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HomeMy WebLinkAboutWALTER G PIPPEL #2 BLK 12 LT 14wales Com. P;pp �SZo Oso 092 13 � �4 92 14 L& ocil: ILI 1 is ►a G~ER ANCHORAGE AREA BOROU~-H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N? 383 SEPTIC TANK: DISTANCE FROM WEU ~,,~' / .~ .. ~/~j..~/~m',/~-~-,;~.,,"~,.r-' NUMBER OF MATERIAl (,~//~/~1,/x/~x~_~_~.~ ,~ ' COMPARTMENTS. LIQUID CAPACITY //~/' GALLONS. iNSIDE LENGTH ~'~ ~ ~/ INSIDE WIDTH MAILING ADDRESS LEG AL DESCRIPTION LIQUID ~'~' / DEPTH SEEPAGE SYSTEM: SEEPAGE PiT: NUMBER OF PITS. // OUTSIDE DIAMETER NEAREST LOT LINE OR WIDTH DISTANCE FROM WELL ./~ ~/~2 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA). , LENGTH /~- / DEPTH BUILDING FOUNDATION~' ~ ~ ~ ~ sq. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ~u/~i'l©~xi~----~ , NEAREST LOT LINE , OF LINES SQ. FT. LENGTH OF E ABSO - DEPTHS'TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: .~,~/z,zz;z'-' DISTANCE FROM TYPE ~'/~'~/--~;~//~'~/~' DEPTH /x~,~m~'/ ,BUILDING FOUNDATION /~"2 ~- WATER SAMPLE /-j/x/~ NEAREST LOT LINE ///~/ /.~/~ NEAREST / OTHER SEWER LINE ~/'~- SEPTIC / SEEPAGE /-~/~ / , .,TANK ~ , SYSTEM r" -~"~ , CESSPOOL ~/ , SOURCED'/~'~-~ DISTANCES: DIAGRAM OF SYSTEM I DATE r'N /"% !'/T 6•l�9f /,rc.�.a�,/�� TD ,tSc= /rsir.��-x>✓• �Y'7.�':<r .�L''9.°%i �, ..- /lnl' .��'•"..f�Z-"" ./�v.`>✓4►�s:�'.�9 .v�".y r�/. ���9/<I.r_'!-i1 � . ,i_.�^..�!::� C'�eim. /iL:�v..cil.'�lr�s/ oiler T.�rFX//!/.iii• �EZvc�'... GAAB-H~D~2 GREATE NCHORAGE AREA ' qROUGH HEALTH DEPARTMENT ~'. -J 327 Eagle St. Anchorage, Alaska 99501 279-2511 C,,ss No./2g - SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~ . ~/~ RESIDENCE ADDRESS '""~'~"~ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK MAILING ADDRESS'/~'~/3 ~.. LOCATION OF INSTALLATION SEEPAGE PIT ':~ , DRAIN FIELD PHONE NO. ~ ' ,OTHER TO SERVE THE FOLLOWING FACILITY '7~ ~'~.d'~"~..~, FINANCED THROUGH ~ TO BE INSTALLED BY PERCOLATION TEST RESULTS ~ ~ ANTICIPATED DATE OF COMPLETION THIS IS *0 SERVE AS * S '~ PERMIT'0 INSTALL A, AS DESCRIBED BELOW SIZE 0F U~IT T0 B:~ RA-~ ~E~ . SEPTIC TANK SIZE /'~ TYPE *~ A DIAGRA~ OF SYSTE~ DISTANCES: f with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that above described system is in accordance with said code. --~ff~.f GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Selective Realty Mailing Address: Eagle River AK 2. Property Owner: Casey Humphrey 4. 5. 6. Phone: Phone: Mailing Address: Legal Description: Lot 14 Block 12 W G Pipple Sub Location: Eagle River Loop Rd on Horseshn~ Type of facility to be inspected Well Data: A. Type Drilled C. Construction Sewage Disposal A. Installed C. Septic Tank: System: 8/27/768 B. 1. Size 700 plus SiNgle Fnmily NO. of bedrooms ~w.~ B. Depth ~§, D. Bacterial Analysis Satisfactory Installer McFa~land 2. Manufacturer D. Seepage Pit: E. Disposal 1. Absorption Area Field: Total length of lines 2. Material Log Crib Distances: A. Well to: Nearest lot line 10' B. Foundation to septic tank Septic tank 100' , Absorption area 125' , Sewer Lines , Other contamination , Absorption area C. Absorption area to nearest lot line 20' p!~s EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req~.~t for Approval of Individual S~r & Water Facilities Legal Description Comments Approve~~--~. Disapproved Date~~ Approval Valid for one year from date signed Greater Anchorage ArEa Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date E0-034 (]/74) p ''" IN~D~VIDUAL SEW^GE ^ND WATER FACILI~t,t~,S " (Fill out in Triplicate) ~k.. l~ame .of person requesting approval S. Wa't~r~ Analysis: a, Bacteria 1. b. Detergent data: . Depth__,__ c. Casing 1. Sewer line Septic tank //D,~ 3, Seepaffe Area___/~ 4. Cesspool2~ 5. Property Line_ Distance from well to closest existing or proposed: 6, Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. Sewage disposal system~ b. Septic tank capacity in gallons,` ']D~ 3~ c. Name of septic tank manufact~e, lp 1. If "home made" show diagram on reverse ~ide of this form. Disposal field or seepage pit size and type 1. Distance to proper~y, l{ne /~' to house foundation Pereolatlon~, Test ~reeults f. Percolation Test performed by ----- Use the reverse .side of this form to show diagram. Diagram should include ['[[~he foJlowlng infommatlon: ~operty line,S.well location, house location, ~4,t:c tank location, disposal area locatlon, location of percolation test, a~ direction of ~round slope. The'%~-~o'~'~on on this form is true and correct to the best of my knowledge. k S'ig~ature of Applicant Date Signed T..,O~,~B~E__FILLED OUT BY HEALTH DEPAET~,~ENT PERSONNEL The above described sanitary facilities are hereby approved subject to the followln~ cond~'ions: Conditions :.____.._._._._._._~Apr?Tt.6' The above described sanitary f · ' · reasons: acmllt~es are disapproved for the following Date Approval is valid for one year following the date of approval, CPJ: cw r VV_ REQUEST FOR APPROVAL OFO �7. INDIVIDUAL SEWAGE AND WATER FACILITIES U (Fill out in Triplicate) �% o .of person requesting approval,;.,a��rl P.�F• J / (- /1.l'JuC*-� t , 2. 1�of property.: 4 1!•:mLc,X.f J.o.lc-„1anS in nouse .� 5. Watcr Analysis: L1�i 1b a. Eact�r•i.al b. Detergent � G. W-11 data: l � a. Typo b. Depth c. Casing Size d. Distance from well to closest existing or proposed: It I. Sewer lira 2. Septic tank 113o 3. Seepage Area 4. Cesspool.', az- az5. 5.Property Line A) 6. Other sources of possible contamination, i.e., houses, barn, drainaEe creeks, lakes, ditch, etc.__ 7. Sewage disposal system. a. Age of system �3t c ci b. Septic tank capacity in gallons c. Name of septic tank manufacturer 1. If "home made" show diagram on reverse side of this form. d; Disposal field or seepage pit size and type - 1. Distance to property line to house foundation •e. Percolation Test results f. Percolation Test performed by a Use the reverse.side of this form to show diagram. Diagram should include the foilowinr information:' property lines; -Well location, house location, septic tank location, disposal area location, location of percolation test, and direction of ground slope. 9. The information on this f is true a c e best of my knowledge. . �. Signature of App itant Date Signed TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL C::]�he above described sanitary facilities are hereby approved, subject to the the -�� 7611owiny conditions: Conditions: The above described sanitary facilities are disapproved for the following_, reasonst Signature of d_ is , ,; C Date Approval is valid for one year following the date of approval. CPJ:cw