Loading...
HomeMy WebLinkAboutSEIDLER #2 BLK 5 LT 5r r I i. o r►�► NAME LOCATION SEPTIC TANK: �., GREA I ER ANCHORAGE AREA BORUjGH s0 Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS r�/S j� �� �^� «*-ems PHONE � V r •� E ALD 'SCRIPTION`S DISTANCE p NUMBER OF FROM WELL MANUFACTURER__ p MATERIAL _COMPARTMENTS f' INSIDE LENGTH LCA INSIDE WIDTH LIQUID DEPTH ------LIQUID CAPACITY GALLONS. SEEPAGE -P17. NUMBER OF PITS DIAME ER OR WIDTH LENGTH_, D PTFI LINING MATERIAL – CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL BUILDING FOUNDATION ADDITIONAL ABSORPTION Ii9AAlIIIII TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ` SQ. FT. f/ 4 / /7.✓f� ���� J TYPE --f `VLCONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES:. INSTALLED BY: PIPE MATERIAL:. –� `� � — LOT SLOPE: Y_ REMARKS: Form No. EQ -031 REMARKS DEPTH SEPTIC: TANK - DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM_ /y f �o ^ 33 DATE G.A.A.B. ' - V rc's IPVpK���kfl� A V 1 -11 F*'..'�' IF --fl 111::'-4 K, -R,: uF:rIF: |,1F.m| 0 nF�n1. /n ru nr/nonncn/nI- rno/cIM: /Ium 2510 E TU1)O[;�! I P.D H�CHCI 1 RGE/ AK�9507 276�2221 ��FRi:: 11, .- p V-4 PE'..' ������, IF� R;; R 119 -1, F, 1=1 IRE lot ovs X - I" PERMIT NO ( 76]86 ) RPPLICHNT ` 1519 COLUMBINE 274—]85] LOCRTION LIRMINEV LR.E c2\�,(/ LEGHL 1 B5 SIr)[JER SUBD LCh, IZE 1 0 I0 SQUHRE FEET TYPE OF SOIL HBSORBTION SYSTEM IS� TREN MAXIMUM NUM�ER �F BEDROOMS � ����~� S T�HG (SQ FT/BR)� 110 THE REQUIRED SIZ1: OF THE SOIL RBSORPTION SYSTEM IS / It 11-4 ::1_ IL_ FE: �"T, V-11 01- CI lit 9:1 V Q L. 10 IT: 11'" -V F-I� THE LENGTH DIMENSION IS THE LEN34H ON FEET) OF THE TRENCH OR DRHINFIELD. THE I)EPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROU�� RNP, TAE BOTTOM OF THE 1: ON (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES THE GRRVEii,L DEPTH IS THE MINIMUM DEPTH OF GRH;EL BETWEEN THE UUTFHLL PIPE ANE'- THE BOTTOM OF THE EXCFVHTION (IN FEET) NOIEI:C;lk.i I ��"I IF: "'If- FA V-4 �=:­ -:1- �::ii 0=11 0 '.K~CD, ���� BHCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTIUN HND HPPROVHL 8Y THIS DEPRRTMENT WILL BE SUBJECT TO P�OSECUTION. MINIMUM BETWEEN H WE[L HND HNY ON~SITE SEHHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 200 FEET F. -Op 8 PUBL:EC WELL WELL LOGS RRE REQUIRED AND MUST BE TO THE DEPHRTMENT WITHIN ]0 DOY� OF THEE 14E1L COMPLETION. SPEClFICATIONS AND CONSTRUCTION DIAGRAMS HRE HVHILHB[E TO IN�URE P�OPER INSTHLLHTION. 1l... �P.-_ 1 F:." C-0 W Q Poo IRE "I" Q foll Q W FG: CA 11 -vi �nEv 115 1. j I CERTIFY THAT J. I AP1 �AMILIHR 141TIA THEE REMIREMENTS; F -OF: OI`+~S1TF�: SEWE,!S FORTH BY THE MMICIPAILITY OF ANCHORH�E 2� I 1.4ILL ITHE S�STEM IN [..IITI TAF�: C�DES ]� I UN�E�ST�ND THAT THE ON—SITE SEWER S��TEM MRY ��QUIRE RESIDENCE IS REMODEL�D TO INCLUDE �O�E THAN ] BEDROOMS ~ SIGNED�__~~. HPPLICi: HNT' FF! ED�9SON IBAMED BY~...�.�.. ~_..~~.._DHTE~�.~~~�_.�—�...��� R111D fS ENLHRGEMENT IF THE Af- r•71_1 r -a I r~ I F='"L I T' -r' sp F= F=1 r -a c: H rl Fes: H �� E C,EPAP.TMENT OF HEALTH AND ENVI RC INMENTAL PROTECTION 2510 E. TUDOR RD.: ANCHORAGE: AK. _549507 276-"^'21 1 •# E L L H r-4 G• ID r-4—'= 1'7 E= • E 1-4 E F: PERMIT NO. f 76386 APPLICANT FRED DYSON 1519 COLUMBINE 274-3853 LOCATIO14 LUGENE LANE LEGAL L5 E5 SIDLER SUBD LOT SIZE 125000 SQUARE FEET TYPE OF SOIL ABSORBT I ON SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FTF'BR)= 110 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C:- E F=" -Y :1_ :2 L E r-4 i=i T H = ;;2 -4 C-3 F -o H 'ti� E TI_ C> E F=' -F r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANC_.E BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E,,CAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). Fes: F= r_;? I_1 1 F-"[= GN E F=' T I k__: T F=l F-4 F= = 1 • - F= = :lL f2v C-1 C21 A-3 F=l L- L-. C, r -A BACKFILLING OF ANY SYSTEM 14I THOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILE_ BE SUBJECT TO PROSECUTION. MINIPUUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM I5 100 FEET FOR A PRIVATE 14ELL OR 200 FEET FOR A PUBLIC: WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF' THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=" E Ve rl 1 T 'v' "I I Co F= -I F-: 1_1"E '-r' E"FS F- F' 1_1 r•7 1 _•' 1_1 E I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON -=ITE SEWERS AND WELLS AS SET FORTH B4' THE MUNICIPALITY OF ANCHORAGE. 2: I 41I LL INSTALL THE SYSTEM IN ACCORDANCE 14I TH THE CODES. _. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELE:? TO INCLUDE MORE THAN 3 BEDROOMS. LGNE:D:___�-_l-___-------------- APPLICANT FRED /QYSON 7 7 7--77 MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection Performed for Fred Legal Description SOILS LOG PERCOLATION TEST Dyson Date Performed 6/14/76 Lot 5, Block 5 , Sidler Subdivision Percolation Rate _minute Performed By� L ALASKA GEOLOGICAL CONSULTANTS (See attached sheet for test hole location.) Organics ©•' Dark gray, well -graded, sandy gravel (GW) Perc rate: 85 ft.2/bdrm. 4 Red -brown, silty sand (ML) with some organics. !�• Perc rate: 275 ft.2/bdrm. Dark gray, well -graded, sandy gravel (GW) 8 :� 2 ;• Perc rate: 85 ft. /bdrm. 10 =• (� ', 0; 14 ci yl�• 16 No water table encountered. AVERAGE PERC RATE FROM SOILS LOG = 109 ft.2/bdrm. Percolation Rate _minute Performed By� L ALASKA GEOLOGICAL CONSULTANTS MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection Performed for Legal Description X 4 X SOILS LOG PERCOLATION '.GEST Date Performed IN 12 U im Percolation Rate minute Performed By Ilk r^IW_aP"di Y: I F= nL._ I 'lf`'kO CCF HC -)F ms:: DEPARTMENT OF HEALTH AND ENVIRONM€ NTAI_ PROTECTION ,910 E. TUDOR RD., ANCHORAGE, AP;, 99.50 7 276-2221 14 EE L_ L.e Fz:' Imo. F;Z ria I -T' PERMIT NO. ( 764.9-4 ) APPLICANT F"��JN, 1519 COLUMBINE 274-3053-1=� LOCATION LUGL- A LAFdE L..EGAL. L5 B5 SE I DLER SURD LOT SIZE 1.50000 SQUARE FEET MINIMUM DISTANCE BETWEEN A 14EI-L AND ANY ON•-.'.I'TE SEWAGE DISPOSAL SYSTEM is 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 I,)AYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE: AVAILABLE TO INSURE PROPER IN "I'ALLATION. IF "[=-: : F= M I -F 'vP n L_ X C'+ I= k-1 F? •G r4 E: %-" E -_"F- F= FR C_-1 rel I N_® EE I CERTIFY THAT :L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS AND WEI...1-5 AS VS -ET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I LJILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES. AP'P'LICANT F ' /D IDYSON I S'SUED BY- /LC� _ - �vq d-s-___GATP _�¢-(` /zy POST IN A C� SPICUOUS PLACE -_ ' ilf ' LAND USE 1. PROPERTY OWNER. J PHONE 2. MAILING ADDRESS - PERMIT N o. L BUILDING SAFETY DIVISION GREATER ANCHORAGE AREA BOROUGH 2516 E. TUDOR ROAD PHONE 278-4531 LEGAL DESCRIPTION "7 4. OF PROPERTY GRIDFEE DATE NO. PAID —ISSUED - K AREA ZONING 5. STREET ADDRESS Kin B. Commerci ,yf_' C. Industrial: _-Mciribfactueing_'_Storqge�Processing 0 D. Other:-- J; 'S I hereby affirm that the abov , e-,info"I-frmation and that submitted it application for this permit is true and correct to the best of my know liedge. I understand that this permit is issued on the basis of that infor matron and is subject to compliance with all pertinent codes and ordi nances of the Greater Anchorage Area Borough;, ----- X THIS PERMIT EXPIRES -180 DAYS FROM DATE SIGNATURE OF APPLICANT OF ISSUE UNLESS CONSTRUCTION, AS DE- FINED IN THE ZONING ORDINANCE, HAS BEGUN. I (' J ' % PS -1 02 (7/75) AUTHORIZED OFFICIAL CUSTOMER Copy -_ ' ilf ' 1. PROPERTY OWNER. J PHONE 2. MAILING ADDRESS - 3. BUILDING CONTRACTOR LEGAL DESCRIPTION "7 4. OF PROPERTY FIL, K 5. STREET ADDRESS 6. DESCRIPTION OF WOR J,., �10 'NE AUM T —OTHER 04 J1 _" u 7. USE OF NEW STRUCTUW R 'i -I A. Residentio 1% T 9 . fit W Ulti-Family B. Commerci ,yf_' C. Industrial: _-Mciribfactueing_'_Storqge�Processing 0 D. Other:-- J; 'S I hereby affirm that the abov , e-,info"I-frmation and that submitted it application for this permit is true and correct to the best of my know liedge. I understand that this permit is issued on the basis of that infor matron and is subject to compliance with all pertinent codes and ordi nances of the Greater Anchorage Area Borough;, ----- X THIS PERMIT EXPIRES -180 DAYS FROM DATE SIGNATURE OF APPLICANT OF ISSUE UNLESS CONSTRUCTION, AS DE- FINED IN THE ZONING ORDINANCE, HAS BEGUN. I (' J ' % PS -1 02 (7/75) AUTHORIZED OFFICIAL CUSTOMER Copy 3 7i5 //,' �e�c. vq tit c rn Y 66,1,4.44" eo a,, r S-A� EI 5 G Ar ��d•�il SC/(��/¢G/r //TGtsli¢��1i%F1�6 �ac�o / J`rCi'y t/4EaHF V4 " r3EL ° w 40/-t i� 17- 1107 %Po F 3 7i5 //,' �e�c. vq tit c rn Y 66,1,4.44" eo a,, r S-A�