HomeMy WebLinkAboutSCHROEDER LT 64, 65Sc h rot der
iiiiiiiiiin 50 ��
Ill OR
0 Tool
13 dock
GRED, f ER ANCHORAGE AREA BORuUGH
f Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE �SEWAGE DISPOSAL SYSTEM
NAME_ �•x �- � MAILING ADDRESS-�U�� �-f�" /I/.? IF feEZ
PHONE
LOCATION - (% LEGAL DESCRIPTION_C_inyiQ��Q�1
SEPTIC TANK:
DISTANCE r
FROM WELL --.MANUFACTURER NUMBER OF
'_— MATERIAL -- _ _ _COMPARTMENTS _
INSIDE LENGTH_. INSIDE WIDTH_ _ LIQUID DEPTH _—
----— __ — --LIQUID CAPACITY GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELLTOTAL LENGTH
___FOUNDATION ------NEAREST LOT LINE_
-- --Or LINES _
NUMBER OF LINES_-_ DISTANCE BETWEEN LINES -._--__TRENCH WIDTH-- IN. TOTAL EFFECTIVE
ABSORPTION AREA - SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER - - - - - -—
DEPTH: TOP OF TILE TO FINISH GRADE ._MATERIAL BENEATH TILE
-- ----_ - IN. ABOVE TILE_ -_IN.
WELL:
TYPE_ ---------CONSTRUCTION--_________________ DEPTH
-__CONSTRUCTION_---- ----_-_DEPTH -----DISTANCE FROM:
BUILDING NEAREST NEAREST
SEPTIC SEEPAGE
FOUNDATION___, LOT LINE---__, SEWER UNE
TANK - SYSTEM_
CESSPOOL--____, OTHER SOURCES
APPROVED_ _ DISAPPROVED____ REMARKS -
DISTANCES: --
INSTALLED BY:
I
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: -
Form EQ -032
DIAGRAM OF SYSTEM
DATE J--�T) APPROVED (4-C
G. A. A. B.
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L n1CNC. :E A,EA
Eagl( iver Area
f` ..
GREATER ANCHORAGE AREA BOROUGH
�, Department of Environmental Quality
.3330 C Street, Anchorage, Alaska 99503 274-4561
Date Received February 9, 1977
Time of Inspection
Date of Inspection s -ILL /r )
/�a REQUEST FOR APPROVAL OF JPJL:)LIPL
- -
i, (� INDIVIDUAL SEWER & WATER FACILITIES
i FOR
Conv.
1. Approval requested by:
Home
Federal Savings and Loan
Mailing Address:
535D
Street
Phone: 272.-1451
2. Property Owner: _Mary
A. Crouse
Phone: 694-2576 �^
Mailing Address:
305
Davis
Street,
Eagle River 9957__
3. Legal Description:
Lots 64
and 65
Schroeder Subdivision
`
4. Location:
305
Davis
Street
_
5. Type of facility to be inspected Sin le family No. of bedrooms 3
6. Well Data:
A. Type Individual B. Depth
C. Construction
7. Sewage Disposal System: On-site system
A. Installed
C. Septic Tank
D. Seepage Pit
D. Bacterial Analysis
B. Installer
1. Size 2. Manufacturer
I. Absorption Area 2. Material
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 - Re ,St for Approval of Individual qer & Water Facilities
Legal Description Lots 64 and 65 Schroeder Subdiv=ision
Comments
Approved
Disapproved
Date
Approval.Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
— - a fill v1 111U61VIi wnLa irieu m inns request Tor 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
MUNICIPALITY OF ANCHORAGE
At�Ct�ORAVk DEPT. OF HEALTH &
GREAT \ ANCHORAGE r,P. BOROUGH
EdJIENVIRONMENTAL PRO
j'i<<An.. cTION riDepartmeL of Envirolllrr:�-,.tul Quality TECTION
�
IKa 94��_ r3 (31977
� r 2 �A ��� AWC►AA >�A�r AK 901. 1
REQUEST FOR:
INDIVIDUAL SEWER
APPROVAL
& RATER
OF
FACILITIES
RLUIVED
1. Type of Inspection: CMIRO
`%A
_
FFA
CONV X
2. Property Owner: maze rrnuse
Mailing Address: 305 Davis StreetDay Phone _ 4-25Z6._—
Eagle River, Alaska
3. Name of Buyer: Patrick L. Johnson
1330 College Rd.
Mailing Address: Helena, Montana Da Y Phone 344--9168_{1acal•)
4. Nacre of Lending Institution:
Mailing Address: 6roc.>-tvg^<� r=r�}S e=�7.5z�i Phone _2 1� - 1�1_-� 1
--
5. Name of Realtor or Agent: AREAS Inc. Realtors: Richard D. Anthony
P.O. Box 249
Mailing Address: Eaalgyp_.9_5_Z,Z_ _Phone 694-9555
6. Legal Description: Lots 64 and 65, Schroeder Subdivision
7
9
Location: Eagle River, Alaska. Residence sited at
305 Davis Street, Eagle River.
Type of Facility to be inspected: Water_ & Sept." s�!Q. Barms. 3
Water Supply
Type of Supply: Public lli:ility Individual X
If Individual, number of dwellings presently served 1
If Individual, depth of well 130'
Sewage Disposal Systom
Type o System: Public Utility _ `_ Individual (on-site) x
If Individual, date of installation Unknown. Existing system
functioning satisfactorily; however, may not meet current env1ron-
mental standards. Owner has received estimate of cost for replace-
ment of entire system and will be placing appropriate funds in
escrow in order that new system will be replaced in Spring.
9
r'3j
arcI1 1., 1077
llome Peclaral t::.avings, and Loan
535 D Street
AnchoragO, Alaska 99501
SubJecat: Lots 64 and 65 Ochr<aeclnr_ Subdivision
Dear fair.:
The existing sewer dispoual system. locat:i;ct caaa the nubjuot:
propexty is aacat a t-4tssricipal.approved cti.sponal syAs'uom egad
toed not mlea : the ,"linilatmtt a^csc�iair_eu+t��zir..,,
)lefore this doparti-ent can grant final a}zf?:rcav<t1 cif:' yolu
request, title installation of a new ewor (ligpos,70, sys'i(nm
is necessary.
'.Vo lesi.gn 11sewor system 'Haat: would ):)e acicrc`�t,�at;�, t 3cai 1.Fa
t;.ost roust taco C onauctod in the area of icho prolaosod near
�c�epacr� trench.
E pecificatiows of tho construction aro, <ama i fable upon t1le.
issuance of a permit. The Existing cau spool. a-peEar;3 i -o
be functioning satisfactory at tiv, presmit. tjm(t . 1jasea carr
this factore this department %,rill grana; •tni.n:'o a.ry approval
if funds arc ;set ac�� c, _nit: �? 1�a\rseYLr snwea; ai.spihsal
system no la -ax ,,_'aa n may, 1977.
. opy of tho c r�i,> ovr �aggxeaneaat. ratast; I)e a ece..i.vc4 1)y tl7.i.as
department nt to validate the t outpor=ary approval.
If there are any further eiuest:.i.anv:, please cearatact, t:,tai:s of f:3c.ca
at 279- 251.1., extcanrion 224 or 225.
John Kenne"Cly
Principal )Inv A,rOTj).-LjO!j4-,-jj C()rttrc?l t)f �:ic"t3C
JIN11 i h
7
All
Distance to Property lir,,, to 1r -"Se folIndation
o,
Perrcolati.on.- Test 7-esults
f, Percolai:ion Test P-rfermed by
Use the reverse .side of this form to show diaf-rarn, D.i ,F rarr, should include
i.he fO-I IoWinP informaticr.t property lines; well locati.on, house location,
^-j'+!c tank aocati.on, disposal area location location o{
dixec > percolation test,
ction of prounc slope,
,-;1,,, or, H.is fora; is true and correct to the best of my knowledge.
Signature of Applicant — DateSigned
0 BE PILLED OUT BY HEALTH DEPAP.T'EITT PEPSOITNEL.
LJ.
'.;I lowid
above descrdescribedsanitary facilities are hereby cpprove, subject to the
_olnP conditions
Con ditiors
;
El
The above described sa
reasons; nitary facilities are disapproved for the following
Si natu d of 4 i
Date - -
'—
Appioval .is valid for one year following- the date of appy ova,
CPJ:cw
REPORT OF INSPECTION®INDIVIDUAL SEWAGE -DISPOSAL SYSTEM
PRIMARY TREATMENT consists of ❑ Septic tank. ❑ Cesspool.
Septic Tank:
Distance from well, feet. Material,
Total liquid capacity,__ gallons
Inside length, _feet. Inside width,_j
Number of compartments
Capacity inlet compartment,_ gallons.
. Liquid depth, feet.
- - • i A
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REPORT OF INSPECTION®INDIVIDUAL SEWAGE -DISPOSAL SYSTEM
PRIMARY TREATMENT consists of ❑ Septic tank. ❑ Cesspool.
Septic Tank:
Distance from well, feet. Material,
Total liquid capacity,__ gallons
Inside length, _feet. Inside width,_j
Number of compartments
Capacity inlet compartment,_ gallons.
. Liquid depth, feet.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWACE AND WATER PACILIIIES
(Fill out in Triplicate)
1, Name of person requesting appr.oval_`` ( �`_ 1 }� 1i�/ 12!1-
2.
t !1
2. Name of property
3. Legal description
4. Number of bedroom
5. Water Analysis:
a. BacterialC
b. Detergent
6. Well data: l
> f
a. Type
b. Depth—
c.
epthc. Casing; Size
d. Distance from well to closest existing or proposed:
1. Sewer line
2. Septic tank
3. Seepage Area
4. Cesspool
5. Property Line 'M 1 .
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc.—.
7. Sewage disposal system.
a. Age of system I- 176 ,) P (i;5° J
b. Septic tank capacity in gallons l
c. Name of septic tank manuf.'actu•rer
1. If "home made" show diagram on reverse side of this form.
d. Disposal field or seepage p.itddze and type s /.7 A]
i 1 f
1. Distance to property lue to house foundation A1AL.
e Percolation Test results -tt-4--vil)- IALI
f. Percolation Test performed by 17-1-
8, Use the reverse side of this form to show diagram. Diagram should include
the following information: PpwDorty lines;.well location, house location,
septic tank location, disposal area location, location of percolation test,
and direction Of ground slope.
9. The information on this form is true and correct to the best of my knowledge.
G
. . . . . . . . . . . .
5irnatu e of Applicant e Signed
TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL
74n above described sanitary facilities are hereby approved, subject to the
-T61lowinp,conditions:
Con d it ions: -x
The above described sanitary facilities are disapproved for the following
reasons:
Approval is valid for one year following the date of approval.
CPJ : cw
FNA Form 257 • Torm Appio.nd__
R, ),Y 1959 FEDERAL HOUSING ADMINISTRATION Rud"t, Bmvoo No 87-8196 n
Hi,. -*LTH AUTHORITY MAPF RM#.,.*L
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.—TO BE COMPLETED BY FMA
INSURING OFFICE MORTGAGEE SERIAL NO.
Flr.:t-S,-Lt'1 L ;uk a:' "71 bol ;_ � 111 -0101 :O
MORTGAGOR OR SPONSOR I PROPERTY ADDRESS
I
111111-DJ,V:L ;I, ;;'-t J- lily Ij Lor,`:, 111 -k --
SUBDIVISION NAME I BLOCK NO. LOT NO.
TOTAL NUMBER: ❑ Can attic or other area be made Into
---- -- - --- BASEMENT New Installation additional bodrooms7
LIVING VNI15 BEDROOMS eA1H5 I
I l I (II Yes, how many;)
I } t'S N(1 ❑ Yes 0 No
WATER SUPPLY BY:
l SYSTEM DESIGNED FOR
Public system Conununit s lndividu;tl
❑ ,..,.stem-
- ---
NO. OF BDA/AS.i GARBAGE DISPOSAL
- _ O — - �
SEWAGE DISPOSAL BY:
ElPublic sst(iu system In IVIJu.II
' I
_ n Yes No
_(:f,mmuulty
PART II. --TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTORS SKETCH
ti
t
t
It is the opinion of the State El County E] Local Department of Health that this individual water -supply system
NE] is ❑ is not satisfactory as a domestic water supply for the subject property.
It is the opinion of the ❑ State County Local Department of Health that this individual sewage -disposal Sys
tem with proper maintenance:
Can be expected to function satisfac(orily. and Cannot be expected to function satisfactorily
is not likely to create an insanitary condition
DATE TITLE
(SIGNATURE
Aril GF 1971) SuRprvisor
I I.mzronwental health
NOTE: The health/u thor',Ty Should complete the appropriate opinion statement above and affix date, signature and title in the
spaces provided. 1 1 1
Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the
health authority,
PART III.—FOR USE OF FHA OFFICE
jTO THE CHIEF UNDERWRITER:
j I have rcvic4ved the lixe•goin}; .Ind the Pertinent 1:1 IA Con,Plimi, (- Inspctiinn RtI,oH, mid reconimc•nd that the
Individual water-suppl, system bc• considered ❑ AtcePtable 1:1 N1,t AcrePt.lble
Sc1v,Ige dislxsal be considcrcd AucPahlc Not Aroeptabl(.
DATE SIGNATURE
CHIEF ARCHITECT
❑
I _
DEPUTY FOR CHIEF ARC7,IIECT
HEALTH AIITH0111TY APPROVAL FHA Fnrm 7573