HomeMy WebLinkAboutDEBORA #2 BLK E LT 26*oso 04k ACS 000
ANCHORAGE AREA BOR -H
GRE!
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME 7o26ESOA' MAILING ADDRESS PHONE
LOCATION � r rt — ""CAt %%Nor LEGAL DESCRIPTION 10t 2C. 'Uk C
SEPTIC TANK: 1(to IS 396
DISTANCE/ L NUMBER OF
FROM WELL 102 MANUFACTURER S�Qck T tL-MATERIAL S6CGL COMPARTMENTS z
INSIDE LENGTH Y/LINSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS.
SEEPAGE PIT:
or � � �
NUMBER OF PITS �. DIAMETER yo OR WIDTH LLENGTH !Z, DEPTH
LINING MATERIAL (tNA CRIB SIZE: DIAMETER —iLDEPTH%DISTANCE FROM: WELL 102
BUILDING FOUNDATION NEAREST LOT LINE I%Sl. TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)Z�SQ. FT.
ADDITIONAL ABSORPTION
WELL: / ( /
TYPE r/ r2 CONSTRUCTION >1"Idte DEPTH
DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC /J� SEEPAGE
FOUNDATION /
LOT LINE , SEWER LINE , TANKL_t', SYSTEM //Of
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
ter e- ul
PIPE �M�ATEERIIAL�: _
11/Yl 60w
LOT SLOPE:
REAM%ARKS: 0
YYOO
Form No. CO -031
REMA
�j
DIAGRAM OF SYSTEM ' �_`
t.t9'"'W-�
APPROVED
mp�t t° R•� �R
9�te-
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3370"C"STREET ANCHORADE, ALASKA 9930]
TELEPHONE 27A-4361
� SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT TDP 15 'GSD � o MAILING ADDRESS �^) l 95A6/Q '" VPP PHONE
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
DRAIN FIELD
OTHER
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 `O DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /5—
SEPTIC
5
SEPTIC TANK SEEPAGE PIT ?-. DRAIN FIELD
TO NEAREST LOT LINE.
SEEPAGE AREA SIZE I' TY-rl^�
DIAGRAM OF SYSTEM
WELL TO SEPTIC TANK /00 SEEPAGE PIT too
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. SEEPAGE PIT DRAIN FIELD
TO RIVER. LAKE. STREAM.
CAST IRON IN suypnT ne SEPTIC TANK AND INTO CRIB CROSSING GAP OF
,EXCAVATION S FEET INTO VNDISTna nen aolL
A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH-JEO LATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
1 CERTIFY THAT I 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. /
'ATE &4 �" APPLICANT'S SIGNATURE
i IM NO. 0-01f
August 3, 1977
476521
@avid B. Webber
Star Route 3 Box 31104
rairbanks, Alaska 99701
Subject: Permit Expiration
Dear Mr. S7ebbers
A permit issued by this department for well and/or on-site
sewer installation on Lot 26 Debora Subdivision 44 has
expired since the issue date exceeds one (1) year.
In the event you still plan to install the well and/or on-
site sewer system, a new permit is required. The original
coil test may be used to obtain a current permit.
M the well has been drilled, a well log should be sent
to this department to document the installation date.
,,If you have any questions regarding the above maatter# please
do not hesitate to conact this office immediately at 279-2511,
bxtension '224 or 225.
Sincerely,
i
i
//-Les M. Buchholz, R.S.
Sanitarian
i TIM ljh j
1.
DEPARTMENTe HEALTH AND ENVIRONMENTAL xOTECTION /
2516 E. TUDOR RD., ANCHORAGE, AK. -0r'
276-2221
WELL . FOE= Wr•1I T
PERMIT NO. ( 76534 ?
APPLICANT DAVID E WEBRFR
LOCATION TUHNIIA LOOP RD
LEGAL L26 DEBORA #c4
MINIPUJM DISTANCE BETWEEN A WELL AND
100 FEET FOR, A PRIVATE WELL OR, 200
WELL LOGS ARE REQUIRED AND MUST BE
OF THE WELL COMPLETION.
SPECIFICATION'= AND CONSTRUCTION DI
INSTALLATION.
21104 FAIRBANKS AK 456-5091
LOT SIZE 10000 SQUARE FEET
ITE SEWAGE DISPOSAL SYSTEM IS
A PUBLIC WELL.
TO THE DEPARTMENT WITHIN 30 DAYS
ARE AVAILABLE TO INSURE PROPER,
F'EF:M I T '•:'f 1L : G� F CJE 'T EFif,-! F F or -1 I�-,LIE
I CERTIFY THAT
1: 1 AM FAMILIAR WITH HEREQUI.EMENTS FOR, ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPAL TY OF AN-HORAGE.
2: I WILL INSTALL/THE S4:TEM It ACCORDANCE WITH THE CODES.
SIGNED:-r-��(/ --------------------
APPLICANT DAVID E WEBBER
_ /�
ISSE' _ �%i�----=-1L� .L_--- ---DATE--2- � ---`!