HomeMy WebLinkAboutSCHROEDER LT 11Schroeder 5 lb
LD 0 61miew,16
GF \TER ANCHORAGE AREA BOROF ` H
HEALTH DEPARTMENT N0 355
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME��'�/`/% /�L%��.�/1/�'5��/ _ADDRESSG'% S�%/>_/,�� PHONE���
LEGAL DESCRIPTION
SEPTIC TANK:
"7 / NUMBER OF
DISTANCE FROM WELL _/ MATERIAL__% L �r.I COMPARTMENTS
LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
LIQUID
DEPTH__
NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH �`� LENGTH DEPTH 1.
LINING MATERIAL DISTANCE . DISTANCE FROM WELL,BUILDING FOUNDATION
NEAREST LOT LINE Wil, ` - TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -' <n 0 SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTI AREA
, FOUNDATIO
ISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
NEAREST LOT
TRENCH W
TOTAL LENGTH
OF LINES_
IN. TOTAL EFFECTIVE
DEP?H: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENE=ATH TILE IN. ABOVE TILE_
WELL: 1;7 DISTANCE FROM i WATER
TYPE DEPTH BUILDING FOUNDATION., -_'4 -?_,Z__ SAMPLE_, NEAREST
NEAREST ��-SEPTIC / SEEPAGE OTHER
LOT LINE Z!a SEWER LINE , TANK SYSTEM CESSPOOL SOURCES
DISTANCES:
9 UG a gi
DIAGRAM OF SYSTEM
J
DATE ��� -� G' � /r"/✓ APPROVED •�" �""� / '��" ��C'
HEALTH AUTHORITY c
GAAB-HD-2 GREATER iNCHORAGE AREA 1 )ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case No. Z�6
NAME OF APPLICANT WAA, . �-�(/17 /",`�.�� AILING ADDRESS.�r�` HONE NO
REST E CE ADDRESS Rl u'k/Z LOCATION OF INSTALLATION_
�d4Q .: LEGAL DESCRIPTION 07'U.
APPLICATION TO INSTALL: SEPTIC TANK. ���SEEPAGE: PIT_ /�� 13R/41"N-Fift13�— 6FHI="R::
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS
TO BE INSTALLED BY
ANTICIPATED DATE OF COMPLETION"/) - ,z 3 _-L_22__
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
4411 /1 9
THIS IS TO SERVE AS PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE O���OF UNIT TO BE SERVED.,_��
zi
SEPTIC TANK SIZE , o a TYPEi -SEEPAGE AREA TYPEL
DIAGRAM OF SYSTEMS '7 / ✓
DISTANCES: ' �]j
-4,,� - 7-
HEAI-TH AUTHORITY
OR
rl
LICENSED DESIGNER
I certify that I am familiar with the requirements' of Greater Anchorage Area Borough Ordnance No. 28-68 and that the
above described system is in accordance with said code.
DATE _ 2,
� � 7 G APPLICANTS SIGNATURE���
(1
T!me
Time
Date
Date
Date
T
f/
Inspector
Inspector
Inspector
Comments^�
Conditional Approval ®®s
,
r .
u �o� cl ;s 02
Date Sewer Installed
Permit No.
Septic Tank Size / —
0
Holding Tank Size
Soils Rating
Well To Absorption Area
Well Log Received
Well to Tank
,APPLICANT FILLS OUT LOWER HALF ONLY
ropertY �wn r•) J ` ; '�
>,
-�F( t J c 1 � Phone
ailing Address i
Yer
ddress i• ��v o0 2
endIng Institution
Q0tA l e, Phone
re
, rKRy4b'RAgent �-
sy_sr_ C '�¢ (?W iN. Sit
Address �c
vt � �f' N 4
Legal Descriptio _f)"
Street Location
TypepyResidence
CCTT Single Family
❑ Multiple Family
No. of Bedrooms
❑ Other
WatepplY
Individual
❑ Community
ATTACH' -WELL LOG. A well log is required for all wells drilled since June
1975. ,Per wells drilled prior to that date, give well depth (attach log if
_❑ Public Utilict ^^�
^^ available.
Sewagge,�BBlsposal�
ET Individual
Year individual Installed:__-_-
❑ Public Utility
When Connected to Public Utility: ----
El Holding Tank
IUOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BF: INITIATED.
til
11tjt l!
11
f
EXCAVATION
WORK
March 2, 19£32
Cindy Bradford
Box 110 Marcus Street
Eagle River, Alaska 99577
Dear Mrs. Bradford,
Reference: Lot 11; Schroeder Subdivision
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
A sewer system adequacy test was performed on the system
located on the referenced property r:1s you requested. The
septic tank was pumped and verified to have a capacity of
1000 gallons. r.Phe seepage pit was charged with 900 gallons
of fresh water and after a period of 24 hours all the
water which had been added to the crib had percolated out.
It can be concll.>ded from this test that the waste water
disposal system serving the three bedroom residence
located on this property is currently functioning adequately
However, the system cannot be guaranteed against subsequent.
failures.
If we may be of further service, please do not hesitate to call.
ely,
BLRT IArER, P. E.
AS/ss
CC, Paramount Realty
ATTENTION: Louis Rochon
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
Ile River Area
0
Uw
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
�G;»1110 JAW4y �'°° 3330 "C" Street, Anchorage, Alaska 99503 2744561
Date Received January 24, 1977
Time of Inspection
Date of Inspection-1��LL11LrL1n1Ac
REQUEST FOR APPROVAL OF l'n9=I•
INDIVIDUAL SEWER & WATER FACILITIES
FOR
onv.
1. Approval requested by: First National Bank of Anchorage
Mailing Address: Post Office Box 720, 99510 Phone: 276-6300 x 482
2. Property Owner: Clarence/Diane Brunton Phone: 694-9770
Mailing Address: Post OfficeBox 110, Marcus Street 99577
3. Legal Description: Lot 11 Schroeder Subdivision
4. Location:
5. Type of facility to be inspected Single Familv No. of bedrooms 3
6. Well Data:
A. Type Individual B. Depth
C. Construction �e D. Bacterial Analysis
7. Sewage Disposal System: on—site system
A. Installed 1971 B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
65'
A. Well to: Septic tank Absorption area Sewer Lines ,
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
Page 2 of two pages - Regi t for Approval of Individual SE r & Water Facilities
Legal Description T,ot 1 1 Schroeder S uhd iy; Gion
Comments
Approved _ XdAA�f Disapproved _ Date
Approval.Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certity that the information contained in this request for approval to oe a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Date
2.
C
0
MUNICIPALITY OF ANCHORAGE
DEPT, OF HEALTH &
DEPARTMENT
MUNICIPALITY
OFHEALHIA DOENVIRONMENTAL AGE PROTECTION ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 JAN 2 Q 1977
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES RECEIVED
Type of Inspection: CMRO VA FHA_—_CONVI
Property Owner:_ �/q jCr_�. ccs �/�%� /f1 �� -�"'K C/ -V 7-eA-)
Mailing Address:E O /`K //C) X44-,( U S — Day Phone:— � �»
ZrA7 4 [: r✓
Name of Buyer:_%'�N�/�
Mailing Address: D / �� t �� N�df iirt 9�6 /%Day Phone:—
Name of Lending Institution:
i sE1�p;T�
Mailing Address:�6 ZZ- jIV-t) ���j� Phone:_
5. Name of Realtor or Agent:
Mailing Address: / c)'Z, �S' 9�� 72 Phone:-
6. Legal Description: �--� %~
Location:���
7. Type of Facility to be Inspected: ZXAldA `S � � � No. Bdrms
8. Water Supply
Type of Supply
Public Utility— Individual
If Individual, number of dweliirigs presently sarv�d
If Individual, depth of well __SQL `/ le 7-
9. Sewage Disposal System
Type of System: Public Utility
.3
Individual (on-site)_
If Individual, date of installation
72-003(3/76)
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686 _
DATE RECEIVED://
INSPECT:
TIME
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
1. APPROVAL REQUESTED BY:__ &Cad
ADDRESS:
PHONE:
2. PROPERTY OWNER:
3. LEGAL DESCRIPTION:
PHONE :d1����
4. TYPE FACILITY TO BE INSPECTEDSTREET:_�LY�
NUMBER OF BEDROOMS: r ,�.,-„�,,;
5. WELL DATA:
A . TYPE_ ILfLT�X
B. DEPTH 6 ��
C. SIZE�,�
D. CONSTRUCTION
E. BACTERIAL ANALYSIS �I ('� VIV
6. SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
1 . SIZE-
2 . AGE
3. MANUFACTURER(��y�/�j���
4. INSTALLER
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
B. SEEPAGE PIT I
1 . SIZE`�y
2. LINING ;f ,r ti r _ 1
C. DISPOSA,J., FIELD
1. NUMBER'0J; LINES
2. TOTAL LENGTH_
7. REQUIRED MEASUREMENTS
A. WELL TO SEPTIC TANK
B. WELL TO SEEPAGE PIT
C. WELL TO SEWER LINE
D. WELL TO PROPERTY LINE %c
E. WELL TO OTHER POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
APPROVED ISAPPR0VED:_���
DATE: j ti _ DATE
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
REPORT OF INSPECTION—INDIVIDLIAL SEWAGE -DISPOSAL SYSTEM
PRIMARY TREATMENT consists of [:j Septic tank. 0 Cesspool.
Septic Tank:
Distance from well—feet. Material, __ Number of compartments
Total liquid capacitY,_ __ gallons. Capacity inlet compartment,__
Inside length,_. _ __-_feet. Inside width,_ feet. Liquid depth, -_feet.
Cesspool:
Distance from: Well,_feet; foundation, __feet; nearest lot line at ❑ front, 0 side, ❑ rear, feet.
Inside diameter, _fort. Depth, feet. Liquid -capacity, gallons. Lining material
SECONDARY TREATMENT consists of [—] Tile disposal field. El Seepage pits. Other
r r r r
•
TOTAL
LIVING UNITS BEDROOM$
New installation
•_
SYSTEM ESIGNE
)F BDRMS.1
GARBAGE
'
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Yes NoN
No sommnr.
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NONE
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MINE
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REPORT OF INSPECTION—INDIVIDLIAL SEWAGE -DISPOSAL SYSTEM
PRIMARY TREATMENT consists of [:j Septic tank. 0 Cesspool.
Septic Tank:
Distance from well—feet. Material, __ Number of compartments
Total liquid capacitY,_ __ gallons. Capacity inlet compartment,__
Inside length,_. _ __-_feet. Inside width,_ feet. Liquid depth, -_feet.
Cesspool:
Distance from: Well,_feet; foundation, __feet; nearest lot line at ❑ front, 0 side, ❑ rear, feet.
Inside diameter, _fort. Depth, feet. Liquid -capacity, gallons. Lining material
SECONDARY TREATMENT consists of [—] Tile disposal field. El Seepage pits. Other