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HomeMy WebLinkAboutSCHROEDER BLK 2 LT 6'�0"MP Clo\- OFS SEPTIC ❑ HOLDING MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 " L" Street, Anchorage, Alaska 99502, Telephone 264-4720 �� S- __, C-', ! 09' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name INS DISTANCES �ew a�^ti � r-c�r12✓ Capacity in gallons IOUO � TO SEPTIC ABSORPTION Address Material Iis: dQ�Jpj TANK FIELDPhones) WELL 68%-3 Sc}.roede,�r - �� i�i�� FFROM Permit No. N "TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER •LL -1 Q3(S-9442�,LEGAL Total depth from original grade g 8 FT 9r<t — I 9 e DESCRIPTION !, k` 4 T LINE +ZI ' +Zi51 •1-Z,S ` Lot Block Subdivision 1e material t��a� unknov_ , 4 -- Date Installed V h k Y1 o W Yy WELLS s - Z SiGI"yY06cle" FOUNDATION I �} 1 ��. 1 C? S' Township, Range, Section _ Total Depth FT Cased to FT Installer W )\J VV`/4 S • I�( _r I +t4 lZ Z 1 AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, _ driveway, water bodies, etc.) TANKS I --I1-I- < l SEPTIC ❑ HOLDING rr RIS t p l INS Manulacturer Ay\oKpv-aqe Capacity in gallons IOUO Material Iis: dQ�Jpj No. of Compartments Z. TYPE OF SYSTEM I'EZn5-no(v) "TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade 4 FT Total depth from original grade g 8 FT 9r<t — I 9 e 4214 !, k` 4 Fill added above original grade _ FT Gravel length _ 3Z.s-FT Gravel depth beneath pipe Zf FTIII Gravel width VnVn0w.1 FT Total absorption area 31 'g SQ FT Distance between lines N A FT fh0 Number of lines Soil ralm I Ub SQ FT 1e material t��a� unknov_ , 4 Installer J r1 1< rtovi r1 Date Installed V h k Y1 o W Yy WELLS J4 PRIVATE ❑ OTHER (Idenlifvl - — Classification (A,B,C) Total Depth FT Cased to FT Installer Date Installed: 'vn�howr�-- REMARKS: ifew Fa,�`� it lie Z: Z8-91 replace n s -I - N\e_. P-_sa S�, (\,e-,z6Snr M`lT n.. < I. S Aev,, '}2.f 4-a8+Cr ���11""�.,I�'scale: I '^' AR' �i s 4.;2c r E Yrr� Z -Z.$ -9i . 50 nspections Performed by: sem.$ L _ fY '! �6dtc9®i®per . tg Y Ii1ep bry k5,+ CY� 52 1 9 /2 v¢.i y 1po S•f• �r s;V�cjt^ In EV6 si ���y�'�" ■VB-�k 1 h vrn. r�C �hS lle� �c �r gVos Cw Data pq Tc p vfl A f ¢ diG9@OAR=f3�9 p �4)& No.y lft Icertify (hat this inspection was performed according to all € e•/(ging Municipal and Slate guidelines in effect on this date: , - _' Health Department Approval: `�)-��-l�-e."L� Date: /� •- / / _� j __ __._ r nia rarawt PERFORMED LEGAL DESCR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST Q.W Phi v2v'-'Oi 2r V neY 6KG�^��L; S � LtY C-P-/iJ1aL .,:_TN/ CrRAVaL B .wnP Sa. a'j gr�Je� Class �(cz no 'CTP 1�2•�"99 ioo s /bJ r.+. YA' y. _ _--__ - -11 T�lvg: 'i l (� - a tCi� Y�1•; r `, DATE PERFORMED```- Township, Range, Section: tJw'l4 S t —f)qN RZW SLOPE SITE PLAN sl WAS GROUND WATER ENCOUNTERED? N S IF YES, AT WHAT L ><!. 0 DEPTH? A. E Depth to Water Alle� R $sis�q� Monitoring? Dale: e Reading Date Gross Time Net Time Depth to Water Net Drop y I Sr,,,;. 1 S•,.,r Z 5-M 3t" 3okz) 20 I I g,( PERCOLATION RATE (minulesnnch) PERC HOLE DIAMETER o t TEST RUN BETWEEN FT AND �' FT "r � COMMENTS _�' � S •4' Si e �NprGu i.•+��)� 1@ -Frb,,. QJc�1F 4 PERFORMED BY: �r^ �S I s�'A'e'� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 0- 145,-q l 7 x I PAGE I OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERV.I-CES P.O. BOX 196650. 825 "L" STREET. ROOM 502 ANCHORAGE, ALASKA 9951.9-6650 ON—SITE WASTEWATER DISPOSAL SYSTEM (UP(3RADE) PERMIT PERMIT NUMBER:S10910026 DESIGN ENGINEER:CONSTRIICTING ENGINEERS. INC. 010NER NAME:BAUMGARDNER DEI,IEY E & CIIJNER ADDRESS:16823 SCHROEDER DR EAGLE RIVER. ALASKA 99577 PARCEL. I D : O` 006108 LEGAL DESCRIPTION: SCHROEDER BLK 2 LT 6 LOT SLLE: 124730 (SO. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT jr, FOR THE CONTRUCTION OF: SEPTIC TANK SYSIEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: ?/26/91 EXPIRATION DATE: 2%26/92 1. THE ATTACHED APPROVED DESIGN. ALL RE(4(JIREMENTS SPECIFIED .IN ANCHORAGE MUNICIPAL_ CODE CHAPTE=RS 15-`15 AND 15-65 AND THE STATE. OF ALASKA (W:31-FWATER DISPOSAL. REGULATIONS (18AA("'72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLL.OidING SPECIAL PROVISIONS. SPECIAL. PROVISIONS: RECEIVED BY:_? 1-6 DATE: ISSUED BY: -------- ----- --------- __ DATE:_.� M// do GRE ':R ANCHORAGE AREA BO` _ `IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMErG�W �^// //"`^µed %� MAILING ADDRESS 55 el 13.1,y2-7e)/r�' /_ PHONE kfy-���3� _ LOCATION �L'GyYpCCSe�2 '"�"f�C LEGAL DESCRIPTION "orb '✓a 7, SEPTIC TANK:- DISTANCEj (' NUMBER OF FROM WELL MANUFACTURER9-CL F4t�, MATERIAL Sffe —COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY (000 GALLONS. NUMBER OF PITS DIAMETER T r OR WIDTH «LENGTH11I, DEPTH .0 .. LINING MATERIAL CRIB SIZE: DIAMETER 1 -DEPTH -k- DISTANCE FROM: WELL(p�8, TOTAL TIVE BUILDING FOUNDATION— NEAREST LOT LINE ABSORPTIONAREA(WALL AREA) 7-8 SQ. FT. ADDITIONAL ABSORPTION WELL: fI_ I TYPE _dVtll�l CONSTRUCTION DEPTH jQ _ DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE /291 FOUNDATION LOT LINE- SEWER LINE_ p0'__TANK-100-1 SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: - 5 PIPE MATERIAL: (Q44 14m LOT SLOPE: REMARKS: - Form No. EQ -031 REMARKS DIAGRAM OF SYSTEM DATE APPROVED .A.A.B. GREAT:=T: Avc )-iORAc;c- A.RFA BOROUGH Dl_-PARTMENT Or ENVIRONMENTAL OUALATY PERMIT No, _----- -,S.�r- A.....N.(�r:AC;': AI.. ASKA SSE AGE DISPOSAL SYSTFM — APPLIS;A` 101 1+1.ND PrR.W PHONE �. NAME: OF APPLICANT—_�.[�--+�--=—L']G(1.1Af LING ADUkESS _ _. .- INSTALLATION LOCATION c I_FGAL DESCRIPTION �S3: _L.U----J�—'-f�-- "----' SEEPAGE PIT_ _—_____. _ DRAIN F"IF.LO _ OTHER INSTALLATION OF. SEPTIC TANK _——.----- — �x ,,/ f C� �C�(� ham• TYPE AND SIZE OF FACILITY TO BE SERVED TO RE INSTALLED BY —_._------_-- -- _._----- SOIL TEST RESULTS _-1-PS — _--.--.---- NOT 'R'HI�3 C' Fd FAIT ISNOT VALID WITHOUT COIL •fiT 5Y COMPLETION DACE ANTICIPATED—�'=/—��----- FL 1�L,,i�T /(L q(� __T_..._...._.____.._(�L5 f:1_Ll_.__HLJ�d�I��AL`Ll'._.,J..l�Hll�__....�.m...�..._.�..�_,-.._�_ FINAL.INSP'ECTIS�Nr :,a HOUR NOTICE. rRrcaulr3rn. C'IACrcFIL1,.INr Or ANv sa.L^T1 m ",ITRlC)R.6T FINAL RP,�SS�F: .TIOP9 ctV xw[; HEALTH ® C_I'AFRTTAr_'NT AUTHORITY YJII-L 6IF_ Ei'UBJFCT TO R'FRCt_91"CUTION. I m� O_c_ TVPE4C�S:1._.�._SSIlriCT'P,_¢P -CsEEn,E AREA SEPI"IC TANK SIZE _ �. — mINIMUM C215TANCE5. 93f,GlUIFREMIF_NTS 5 f L• ° FOUNDATION TO SEPTIC TANK --.-- FOUNDATION TO SEEPAGE PIT 201 =— LAKE DRAIN FIELD ��' F.'(T SEPTIC TANK TO SEEffPGAAGE PIT WALL . (5�- __`-^--. DRAIN FIELD SEPTIC TANK SEEPAGE PIT �_l!r TO NEAREST LOT LINE- P I I `_�C, ---• WELL TO SEPTIC TANK `� .-- / ^ / SEEPAGE --_ AREA WELLS. DRAIN FIELD /'L --. ALSO C:ONSIDFL2 WATER MAIN TO SEPTIC _J fts -- SEEPAGE PIT ``TANK DRAIN FIELD_�l�O AC)c)/ PIT l A�O ft'A... DRAIN FIELD ff=, SEPTIC TANK. _ SEEPAGE R STREAM DIAGfRAR� 4,15' OVOTEM S" CAST IRerl sIpvos 5rr;ic NPL' I:ITl AIRTIGHT CRIB I / C CASs IPO!i -- R'LO I'll DI ST. :Pr! son r -A I tim-EI. (pls. 111 CA' cpis. C I r-y,;r<d r.,s�,� Iwo crosses (cvlP d n!uu �,�. aence WATER 10 RIVE LI" -^.I Yril CAST IRON INTO AND our OF SF_PTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT Iril !C FITTED WITH AIRTIGHT REMOVABLE CARS. 1:1 Tf,. C_ I..� Tn r1 1:9' AO Gu p. I Il:r CONFORM TO DOROUGH REGULATIONS REGARDING INSTALLATION. HEnl.l'll AUTHORITY OR LICENSED DESIGNER II'f �I S•:•kn :J fR. Pit 04 5011 Ihl I _ 1- 541! � J HOUSE LL H GredP: 2'. per 10' Or IIA' P r font excent IT preu-dinn tank I tha, should Act ckCCOd 6' pP IN, nn Lint n'nc m: -----__ d IGCII CAST 10.01{ slNlon PIPE t(EPAGE PIT k/ —1 CRIB GRAVEL LACKFLLI 70' HININUN 1_EAPrsT LAT LI 1 CE:R'rIFY THAT I AM FAMILIAR Willi THE REQUIREMENTS OF GREATER ANCHORAGE ARFA (BOROUGH ORDINANCE NO. 28.68 AND THAT TME ABOVE DESCRIBED SYSTEM IS IN ACCORDAN':E WITH SATO CODE. GAA, ��tpljID-2 GREA EI, /I N �i•��1����/U7/ 1C Jt. INCHORAGR ARRA. HEALTH DEPARTMENT Anchorage, Alaska 99501 721 )ROUGH 279-2511 Case No.LZ +ME,F gEAE: ©ISP®SAL SYSTEM - APPLICATION 81 PERMIT Ic PHONE N0.N'•k!i { �tAP�IVGADDRESS_ _ — t%— PLICANT �-- —- 3 ? [ } LOCATION OF INSTAI-LATION - 3' LLL RESIDENCE ADDRESS �. ?� V i tom-=�' —X ____.LEGAL DESCRIPTION—��=— or APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT_ �e , DRAIN FIELD`—., 0TH -- TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH TO BE INSTALLED BY�e_� `�--_� — r PERCOLATION TEST RESULTS ®E•� l- ,,f ANTICIPATED DATE OF COMPLETION--��v BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE A PERMIT TO INSTALL A J AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED / f SEEPAGE AREA �-� +� TYPE — SEPTIC TANK SIZE TYPE --, , 1 r nlAr,RAM nF SYSTEM DISTANCES: ,r �F EALTH AUTHORITY J OR '6ILICENSED DESIGNER 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 APPLICANTS SIGNATURE_ DATE MIN '6ILICENSED DESIGNER 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 APPLICANTS SIGNATURE_ DATE Re: Sewage Disposal Systum, Lot 6, Block 2, Schroeder Subdivision Add, V 2. November 24, 1972 Or, Dewey Baumgardner Star Route Box 270 Eagle River, Alaska 99577 Dear it. Baumgardner: On October 1 1970 an application was issued to ,you for the installation of an COMM sewer system. On January 5, 1972 a letter was sent to .You requesting Information as to what you planned to do about installing the system. The above mentioned permit: application is still pending in this office:. Pleasu advise this office within ten (10) days of reciept of thislletter as to the current status of sewage disposal on the above p•opwrty and if yoyr Uavdre to have the application renewed. If we can be of any assistance to you please do not hesitate: to stop by the office in the S1anker Building, Eagle River, or call 694•-922.7. Thank you in advance for your coopdration. eph"S. Blair R. S. Qhstrirt San•itarain d