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Home My WebLink AboutZODIAK MANOR ALASKA BLK 8 LT 6Zodiak Manor Block 8 Lot 6 #015-042--23 ' OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME [] NEW ' [A J D UPG.ADE MAILING ADDRESS LOCATION DISTANCE TO: IF HOMENLADE: Well Well DISTANCE TO: \ O 8 No. of lines Length of each line t Insidel~ngth~) I j~ Dwelling Top of tile to finish grade ~-~ ~ Length Width t~t~~ Type of crib Cri~a DISTANCE TO: We DISTANCE TO: Buildi~g~f° on Foundation Total length of lines Material beneath tile Depth Dwelling Material Material Nearest tot lin~o'~T' Tren~¢dthinches inches NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. ~'80 Distance between lines Total effective ab orption area PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Sewer line Distance to lot line PERMIT NO. Absorpt on area(s} Septic tank OTHER PIPE MATERIALS SOl L TEST RATING REMARKS 72-013 (Rev. 3/78} DATE LEGAL ~ .~I~ DEPORTMENT OIIq~L~'~LTH FIND -~/!2~_ "~ ~ ~ ~ 825 'L~ STREET~ 8NCHORBG~ BK. ~50~ }~.~ O~I--SITE SEWER UPGR8DE PERMIT PERMIT NO. 8PPLICRNT LOCBTION LEGRL DRVID BRRUNNER 47t0 MRR5 DR L6 B8 ZODIRC MBNOR S/D 4900 ZENITH ST LOT SIZE 274 55ii 14080 SQURRE FEET TYPE OF SOIL 8BSORBTION SYSTEM IS: TRENCH MBXIMUM NUMBER OF BEDROOMS = 4 SOIL RBTING (SQ FT?BR)= 225 THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS: DEPTH= -~ LEI~IGTH= ~ GRI~IVEL [:~EPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH Of 8 TRENCH OR Pit IS THE DISTRNCE BETWEEN THE SURFBCE OF THE GROUND 8ND THE BOTTOM Of THE EXCBVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRYEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFRLL PIPE 8ND THE BOTTOM Of .THE EXCRVRTION (IN FEET). REQUIRED SEPTII: Ti=INK SIZE= 500 GFILLOI4S z c--- PERMIT RPPLICBNT HRS THE RESPONSIBILITY'TO INFORM THIS DEPARTMENT DURING THE INSTBLEBTION INSPECTIONS OF 8NY WELLS 8DJBCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE. ------ TL~O (~') I NSPECTIO~4S i=tRE REL~UIRED~ BRCKFILLINO OF 8NY SYSTEM WITHOUT FINAL INSPECTION RND 8PPROVBL BY THIS DEPBRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL'BND 8NY ON-SITE SEWBGE DISPOSBL SYSTEM IS 100 FEET FOR 8 PRIVATE WELL~ OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MBY APPLY. SPECIFICBTIONS 8ND CONSTRUCTION DIRGRAMS 8RE 8VBILBBLE TO INSURE PROPER INSTBLLBTION. PERF! I t EXP I RES DEC:EMBER _--<-i . ~1_978 I CERTIFY THAT t:~I 8M FAMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS RS SET FORTH BY THE MUNICIPBLITY OF 8NCHORAGE. 2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTBND THAT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT If THE RESIDENCE IS REMODELED~T~NCLUDE MORE THAN 4 BEDROOMS. ISSUED BY~_-,~~' ~_~, ~¢'~, ........ Department Of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL~/~-O INSIDE LENGTH MANUFACTURER INSIDE WIDTH NUMBER OF ( MATE RIAL ~----~-,~ "~-~ ~'~' cOMPARTMENTS LIQUID DEPTH LIQUID CAPACITY/0OO GALLONS. NUMB INES TANCE BE LINES IN. TOTAL'7'EEF-ECTIVE S/R ~ ~.FT. LENGTH OF EACH LINE AB PTION AREA '~ DEPTH OF FILTER DE~I'H: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE ~"~ ~ ~ Lt'-~- CONSTRUCTION .DEPTH DISTANCE FROM: BUILDING NEAREST jr NEAREST SEPTIC SEEPAGE FOUNDATION LOT LiNE 3 ~ SEWER LINE ~c~ TANK+~--O , SYSTEM ~ 0 ~ ~--~- CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: - INSTALLED BY: SEWER LINE DEPTH= PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM / / / G.A,A.B. Form P'~/,027 qeoth Soil with h~d q hl-h fine sq? " silt content with ? .... ~r~--~ic M1 h,y-rs. 9 Was C-rou~d Water It Yes, At what Denth? Test Date 11- ~l-77 Monday ,,~UNiCIPALITY OF ANCt!ORAGE ~ P~\R.i't, iEN~F HEAl TH AND Et'P/iRON/'.iENTA~<')TECTiON 825 ], :Stcz:eet~ fn~chor~:~r,. Alaska 2 6 4 - ./7 ~ 0 DaL(: Receivec~: Novembe~ 17 Real Estate % Mary Leu Cacy [4ali. Jag A,id:;ess: 2804 West Northern Lights Phon.'_. 276-2804 Property Owner: Bert Slezinger Phone .~ ~.3. nj:.~';~ '-c Adam*es.-,:' - '- out of state Legal ' , ;-', , ' ... Lot ~ Block 8 Zodiak Manor Subdivision -~Tlq/~qa~-s~ r iv e Single FamJP,~ Residence: (x) Hu![iple Family [{esidence: { Well SvsSem:~ INdividual ~,~'e''.· Permit {! .............. Depkh o.f Well Constrllct J.CN Nv. tuber o:[ Bedrooms: FOU~,=~_ (X) Community/Public Syshem ( ) Well Leg en File bacue~ _al Analvs~s 6. Sewage Disposal System: On-stke SysLem (x) Public ' ' '~' Ut:L} ZL ~, ( ) PermiL 5 instal led 197~ In:-~tal. ler / o~-pt lC Tank Size /dOG ~Ma.~Lhn ~ acta_ e.,_'r ,- Absorption A~._( ,_ Soils Materma± 7. Distances: Well to Sept Sewer Line Lot line to Absorption Area Absorption Area Page. t/~g Depa:l:tmenh o:f fIealth and Environr;enkal Prohection R(eOkl6:s~. Fr,]~ Ap~rovai of Individual Sewer ~ s ~ ~ · · Legal Description: Lot ~Block 8 Zodiak Manor Subdivision A~_.~da~lt Attached: Approved: ._~2I, Disapproved: Lehher Attached: { ) Department Worksheet: //-/~- 77 · ' '} _ PALl'FY OF ANCIiORAGE j-~l~,- %, Department of ttealth and Nnvirou~nentat Protection "e~g~" 825 L Street, Anchorage, Alaska 99501 ~=~ ;'Request for Approval of indiv_dua! Sewer a,fld'Nater Naci}.~_hies ¥ N~' P:ope:/:y Owner: ~_e_r.tS.l_e__z~e__r ...................... :_.._~:_ _~_ .................... Piai.] ing Address: ~8_p__4.._W_9_sk_N_p_~i!Rs ~0_M__ar__s.~to__n~R?al Estfl~-~3ne: _2_1_6 28_0 Attn Mary Lou Gac¥ 2, Narfie Of~.u)-~ ~6...~--.' ...................................................................... Hailing Address: ....................................... P?lone: ........... Le~o]_.~ institution: Mai ling A6dress: Phone: Realtor/Agent;: Mai ling Address: Legal. Eescription: ,Street Location: ____Ma4.ston REal Estate ~ .... _M_~r3L~L_o_u_~Ga:y ..................... 2804 West No Lites _~p?~ mo ~k ~_ _z_2 d~a__k_S_:bN_ ........................... 4 7.10__M_~ s~ Family Residence: Multiple Namily Residence: (1) Number off 2edrooms: 4 ( ) Number of Bedrooms: 7. Water Supply: * Indivi. dual Nell (x} Public/Coimnunity System ( ) If Individual Well, well depth unkn If Community System, name of system 8. Sewage Disposal System: *"On-site System (x) Public System ( ) If On-site SysCem, date ef installatien: George O ollins Builder *NOTE: A well log is required on A!,L wells drilled since 6/75. ** If eh-site sewe: system is ever twe(2) years o].d, an adequacy test is required by this departmlenL. A fee ef $25.00 must accompany each request before processing 3/77 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~-~//~ 1. Approval requested by: 4. 5. 6. Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Mailing Address: ~/Y~ 0 /~~, Phone: Mailing Address: Legal Description: 2. Property Owner: ~t__~ j Phone: bedrom Location: Type of facility to be inspected ,~/~,~, Well Data: A. Type ~. B. Depth C. Construction~~O~ D. Bacterial Analysis Sewage Disposal System:~ C. Septic Tank: 1. Size )00~ 2. Manufacturer~[< D. Seepage Pit: 1 Absorption Area :~/f~ · 2. Material E. Disposal Field: Total length of lines ~ 8. Distances: A. Well to: Septic tank~O ~ , Absorption area /00~ ., Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~m~.st for Approval of Individual ? ~egal Description & Water Facilities Comments ~~ ?~ ~~/~/'J~77~ ~ Approved ~, ~-~)~ ~ Disapproved Date ~[I Q- I ~/~ 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 EQ-034 (1/74)