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HomeMy WebLinkAboutSMITH TERRACE LT 17SSD (17) osi-lol ammumm 19 LoTS I r7 tlg M) GREA-r rR ANCHORAGE AREA BM_�,'GH t�M�� ) �6 Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 �j INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME i� i P �Q sic /L MAILING ADDRESS 011 .h� PHONE LOCATION V LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL {ems, COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY -Qy GALLONS. TILE DRAIN FIELD 'A"t_v� - TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE p OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH o IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER r DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE_ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: -t1✓ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: tr.X REMARKS: Form EQ -032 DIAGRAM OF SYSTEM DATE Z3.'APPROVED._ : G.A.A.B. 10 DISTANCE FROM: r_41 r-. :ave � � II'II14A\//\`]\•s Y� e f • �4aro ,awe ap � NAME OF APPLICANTO INSTALLATION LOCATION GREATER ANCHORAGE �ffEE BOROUGHop 7 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT No. /693/ 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT v 4 , 7) MAILING ADDRESS LEGAL DESCRIPTION%- INSTALLATION OF: -SEPTIC` TANK SEEPAGE PIT_ TYPE AND SIZE OF FACILITY TO BE SERVED PHONE DRAIN FIELD OTHER ✓/c'Z %yC FINANCED THROUGH { TO BE INSTALLED BY SOIL TEST RESULTS COMPLETION DATE ANTICIPATED NOTE., THIS PERMIT 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 SEPTIC TANK TO SEEPAGE PIT WALL —_ DRAIN FIELD SEEPAGE AREA SIZE SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANKL�1 I SEEPAGE PIT — /erL' DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT 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 INCH 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 1 CERTIFY THAT 1 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. DATE APPLICANT'S SIGNATURE��f FORM NO. EQ -016 TYPE DIAGRAM OF SYSTEM GREAT�--K'ANCHORAGE AREA BOROu-vil Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS �J �P�HJONEC% 6 & a lcO LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER -OF FROM WELL MANUFACTURER MATERIAL �, COMPARTMENTS� i INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY �a / GALLONS. SEEPAGE PIT: iiQQ ll NUMBER OF PITS �. DIAMETER OR WIDTH L, O, C LENGTH DEPTH _ - L LINING MATERIALCRIB SIZE: DIAMETER.. 6 DEPTH DISTANCE FROM: WELL, BUILDING FOUNDATION ' NEAREST LOT LINE �V' 'S- / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) t,� � SQ. FT. ADDITIONAL ABSORPTION WELL: TYPECONSTRUCTION BUILDING NEAREST FOUNDATION -.LOT LINE CESSPOOL OTHERSOURCES APPROVED DISAPPROVED DISTANCES: DEPTH NEAREST SEPTIC SEWER LINE TANK _ REMAR INSTALLED BY: " I by PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ -031 DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM _ DATE t�S ). r A. Tra G.A.A.B. p 1 V 1 ,PREATER ANCHORAGE AREA BOROUGH \bl I Gil DEPARTMENT OF ENVIRONMENTAL QUALITY ? I IIIf �J I 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 �Oj*uro uw°• SEWAGE DISPOSAL SYSTEM - APPLICATION AND NAME OF APPLICANT 1�4 kI INSTALLATION LOCATION Vjf _c%. LEGAL DESCRIPTION . Lei -e ' INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH MAILING ADDRESS SEEPAGE PIT i0 BE INSTALLED PERMIT NO. 3: RMITR " PHONE DRAIN FIELD OTHER {r` BY SOIL TEST RESULTS _�L'�_�`� li�.lc NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTIClIPATED I FINAL INSPECTION. 24 HOUR NOTICE REQU RI ED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE L. fJ TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK S / FOUNDATION TO SEEPAGE PIT 1_6 DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL I SEEPAGE AREA SIZE /1r SEPTIC TANK SEEPAGE PIT N DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK �!� / SEEPAGE PIT 1-2-c; / DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT 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 INCH 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 TYPE DIAGRAM OF SYSTEM ' I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA 130ROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBE SYSTEM IS IN �ACCORDANCE WITH SAID CODE. z /2 01�7S_ DATE ' APPLICANT'S SIGNATURE FORM N07EQ-016 LOG OF TEST BORING C' Hole No. uumpleted R&M CONSULTANTS, INC. sheet of Rig TotoI Depth ANCHORAGE —FAIRBANKS—JUNEAU - Project No, ALASKA Project Name i Location Ground Water Table Method Used Depth in Ft. Field Party Geologist Time Weather Date o s n c I EE° cn Sampling m ° c_ v Ly C °� o Q �. c „ s ° o co DESCRIPTION Soi I type, color, texture, estimated particle size, „ sampler driving notes, depths circulation iost, v notes on drilling ease bits used, etc. Location Notes 8 Diagram! a®� Traffic. 1 C;ti ° a U m Ca m CE °<°nm I> o _J a of o a T, Vegetation: 2E 0 OF 0 2 3 4 5 6-- 7-- 8 9 2 3 -- 4 -- 5 -- 456 6 -- 8 9`- 0 FF7 441 — 441 441 ; F+ 4 or — Unless otherwise noted all samples are taken w/14'ID Standard Penetration Sampler driven w/1401b. hammer. 30"drop. 04272 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 E. TUDOR RD., ANCHORAGE, AK 99507 276-2221 L4 IE L_ L_ F=' 1= F;," rl I -F PERMIT NO. ( 76:156 ) APPLICANT BOB FITZPATRICK 7111 CHAPEL DR 688-9125 LOCATION CHAPEL DRIVE LEGAL f.LIS SMITH TERRACE SUED; LOT SIZE 8800 SQUARE FEET MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS lQa-.FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED�O THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. Fes'F= � M I 7r %-w F4 L_ I E> 1= C3 FZ 01"E V E" Fz,: F= F� r_') M I f; !E; U I=— I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED: ----- ---- APPLICANT -Z PATRICK ISSUED 81 2 111t4f) exlt^_61 121 MINIMUM DISTANCE BETWEEN H WELL HND HNY ON—SITE SEWIHGE DISPOSAL SYSTE11 IS 100 FEE'[' FOR H PRIYHTE NELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS IR REQUIRED AND MUST BE RETURNED TO THE DEPHRT�E�JT WlTHIN �0 DHYS OF THE WELL C8MPLETION. �� SPECIFICAT ION- HND Of. NSTRUCTION DI8GRHMS ARE HVH INSTHLLHTION. ILHBLE TO INSURE PROPER �� 'r-0���� ������ ������ I CERTIFY THAT 1: I HM FHMILIHR WITH THE REQ8IRE1,1ENTS FOR ON ---SITE 5ENERS FIJI) WELLS HS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2� I WILL INSTALL THE -1 Fil -:CIf 'IFINCE WITH THE CODES.It SI8NED� 4, ISSUED BY~ � I F:� C-4 0 .1 1/ �� �� �I������ dHEHLTH HND ENYIRONMEMT[1L ). TECTIQN ~ 2510 E. lUDQR RD. HNCHORHGE/ HK. 276�2221 �z�������~� PERMIT NO. r,.' 76�7� ) HPPLICANT P. 0. BOX 1091 -^ HNCHORA@E 9951 688�9125 LOCHTI8N p LEEG HL L17 SMITH TERRHCE SUBDIVISION LOT SIZE 17000 SQUARE FEET MINIMUM DISTANCE BETWEEN H WELL HND HNY ON—SITE SEWIHGE DISPOSAL SYSTE11 IS 100 FEE'[' FOR H PRIYHTE NELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS IR REQUIRED AND MUST BE RETURNED TO THE DEPHRT�E�JT WlTHIN �0 DHYS OF THE WELL C8MPLETION. �� SPECIFICAT ION- HND Of. NSTRUCTION DI8GRHMS ARE HVH INSTHLLHTION. ILHBLE TO INSURE PROPER �� 'r-0���� ������ ������ I CERTIFY THAT 1: I HM FHMILIHR WITH THE REQ8IRE1,1ENTS FOR ON ---SITE 5ENERS FIJI) WELLS HS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2� I WILL INSTALL THE -1 Fil -:CIf 'IFINCE WITH THE CODES.It SI8NED� 4, ISSUED BY~ � l 1 1 1 LU (A w \I \ w a - U OD Q CC M m J Wo W J LU ItC) U l 1 1 LU (A w \I \ w a - U OD Q CC M m J Wo W J LU ItC) U A:1 S j \I \ w J LU %l' �r \1 `� ` > y J \'• C'\` F- L �1 - �� , -1 , Y red DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTRAL REGIONAL OFf/CE JAYS HAMMOND, GOVERNOR 338 BENALI STREET Mad(AY BU/LO/NG, ROOM 1108 ANCHORAGE9950I April 27, 1976 MUNICIPALITYDEPT. OF OF ANCHORAGE ENWRoHBALN R i TAL PROTECTION APR 30 Department of Health & Environmental Protection Anchorage Municipality 2510 E. Tudor Road Anchorage, AK 99507 Subject: Lot 17, Smith Terrace S/D, Peter Creek (Bob Fitzpatrick) Gentlemen: This office has no objection to the distances given in the "Sewage Disposal System - Application and Permit" date May 12, 1975 and signed by John Lee. sv CC: Bob Fitzpatrick Sincerely, RECEIVED --;;� W ca"--�Ae Kyl J. Cherry, P.E. Regional Environmental Supervisor y b y` Ourm 290 4& 3 post Office San 1001 ftcharagag. ffaas sulbJeats Well da x- molal 11cri-;x e Lot 17 ismfthTO-traca- 4 vo Olur moorda aw'sltwat Vnis dopartatat Uas not raaoived a voll off:a ktJeo - ° -party, w. b-UAr ( s�) datya afar ft-ril"'ling,sk co ,plet4ou, The �''�i.€+A. aaiwwt _3da on`a2rd Ysi�.+.r 0,�=ralv3n by t21.4b "'pgr�° ... mut wAtil the, groll 104- la raCOrved. woule. v$ plea la ioznd off:=vi carry a cop of tha wl 1 ' tO the a t. aalt of fmalth aud Protaotion, Sower • Water flactitmg, i ,.: , d, ayour file$ arcs Close Out vo,-,= if y0a havo arW K UawU , �r YW4 have not as yep.,1110 you wall ploaso Call us at, 2U-22210 . ens" res 243 or 9a�apncxo¢eot p�g _. 10 Eagle River Area t y. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 1.tTUr4Y �� /� �f 3330 "C" Street, Anchorage, Alaska 99503 274-4561 v �v `fqy��/�/ i Date Received November 10, 1976 Time of Inspection ll: syn Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv.� 1. Approval requested by: Peoples Bank & Trust % Lvnn Manley Mailing Address: Pouch 7-007 99510 Phone: 279-7511 2. Property Owner: _ Robert Fitzpatrick Phone: Mailing Address: % Jo Davis, Executive Realty, 276-7777 3. Legal Description: Lot 17 and 18 Smith Terrace 4 Location: Triplex behind Peter's Creek Chapel, Mile 21.5 5.1 Type of facility to be inspected Triplex No. of bedrooms 5 6. Well Data: TvT '1 A. Type B. Depth / I C. Construction D. Bacterial Analysis Q{ - 7. Sewage Disposal System: On—site system A. Installed B. Installer C. Septic Tank: 1. Size /,, 3 e 2. Manufacturer D. Seepage Pit: 1. Absorption Area/ /ogw sem, ! r 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 - Retest for Approval of Individual mer & Water Facilities _.legcQ Description Lot 17 and 18 Smith Terrace •y , Comments Appro ApprovW.,,Valid for one yVar from date signed v Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM A)txqj =- i 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 d Gcl 11 A)txqj =- i 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 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 VA FHA CONV 2. Property Owner: Mailing Address: Day Phone: 3. Name of Buyer: Mailing Address: Day Phone 4. Name of Lending I Mailing Addre Name of Realtor or Mailing Address: /6 �' �� �L v Phone:, -2- 7(-)' - 27 6. Legal Descripti Location: Uuy_6_x 7 E � Type of Facility to be Inspected: i No. Bdrms. — Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation _/ 26 72-003(3/76) SS