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HomeMy WebLinkAboutDEBORA #2 BLK F LT 9i _ I ,tea; may. i GARB NP I. -*'TER ANCHORAGE AREA BORON OtrARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME1j oD./MAILING AL pins ADDRE S Anc CD , 60�IN PHONE LOCATION Or7 GLE N FI S OnZy_I� LEGAL DESCRIPTION [ar 9,13LK 7_ - ALr,c17H Suh aiz SEPTIC TANK: DISTANCE FROM WELL 75 , LIQUID CAPACITYICCD GALLONS SEEPAGE SYSTEM: SEEPAGE PIT: •~~ �W� LIOUID INSIDE LENGTH INSIDE WIDTH _ DEPTH ,/ NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH 17 LENGTH–"—. DEPTH 5 LINING MATERIAL / C�I� . DISTANCE FROM WELL -/Y , BUILDING FOUNDAVONA LE, NEAREST LOT LINE I9T TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 370 SO. FT. TILE DRAIN FIELD: DISTANCE FROM WELL , FOUNDATION , NEAREST 101 UbJE_ NUMBER OF LINES—DISTANCE BETWEEy1+H TRENCH WIDTH ABSORPTION AREA i{9. FT. LENGTH OF EACH LINE TOTAL LENGTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO F}NTSH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE �A/Ell; DISTANCE FROM Opop WATER TYPE Xh Ail LED DEPTH 67 ,BUILDING FOUNDATION. SAMPLE NEAREST NEAREST SEPTICr� SEEPAGE OTHER A*Of LOT LINE �D �f , SEWER UNE --=—, TANK 75_ , SYSTEM 9 - 1 , CESSPOOL b�f>—. SOURCESIC'M'C�-0.1 DIAGRAM OF SYSTEM DISTANCES: PLL 6%r i,eou g01c TCaT: 136�� tv K• EAmmct ldVor d-Ior/, WoP• SITE l j FOR 3 � - �.c}•1IC TANIL I .-► , oI; £eepaq e PITY _ _- LC9 Ce ID DATE GtiK Z9, 19%2 APPROVED hies 0• &,1 - DATE � r ' GR"..~'ER ANCHORAGE AREA BOROUGH i DEPARTMENT OF ENVIRONMENTAL DUALITY a 3900 TUDOR ROAD POUCH 6.830 i ANCHORAGE. ALASKA 99302 TELEPHONE 279.8686 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT PERMIT NO. NAM[ Of APPLICANT -f/ MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE 01 FACILITY TO BE SERVED FINANCED THROUGH- 1 / TO BE INSTALLED BY / SOIL TEST RESULTS -1 �OO+ 13 / c:rn+nIt NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DAT[ ANTICIPATED FINAL INSPECTION. 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE%f.YZ n�i SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REOUIREMENTS DIAGRAM OF SYSTEM �I FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 11:14) DRAIN FIELD i SEPTIC TANK TO SEEPAGE ►1T WALL � S SEPTIC TANK .SSI fEEPAG! PIT�DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT /L DRAIN FIELD SEPTIC TANK,-S�� SEEPAGE PIT !� ' DRAIN FIELD TO RIVER, LAK[, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING OAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT PITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28.68 AND THAT THE ABOVE DESCRIBED SYnEM IS IN ACCORDANCE WITH SAID CODE. f�,/C/J. G�'.`y,/./{�/7�J ✓� TE ��//z� APPLICANT'S SIGNATURE a/,( LT%'I✓� GAASNO1 GR=ATER ANCHORAGE AR(9BORC".GH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME %�GTP/S/ ✓j, l�SS ADDRESS PHONES/Z-O SEPTIC TANK: DISTANCE FROM WELL �4' ' LIQUID CAPACITY '�-e_—' GALLONS. SEEPAGE MATERIAL d"Ne��TC COMPARTMENTS NUMBER OF / UOUID DEPTH INSIDE LENGTH INSIDE WIDTH—DEPTH— IDTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH 5� / , LENGTH/S DEPTH LINING MATERIAL���(r�� . DISTANCE FROM WELL /-� /, BUILDING FOUNDATION j? , NEAREST LOT LINE✓ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �`'� SO. FT. TILE DRAIN FIELD: IAI TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES , NUMBER OF LINES / DISTANCE BETWEEN LINES / TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH ABOVE TILE WELL; Z DISTANCE FROM WATER TYPE e,_'X- /s%> , DEPTH BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST ✓ SEPTIC/ SEEPAGE �s OTHER LOT LINE ✓ , SEWER LINE , TANK ��' , SYSTEM , CESSPOOL , SOURCES_ DISTANCES: ,gfoCI%S' BY ,T�iTd' DIAGRAM OF SYSTEM DATE GAAB-IID-2 GREATE,�` " 327 Eagle St. NAME OF ANCHORAGE AREAh'OROUGH HEALTH DEPARTMENT Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS LEGAL D MAILING ADDRESS LOCATION OF INST rs Case No.. PHONE NO.ax__�26 APPLICATION TO INSTALL: SEPTIC TANK X , SEEPAGE PIT ✓Y,,— , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY W11� i FINANCED THROUGH TO BE INSTALLED BY I C1.01 PERCOLATION TEST RESULTSZ1_Z4/1p"L ! - ,ANTICIPATED DA�E OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS �K - , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE O°° TYPE C~^•SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: Health 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. DATE qr�' _// '7 o , APPLICANTS SIGNATURE r" CREATER ANCHORAGE AREA BOROU^,H' HEALTH DEPARTMENT CASE, d 177 �Z �• 327 EAGLE STREET --�— �:.� ANCHORAGE, ALASKA 99501 Owner -A. B. Cross Performed For James Pot efk_y o Date Performed May ll, 1970 Legal Description: Lots Bloc F Subdivision Debra Sub Division:!- _71This Form Reports a: Sol' sLog-_Z( _ eer°� colation Test Depth Feet Soil Characteristics Z Gray Sandy silt (ML) g Sandy Fine to Coarse Gravel w/scattered i 6 Boulders( 67 j j .di. 8 10 12 1 s Was Ground Water Encountered?-No°aP If Yes. At.khat Depth Location Sketch I Reading I :;;e Gross Time Net Time Depth To H2O Net Drop erco at Lor, to 1 i i , ,,, a Proposed Installation: Seepage Pit X Drain Field Depth Of Inlet Depth To Bottom Pit Or Trench COMMENTS: / Test Performed By: R..E C list. Data Certified By: M l Date: r�,, 10—'7 1`' 5. LEGAL DESCRIPTION '- - MUNICIPALITY OF ANCHORAGE DEPT. ' "I R n•l -NTA: i:.C-.XTION :f DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT;aSON 826 L Street - Anchorage, Alaska 99501 • JUN 13 197fs 1 ENVIRONMENTAL ENGINEERING DIVISION ❑ One ❑ Four ❑ Other Telephone 2644720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Le Roy Wilkinson ❑ COMMUNITY 694-2185 MAILING ADDRESS depth (attach log if available.) PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Dennis A. Willman by this Department. 352-3337 MAILING ADDRESS 4020 Pine Street #4 Fort Wainwright 99703 3. LENDING INSTITUTION PHONE Spokane Mortgage Company 77-0543 MAILING ADDRESS 3201 C Street - Suite 250 99503 4. REALTORIAGENT Lola Pederson - Greatland Realty 694-9125 MAILING ADDRESS Post Office Box 633 99577 5. LEGAL DESCRIPTION Lot 9 and 10 Block F Debora Subdivision #2 STREET LOCATION Mercy Drive S. TYPE OF RESIDENCE NUMBER OF BEDROOMS NEX SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ZXx Three ❑ Six 7. WATER SUPPLY PKK 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 1:1PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM x[Rk INDIVIDUAL/ON-SITE" **Ifindividual/on-site, give installation date If system is over two (2) years old an adequacy test is required 1:1PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED, 72 -010(3/7B)72 -010(3/7B) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE 'E] SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE 'SI THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 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 ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED Lp _ _ INSTALLS IESeptiiccTTaankor ❑Holding Tank Size: IiQ If Tank is homemade give dimensions: SOILS RATING TYPE OFNK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL r � s 4. DISTANCES WELLTO: Septic/I 40-Teak• t Absorption Area 1 Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 1 L r J 5. COMMENTS APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE _1 F-'1 ci BY Title LEGAL DESCRIPTION 72-010 (Rev. 3/78) • n n MUNICIPALITy C.- ANCHORAGE DEPT. C,- I & •,_C MUNICIPALITY OF ANCHORAGE EIfdIRpN�:NrAL ;,.,T CT1ON DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 JUIN 1 `, 1979 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIESECE� VED 1. Type of Inspection: CMRO VA b.N.R.L FHA CONY 2. Property Owner: LeRoq Yi11Kjn3on• Mailing Address: -Sox- Day Phone: 619- Q f $S 3. Name of Buyer: Dcx%rj�S Pr- WdIv--a*- Mailing Address: 0,2n 'Oahe ST, A pT• 4 Day Phone: 35.7-355? F-oi;r gshklfsyhr ?Tnoz) 4. Name of Lending Institution: 0oo ky%ne kAT6 • Co - MailingAddress: 3:1011 C -'• Phone:- a7h- nS' 3 5. Name of Realtor or Agent: L. (leAP-taorn _ Gt-eeT MailingAddressMD. Sox Phone:&W-91 05 6. Legal Description: UT& 4 t 10 EtA, E 'DPi,n!!Ah SAb . tt- a• Location: MPtcu O'rlue - ER91e t�►ue� 7. Type of Facility to be Inspected: �\Duse- No. Bdrms. -5 8. Water Supply Type of Supply: Public Utility Individual ✓ If Individual, number of dwellings presently served me If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) s'0000 If Individual, date of installation 72003(9/76) (4�1. 8 Leroy Wilkinson Mercy Dr. Box 34 Eagle River AK 99577 29 June 1979 REF: Lot 9 $ 10, Debra A2 Subdivision MUNICIPALITY OF ANCHORAGE DEPT. OF ICALTH 6 ENVIRONMENTAL PROTECTION JUL 17 1979 RECEIVED A sewer system adequacy test was performed at the three bedroom residence located on the referenced property. The septic tank was pumped on June 26, 1979, and found to have a capacity of 1,000 gallons. The•seepage pit was charged with 1,000 gallons of water. Measurements taken on June 27, 1979, reflected a loss of approximately 500 gallons or 167 gallons per bedroom. It can be concluded from the above survey and test that the sewage system serving the residence on the referenced propmrty is adequate. CF: Spokane 6tortgage Municipality of Anchorage, Dept of Health $ Environ Protection Creat Land Realty, ATN Loran Peterson 1":V:.. ' l' :•1. 1:::(: L:ii:, : �1 ri! :.: i' ' (. 1::a: .. Ti, di:!:S :'?l ?: ,.. _ is ._.:, ::: :...:. 5 577 8 Leroy Wilkinson Mercy Dr. Box 34 Eagle River AK 99577 29 June 1979 REF: Lot 9 $ 10, Debra A2 Subdivision MUNICIPALITY OF ANCHORAGE DEPT. OF ICALTH 6 ENVIRONMENTAL PROTECTION JUL 17 1979 RECEIVED A sewer system adequacy test was performed at the three bedroom residence located on the referenced property. The septic tank was pumped on June 26, 1979, and found to have a capacity of 1,000 gallons. The•seepage pit was charged with 1,000 gallons of water. Measurements taken on June 27, 1979, reflected a loss of approximately 500 gallons or 167 gallons per bedroom. It can be concluded from the above survey and test that the sewage system serving the residence on the referenced propmrty is adequate. CF: Spokane 6tortgage Municipality of Anchorage, Dept of Health $ Environ Protection Creat Land Realty, ATN Loran Peterson rl. •CHEMICAL& GEOLOGICAL LABORATORIES OF ALASKA* INC. TELEPHONE 14 P.O. BOX 4.1276 ANCHORAGE, ALASKA 99609 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER PUBLICnWATER SYSTEM: SAMPLE DATE: FM Mo. Day Year 1 SAMPLE TYPE: ❑ Routine ❑ Check Sample (for.routlne sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE LOCATION / 6 F1 3 4 I 3 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18 310 (3-78) Time Collected Collected By 9.' 3o s � r TO BE COMPLETED BY LABORATORY LABORATORY: eN r/,, G}6 NAME fb 3 3 ~ •S ` 5-7Z AD DYSS CITY Date Received 7—? -;79 Time Received U Analytical Method: ❑ Fermentation Tube ,K Membrane Filter � Lab Rel. No.o. Result' Analyst llstsL 1¢® j ' I m I I m ' No. el eelenMs 1100 w V Na N Poethe perll 061220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 D•te Cdl Ktad Source a.m. Dale RKelved Tlrne RKelved p.m. Lab. No. Presumptive I loml 1 10.1 1 lomI I loml I loml I 1.0m1 1 0.1.1 24 Moura 4e Hou,s EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 10ml Tubes PONtive/TOtal 10MI Portlons Membrane Finan Direct Count Coliform/100m1 Verllkatlon: LTB BGB Final Membran Ilter }alts Collform/100ml Reported By -- Date 7 Time: - _.... .. .. P.m. GREATER ANCHORAGE AREA BOROUGH Department of environmental Quality 1500 Tudor Road, Anchorage, Alaska 99507 279-9696 Date Received August 8. 1973 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER ✓S WATER FACILITIES FOR VA 1. Anproval Requested By: SPOKANE MORTAGE A,idress. 523 W. 8th Ave Anch AK 99501 Phone: 272-n543 2. Property Owner: Alton B Cross Phone r,94-23 go 1. Legal Description: Lot 9 & 10. Block F_ Debnra Suhdivieian A 2 4. Locetlon: Mercy St. Eagle River Alaska 5. Tyne of Facility to be Inspected: Sinak F M1]y,[1�1ing Number of Bedrooms. Three (3) 6. Well Data: A. Type Drilled -private B. Depth C. Construction 7. Sewage Disposal Systems D. Bacterial Analysis A. Installed June 4, 1970 9. Installer lames Pnlvafkn C. Septic Tank: I. Size 1000 2. Manufacturer wallaca- Concrete. - D. Seepage Pit: 1. Size 15xl5x62. Material Concrete 91096 E. Disposal Field: Total Length of Lines 9. Distances: A. Well Tot Septic Tank__, Absorption Area 9r, , Sewer Lines Nearest Lot Line , Other Contamination B. Foundation to Septic Tank 't Absorption Area C. Absorption Area to Nearest Lot Line ,Requast for Approval or je'1%9iouar newer a water reuaiaoin+, ;Page TWO 9. C-oom ts: L 9 & 10 81k F Debora S/D # 2 Disapproved Date C4t,, 14, /4 Approval Valid for One Year From Date Signed Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true aryl accurate representation of the suhiect sewer and water facilities located at: Signed Date GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 35M Tudor Road, Anchorage, Alaska 99507 279-8696 Date Receivetl Time of Inspection I.nn n „ a..n d, 1973 Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SERER S WATER FACILITIES FOR 1. Approval Requested By: Jar "ice=aRpalty Address. C40 West 3fth Ave.Anrheeage Phone: 7.. Proaerty Owner: Al Cross Phones 1. Legal Description: LQts 9 aril 19 Llnck F, rghnrah d2 4. Location: Mercy Street 5. Tvne of Facility to be Inspected: ginnle FAxjlX Dwol ling h'umher of Bedrooms: 3 6. Well Data: A. Type Drilled C. Construction 7. Sewaq* Disoosal System: B. Depth ell D. Bacterial Analysis A. Installed 1911 8. Installer Pnly;ifL•n C. Septic Tank: 1. Sizel000 gal 2. Manufacturer wn11 ra D. Seepage Pitt 1. SizejS'x15' 2. Material-EnnerPlo ring_ E. Disposal Field: Total Length of Lines 8. Distances: A. Wcll Tot Septic Tank_Z6' , Absorption Area o5Sewer Lines Nearest. Lot Line Other Contamination B. Foundation to Septic Tank 14' '> Absorption Area 371 C. Absorption Area to Nearest Lot Line 15' Requast for Approval of 1'^1viaua: newer a eater reoa:icie—, • -page ;IMO 9. Comments: Aonrovel Disapproved Date Ai Qstb7 14T:4 Approval Valid for One Year From Date Signed Greater Anchorage Area Rorough, Department of Envirornr.ental quality DIAGRAM OF SYSTEM 1 certify that the information contained in this request for approval to be a true and accurate representation of the suhiect sewer and water facilities located at: Signed Date Don McGee 4811 Sundi Drive Anchorages Alaska 99502 April 15, 1971 SUBJECT: Feasibility of an individual sewer installation on Lot # 10 & 11 Block E Deborah Subdivision 71" i Dear Sirs It is possible that an approva8 individual sewer system can be in- stalled on the subject property. Before the system 6s installed a per- mit must be taken outs either at our office or with an excavator licensed to design sewer systems. Sincerelys Lynn Coad