HomeMy WebLinkAboutDEBORA BLK B LT 17BLOVW
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GREATER ANCHORAGE AREA BOROI(WATER ANCHORAGE AREA BOR=0GH
Department of Environmental Quality :
3500 Tu$lor Road —pouch 6.65 1V N� 87
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SPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEMMAILING/
NAME ADDRESS ?L' ��'%� `�' PHONE -2
LOCATION / i'n'l/ ZkIt l- �j LEGAL DESCRIPTION
SEPTIC TANK:
J NUMBER OF
DISTANCE FROM WELL MATERIAL COMPARTMENTS
LIQUID
LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH—
SEEPAGE
IDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT: �
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH, LENGTH, DEPTH
LINING MATERIAL l��<,1 �����(?�`", .DISTANCE FROM WELL JZV ,BUILDING FOUNDATION/ ,
i
NEAREST LOT LINE " lJ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �'"-� 7•�!i' SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM
NUMBER OF
FOUNDATION , NEAREST LOT
BETWEEN
AREA SO. FT. LENGTH OF EACH
WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: DISTANCE FROM WATER
TYPE DEPTH , BUILDING FOUNDATION. SAMPLE-. NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE . SEWER LINE TANK , SYSTEM . CESSPOOL , SOURCES_
DIAGRAM OF SYSTEM
DISTANCES:ne
hI .TiS>i.
lcf/G•r sys/���, )
n
w
me SMI fIii /.IW -
1 1 r �G�� ,• 1 ,
11PO4lov>lTi
j
,t 4� -11c 1 I
,n
24
---
DATE %� APPROVED ��d 1(41k!�`
b uIN AUINUNJIT
w. GREATER ANCHORAGE AREA BokLJUGH
•t/' DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 2192
3500 TUDOR ROAD POUCH 8.830
/ ANCHORAGE. ALASKA 99302
' TELEIwONE 279-8888
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT 's ./ MAILING ADDRESS 4f •���/PHONE
INSTALLATION LOCATION
LEGAL DESCRIPTION . . rFi>Vicrn � �p ' «/
INSTALLATION OF: SEPTIC TANK L- SEEPAGE PIT 41
TYPE AND SIZE OF FACILITY TO BE SERVED
DRAIN FIELD OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED y7�
FINAL INSPECTION, 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION 9Y THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. /
SEPTIC TANK SIZE TYPE - '��SEEPAGE AREA SIZE<�O//YGfO/L TYPE
714 -J7 -as ca✓
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT �C� DRAIN FIELD
ori
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
SEEPAGE PIT +� G / DRAIN FIELD
. TO NEAREST LOT LINE.
WELL 70 SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT -40
DRAIN FIELD
!> '
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 S FEET INTO UNDISTURBED SOIL.
A 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.
HEAL H AUTMOAITYY
OR
LICENSED DESIGNER
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.88 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. D'w, A
DATE A APPLICANT'S SIGNATURE �^ /yrs , w� /
,0 ft E GEO. =CHN1 CAL & DEVEL -?MENT CO.
Boz 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688.2260
Russell Oyster
6942774
Soils 6t Foundations
SOIL LOG
Performed for: Name: 14,el k7el cf jCj(C4 ✓47'/4/4 Tel. No.
Mailing Address:
Legal Description:.Cc9T /%'i 13G/l 43/ /2E460-C4H
Depth (feet) Soil Characteristics
0
1
2
3
4
5
6
7
9.
10
N1� SST
11 5P :�,j,vn
12 4L 5/Lr
13
14
SP Sg,vv
Earl Alis
688.2280
Land Development
z71 �IZX .
/z' b/h 2
;Z14 4/5.2.
I z I'0/f3. /Z.
15
1b
-�
za �/�'.2
17
SP
5fr.VD
BorreAt
of WeLE
12146IR, tz
ground Water Encountered:
es
No i:-
If yes, what depth
Proposed
Installation:
Seepage Pit
Drain
Field
Comments:
-54W At/ -
Ale
f✓ /[ 7 /A/
77/4
::7,9 A40
Performed by: /'<le-1tff- 7�_-C Date: Z7.-). Z6. 177
APPLIC"NT FILLS OUT UPPER HAI' ONLY
Time
Property Cmrliev n,�, �jn ALn/ �r r CZ -0 44
Phone
Malling Address Ar�J ..(�� 21p Code iS,x/
3 33 �i6
Buyer
Date
Address F' zlp Code —o j
Date
Lending Institution
Phone
Address Al ?&/1 Zip Code
slit 201-3
Realty Co. d Agent Coe v,✓L!t /lt:+l % 4tl
Phone
Address Zip Code
1A emn,
Legal Description Zo1 /7 1JtoC.< 14 S44 .
Street Location 4
Type of Residence
^ n
❑SI Family
1-7 1
Mlle
ultlple Family No. of Bedrooms
( ) APPROVED BEDROOMS
❑ Other
Water Supply
ivlduat C
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
O Community
For wells drilled prior to that date, give well depth (attach log
It available).
❑ Public Utility
DAT g ��
Sewer Disposal !1 E O
O Individual �' a tci _J Year Individual Installed:
BY:
ubllc Utility When Connected to Public Utility:
❑ Holding Tank
Date Sewer Installed
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Well Log Received
Time
Time
Time
Time
Date
Date
Date
Date Q
n
Inspector
Inspector
Inspector
Inspector
^ n
Field Notes: LX; -e-0 -57�
1-7 1
( ) APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
APPROVED
( ) CONDITIONAL APPROVAL'
DAT g ��
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
% —Ir 3 —
I Well to Tank
Septic Tank Size
72423 ry
December 7, 1983
M. Gallagher
6621 E. 12th Street
Anchorage, AK 995
r
Subject: Lot 17, block B, Deborah Subdivision
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
° Submit to this office a copy of your certificate to operate
a community well from the State of Alaska Department of
Environmental Conservation. You may contact Mike Mathews at
274-2533 about this certificate.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Cory Willis, R.S.
Acting Sewer & Mater
Program Manager
CM63/ej/E1
• CHEMICAL & GE~;OGICAL LABORATORIES ^ ALASKA, IN(
TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL CENTER moor,
5833 B Street It -
^-- Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
WATER SYSTEM: 5 Analysis shows this Water SAMPLE to be:
I.D. NO. d ',� P Satisfactory
Water Svetem Name r. Phone No. {` ❑ Unsatisfactory
-b• - ��' -.L ❑ Sample too long in transit: sample should
not be over 48 hours old at examination
Mailing Address" �' ��,. to indicate reliable results. Please send
'v new sample.
City Stall r - Zip Code10 + +
Date Received
SAMPLE DATE: F TE51 0 f„ ®,�',•..
Mo. Day \ Time Received
�i, - 1
SAMPLE TYPE: It e K _ "• i '.t Analytical Method:
❑ Routinee, ❑Fermentation Tube
❑ Check Sample (for routine sample ; '
with lab ref. no. 1 ❑ Treated Water` a .Membrane Filter
❑ Special Purpose �' ❑ Untreated Water r "(' e
t `
�s� �' I � •i fr '+
SAMPLE +�, `Tim.: 'Ca114ctW Lab Ref. No. Result' Analyst
NO. LOCATION Cdgal ld „i 'By
I / 1'7 / Qia cr 63 I Lt? -.1
y
3 aP
l + * ! 1' \ `•x�i.. F' 'a i'�t I "� .. �' • i ryw ANO OI <ObMf/lila TI d NO Or Po41M 40M1IM1pM
.... -.... - - _ _ w.lt:a tri . _-BACTERIOLOGICAL WATER ANALYSIS RECORD A • _ - _ -
It".1974
Data collected Sour"
READ INSTRUCTIONS a.m.
,4 DanRWIveO Time Received 0an. Lab. No.
aenlmativa 10mI 1 10.1 1 10m1 1 20.1 1 10.1 1 1A.1 1 0.2m1
BEFORE
EMs snm 24 hounl
Broth Q hounr
COLLECTING SAMPLE MultlPle Tube R406n,
10ml Tubed PoaltNe/Tdtal 10mi Portland
Membrane Filter, Dlnct count
Ce41rorm/160ml
verukatlohr Ln
Bae
.Y
Final Membrane Filter Amu he
a
Collformirloanl
.�' � /. -� , i
1: /. <
r
Reorted sy
t
Oen
'
Time-
A.M.
P.m.