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HomeMy WebLinkAboutDEBORA BLK B LT 14w #050 v3� 409 - INSPECTION REPORT, ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: C^Qy`�'/a7 o BaD 2ou►� TDfl:tEZ i Distance from wellMaterial o , 8 er of compartments Liquid i/ capacity i a S gallons. Inside length g Inside width 32- / Liquid depth ST SEEPAGE SYSTEM: Seepage fit: Number of pits Outside diameter or width, length /3 , depth, lining material 6P/}VEL Distance from well /a 5� �, building I (wall foundation a Li , nearest lot line /7 Total effective absorption area area)2 F0 sq. TIL£ DRAIN FIELD: Distance from wellfoundation , 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 the WELL: Type T JrUj4istance from building foundation IS- , nearest lot line 3S , nearest sewer line yS c ti se tank — p ,seepage system //S, cesspool_, other sources_ .aee h Authority a-rvT - -Fy/ p To C - /may' DIAGRAM OF SYSTEM p<<,47s<y To �i BEDToa: F7 -c) C- —3s Nousv, y 7 �r -�5VAI FIN/SNF / j 7D F-3 y SEWAGE DISPOSAL SYSTEM - APPLICATION B PERMIT Name of Applicant C LAM Mailing Address,(, ),, Ph. i Residence Address Location ,orff Installation Legal Description_ LO T- /-i�,-_f,nr'A// Application to Install: Septic tank, Seepage pit , Drain fieldOther To Serve the Following Facility1 �� �r,,,. , IN, Financed Through To be Installed by Aj P, Percolation Test Results Anticipated Date of Completion BELOW TO BE FILLED OLTP BY HEALTH DEPARTMENT This is to serve as , permit to install a as described below. Size of unit to be served Septic tank size Type Seepage Area Type DISTANCES: i1 lata-lr71 ��i, �CfutitlCr'�a[�n� /r // 1. /at K ( 7'104!c OF , alln Authority 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. -Ft) T) k1 I k) 86' 4v e t, I�-o/ lata-lr71 ��i, �CfutitlCr'�a[�n� /r // 1. /at K ( 7'104!c OF , alln Authority 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. by. DOC Co. aba SULLIVAN WATER WELLS P.O. BOX 272, CHUG IAK, ALASKA 99567 • TELEPHONE 6882759 i OWNER OF LAND r i <'.:= r v'. iT " . w.t, DEPTH OF WELL —77 ADDRESS <:' -` i t- .� r r t'3 iuCrr 612 S' r: STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION Z `t L LIS L Od JLt: ^ 'ti DRAW DOWN FT. Ended .1 �� 3 /5 J DATE •Started nded GALS. PER HR 5: PERMIT NUMBER KIND OF CASING <� "- !' KIND OF FORMATION: From Ft. to ''') Ft.O 'From -Ft. to Ft. From Ft. to 2 LFt. IfIlJt ld-Z,31V� Ti4 "From Ft. to Ft. From Ft. to Ft. �" ` �� �3� r�= From Ft. to Ft. From 122 Ft. to t'-� > Ft. C « i l A'� �.'< f From Ft. to Ft From Ft. to Ft. tae u`/J i- i` ..5 From Ft. to Ft From t Ft. to_7__jFt. % 'r 6-'"t`'{ From Ft. to , Ft. From Ft. to Ft. From Ft. to Ft. From % ? Ft. to_Z_,LFt. �/� ✓� G.t'ed u G L From Ft. to Ft. From Ft. to Ft, From Ft. to Ft. From Ft: to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: DRILLER'SNAME I `/ ' Time APPLIr"M FILLS OUT UPPER HA"-; ONLY Time Propwty Owner '41. 6, Phone Mailing Address •✓/! .,_/. Zip Code -, ✓ 3ji -Y�� Buyer -74r/y / %7✓.,, Cr'% Inspector Address J•(� p, Zip Code 6 Lending Institution n Field Notes: ,I , _ I � cL C �p rj ��VCLY Phone Address fze, _ ( f Zip Code 10/ Realty Co. 6 Agent G LF f /�lnLr /,LL lftypS r -J, y Phone Address -''/ ,� Zip Code ry U o17,(0000 Legal Description Septic Tank Size Street Location _ t� Type of Residence Sigle Family n0n Single Family No. of Bedrooms U Other Water S pply ndivldual ( ` 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 If available). ❑ Public Utillty Sewer Disposal ❑ individual j , trt Year Individual Installed: �y�3 O GITru-bllc Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time ^ l ct Date Date Date Date 7 l , Inspector Inspector Inspector Inspector n Field Notes: ,I , _ I � cL C �p rj ��VCLY G ~ ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL DISAPPROVED ( ) CONDITIONAL AP ROYAL' DATE _ - 8 - ^c BY: 1l� Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank ,zoz3raen December 70 1983 M. Gallagher 6621 E. 12th Street Anchorage, AK 99504 Subjectt Lot 14, 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 Class "C" 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 & water Program Manager Cw61/ej/El CHFMICAL & G7)LOGICAL LABORATORIES ^ ALASIGJ, I1VG TELEPHONE (907) 882.2343 ANCHORAGE INDUSTRIAL CENTER ; 5833 B Street ' �--�-- Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED'SY WATER SUPPUER,� TO BE COMPLETED BY LABORATORY WATER SYSTEM: F Analysis shows this Water SAMPLE to be: ID NO ASatisfactory, , ❑ U tis facto w■wowSvswm me" ►ening Ad&ew r GN �. 24 Cydi ... '� SAMPLE DATE: Mo. DsY�,', yew SAMPLE TYPE: t OCChheck Sample (tor routine, ampla. A t with lab ref, no. t ❑ risated Water O special Purpose 'r ❑•Lnt i�atelNater .: I � PLE / r N0 LOCATION r Cam- S 2 3 rr nsa IT ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. i " Date ReCelved r. lime Received YWa lytical Method: © Fermentation Tube EMAembmne Filter t Lib Lief. Result' ADatyst Ee: 4.1 �-s- cn, Co ../ loo mi. 0"416•t row.. Ty 1. �%t76bk'iILK� Tt R. Mr. 3970 Delo eesecerA so•ieo READ INSTRUCTIONS `m' o.n e.e�rie T1Wu neenwe ern. t.ie. ne. BEFORE urs sets:a w«rn e.we u Wa As. COLLEMNO SAMPLE saww nr•nwem 101011 TOO" MMtMITaW IOWA tiwuetr mmorww IOW, Deal cwni coaft"" WMI vwtrlewwn, t.Ts gas FEW munbmm Filter nwum colil0rm/I000WI MOorwA eT '� Deq . Twess 4A6