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Home My WebLink AboutDEBORA #2 BLK F LT 6A#Z .1 CSA GREti R ANCHORAGE AREA BOk jGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME.�1�1�Yt��1��//�� MAILING ADDRESS v� � D� T p PHONE ' ` ' _ LOCATION �I kry-IC• rat -r •"L{i LEGAL DESCRIPTION - SEPTIC TANK - PDISTANCE ROM WELL / MANUFACTURER �,� n _`�/ ePX—MATERIAL NUMBER OF —COMPARTMENTS INSIDE LENGTH INSIDE '1'1—' _ - INSIDE WIDTH � �� LIQUID DEPTH LIQUID CAPACITY(_�1GALLONS. •� ` �j TOTAL LENGTH DISTANCE FROM WELL/29 ' FOUNDATION _3q NEAREST LOT LINE vZO- r OF LINES NUMBER OF LINES___( DISTANCE BETWEEN LINES �� TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER +� �']� DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE -7—';m -ABOVE TILE WELL: IDEPTH DISTANCE FROM: y �. TYPE_cc.. �CONST RUCTION JQA�/ BUILDING NEAREST NEAREST SEPTIC FOUNDATION_. LOT LINE , SEWER LINE , TANK_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL:_�l`C LOT SLOPE: REMARKS: Form EQ -032 nl a SEEPAGE SYSTEM_ DIAGRAM OF SYSTEM y �av-6e, DATE _/APPROVED G.A.A.B. P SIJF J T r: I f='1 it_ I Tom' UF= fr-J c_ HIII F 'Fi CiE DEPARTMENT M HEALT H'AfJC? ENVIPONMENTAQ/ 'ATECTION . 2516F. JGOR VD. , A;JCHO FiGE, AK. ' _07 „i r. r -J - - I T F= - c C•J E F<: r= t F<: r•i .� -F- FERMIT NO. C 76704 ; A@PLICHNT "?ri MC Ci LOCATION MERCY La EAGLE RIVER LEGAL L6 -A BF DEBORAH SUB TYPE OF SOIL ABS•OR.BTION SYSTEM IS MiSIMUM NUMBER OF BEDROOMS = BOX 3-4024 t 278-_6G4 LOT SIZE 14000 SQUARE FEET TRENCH SOIL RATING (SCS FT/BR)= ! 85 l THE REOUIRED _ICE OF THE SOIL ABSORPTION SYSTEM IS: F_-•i_�'TF-i= 1�_ LEP-i i3TF-I= 1'? �_ Ft H'•. F_1_ r_;-FZF"TF-4=- THE LENGTH DIMENSION IS THE LENGTH -(IN FEET) OF -THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR'FIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE,BOTTOMAOF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH 'FOR .TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL FIFE AND THE BOTTOM OF THE EXCAVATION (IN FEET). i<: � _ t. l l_I i F =' E= C• = E �`T- I C -T Fi F -J F-� c = E = 1,711 C -I 111 I ; FO L L C� P-4 _• -F ;,_i C:1 •_: ^ : I P -J F= ESC T I r_, P -J Fl F=: E F=_ E I_ ! L_t I F: E G• POCKFILLING OF ANY!SYSTEM-WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT -HILL BE SUBJECT 1ECT TO PROSECUTION. MINlMUM DISTANCE-BEiWEEtFiIJELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 -FEET FOR: A PRIVATE WELL OR 200 FEET FOR: A PUBLIC WELL. SPECIFICATIONS AND COFJ_TRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. f=' EE I=_ t y i. T '•:' H L I O F= r_� F: r_� P -I E '-r' E Fi F _*' F= F= �_� P 1 I=�7- IJ E I VER:TIFY' THAT 1:'I AM FAMILIAR WITH THE REQUIREMENTS FOR.. ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNC>EF:STANC? T}it THE ON-SITE SEWER, SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS R:Et)ED TO INCLUDE MORE THAN.:2 BEDROOMS. SIGNED: ------- 2010,20 - APPLI-, IM M. ISSUED BY----- ---------- �-�---------C?ATE--- / - � ?G--- \ r r ` I LOOkOF TEST BORING i Hole No. 't••/ '�r�'- Sheet of Iotat Depth 2 SII M CONSULTANTS. INC.} r .ame 1t IN t �y .,on 1r Method Used / `"L Field Party Geologist { fct^ Weather { GROUND WATER TABLE W.D:While Drilling A B.= After Boring Depth In Ft. Time Date Collar Elevation Reference O ✓ h( -FIJI! � I 2 ;r1 T tJ U 3 4 fl r5 C_✓A1lY I 9 c A1Jn .Illi:• -t i• 7 8 0 mom MMIMI- m.. NEW 1 MMIMI- MEN MIM. ME MINIM mom 4 MEN MOME 6004272 r Sampling DESCRIPTION Location Diagram! o Soil type, color,tezture, f c estimated particle size, �. „ sampler driving notes, M d `c — LL `o n depths circulation lost, o, = c cE „ c_ 0 ,`, o notes on drilling ease, bits used, etc. •o c T Vegetation; v in m o o o m 2 U °F Collar Elevation Reference O ✓ h( -FIJI! � I 2 ;r1 T tJ U 3 4 fl r5 C_✓A1lY I 9 c A1Jn .Illi:• -t i• 7 8 0 mom MMIMI- m.. NEW 1 MMIMI- MEN MIM. ME MINIM mom 4 MEN MOME 6004272 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS STREET LOCATION TIME 0Y TIME TIME DATE DATE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six tiS. INSPECTOR INDIVIDUAL' INSPECTOR INSPECTOR P/� since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) MUNICIpAI e'iad,.. DEPT. OF WALTH & .. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P90TECTION -\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 1 825 L Street • Anchorage, Alaska 99501 JUL 16 1980 ENVIRONMENTAL SANITATION DIVISION p Telephone 264-4720 � \ E C L[ ' E D _V_ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all pans on page 1. Incomplete raquxts will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER I PHONE MAILING ADDRESS 619- 01,6-96L/�z/ate �6 E Tz/ate ,�� 995 PROPERTY RESIDENT (If different from above) PHUNE 2. BUYER C 2 PHONE o 5* r A - 6 MAILING ADDRESS S0/4 �2¢ /tf G 6� L rlSdz 3. LENDING INSTITUTION PHONE (_ u -274-57ZZ. MAILING ADDRESS 0. REALTOR/AGENT PHONE 2 C 5 MAILING ADDRESS 7 5. LEGAL DESCRIPTION � STREET LOCATION 0Y 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' *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. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE-' YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 In". W79) 1 a SQA W t -to 4 v 72010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER t'iccTrMannk6(Q'r ❑Holding Tank ❑Sepl^ Size: � If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Y ` 4. DISTANCES WELL TO: Septic/Holding Tank Absorpvon Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS e'c � -JC .s, 0 l. ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) 14— DISAPPROVED DATE BY RC � 72010 (Rev. 6/79) -CHEMICAL & GL. LOGICAL LABORATORIES . 'ALASKA, INC. TELEPHONE 19071-279-4014 ANCHORAGE INDUSTRIAL CENTER 274.3364 5633 8 Street • Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM I.D. NO. Water System Name Phone No. Mailing Address City SAMPLE DATE: SAMPLE TYPE: ° 45 W � 4 Mo. Day Stats sj cJ -y" yQ y Zip Code . Year ❑ Routine ❑ Check Sample (for routine sample With lab ref. no. 1 0 Treated Water ❑ Untreated Water ❑ Special Purpose SAMPLE Time Collected NO. LOCATION Collected By 2 1_�.n. �L H ccs 2p 3 4 5 I READ INSTRUCTIONS BEFORE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: P Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received 7 V Time Received Analytical Method: ❑ Fermentation Tube C� Membrane Filter Lab Ref. No. Result* I I � I I m m Analyst .J" r, I m •NO OI cO m*s/100 M or NO OI PovlM pomom. 0e-1220 tbl BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1970 Date Collected Sour" a.m. EMs Broth 24 heure, BrOth 40 hOunl COLLECTING SAMPLE Multiple Tube Report, r 10m1 Tubes Poslttva/TOW 101m POdI004 "•Membra" Filter, olnct Count Collform/loom) Wrlllcatlorn I.TS - Bas Final Membrane Filter Results l / collform/100ml Reowted BY Oale P.M. Munic]1�Ci��i 825 "L" STREET ipality r�,...� ANCHORAGE, ALASKA 99501 (907) 2G4.41 11 `1�,�i� AnchoAnchorage j. GEORGE M. SULLIVAN. rage a ��ii..i• MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION July 25, 1980 David Sellie 55 Mercy Drive Eagle River, Alaska 99577 Subject: Lot 6A Blcok F Debora Subdivision #2 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this 406- department from Chem Lab, 5633 B Street, for our review. (2) The top of the well casing sealed with a sanitary seal so that it is water tight. (3) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. r (4) I (5) Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this department at 264-4720. The septic tank pumped with a receipt submitted to this department. An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw Mr. Dave Sellie 55 Mercy Drive Fogle River, Alaska 99577 Dear Yr. Sellie, n, DAVID A. SLENKAMP MECHANICAL ENGINEER 694.9055 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 August 10, 1980 K-."%LITY CF ANCHORAGE .EPT. OF I'.'ALTH & „ NV._NTAL FAUNMrA1TY OF ANCHORAGE DEPT. OF 1"',LL 1 3 . 4 EtdgGNMEN1AL 1-CTION Reference: .Lot 6A; Mock F; Debra #2 Subdivision AUG 14 1980 RECEIVED At your request, a sewer system adequacy test was performed on the system located on the referenced property. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of approximately 756 gallons of water over a 24 hour period. There was no measurable rise in the water level in the sump at the end of the trench. It can be concluded from the above test that the septic system locsted on the referenced property is currently functioning adequately for the three bedroom house. If we may be of further assistance, please do not hesitate to call. 2 A. &iA'RLRJ/P.E. cc: Municipalif./ of Anchorage Department of Health and Environmental Protection Totem Realty ATTENTIOIT: Linda Grainger Alaska Mutual Savings and Loan ATTETTION: Laurie Cate SRS 196X EAGLE RIVER, ALASKA e'1 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Sri?,� I Date Received August 2, 1967 ? Time of Inspection 9:30 a.m. 1W Date of Inspection 8-4-76 Wednesday REQUEST FOR APPROVAL OF Neale INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: United Bank of Alaska Mailing Address: 645 G Street Phone: 278-9526 2. Property Owner: James A Mc Phone: 276-6454 Mailing Address: Box 3-4024 3. Legal Description: Lot 6A Block F Debora Subdivision 4. Location: See map 5. Type of facility to be inspected Singel Family No. of bedrooms 3 6.' Well -Data: individual _� � � 6DQ ac`s A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On—site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of,lines 8. Distances: A. Well to: Septic tank r Absorption area, Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1174) Page 1 of two pages w. �.�.� ._._.. �.�.r .., ♦♦- ♦.-�-♦..'...v � 9.e♦..r..��♦.. T.a F. ♦♦. �Y}. r♦ v♦�+w•�.-��wi'1�v.rv��.--. -� ♦ �.aa.wc��.'.^�♦-�'-s.v+♦+�•�.v ♦- Pige.2 of two pages - Re ",.t for Approval of Individual .'1r b Water Facilities Legal Description Lot 6A Block F Debora Subdivision Comments Approved �,� isapproved Date Approval�Valid for one year from date signed Greater Anchorage Area Borough. Department of Environmental Quality DIAGRAM OF SYSTEM i rartifv that the information contained in this request for approval to be a true an, accurate representation of the subject sewer and water faci n Lies ano Lnese rac111%1Ca are operating satisfactorily. SIGNED EQ -034 (1/74) Date 3 o MUN:GraCiA MUNICIPALITY OF ANCHORAGE c` -?r. tr.�:cr:r.: r, CEPARTMENTOFHEALTH AND ENVIRONMENTAL PROTECTION ` 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 � REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED. 1. Type of Inspection: n — VA FHA CONY 2. 3. 9 Property Owner: Mailing A res's 3---q-6 21 Day Phone: Name of Buyer: Mailing Name of Lending Institution 5. Name 1 6. Legal Day 7. Type of Facility to be Inspected:. h^?' No. Bdrms. 3 B. Water Supply Type of Supply: Public Utility—Individual— If tility IndividualIf Individual, number of dwellings presently served L— If Individual, depth of well 9. Sewage Disposal System / Type of System: Public Utility Individual (on-site) v If Individual, date of installation 72.00(0/76)