HomeMy WebLinkAboutMOUNTAIN AIR ESTATES #1 BLK 4 LT 1 01'/
QGRE
ER ANCHORAGE AREA BO; UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION LEGAL DESCRIPTION Z i/~'~ /'¥t'
SEPTIC TANK:
DISTANCE
FROM WELL f'~"
INSIDE LENGTH
MANUFACTURER~I-~t/~/~'.~/rP~ MATERIAL//~f'~/~T/'
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY/~)~:~(:~2 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /
LINING MATERIAL ~-~,~
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER __ OR WIDTH/'~,
CRIB SIZE: DIAMETER
NEAREST LOT LINE
/
___DEPTH ~' D~STANCE FROM: WELL /
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ---~g SQ. FT.
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCT,ON
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH ./~r~ ~>, DISTANCE FROM:
SEPTIC SEEPAGE / ~, ~,
TANK /~Z~ , SYSTEM
DISTANCES:
INSTALLED BY: 0/4.))~ ~
LOT SLOPE:
Form No. LQ~031
DIAGRAM OF SYSTEM
'(~rEaTer AI~CHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
PERMIT NO,
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT~-~,_~,~
~:~.,,.0..~ . ORA IN FIELD. , G~'HER
FINANCED THROUGH
/
COMPLETION DATE A TI
N CIPA~rED .
TO BE INSTALLED BY
NOTEz THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE_ /0(}(~
MINIMUM DISTANC:ES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK SI
FOUNDATION TO SEEPAGE PIT ~ j
SEPTIC TANK TO SEEPAGE PIt WALL /~ ~
SEPTIC TANK ~ ~
TYPE~
, DRAIN FIELD ..
, DRAIN FIELD
TO NEAREST LOT LINE.
I
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK .
DRAIN FIELD
SEPTIC TANK.
~ SEEPAGE PIT
TO RIVER. LAKE. STREAM.
· SEEPAGE FIT/~t/vy
ALSO CONSiDEr AREA WELLS.
{'OI
SEEPAGE PIT
(~ 0 K DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CR~B CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON S~PHON PIPES ON SEPTIC TANK AND BEEPAGe Pit
. ,,VEL .AcK
LICENSED DESIGNER
DIAGRAM O~ SYSTEM
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 ACCORR{DANCE WITH SAID CODE,
.......... . , .... . ..
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENV'!RONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed For
Legal Description: Lot / Block
This Form Reports Soils Log_j<__
Case #
Dated Performed ~--~-0/
Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Soil Characteristics
Feet
2m
3m
lO-
ll-
13--
Was Ground Water Encountered?
If Yes, At What Depth?
Reading
Date
Gross Time
Percolation Rate Minute
Proposed Installation: Seepage Pit
Depth of Inlet
COMMENTS:
Net Time Depth to H20 Net Dro
Drain Field
Depth to Bottom of Pit or Trench
Test Performed BY _ ~. ~_~
Date Certified BY:
Date:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~- z ~. ~,~
i~! ?~ ~ ~ REQUEST FOR APPROVAL OF
~ · I,, ,.~,~'- ~ ~ ~, INDIVIDUAL SEWER & WATER FACILITIES
! :' ,~,,~,! ' FOR
1. Approval requested
Mailing Address: ~'~, ~ ~-'~ Phone:
2. Property Owner:
Mailing Address:
Phone:
3. Legal Description:
4. Location:
5. Type of facility to be inspected' .,:'~
No. o~,,bedrooms
Well Data:
A. Type 7-~
C. Construction
Sewage Disposal System:
A. Installed,~_~_~,
C. Septic Tank:
D. Seepage Pit:
B. Depth
D. Bacterial Analysis
~ B. Instal 1 er C;9: ,,
1. Size /:~,~ r~ 2. Manufacturer
1. Absorption Area '~:~' -~ 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line ~>~
B. Foundation to septic tank
/: 7- , Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
' Page 2 of two pages - Re~ st for Approval of Individual ~ ~r & Water Facilities
Legal Description
Comments
Approved ~ ~ ~- ~ ~.~ ~y~H~Xapproved Date (-
Approval ,Valid for one year from date signed
Greater 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 and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
GREATER ANCHORAGE AREA BOROUGH. Z/-
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV ~...~
2. Property Owner: .<~/;(:/~"-J(z~'?_
Mai.ling Address:
3. Name of Buyer: .~,~(r
Mailing Address:
4. Name of Lending Institution: ,-"~¥~<./~.,,,,~.,~,,~
.,-~.~. ~ ~ ~.
5. Name of Realtor or Agent:
Day Phone
Phone
Mailing Address:
Phone
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
No. Bdrms. ~-
Individual
If Individual, number of dwellings presently served
If Individual, depth of well /0~'
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
EQ-037 (]/74)
Apr11 2S, 1975
Ftle: 4-1
Hr. or l4rs. &lmphenAnderson
S.R.A. Box 455
Anchorage, Alaska
99507
SUBJECT: Lot 1, Block 4, ~. Alre Estates fl
DoePNr. or Hrs. Anderson:
On sty recent Inspection, ! noted that ~he seepage ptt, although tnspecGed
and approved tn September, 1974, has never been bsckftlled and covered.
Your use of thts system ts tn violet!on of Borough lsw (open sewage).
Following receipt of this notlceyou w111 have five (5) d~ys co accom-
plish the following:
1) I~move all snow and Callen dlrC so th~ ptt
maybe r~measured.
2) B&ckftll wtth screened gravel-ranging tn
stze from1/2" to2ol/2".
You must request an Inspection between ~1 and #2.
wtll ~sullt tn legal actton.
Sincerely,
Susan E. Dtckerson,
Sanitarian
cc: Ftrst Hstlonal Bank
Fatlura to comply