HomeMy WebLinkAboutBIRCH HILLS ESTATES #1 BLK 1 LT 3Onsite File
Bi"r c h HI'91 I s
Estates
, •
#050-081-08
GREAT.''-WHORAGE AREA BORV! "
CII�� Department of Environment Quality
'I 3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ��� Nu MAILING ADDRESS PHONE may;
LOCATION LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCENUMBER OF
FROM WELL 171
MANUFACTURER 6't& ' MATERIAL � ` COMPARTMENTS
INSIDE
OMARMENTSINSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY-1—Me-0 GALLONS.
TILE DRAIN FIELD:
'���//^ TOTAL LENGTH
L
DISTANCE FROM WELL ..4—_FOUNDATION 1t7 NEAREST LOT LINE OF LINES AZ
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE
i
ABSORPTION AREA �Z SQ. FT. LENGTH OF EACH LINE C' Q Z
20 1 DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE_ MATERIAL BENEATH TILE IN. ABOVE TILE IN.
WELL:
TYPE (111(//4// C1 CONSTRUCTION ✓14110 f,/�/
DEPTH 2119f DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC ��-�I SEEPAGE
FOUNDATION , LOT LINE , SEWER LINE , TANK J —7. SYSTEM I ZQ
CESSPOOL , OTHER SOURCES
APPROVED 4— " DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
Al��
LQ/g r �i(Ql t wl/"1i
i 1.
LOT SLOPE:
REMARKS:
i
i
Form PW -027
DIAGRAM OF SYSTEM
G.A.A.B.
AytA
GREATER ANCHORAGE AREA BOROUGH
i/Ap1 p0�,4 lY./I DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330 "C" STREET ANCHORAGE, ALASKA 99503
'VITI��I�I�MV�Ay TELEPHONE 274.4581
i,
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT-�OUJA�i� /✓y!'E'�TMAILINGADDRESS
S/rc3y9/% ly%l/LGg RHONE �T�?L
INSTALLATION LOCATION --/ e5 -
Q G00% �'////��
LEGAL DESCRIPTION LOT
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT �— DRAIN FIELD' OTHER/
TYPE AND SIZE OF FACILITY TO BE SERVED S ./�C�/IOO/yl ��✓�LC' / 7�/7%�Li/ / ✓C�/Y1T
FINANCED THROUGH TO BE INSTALLED BY - SOIL TEST TEST RESULTS--���/Vd//1/� NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED �.1 �3
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT Or ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE/ vm TYPE -Jr—'TSEEPAGE AREA SIZE SE'Nd/,{/iG LAIC/ O/✓
Lt�il/ciLCT' JGiL TYPE
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK Jai
FOUNDATION TO SEEPAGE PIT - �� DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK -r SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK .Sv , SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK �0 / SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. SEEPAGE PIT alfl-�dk57 DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS,
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-88 AND THAT THE ABOVE
Muhl I l3I Fj RIL I TY OF- f=it•.ICHroE<'f=l 13EZ:
DEPARTMENT r'sHEALTH AND ENVIRONMENTAL �'OTECTION
825 K STREET, ANCHORAGE, AK. 94._?1
., 264-4720
14EyL.IL F}EF?Pl I T
PERMIT NO. C 820273 ?
APPLICANT JOHN CHAPMAN P.O. BOX 165 EAGLE FIVER 644-2606
LOCATION LUGENE LN.
LEGAL LOT 3 BLK 1 BIRCH HILL EST. (,(kDLClj4I LOT SIZE 22000 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER. INSTALLATION.
F�EFZrl I T EXF' I FZ'E� G>ECEY•7BEF? :Z:1.. :JL S4:2:
I CERTIFY THAT
1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE I UNjrIvf�LITY OF ANCHORAGE.
2: I WILL /1�IS ALL�f SYSTEM IN ACCORDANCE WITH THE CODES.
SIGNED
CANT
ISSUED BY
V4. 0
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to
/c
14 r e7t
114 Ming iag
firb 3 1
by
D,OC�Co,
d", �j 1��LILS
P.O.SURAJIVAN
ATER
BOX 272, CHUG IAK, ALASKA 99567 • TELEPHONE 688.2759
I
OWNER OF LAND I/ ^H:.; Cf/�/�''7iy'J DEPTH OF WELL op <AO
ADDRESS 1t 7 X", 0,x �� S- • 'C STATIC LELVELOF WATER FT.
�� W ��� r� F= t T //��ii %c0•
LEGAL DESCRIPTION L 3 /<�� / �i� < tI'[T Dk'A V DOWN
DATE - Started '� Ended ��� GALS. PER HR
r
PERMIT NUMBER KIND OF CASING -
KIND OF FORMATION:
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From c% Ft. to L D Ft.
From /q o Ft. to Z Or Ft.
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From Ft. toMUNt[iPaFr-r Oi At467162�t3f
DFPT. Cr t"-"lT;i R
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7-,-<c roar
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MISCL. INFORMATION:
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 eC• Street, Anchorage, Alaska 99503 274-4561
Date Received September 20, 1973
Time of Inspection
Date of Inspection
REQUEST FOR APFROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conventional
1. Approval Requested By: Alaska Mutual Savings & Loan
Address: 5th & F Street, Anchorage AK phone;
2. Proaerty Owner: Howard Nugent Phone:
3. Legal Description: Lot 3, Block 1, Unit 1, Tract A, Addition #E2, Birch Hills Estates
4, Locat'-an: Lugene Lane
5. Type of Facility to be Inspected: Single Family Dwelling
Numher of Bedrooms: Three (3)
6. Well Date:
A. Type Drilled B. Depth 200,
C. Construction Standard. D. Bacterial Analysis Satisfactory
7. Sewage DiaAosal Systems
A. Installed 7/12/73 B. Installer Dveess &,dealer
C. Septic Tank: 1. Size 1000 gals2. Manufacturer Greer
D. Seepage Pit: 1. Size 2. Material
B. Disposal Field: Total Length of Lines_ 62'
8. Distances:
A. 40e11 To: Septic Tank__, Absorption Area 12n, Sewer Lines
, Nearest Lot Line , Other Contamination
B. Foundation to Septic Tank 'o, '> Absorption Area in,
C. Aosorption Area to Nearest Let Line
Request for Approval of AndiviEusl Sewer b Mater Facilities
Page Two
9. Commentse
Disapproved
Date
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 he a true
and accurate representation of the subiect sewer and water facilities located ate
Signed Date