2 -� :da.y 7. 1979
7) has an absorption capac_i.ty in excess of ;130 gallons (aeT'
day per bedroom;
2) is capable of absorb3.nr ('f0 €;a.11ons in oneahalf hour,
which is equivalent to a short term sure rate of 22.:1
gallons per minute.
Thank you f'o.r contacting me regarding this adequacy Last. Should
you have any questions please feel -free to call.
Sincerely,
/
Steven A. Johns n.
3nglneer.ing Geologist
SAJ/Acj
Enclosures
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Stre6t, Anchorage, Alaska 99503 274-4561
Date Received'.
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Phone:
Mailing Address: — —
Phone:
2. Property Owner:
Mailing Address:
3. Legal Description: _ ---
4. location: --
'.>. Type of facility to be inspected
6. Well Data:
A. Type
C. Construction _
7. Sewage Disposal System:
No. of bedrooms _
B. Depth
D. Bacterial Analysis
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer _
•`
D. Seepage Pit: 1. Absorption Area 2. Material
----
E. Disposal Field: Total length of lines
B. Distances:
Absorption area �' Sewer Lines
A. Well to: Septic tank _� p
Nearest lot line �• Other contamination —
B. Foundation to septic tank Absorption area
C. Absorption area to nearest lot line----
EQ-034 (1/74)
Page 1 of two pages
I certify that the inTQT'lllaLlv�vll`•"--
accurate representation of the subject sewer and water face m 10
are operating satisfactorily.
Date
SIGNED
EQ -034 (1/74)
U WlCac I1�I.•----