HomeMy WebLinkAboutPRATOR BLK 8 LT 1 ,,~/ MUNICIPALITY 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 P~ONE __~EW [] OPGRADE MAILING ~[[[~R ESS OC.T,O. NO. OF BEDROOMS PERMIT ' ¢ No. of co~m'~nt~ Liquid depth I nsJde length IF HOMEMADE: Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Liquid capacity in gallons DISTANCE TO: ~ I ~/~f-, of lines/ Length o~J~lin/e ~ of tile to finish grade ~/ Width~ Type of crib Crib diameter Well Depth Building foundation F°undati°n~l~ Total I e~,~¢ li~ s Material beneath tile Depth Crib depth Building foundation Driller Sewerline DISTANCE TO: Class Material Nearest lot line~,~ # Trencl~id~th ~(..~ riches inches DISTANCE TO: PERMIT Total effec~ a~r~n area PERMIT NO. ITotal effective absorption area Nearest lot line Distance to lot line Septic tank PERMIT NO. Absorpt on area(s) OTHER NSTALLER ~ R EMAR KS APPR~ ",, 72-013 ~ 3/78] DATE LEGAL THE I...E!:I'.,I~:3TH !:, :1: ME:I",I:E; :!: ON :!: Z '1"HE: I...E:i'.,IC~iTH ,:: TH[i!: I)E!:F:'"f'H OF::' Ft TI:~'.Ei:f',IC:H O1:,~: F' :[ T ~:SF~:OLINI:::, F:II",I[)THE: [ii',OTTOi"l OF:' THE: "I"HE:t:~'.E~ ~[:S lqO ':SE:T F!Zl::,"f'l-'l F:'OF?. "f'HE~ C. iI:~iFI',,,'E:L. [::,E:F'TH ]::i5 THE":: M:[i'-,!]:,UI...IM E:,[.!r.F:'TH I:::It'.,tD THE: [3C[T'T'OM CIF' "['H[~: E::~.::C:.',::I',?FtT]:C~?',I ,:: ZN I::' E: E: T ::, . MUNICIPALITY OF ANCHORAGE Pouch ~650, An~orage, Al~ka 99502 276-222~ SOILS LOG - PERCOLATION TEST LEGAL 3 4- 5- 6 7 8 9 10 11 12 13 14 15 16- 17- 18 19 2O COMMENTS SLOPE SITE PLAN · WAS GROUND WATER ENCOUNTERED? Gross Net Depth to Net Reading Date Time Time Water Drop PERFORMED BY:~¢,~' ERTIFIED BY: DATE: 72-008 (7~76) PERCOLATION RATE ~ (minutes/inch) ' :': "' TEST RUN BETWEEN 7 . FT AND I~ FT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch C--650, Anchorage, Al~ka 99502 276-222'~ SOILS LOG- PERCOLATION TEST SOILS LOG. PERCOLATION TEST TEST RUN BETWEEN Z FT AND 1 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 '~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE {minutes/inch)} SLOPE, ...... WAS GROUND WATER ENCOUNTERED: ,~nq~l~r' _q/'~'¢/ ~.,~/~:~b~/~ ~'i~ /~: IF YES, AT WHAT DEPTH? SITE PLAN- .... [ [ .... .... 1_! _i I_ .... ~---~---~-~'--~"~- ~-~-- I i o l,tJ i / ! , LEGAL DESCRIPTION: i~"--Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: GREATER ANCHORAGE B ,,~W~4/~<9 g~,~---(-:~. ,~ Department of Environmental Quality . 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received April 12, 1976 of Ins aCtion ~/---~'~/~0-~.~¢"---¢¢~-~' /~/Z: Date p ~~./~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES ~,~' ~0'~ Co~. ~ ~ ~ Alaska Bank of Commerce % Carolyn Barrea 712 West 4th Avenue, 99501 Ron D. Mc Nay Phone: 279-5641 Phone: 344-8133 Star Route A Box 448 Lot 1 Block 8 Prator Subdivision 2.7 miles up Rabbit Creek Road 5. Type of facility to be inspected Single Family 6. Well Data: Individual - serving one A. Type B. Depth 120' C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed 1957-60 ? B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 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 C. Absorption area to nearest lot line , Absorption area , Other contamination , Absorption area No. of bedrooms 2 , Sewer Lines EQ-034 (1/74) Page 1 of two pages Pag,.e 2 of two pages - Re,,. /.st for Approval of Individual .~,,er & Water Facilities ! 'k~gai~Descripti0n Lot 1 BloCk 8 Prator Subdivision ApProved--~~ 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 EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIO 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES FHA 1. Type of Inspection: CMRO__VA 2. Property Owner: .~. Mailing Address: ,'~Lo~ ~t~ ~- ~y~ ~S/ DayPhone: Name of Buyer: '~ C)~'~LV ~ Mailing Address: Name of Lending Institution: Mailing Address: ~¢'~, 5. Name of Realtor or Agent: CONY Mailing Address: 6. Legal Description: Location: ~,-] 7. Type of Facility to be Inspected: No. Bdrms. P . Water Supply Type of Supply: Public Utility ' .Individual If Individual, number of dwellings presently served 1 If Individual, depth of well J ~)',0 ~ Sewage Disposal System Type of System: Public Utility If Individual, date of installation I C~ Individual (on-site) 72-003(3/76) Anchorag~ ~ Alaska 712 We~t 4~h Av~u~ Ap~ll 16, I97t{ to be o~ am~f~to~y q~ity. ~t~t a new ~¢~ with a ~ompl~on da~~, 1~ ~ait ~{1 have ~ ~ ~t~ f~ t~ ~c~ ~~e st~rtc~.