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GR "ER ANCHORAGE AREA B" IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON -SITES SEWAGE C DISPOSAL SYSTEM _
NAME 01IN c�/k s MAILING ADDRESS 90 -A90 -A .137 'E, (< PHONE 09-7#01
!_
LOCATION F•�AL'11 LEGAL DESCRIPTION (�. A`0•r && ��•NYl6t�(7EP, "-
SEPTIC TANK: ULA (9ggq/
DISTANCE NUMBER OF
FROM WELL 0V MANUFACTURER frac- St�tr MATERIAL TraEl _COMPARTMENTS 7 _
INSIDE LENGTH INSIDE WIDTH _LIQUID DEPTH LIQUID CAPACITY_ (000 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS DIAMETER W OR WIDTH, LENGTHIL, DEPTH
LINING MATERIAL CRIB SIZE: DIAMETER ' Li DEPTH bi DISTANCE FROM
BUILDING FOUNDATION -70 , NEAREST LOT LINE
ADDITIONAL ABSORPTION
WELL116
'
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) �S8 SQ. FT.
WELL:
TYPE —hr �-
CONSTRUCTION STMNDAI?D DEPTH l •2 r --DISTANCE FROM:
BUILDING SSEPTIC
FOUNDATION I LOT LINE SEWER LINE TANK!/1W_
_
CESSPOOL—,OTHERSOURCES
APPROVED DISAPPROVED_ REMARKS
DISTANCES: rW 0 IA/et L,
L�� (Og-• �"
INSTALLED BY:
IFS, tdoob E S6,0
PIPE MATERIAL:
Cn4 I)2or
LOT SLOPE: Ce V'C
REMARKS: —
(&
rm No. E:Q-031
DIAGRAM OF SYSTEM
SEEPAGE
SYSTEM _
//6?/
June 16, 1974
Worans Administration
42) A. SAM
Anchoraga AK 90DU1
SUORCT: Lot 65, Schroeder Suidivision (M ams Construction)
Wear 5ir-.
The soujact lot is no4 availabla to Pug ic sawar, and A is not acononically
MAW to sorve too lot with public szuor#«6 Mu.
The sewor systum, if installud to local 5pacifications, shaull proviau
V wato sewaqe disposal until such dru as public sawar in availawls.
Its water supply, AM must ou an individually drilluu w0l placod at least-.
120 feet From tho sewer systam, snould provido a potable supply of Mur if
installed to AM and local specifications.
Sincoroly,
,John k. Luo, xS.
kaqlc Over Oistrict Sanitarian
or
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received _6/26/74
Time of Inspection
Date of Inspection 6/26/14
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
1. Approval requested by: Smiley's Realty
Phone:
Mailing Address:
2. Property Owner: _ Adam's Construction
Phone:
Mailing Address: Eag1c River A{: �� -----
3. Legal Description: Lot 669 Schroeder
4. Location:
5. Type of facility to be inspected single.,--
No. of bedrooms 3
6. Well Data:
A. Type Drilled B. Depth 52'
C. Construction Standard D. Bacterial Analysisa.i �.
7. Sewage Disposal System:
A. Installed 1974 B. Installer R_6_ WoodSIIYL C. Septic Tank: 1. Size 1000 aalc 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 12xl2x6' 2. Material Concrete _
E. Disposal Field: Total length of lines ------
8. Distances:
1 Sewer Lines
A. Well to: Septic tank 102 Absorption area 178 e,
Nearest lot line _11' Other contamination ^�
B. Foundation 'to septic tank Absorption area X40'
C. Absorption area to nearest lot line
EO -034 (1/74) Page 1 of two pages
Page 2 of two pages e Re.,,est for Approval of Individual er & Water Facilities
Legal,D,Oscription
Comments
Approv
Disapproved
Date 6 2(v 11
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the intormatiion wnLa 1 11pu 1and these � --
accurate representation of the subject sewer and water facilities
are operating satisfactorily.
Date
SIGNED
I n n n n / l /-7 n