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