HomeMy WebLinkAboutMOUNTAIN SHADOWS BLK 1 LT 1s ager � 114 IF s% rh fr f ae:k ,41 0 " At r i `=` separation ,h ". , it well nd „. line shall be �.. ? _ service Municipality of Anchorage 1 On -Site Water and Wastewater Program • (907) 343-7904 DECPla 261iff 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161343 PID Number: 017-401-06 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: KEN MUELLER ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 9 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 6 1.0 GPD/SF 14 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.0 Ft. Gravel depth beneath pipe 12 Ft. Subdivision Block Lot MOUNTAIN SHADOWS, BLK 1, LOT 1 Fill added above original grade 3+ Ft. Gravel length 19 Ft. Township Range Section Gravel width 19 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 900 Ft Ft. Well 100'+ 50'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer 4-t w l Pc Capacity I Gal. Surface Water 100'+ -Vc Material Number of compartments Lot Line 10'+ NA Foundation 10'+ LIFT STATION Manufacturer Capacity Curtain Drain UN Gal. Remarks 19'X 19'X 12' DEEP LOG CRIB Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank Tank to drainfield 3�� MIKE ANDERSON Drainfield 3034 CO/MT 3034 Inspector MIKE ANDERSON, P.E. BENCH MARK (Assumed elevation) 108.8 ft Inspddates: 1ections 2nd 5-21-�1� Location and description 3d 4th TOP OF WELL CASING COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Er�e�s Stamp �� N O r - A • ���e1 Conditional Approval: Date �� - oaf t1? ? ee oe0000 oo earn e3 f ooeeo s eo e e n 0 0 o c o e o o e o o• o a �. *� MICHAEL N. ANDUSON, CE 44 9 ., Approved t�,,CA Date N117/116 �kt�eLJ-10�� Inspection Report_9-1-12.doc Permit No. OSP161343 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: MOUNTAIN SHADDOWS BLIK 1, LOT 1 PID No.: 017-401-06 MARK A B col 118 74-6 CO2 V 146 MT1 152 A IVEWAY EXISTING E'LLI j IV '(2) 161\1.KETE TANKS, 750/&,'fO00GALLONS, CLEANED Twi SEPTIC F OT1 L _J APPORX OLD TRENCH LOG CRIB MTH MANHOLE ACCESS b�TQP. _X1 ASBUILT SEPTIC SCALE: 1"=50' COI 1 -0O2 MITI Igo OF FINIIISH CRF R WPIRII� �'RE FABMC 0 ORO AV • AV AV J 49 TH ............ . * ........................ to 0 0 0 .. .. ......................... ".MICHAEL N. ANDERSON:- ;0 N 0C) No. E 46 JAV SEPTIC SECTIO N.T.S. TEST HOLE DRY f2OH5 oGRL · 'ER ANCHORAGE AREA BOF Department of Environmental Quality 3330 C Street Anchorage, Alaska ggS03 IJGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTI.:M N A M E~"~,,~"'zz~'""~----~ '- ,/t-t-t-t-t-t-t-t-~ ~'~ ~'/---- -~'~''~ ~ ~' MAILING ADDRESS LOCATION "'¢'~" //~-~'~"~' ~'~':~' LEGAL DESCRIPTION SEPTIC TANK: DISTANCE ,/?/'~/~,-f~- /,,,¢~_.~t~-._,~2'~ NUMBER OF / FROM WELL __~'/~ ' MANUFACTURER ~-~--¥,,"~/'/-'/~¢:~-J",,'~ MATERIAL c2~/)%,.A/~-~_.~ COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __.LIQUID CAPACITY /7'-~'~:~ GALLONS, SEEPAGE PIT: NUMBER OF PITS / DIAMETER~.~ OR WIDTH '-- LENGTH --, DEPTH LINING MATERIA ~L,¢¢'~,~¢¢z--¢/~'~- CRIB SIZE: DIAMETER ,'~ DEPTH / DISTANCE FROM: WELL BUILDING FOUNDATION~z¢ ~ NEAREST LOT LINE~q~ ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~-~ SQ. FT. ADDITIONAL ABSORPTION DEPTH ,.~'~,"~-,"?¢~-¢?,¢'~ /,-~'~ DISTANCE FROM: BUILDING NEAREST NEAREST S E PT I C/~_//,~/, SEEPAGE FOUNDATION/~ /~ LOT LINE /~' ~- , SEWER LINE TANK ;¢',/~ - , SYSTEM CESSPOOL /(./~/¢/4~-, OTHER SOURCES APPROVED DISAPPROVED D I STA N C ES: INSTALLED BY: /~,,//¢~'~ LOT SLOPE: REMARKS: .~-~,,~/~,-~//~/~- Form No. EQ-031 DIAGRAM OF SYSTEM DATE GREA, ER ANCHORAGE AREA BO[~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8586 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF; SEPTIC TANK SEEPAGE PIT DRAIN FIELD - OTHer FINAL INBPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THI= HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS DRAIN FIELD FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~/~ , SEEPAGE 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 DRAIN FIELD SEPTIC TANK, '~ , SEEPAGE PIT /~ DRAIN FIELD TO RIVER, LAKE, ~TREAM. CA~T IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROS~[NG GAP OF ~XCAVATION 5 FEET INTO UNDISTURBED FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO ~3OROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM '~'~-al~.~,: ANCHORAGE AREA BOROUG~I DEP,. MENT OF F~i~,'iRON),!~..',,?.,L Oi.,Ai 3500 TUDOR ROAD ANCHORAGE, AEASKA 99502 CASE # Performed For Alas-can Enterprises Legal Description: Lot 1 This Form Reports Date Performed 10/18/71 Block 1 Sub--ion Mountain Sho~ ers S o i 1 s--L-O-g_ ~ ×~ ~est Depth ___Feet I2~ _ ___ Soil Characteristics Gray and brown sandy gravel and silty sandy gravel (GM) layered and interbedded Was Ground Water Encountered? no If Yes, At What Depth? Date I Gross l'ime Reading Net Time Depth to H20 Net ~ro~.p r~oposed Inital-[~-~i--O~.:--' Seepage Pit Dra~ Depth Of ~nlet . ~ ~ 'n Fie'Id COMMENTS: ' uepth To Bottom Of Pit ~-~ Tr~ 165. s____~u~re feet o£ dralna.e area is rec/u±red er bed_room. -~ ~ ~ ~ ~ -- .~"-~J~fo n a 1 Te s t in~g_~vs Inc. Date: ' NUISANCE COMPLAINT FORM Complainant's Name: / S t r e e t A d d r e s s :. ~_~J~ Phone No3~'~'-/&.~?_ ..... Box No. Description of Complaint: Name of Person Against Whom Complaint is Made:~~-~-'% ..,d'~? -~'' ~ /: z''. '. '. '. '. '. '. '. '. '~': Owner of Property Where Nuisance Exists: ~~~~-- Owner' s Address: ~::~~:n?: ~/~--~ Phone No, ~~ Location of Complaint: .j~~ ~/ ~m~/~ Comp'l ai nt: ~~ ~. Date: + Person Receiving I certify that such statement of facts is true to the~est~of my be- lief and knowledge, I request that the foregoing matter be investi- gated and that appropriate action thereafter be taken. I am willing to testify to the facts stated in the foregoing complaint in court if necessary. Complainant REPORT OF ACTION TAKEN Investigator: Date Investigated: Action Taken: ~'--~,? / DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: