HomeMy WebLinkAboutSCHROEDER LT 38Schroeder yip
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L..O imw 61mr.,,
OA''°HD1 GR. !ER ANCHORAGE AREA BOROU 'I
OLVARTMENT OF ENVIRONMENTAL QUALII i
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686_
INSPECTION REPORT ON. -SITE SEWAGE= DISPOSAL SYSTEM
MAILING "'
NAME Vii. /) >�/✓/ i // ADDRESS y`,`t, - -- /, G:
LOCATION_ �"� j'. -----_-----LEGAL DESCRIPTION—
SEPTIC TANK:
DISTANCE FROM WELL___.'! '� ___MATERIAL
LIQUID CAPACITY GALLONS. INSIDE LENGTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF
COMPARTMENTS
INSIDE WID
LIQUID
DEPTH_
NUMBER OF PITS ------Z---- OUTSIDE DIAMETER OR WIDTH_ _ LENGTH /=�' DEPTH___,
%=% rig �%/ lF /
LINING MATERIAL l/.�/c/<-- / `` .DISTANCE FROM WELL �=-- � ��-
- _ �- _ ,BUILDING FOUND/gTION _ `
NEAREST LOT LINE ! __-. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ ,) SQ. FT.
LD:
DISTANCE FROM WELL
NEAREST LOT LINE
TOTAL LENGTH
OF LINES_
NUMBER OF LINES____ DISTANCE BETWEEN LINES '"-TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE -----
DEPTH
INE -___DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BFNEATH TILE IN. ABOVE TILEWELL: ;
DISTANCE FROM WATER
- TYPE '� �� DEPTH BUILDING FOUNDATION.__ __SAMPLE— , NEAREST
NEAREST SEPTIC - _ SEEPAGE j OTHER
LOT LINE SEWER LINE—, TANK / _, SYSTEM__ ����� �_, CESSPOOL _, SOURCES_
DIAGRAM OF SYSTEM
DISTANC
//✓S;� /�t GST i
DATE APPROVED" =-
GRE/, fER ANCHORAGE AREA BONOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3300 TUDOR ROAD POUCH 6"650 ANCHORAGE. ALASKA 99502
TELEPHONF 279.6686
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT
NAME OF APPLICANT MAILING ADDRESS
-- -----. PHONE
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK _ SEEPAGE PIT - - DRAIN FIELD
OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED - -
FINANCED THROUGH _,_ TO BE INSTALLED BY
r
SOIL TEST RESULTS - NOTE: THIS PERMIT IS NOT VALID WITHOUT soil -"-Sr
COMPLETION DATE ANTICIPATED
NAL INSPECTIONI 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION !DY THU
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION,
SEPTIC TANK SIZE._ _ TYPE _ - -
SEEPAGE AREA SIZE _- TYPE
MINIMUM DISTANCIE8, REQUIRCME14TS
FOUNDATION TO SEPTIC TANK -
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT .,.�_"
DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
SEEPAGE PIT _
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK . __
SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, ..._ SEEPAGE PIT _���
D IM FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK
AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAS"I IRON SIPHON PIPES
ON SEPTIC TANK AND SEEPAGE Pll"
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL RACKFII. L
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
r n
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.68 AND THAT THE AROVF.
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE,
DATE APPLICANT'S SIGNATURE
S`F ;,acxexrr arrA
00
t
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274.4561
Date Received 4/23/74
Time
of
Inspection
4/30/74
Date
of
Inspection
2:45 pm
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
1. Approval requested by: Lomas and Nettleton Co
Mailing Address: 3380 C Street Anchorage _ _ Phone: 274-7661
2. Property Owner: Uonaldd E. Oyer Phone: 694-2423
Mailing Address: General Delivery Eagle River AK
3. Legal Description: _ Lot 38, Schroeder Subd
4. Location:
5. Type of facility to be inspectedSingle Fam11 E__ No. of bedrooms
6. Well Data:
A. Type Drilled B. Depth
C. Construction D. Bacterial Analysis __ateLsfa_ctnry_
7. Sewage Disposal System:
A. Installed s 7972 B. Installer Wa71ace_��_
C. Septic Tank: 1. Size _-In Q0 nAIq 2. Manufacturer _
D. Seepage Pit: 1. Absorption Area17'x15,x6, _ 2. Material Concrete Rings
E. Disposal Field: Total length of lines
8. Distances:
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 - Rk,,_zst for Approval of Individual ..-,ier & Water Facilities
Legal Description
Comments
Approv
Disapproved
Date N�Cuv 1l7-
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EO -034 (1/74)
Date
AREATHO AMTHCRAGN AREA MR91411
Dapartmant of Environmental QuAlit,,
35PO Tudor. Road, Anchorage, Alaska QQ5PV 279-96q(-,,
Date Receive'r,
Time of Tnsneclo
Data of insnuction
REQUYST FOR AP44001. 01'
INDIVIDUAL AFM & WATER FACTLITTY.'
1. Approval Requested 9y:
40;
Address:
-- ----- - ---
011 A*
2. Property Owner � Phone:
-1
3. Legal Descriptionp: -nio' I
4. Location
5. Type of Facility to Q MrPUGd: _ �txe_
Number of Qdrooips:
6.
Well
Data:
A
Tvoe
9.
Death
C.
Constructiop
D.
Racterial Analysis
7.
Sewage Disnosal System:
A.
Installed
1.
installer
C.
Septic Tanki 1. Size
2. Man"factuyv
D.
Seepage Pit, 1. Size
Mateyial
H,
Disposal Field; Mal Tangth
of
Lines.
Distances:
jyj
A,
Well To: Septic Tank,
Absorption Area----..... Sewer Lines
%prest Lai lino, -------
-_1 Other Contamination
B.
Foundation to Septic Tank
Absorption Ma
C.
Absurohlon Area to Nearest Lot
Line
Request for Approval of T 1vidual Sewer A Wer Flcllit>
Page Two
9. Comments:
_,, -2
UA
a P 0 r ov 0 t
Apnrove` -
�7-A- - -9�
, r, Valid for One Wyl Rn � Date 3!qned
Greater Anchorage Arei lorounh, Dera-!;ental Quality
DIMAII OP SURF.
q,N
I certify that the information containel in this request for approval to be a true
and accurate representation of the subient sewer and water facilities located at,