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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
��
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ee oe0000 oo earn e3
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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: