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HomeMy WebLinkAboutSCHROEDER LT 54L- � rWA-;,f 041GRE, ER ANCHORAGE AREA BOF 'UGH �G F Department of Environmental Quality �`i . 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL sY(;TFnn NAME rA tj 06 1&r. MAILING ADDRESS U)(-LgD CQ /e & PHONE 0! - 9Z64 LOCATION CG��g J ✓LBr✓r LEGAL DESCRIPTION Lr s-41 (' _ffleGEnC'n 11S�4/3, SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEE -PAGE PIT: quo iBs " MANUFACTURER�WC SEG c— MATERIAL NUMBER OF Sr�� 7 -- COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 106'0 GALLONS. NUMBER OF PITS �. DIAMETER W OR WIDTH & LENGTH �ZDEPTH `� r r LINING MATERIAL (Cc'CRIB SIZE: DIAMETER _Y_DEPTHC DISTANCE FROM: WELL BUILDING FOUNDATION 41101 NEAREST LOT LINE ��' TOTAL EFFECTIVE _J � ABSORPTION AREA (WALL AREA) -SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE Affaf _CONSTRUCTION 9"dt4wb DEPTH DISTANCF r7Pnm. BUILDING zQI��i NEAREST NEAREST SEPTIC y SEEPAGE FOUNDATION LOT LINE �Z SEWER LINE TANK _I SYSTEM _ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: P 6, U/"A PIPE MATERIAL: LOT SLOPE: twe REMARKS:r f X71 DIAGRAM OF SYSTEM �-�!!'-'� a .. of b4�� ei DATE X 3� �YApp G.A.A.B. Form No. EQ -031 i/ 'If 16 "-v- f zz' -IDr ;s v s, .. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. ILJI j� 4 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM •® APPLICATION AND PERMIT NAME OF APPLICANT�%� \d �y k- -WOO Cid / l -%-'"-" MAILING ADDRESS '" -_� ✓� PHONE INSTALLATION LOCATION LEGAL DESCRIPTION --j n-;4 { '(%y— INSTALLATION OF: SEPTIC TANK `'"` SEEPAGE PIT �'-' DRAIN FIELD OTHER _^ TYPE AND SIZE OF FACILITY TO BE SERVED ��� ✓/f `' F' ♦ t( d'� FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY NOTE: THIS PERM11- IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE _-"�TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT _ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SE=PTIC TANK , SEEPAGE PIT _[L✓ DRAIN FIELD TO NEAREST LOT LINE. d0 // WELL TO SEPTIC TANK �_, SEEPAGE PIT DRAIN FIELD WATER MAIN TO SEPTIC TANK SEEPAGE AREA SIZE✓ -� _ TYPE ��T_ DIAGRAM OF SYSTEM ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD-­ SEPTIC IELD_SEPTIC TANK, 06)f /I , SEEPAGE PIT 00 DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4_INH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. -` GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR 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 STEM IS IN ACCORDANCE WITH SAID CODE. TE I � DA - -_ APPLICANT'S SIGNATUREc_ °< GREATER ANCHORAGFAREA BOROUGH Jia ( ; •n' IIIJII S DEPARTMENT OF ENVIRONMENTAL QUALI'PY f 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 n 9O�nho uM`��• SEWAGE DISPOSAL SYSTEM e- APPLICATION AND PERMIT NAME OF APPLICANT ✓C 1. 7/`Cl 0,/�� (('�� /'_„'"ii—/ MAILING ADDRESS _ (� INSTALLATION LOCATION'— e�L LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK _� SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY � SOIL TEST RESULTS-�G1r��1 - -. NOTE: THIS COMPLETION DATE ANTICIPATED IN FIELD /,( PERMIT NO GYM"(PHONE OTHER _ RMIT IS NOT VALID WITHOUT SOIL. TEST FINAL_ INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYS'LEM WITHOUT FINAL, INSPECTION BY THE DEEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJEC'1- TO PROSECUTION. ////) Imo) SEPTIC TANK SIZE __41 L�' TYPE l�_)Xi SEEPAGE AREA SIZE— ___ TYPE MINIMUM (DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK , FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL _-A SEPTIC TANK SEEPAGE PIT �(-DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT _ /�'2 DRAIN FIELD __ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD. _ SEPTIC TANK,, SEEPAGE PIT "/ DRAIN FIELD . TO RIVER, LAKE, STREAM. CAST-IRON-INTO—AND .OUT_OF__.SEPTIC TANTS _ANO INTO CRIB CROSSING GAP OF EXCAVATION 5 FEF.( INTO UNDISTURBED SOLI_. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. ---- GRAVEL., BACKFILL CONFORM TO E71 6JGH REGULATIONS REGARDING INSTALLATION. / .�. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 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/TIN ACCORDANCE WITH SAID CODE. DATE s - / J I/ APPLICANT'S SIGNATURE __/__ -- 6 _ AS 11tlll,r APPLIC_ JT FILLS OUT UPPER HAL. ONLY Properly Owner �� Tf �%��.[;ic�l4.�-� Phone Mailing Address Buyer /Q���Af��%lilr4•y�.l:.. Address Lending Institution �C Address Realty Co. & Agent Address Legal Description Street Location Type of Residence (�(C❑, Single Family Multiple Family ❑ Other Water Supply YIndividual Community ❑ Public Utility Sewer Disposal jai Individual ❑ Public Utility ❑ Holding Tank ,Ic rsel 1<66wQ< No. o1 Bedrooms 7 Zip Code Zip Code Zip Code Zip Code Phone Phone ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date. give well depth (attach log if available). Year Individual Installed: When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Sanitation Division 825 L Street • Anchorage, Alaska 99501 • Telephone 264.4720 CERTIFICATE OF INSPECTION ON-SITE SEWER AND WATER FACILITY 1. Properly Owner /` C70� Mailing Address 2. Legal Description % 40 ti 3. Type of Dwelling Single Family Mulliple Family ❑ Other 'CONDITIONS OF APPROVAL < ePx 4. Sewage Disposal 5. ater Supply ,G Individual iz Individual ❑ Public Utility ❑ Public ❑ Holding Tank ❑ Community (shared) APPROVAL FOR,�( DATE: / —,!! / BEDROOMS BY: ✓ _ ,� ❑ CONDITIONAL ❑ DISAPPROVAL THIS APPROVAL NOT VALID, APPROVED WITHOUT DEPARTMENT SEAL Time APPLI( NT FILLS OUT UPPER HA' ONLY - Pro ert Ow Phone Mailing Address Time Zip Code Date Dale Buyer Date Address Inspector Zip Code Lending Institution Inspector Field Notes: Phone Zip Code Address ( ) DISAPPROVED /p ( )CONDITIONALlnA�PPROVL• Phone Really Co. & Agent �' b�� 4UU1d7�—`Y\__ Address Zip Code P Legal Description Street Location Sewer Installed Well To Absorption Area Ty e of Residence Received Single Family k❑ Date Multiple Family No. of Bedrooms ❑ Other Well to Tank Size Water Supply ` ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Individual For wells drilled prior to that date, give well depth (attach log if available). Community ❑ Public Utility Sealer Disposal Year Individual Installed: (� Individual 1❑ 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 Dale Date Dale Date Inspector Inspector Inspector Inspector Field Notes: APPROVED BEDROOMS`—� *CONDITI_IONS OFAPPROVAL ( ) DISAPPROVED /p ( )CONDITIONALlnA�PPROVL• �' b�� 4UU1d7�—`Y\__ DATE BY: P Sewer Installed Well To Absorption Area Received Soils Rating Date �ank SeptIcL Well to Tank Size 72 023 APPLK NT PILLS ®UT UPPER Hk ONLY r'rop^rty Owner _ � Phone Time i MailfPg Address y- (i _.>, :� ;� i _-- f �. " iY— ('J" IZfp Code 7 '� l I L-," _;�. , ,-s=r Buyer Address f 1I \ Zip Code Lending Institution --- ra`l i1 l�l— `i C Y Phon4��� —t—' ���a Date �� Lj it �: -- 4 Address L��� I -�> L� l /1 E ti ( /.�?._ Zip -- t_i I (� 7�-� - C�l/l p Code > Realty Co. &Agent Inspector Phone Address ( r� Zip Code Legal Description Y ����.�: r_1 -_ i ,Je- � �_ t_c- ����-- - , OF ANCHORAGE Street Location y,ll'i.- Vsn FO T : P J,.i,... p�J0- Type of Residence ENVIR )i X. .U.`(TION V Single Family) ❑ Multiple Family No. of Bedrooms ❑ Other 9 @. HIVED Water Supply 5�1' Individual 'CONDITIONS OF APPROVAL AAACH WELL LOG. A well log is required for all wells drilled since June 1975. O Community For wells drilled prior to that dale, give well depth (attach log if available). ❑ Public Utility 3 DATE Sewer Disposal Individual Year Individual Installed: L Public Utility When Connected to Public Utility: ❑ Holding Tank Date Sewer Installed NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time i Dale Date Dale ' - Date Inspector Inspector Inspector n f Inspector Field Notes:MUNICIPALITY OF ANCHORAGE I ] 11 C0Ls_CXt a . �l���i hQYI_cl -A. Vsn FO T : P J,.i,... p�J0- ENVIR )i X. .U.`(TION 9 @. HIVED ( L4 -APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( )CONDITIONAL APPROVAL' 3 DATE �� (� BY: Soils Rating Date Sewer Installed Well ToAbsorption Area Well Log Received Septic Tank Size Well to Tank 72 023 1)arrcl. h!;-) .te Box 192 Carla Street isacrl.i River, Alaska !Dear Mrs white, EXCAVA-TION _ cROBERT A SHAFERNT�m �WORK� wi CIVIL ENGINEER 694 2979 RucTu;v L 5, J.982- ` Rcfc-renr_e: Lot _51, schr.-oeder Subdi.visi_on 11 sewer_ ;ysi.em ad.exluacv test was perforine(l on the sY,-3t :rn lo<atec�:::Zan the rc�Terc�nced l:>njperLy as yeti requested.... The septic tw)k was 1nriTlped and veri f:ied� to lave' a c^ai�eicitj ciL t... 3000-c, _Elora :,.., Th -,eek>_1ge pi.t..wa,,3 tested. with 1000 gallon,, of fresh water and after a period of 2'l hours all the water which hall been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the three bedroorn residence located on th-is property j::, currently functiort:inq adequately. [f. we r y rx>'.ol ,(a eCYtei' :>erv_ice, plc e>e do nbL. hesitate Since/tf� f As ......:3 .re...l 1 � t L .;-It5,r 'nli Fit i •' . , Mmnicrpalj.ty o1 nc for-aqc Departrnent of Health and Env I onnlr�ntal 1 rote(-ti.on !�)6X IAG, A RIV[R,jALASKA Time APPLY NT FILLS OUT UPPER HAI ONLY Time _ Property Owner D � hone ✓ �`G�I:� S��\\'�... Zip Code ��75 Dale fel Mailing Address ! 7- BUYI� ) ,�]bt;r' V,.lt Inspector Inspector Address - - Zip Code Lending Institution I s�? �= Phone ( ) DISAPPROVED �j lC G d r`r Zip Code l Gj "z7 „ > Address 7� 0 X L." (.� BY: Realty Co. R Agent r /�-. .J , %- /!`-�:f-r-�u Ao�r �"� -- � j:� /l Al` Phone Well Lo Received g / t �.. Address Zip Code G/ 5-') r Legal Description Street Location 8CJ 'type of Residence Single Family 7 Multiple Family No. of Bedrooms= ❑ Other Water Supply K 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 Ser Disposal 7' r, I `r Year Individual Installed: Individual 11 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 D � Date Date Dale fel Inspector Inspector Inspector Inspector Field Notes: ( )APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Lo Received g t �.. Well to Tank Septic Tank Size 72028 QW) U Darrel White Box 1.92 Carla Street Eagle River, Alaska Dear Mr_. White, EXCAVATION WORK August 5, 1982 Reference: Lot 54; Schroeder Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694.2979 MUNICIPAUN OF ANCHORAGE ENVII: ;�I I.;A_ I .O F -ii -.J G 1962 A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was tested with 1000 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 concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. If we may be of further service, please do not hesitate to call_. Sincere y, 1Z6]�RT A SIIA]> R, P. 1 . RAu�ss cc: Century 21, Metropolitan PAMI Muni-cipality of Anchorage Department of Health and Environmental Protection SRB196X EAGLE RIVER, ALASKA �4tq 1qx09AG[RRt� , EP. E RIVER AREA O a G u � f,r , GREATER ANCHORAGE AREA BOROUGH v Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received August 274 1976 Time of Inspection %;�''� aa& - Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR FOSTER HOME I. Approval requested by: Alaska National. Bank of the North Mailing Address: 3901 Seward Highway Phone: 2. Property Owner: Darrel A. White Phone: 694-2527 Mailing Address: Box 192, Carla, Eagle River 99577 3. Legal Description: Lot 54 Schroeder Subdivision 4. Location: Carla Street 5. Type of facility to be inspected Single Family No. of bedrooms 6. Well Data: A. Type Individual B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed _ .w� 1��� B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material NO E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Absorption area Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re est for Approval of Individual ' ler & Water Facilities Legal Description Lot 54 Schroeder Subdivision Comments Approved �C- Disapproved Date 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 EQ -034 (1/74) Date ¢ 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner:_af.= Mailing Address: 3. Name of Buyer: ts-ACI-e-� 1e)� ' L -LA VA_ FHA —CONN -,.( A- 914��z� Day Phone:_ j4 Mailing Address: 86 Cl- �a~%,y(,!7 1�� Day Phone:_ 4. Name of Lending Institution:!=Cc,S( r-•._ �J� �� ° -P Mailing Address: Address: Phone: - 5. Name of Realtor or Agent:_ ,_-- Mailing Address:_ Phone:__ / 6. Legal Description: Z O J\ �� Location:— c��, l�/.ur ,•. 1!Zsl_ p �, �.� �1����r�s ��ir.L� /7. Type of Facility to be Inspected: C8.j Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 72-003(3/76) No. Bdrms. Individual 90 Individual (on-site) S { ► 'oi s ��A/PFO IAnYAM1A A `9e` GREATER ANCHORAGE AREA BOROUGH Department of Environmental Qua] ity 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 4/5/ Time of Inspection 61vi Date of Inspection 418176 — REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: _—�jica idalaQ>l�ank — Mailing Address: Pouch Phone: 2. Property Owner: Raymond Naylor _ Phone: _694.,926B Mailing Address: 3. Legal Description: Lpt 54, Schroeder Subcliy—.----- 4. Location: Carla Strut 5. Type of facility to be inspected _ Single Famil No. of bedrooms 3 6. Well Data: A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size B. Depth D. Bacterial Analysis B. Installer 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line ` , Sewer Lines EQ -034 (1/74) Page 1 of two pages 1'ag`-2 `o1 two pages - Rt,,,.,2st for Approval of Individual der & Water Facilities Legal Description Lot 54—Schroeder Comments (q,L Approv U Disapproved Date Y4siY— 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 Fn -M4 (1n4) Date