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HomeMy WebLinkAboutDEBORA BLK B LT 17BLOVW 12) SLD LDT somb S D3 P� .n• � r't �akr.•1. s GREATER ANCHORAGE AREA BOROI(WATER ANCHORAGE AREA BOR=0GH Department of Environmental Quality : 3500 Tu$lor Road —pouch 6.65 1V N� 87 Afchn "Ta 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.