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HomeMy WebLinkAboutDEBORA Lots 14-20 General InformationLOT's r4 - 20 1� els n Gn:ATER ANCHORAGE AREA BOROUGH' DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: 7 ?� INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR C m Po 1. APPROVAL REQUESTED BY: t?PYlP,U ADDRESS: /53U GAMaF(,L PHONE: D77-73// 2. PROPERTY OWNER:_E(.mo STRJaiti PHONE: a72--Jg/7 4e rJu8i)1U151oo 3. LEGAL DESCRIPTION: &T7s lyi(Spl 4. TYPE FACILITY TO BE INSPECTED: 1�v_t Ta.l STREET: M�✓_civ_ ST' NUMBER OF BEDROOMS: Z-o243ti 5. WELL DATA: LAsr SntsPzcr(aAJ A. TYPE S£pt 7U �'f ✓yn�Et t;Q �} � B. DEPTH 1 Cf1Lty/'"i"• ✓ 7'�a(� �(°ihnv�i C. SIZE G �� �iR�tUtft[f mow` `�ti� D. CONSTRUCTION ZJW LceCcc f� tint E. BACTERIAL ANALYSIS S o?3 - 7a moo -Ll 6. SEWAGE DISPOSAL SYSTEM:- YSTEM:-A. A.SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. S I Z E /� >S� I�� 1� � �— / `✓ �l+..G, Ivulz-f : cry Fico. 2. AGE /9L-(/ val C, rn 3. MANUFACTURER__ �'pl/�/�TE'rli��,e✓���'J"�' „� 4. INSTALLER /gyros �i'y O��✓O� APPROVAL RL4UL-T FOR SEWER & WATER FACILIi:ES PAGE TWO B. SEEPAGE PIT i 1. S I Z E /,J X/. E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 17" 8. COMMENTS: APPROVED: ISAPPROVED: DATE: �i�Y�Z(y / 7Z DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALII 2. LINING1�9f C. DISPOSAL FIELD 1. NUMBER OF LINES A11A 2. TOTAL LENGTH /��/1 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK_ ;6L: £dV B. WELL TO SEEPAGE PIT /,E C. WELL TO SEWER LINE- D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 17" 8. COMMENTS: APPROVED: ISAPPROVED: DATE: �i�Y�Z(y / 7Z DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALII CHEMICAL & GL LOGICAL LABORATORIES' F ALASKA, INC. wpGIN,, TELEPHONE (907).2794014 ANCHORAGE INDUSTRIAL CENTER 274, '1364 ram 8 Street; 1A Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER';. TO BE COMPLETED BY LABORATORY FT WATER SYSTEM Analysis allows this Water SAMPLE to be:. -T-71 V ( ,Satisfactory Satisfcto 0 Unsatisfactory wow symm 12 13 sample too I- Ion" gin transit sample should V , over be �er 48 hours old at examination -S.y,-� to reliable results. Please send V. new sample SAMPLE DATE- MO. Day , 1"Yew j.. T.- SAMPLE YPE 0 Routine 0 Check Sample V With lab ref. n( 0 Special Purpose v SAMPLE No. LOCATM 2 3 4 1 5 cZ'P coo routine samplio-i". 0 Treated Water ,-07c—� --77- 47 Date ) Time RecAhmd–' -0. Analytical Method: 0 Fermintation Tub* Membrane Filter Lab -Ret. No., Result* Analyst >x r aCE3 1, t•, 1` -7, " ovl —" BACTERIOLOGICACWATER ANALYSIS RZCORD- :V 7 -so" .Dal READ INSTRUCTIONS ab nocN.oa bloo el"ved 0 P,,ao%i"vt1ve term I 10,01 tome I0," I aml IA"d I -24Hmn BEFORE confirmtoly 24 Moan 48 Maur COLLECTING SAMPLE ewe — Neth 24 hD&AV18— 11101h,4410W"I'.- mlAttole Two pope", —10rr4 Tub" PolitkWTOtel 101114 O'CrOs" ow,ton" Fowl oveet count —CD$Ift"/IOONW ,Vwftotle", LTO Dole ;,Fblm Mo,"bl,&,te Few. CoNtOM1100,04 tI .( Ill"orted Ily— L/ I'. 3 • ►� ('1 y-I(v-81 f rs MUNICIPALITY OF ANCHUHAGE j' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTW'y,IICIPAUTY OF ANCHORAGE j825 L Street • Anchorage, Alaska 99501 - - DEPT. OF HEALTH & ,1 STREET LOCATION I I•/ ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 6.TYPE OF RESIDENCE Telephone264-4720 . JUL 1.5 1981 REQUEST,FOR APPROVAL OF INDIVIDUAL WATER AND SEWTrff T DIRECTIONS: Complete all parts on page 1. Incomptete raquests will not bo processed. Please allow ten (10) days for processing, 1. PR RT OWNER A Ric 5T _ ❑ Three ❑ Six PHONE 2�t4-Cge57 NAILING ADDRESS - 'Q.o . bOX \'I LP Atvc-1a K. qci so i - PROPERTY RESIDENT hl different from above) -;P.HONE ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well 2. BUYER depth (attach log if available.) PHONE MAILING ADDRESS ❑ INDIVIDUAL/ON-SITE" 3. LENDING INSTITUTION .. PHONE h1AI LING ADDRESS by this Department 4. REALTOR/AGENT MA CK .TONGS A (Z (Lf. L -TY Trtf PHONE q -76 91 MAILING c -7 -Bi Sole 2 aL1 ?3�-���01 CI C,ii0 PAGE- /Z7vew 5. LEGAL DESCRIPTION - Lc,S 'A 5- 17, 1i 2 1 (-)t 7, STREET LOCATION I I•/ I 1%1E EAI C (Live If - L6. 6.TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other ❑ SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. MATER PLY SU INDI VIDUALe ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEYIAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE" "If individual/on-site, give instaHation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY . by this Department NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATEQ H OZ PIN O 72-01013/7 ^$ ` yP��. Qe�F�e,,v1 c� ,� Ni22t� a+�� OQ� �/ Qe rtr fr �`d ;CR'r A; cic DQE} �i r �/ two. ,�' .'� LLF���rL//e/c/t'y�t(ej..4a2tiz/c�✓t-f��71/�->'� LC I. Q '•� v (/.. W,4 •V1C NOIIcIIVEM 31va 03AOUddVSIa� (aintlivao Atiedwome Ismij jauaj).'IVA0UddV IVNOIII0NOO SVYOOU032 UOJ 03AOUddV r) J/ SIN3WW03 *S Out .1101 Swisau Ol @WV volldjosqV *"U) :01113M 7 bull 101 INORON Burl iQ0Absl (stic OLD -et Nuel BuIpjOH1311daS S30NVISICI 'to lvlU3lvw V3klV NOI.LdHOSBV IVIOI kf3un10vdnNVYY )INVI:103dA1 :SUOISUaWIP GAIB ON11VUS-110S spewowo4 Sl)lue.L il -:OZIS NOIIcIIVEM 31va 03AOUddVSIa� (aintlivao Atiedwome Ismij jauaj).'IVA0UddV IVNOIII0NOO SVYOOU032 UOJ 03AOUddV r) J/ SIN3WW03 *S Out .1101 Swisau Ol @WV volldjosqV :01113M 7 bull 101 INORON Burl iQ0Absl &Div uoncliosqVI Nuel BuIpjOH1311daS S30NVISICI 'to lvlU3lvw V3klV NOI.LdHOSBV IVIOI kf3un10vdnNVYY )INVI:103dA1 :SUOISUaWIP GAIB ON11VUS-110S spewowo4 Sl)lue.L il -:OZIS ;-NueI6uIP10HC] JO)jue.LogdaSO 14311VIS NI PG!J!J8A UO=OuuO:) - Ali bi iun -landC3 0311 tl1sN131tla 31IS- No/-ivn01AIONI[3 u3awnN llVJW3d W31SAS IVSOdSIG 30VM3S T 03AI333U 00-1 POU.PaA tJ011OauuO3 Amun onand E:3 C311MCI 31 , AlINmyroo 0 1-13M:10 H1d3a '."-ivna[AIGNI 0 Alddns U31VM 7 Mum IIVJU3d XIS ED-. uno:j �o:.. A-11MA31dillm V3HIO E3 341:1 C3 .336HI:-,; [3 SNO:' b A 31E)Nie' 33N30IS3U:J03dA1 I SWOOV038 do w3ownN.. , *SNO1133WI0 130133dSNI U0I03dSNI EI0I03dSNI 31VO 31v0 31v0 ' 3W11 3W11 •3W11 SIN3W INIOddV N01133dSNI 03AI339M 91VC I AINO 3sn Ivioudo woa 301sS.IHI �1 ---- - SEWAGE DISPOSAL SYSTEM - APPLICATION E PERMIT. Name of ApplicantlWAJ G,etmss Mailing Address_ 917X oZ7 !eX , Ph. Residence Address Legal Description Location of Installation Application to Install: Septic tank ZSeeeepage pit_ Drain fieldOther To Serve the Following Facility_ 3 ©tDi2GLTr &n7c Financed Through To be Installed by Percolation Test Results Anticipated Date of Completion BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT This is to serve as 6,A/ (5; -OV , permit to install a &5,4P jC 7,;6/1,e as described below. Size of unit to be served 3 60'aw"" • C-ptic tank size ��Q��ype CM,Seepage Area /�4X/ g 8 Type2XFXC DISTANCES:DIAGRAM OF SYSTEM C24-. Q he OST err- 1001 Ffor^ ALL trews, A-- Sam- T4N4 6= SEEPf*r— PiT- ) RACK -Fill SEEP ROLE W oiH Por -w- Tp -ThP OF Cela i) CAST law pl pF 5' 8610Q& D&WagFS S�oi,_ ON SEPr:c TA#1K. tNus7, Ca Ler 1 SEiEPAfrE PiT' 114 LF_7', SV SI'Fyr )V% BF IN$AfrrFA �02 Tv f3Af�Filf:u4.. Health­Aut rarity -ro Pecpalm LANE I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. i �1 ---- - SEWAGE DISPOSAL SYSTEM - APPLICATION E PERMIT. Name of ApplicantlWAJ G,etmss Mailing Address_ 917X oZ7 !eX , Ph. Residence Address Legal Description Location of Installation Application to Install: Septic tank ZSeeeepage pit_ Drain fieldOther To Serve the Following Facility_ 3 ©tDi2GLTr &n7c Financed Through To be Installed by Percolation Test Results Anticipated Date of Completion BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT This is to serve as 6,A/ (5; -OV , permit to install a &5,4P jC 7,;6/1,e as described below. Size of unit to be served 3 60'aw"" • C-ptic tank size ��Q��ype CM,Seepage Area /�4X/ g 8 Type2XFXC DISTANCES:DIAGRAM OF SYSTEM C24-. Q he OST err- 1001 Ffor^ ALL trews, A-- Sam- T4N4 6= SEEPf*r— PiT- ) RACK -Fill SEEP ROLE W oiH Por -w- Tp -ThP OF Cela i) CAST law pl pF 5' 8610Q& D&WagFS S�oi,_ ON SEPr:c TA#1K. tNus7, Ca Ler 1 SEiEPAfrE PiT' 114 LF_7', SV SI'Fyr )V% BF IN$AfrrFA �02 Tv f3Af�Filf:u4.. Health­Aut rarity -ro Pecpalm LANE 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. �� Lo73/z 116 �I' p <,✓'` J7RAir( Pc*�! /ebb AH �ro4t f3 Sub. INSPECTION REPORT, ON-SITE SEWAGE DISPOSAL SYSTEM - SEPTIC TANK: a ago 2noH T2A1L EZ : RI Distance from we1lMaterial n : 49 r of compartments_ Liquid capacity- i a �allons. Inside length-'L_Inside width JLL Liquid depth SEEPAGE SYSTEM: Seepage Tit: Number of pits Outside diameter or width i -; length_Z3 depth, lining material 6 PA U F! Distance from well y ;building (wall foundation foundation a2q , nearest lot line_ Total effective absorption area area)DZsq. i TILE DRAIN FIELD: Distance from well , foundation , nearest lot line Total length of lines Number of lines Distance between lines Trench width in. Total effective absorption area sq. ft. Length of each line Depth: Top of tile to finish grade Depth of filter material beneath tile inches. Above tile WELL: i Type_]J('0.14istance from building foundation /,;�-_, nearest lot line 3,S , nearest sewer line -/.S-', septic tank, seepage system.Z�E; cesspool — , other sources= ,! e h Authority 'T— A TQ B - Yy DIAGRAM OF SYSTEM %l TZD C — /V'/ A To _ y fiE D]oq F /O b -3k MOUSE H 7 ,T .a5 UNF/N/JNF T 7m K /7L—»' 26 F.a, 7,0 G �cr r VICE INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ' NAme )1 AI Y cP,<Ati Mailing Address Ph.# Location %} SO4 Legal DescriptionLUT. A* , }✓ �� SEPTIC TANK: Distance from well Material Number of compartments / Liquid capacity /,liol-) gallons. Inside length �(, Inside width 4 -("Liquid depth 'f-(, SEEPAGE SYSTEM: Seepage Pit: Number of pits_LOutside diameter or width—l—, length , depth(> , lining material 406 S Distance from well ,building foundation i�� ,nearest lot line !)� Total effective absorption area (wall area) sq. ft. TILE DRAIN FIELD: Distance from well , foundation , nearest lot line Total length of UL4wR Number of lines Distance between lines Trench width in. Total e�fectivR absorption area sq. ft. Length of each line Depth: Top of tile to finish grade Depth of filter material beneath tile in. Above tile Q j WELL: Type , depth , distance from building foundation ,nearest 1N lot line_—, nearest sewer line_, septic tank , seepage system , cesspool ,other sources DISTANCES: 1 A-E=i� i�F t_ DIAGRAM OF A L oT L Jl;.7 ,tom !I7v r✓ /t:::..c� . DATE: %47 f (� APPROVEDl[',�r„1 , Health Authority --------=�-�---�----}------------ --------- ------ --------'�----}------ 1 � rr,., t i\' sf �' I t -It 6�c' r ��e�tio �r( L . 6 1 m �. Mercy Or to r Marcus St. All OP a� off..._ C rla t. \c' .w � y ... . .,� D is tea,rO '6retline Or so rbc $k line t • .. aayo Farm Ave. Y " e�Uo,� `o ,� ' CfafyRd oVlew Di �, •. °' c°e m 1aini a Dr, keadaw Canyon D dear ns ra ron �� es7�.j t u 8i r, te SI ter Dr. illwa BuT•ness oronad � - i o Blyd. :Q a °00 qv,s w ger/00 e - o Lsctq n :or Q Ut/ook 0� Cd�o i entert eId'•d, u TWOa e,v,. Ct Ci n �e4 Brooks o u at Ian _w „o, H u yn•`• oe •' SeP\ o°e'Mon Le Rd. • c�at �:G�Tv•'s° Besunw+ n&I. ` n taro Dr.o� .: .. •o..r'rr I . . . haKahilto Ott `o. •� , BQ Good aw° dmiral ,gryE a. n a 44 Oshete n ✓' • • Wen Gra to ii. goo Aclt okesi n Irlawav Rd. aq/ cS 0\ RIVER a\os V6 des r Chilueo onsin Man riIr d C Beran t �1 alio 4Th. St. Modse No < DMESTEAD ELEM.SCR00 >< =1 s_a 2N St. Foot III II v o s _I .St. I St. e` Paw «♦.,iYY cejzn c;.. C.. C RDAD to en V+o NN"+yt/l rnE �EA6l VERS �, to C== •t +.• .— - as -M o O 0 ....` c ...I .tea of o m/-. _1 �4 m'q y Yw Labelle Dr. = v m caFU � uECr — a 1 E i c3 _ UU.E RIL'ER �A10(�D ' E SCALE a I [ W P tLMILE W J • ©ALASKA KAP SERVICE. IRC } E MTA TELEPHONE EAGLE RIVER ® FIRE STATION ® MEA ELECTRICITY O STATE TROOPERS' © ALASKAGAS L18RARY ® POSTOFFICE 2 / N Q N '14 00 ��$9 Si9 59 '9M a$9'89 59 99 St 51 99797 5799 5• 7 '+`) 99 1 +Sz £z'69 E679 A i - 9 9 9' g89 9999 S+oS 9p F4 to sz 96 •by •: ob.b' AI o Ji O • y BB a6Ri 91 00 .p asvj'bd BSEZ 00g I zz b r� S 1`�b op• EZ 31 [s CR.b/Y obIbe ft IL•yoy.� 88•zo 661 SZ7M Sf�b7 •fir L5� F£ <bi �) oF.2.Z 1 oFzz; [Vc • , �'t as 9 794 Q4KrL N" p N N N �'- N-• o` to o°• N T ` vl lA N • T M.91 I.•!� .OS � f �- a x'69 FL•I_'i � % l 2• tbg M ,so o N v ,bo 105 SL SZ 99 99 59 9 59 9 49 89 � t v _I _I it \ I of JI O �I 1 e 1 zz .00 .76 O • SS . 'S19 �bV895Ez I .St .22 Y �bV op • .yS •1'�d' /C• 1 • V 1`�a - £ M Si, 62 �� iF N lj c£ 'be eod 77 gp • 2.1 s° 4oc • 51z y z° •°F.z.p1F8 6Zi.I �< 1 I OS 1 b o 1 1 I �•. i•.r 1.0•Qn- 1L ^04- . OZr- I l r 1�• ' o a n V {! d N N c• ob i - j C I!7 'MIA vt .� 2 0 69 rl 1 I- •r V on h t ^, C O' Ln It N +t C �I iX 1 x � to x 4 I 'asro� I � h4'1:�f1 Oct- - 1 on /e-c*?o I 1 O Z O i n r I Ili to 4j...• I n 1 �D h n W t 1 '7 I ..y N •• 1`I i 1.. h N I I I Q1 I � 1 I 1 I N lil 1 c 1 � n O i I - -- Lf L61- 051 I } I I L LL li L: I wl 1 C. �. 91 _I •D N 051 - OZr- I l r 1�• ' o a n V {! d N N c• ob i - j C I!7 'MIA vt .� 2 0 69 rl 1 I- •r V on h t ^, C O' Ln It N +t u al l'•' iX yo x � to x 'asro� I � h4'1:�f1 Oct- - 1 on /e-c*?o I 1 O Z O i n r I Ili to 4j...• I n 1 �D h n W t I ..y n I I t 03 I I 1`I i 1.. h N I I I Q1 I � 1 I N OZr- I l r 1�• ' o a n V {! d N N c• n i - j C I!7 'MIA vt .� 17. 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