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Home My WebLink AboutSCHROEDER LT 51Schroder SI 0 i G(`'MER ANCHORAGE AREA BOROI' 7H HEALTH DEPARTMENT N° 72 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING / NAME_ PHONE J ^ ADDRESS (J� (�'i<F' � •�/(f, �y�`n - LOCATION LEGAL DESCRIPTION"— SEPTIC TANK: //��// NUMBER OF DISTANCE FROM WELL 6__� ,/ MATERIAL �4 G� COMPARTMENTS LIQUID �0�� 0 GALLONS. INSIDE LENGTH L INSID WIDTH DEPTH_ LIQUID CAPACITY - SEEPAGE SYSTEM: SEEPAGE PIT: y )) '2 - NUMBER // NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH-, , LENGTH / �_ , DEPTH L /� // �ib� r LINING MATERIAL j l!�"✓�! CC �iGi/' DISTANCE FROM WELL �(/�/ BUILDING FOUNDATION -, NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)JC, SQ. FT. _ - TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM ELL UNDATION NEAREST LOT LINE --,OF LINES_ NUMBER OF LIN S = DISTANCE ETWEEN LINES TRENCH i TH OTAL EFFECTIVE ABSORPTION AR SQ. FT. LENG OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE W ELL:DISTANCE FROM ( 3 1 WATER TYPE DEPTH , BUILDING FOUNDATION._ - SAMPLE , NEAREST NEAREST SEPTIC (,,q')I SEEPAGE CESSPOOL OTHER SOURCES- DIAGRAM LINE , SEWER LINE-, TANK , SYSTEM -- DIAGRAM OF SYSTEM DISTANCES: DATE ' h APPROVE l" HEAD GAAB-HD-2 GREATEj ANCHORAGE AREA DROUGIH Case No. -2 11'f tlEALTH DEPAItTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM _ APPLICATION & PERMIT NAME OF APPLICANTz ,�2�,4��l/// MAILING ADDRESS � PHONE N062�Z1�� RESIDENCE ADDRESS -k v ad�_r`L �[c�,^ LOCATION OF INSTALLATION _44- LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK �SEEPAGE PIT ki' , DRAIN FIELD_ _, OTHER__ TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH_ /, �TO BE INSTALLED BY,, �� _ — PERCOLATION TEST RESULTS_ ANTICIPATED DATE OF COMPLETION-- BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS 9PERMIT TO INSTALL A k.5LJL1 4 1(� 7 �� AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED —,2 SEPTIC TANK SIZEDr t –�' �TYPE JZLZ-4— SEEPAGE AREA � 4- TYPE _ - DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. r DATE APPLICANTS SIGNATURE %��, CREAM ANCHORM MA Mown 32EASLE EMU ANCHORAGE, hLI MA 9903. P ,, , CAST; it ��, 2,$r 'J" or/ / ( Date r'� qr u>d e ;t Lcpal DS ipAa%14t U11 .�Lo t -0�/ Block 1170 1.1.,7 of oEnrYn71r`izt# �Pkit� is a. Soa3s fo 'erc.,iaii.on nese Depth Feet Soil. Characteristics � � M Location Sketch - e x i 0 "d 41cis Ground Water Encountered?� if Yes, At 'r1hat De,'Til._r r� F Oi,osed Inst ally- t ona pape Pit Drain : i elci Decih ofInlet lid:?�r DCC to T tto�r 5 t.( .;`rc•rc; CoI*Ir!i'! i r . � L lo.t,l I rJF a,s j. �. m %•b � !c%n rf S Y A_ Ft cr n v <•. I su Test Performed Data Certified Date Time APPLK MT FILLS OUT UPPER HAL ONLY Time Property Owr.er Smith/Eva Box Phone Date Carla Street 694-3632 Mailing Address Zip Code Buyer Frank/Linda Byerly Inspector 325 Gulkana Fort Richardson 42.2--2762 Field Notes: /1 d �� 0� E - (— �� CX-� tfllY' Address Zip Coda ENVIR_: V. a_ _'-TION Lending Institution Alaska USA Federal Credit Union Phone (� Pouch 6613 Anchorage 99502 276-0100 Address Zip Code ( ) DISAPPROVED Really Co. & Agent Susan Gallion % C-21 Heritage Homes Phone �— C Star Route A Box 126 Eagle River Road 99577 694-4994 Address Zip Code Date Sewer Installed Legal Description Lot 51 Schroeder Subdivision Well Log Received Street Location Type of Residence KIXSingle Family three ❑ Multiple Family No. of Bedrooms O Other Water Supply =Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer Disposal XV,Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time 1 >t_ U\164 Date Date Date Dater Inspector Inspector Inspector Inspector \ Field Notes: /1 d �� 0� E - (— �� CX-� tfllY' MUNICIPALITY OF ANCHO proT C' ENVIR_: V. a_ _'-TION CT REICH (� APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( )CONDITIONAL APP WIL DATE �— C BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72 023131N21 A MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE -�. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDFDT C'; ` ' - 825 L Street - Anchorage, Alaska 99501 ENVIR'J; 8.._I„'..:..�: -'-TION • (�� h ENVIRONMENTAL ENGINEERING DIVISION i 7 '1 jgoo Telephone 2.64-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE II AL I NF1'” 0 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE ��y:3�� MAILING ADDRESS ,�,��/► �--� PROPERTY RESIDENT (If different frcfFn above) PHONE 60fx� CGT /�C2 ❑ MULTIPLE FAMILY 2. BUYER YL- PHONE MAILING Ai 3a Gu�',eN,a � �Pi�,dr.6t�p sa�r/ S 3. LENDING INSTITUTION PHONE since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY MAI LIN ADDRESS A. REALTOR/AGENT P ONE MAILING(�AD/DRESSp��/ ,� S.ri� '[y""/c �OL (e�•/AQ--G� ,/t��/�/� /lf/JP� y ��'L� ��Y�i�lj�[�/.�dvV 5. LEGAL DESCRIPTION STREET LOCATION '0 � 6. TYPE OF RESIDENCE NUMBER OF BEDROOM' �$ SINGLE F=AMILY ❑ One ❑ Four ❑ Other_ ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY .5 INDIVIDUAL` "ATTACH WLLL 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.) B. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" **If individual/on-site, give installation date_ ff syste is overiwo (} yearsvlc} an -adequacy testisrequired ❑ PUBLIC UTILITY by -this -Department- NOTE: THE INSPECTION FEE MUST ACCOMPOY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. L-VIVIJ//61 ` l` V M1 j � ery )L Z"( Octc_)ber. 27, 1C)o2 lin 1,,v a, licj,,r T.oh .;I tkfllrot�(!(yr Ar)prnwil for the J.n(IM-dila.l. L_m_JJALI_nr� carinriL l)o rlrant-_od un,1A.1 tlir- follmKin Mcian tlEiVn 1)Q(1rj Tbe wTitctr analv!As rol-lcirt., noe(I" t(.) 'no F, o , % Uc('- froill Lilly Clicni U113, 1503313 n strooll, 11or 'Dill- rmdenq. 7 Fonr (A) jrjCjj ClearyDnt to b(y Po the loachj_nc� arei rl(,)tj,ry thj.rt M--pi-irtmPlit 'For it 'Awn 1 --lie rmtf:10 (Uf-,t��,xepimciml line berna (!ori(.,rt(?(J. TF tm�yrc,. ;,my ,Ny�thov (ItIrMU0115, 111mase call thh; O,FJ_co at P.64-4720. jzobc�rl-_ C. Prill-Al unvot) /Y)/11 I _A \Y�l Orwne 5. LEGAL DESCRIPTION DATEERRECEIVED INSPECTION APPOINTMENTS, rpl.� - - TIME TIME _ DATE DATE DATE INSPECTOR INSPECTOR— INSPECI'0 y — MUNICIPALITY OF ANCHORAGE NN�//� DEPT. OFR %!-1;1 , DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONP1riPJiENI/aL i-,..iiLCTION 825 L Street - Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 R E C E I\/ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER /PHONE G- MAILI ADDRES � Gj��IU. •. � � Comic -J _i A& - PROPERTY PROPERR//TY RESID NT (If different fro above) Sc-liiL 40,ci' ,_��( GZi- - - -/ ILS (_�20✓ J PHONE 2. BUYER --PHONE MAILING ADDRESS / 3. LENDING INSTITUTION PHONE ) ZZ MAILING ADDRESS � 4. REALTOR/AGENT�.`� /� /OL PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION � 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS J SINGLE FAMILY ❑ One 0 Four ❑ Other__ ❑ MULTIPLE FAMILYi ❑ Two ❑ Five Three ❑ Six 7. WATER SUPPLYrrA --- 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.) B. SEWAGE DISPOSAL SYSTEM r 1 INDIVIDUAL/UN-SITE** __YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. — - 7 Mr. Herbert White P.O. Box 649 Lade River, Alaska 99577 Dear Mr. White, DAVID A. SLENKAMP MECHANICAL ENGINEER 6949055 February 1, 1981 Reference: Lot 51; Schroeder Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. ENVIRc CT:ON A sewer system adequacy test was performed on the system located on the referenced property as you requested. The sentic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with approximately 1000 gallons of fresh water and after a period of 24 hours all of the water added to the seepaFe pit had percolated out of the crib. It can be concluded from this test that the septic system is currently functioning adequately for the three bedroom residence located on this property. If we may be of further assistance, please do not hesitate to call. Sincer 1y, BERT A. SHATTER, P.E. S/ss cc. Hotchkiss Co., Realtors ATTENTION: Walt Rediske Alaska USA Federal Credit Union Municipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA