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Home My WebLink AboutPROSPECT HEIGHTS #1 BLK 3 LT 9A1o GREt - 'R ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME (~'/~# LOCATION MAILING ADDRESS PHONE ~/,~ ,~ LEGAL DESCRIPTION /-' ~/~ /~//(-~ ',~ ~ffD$/~'~7- //~ ,_.~ SEPTIC TANK: DISTANCE FROM WE/I_/"/~ 7'~/~/ INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL lIQUID DEPTH NUMBER OF COMPARTMENTS / lIQUID CAPACITY /[.)('2~:~) GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER __ LINING MATERIAL h~fv/~,~ CRIB SIZE: BUILDING FOUNDATION ~ ~., OR WIDTH /~ DIAMETER NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH,~ / , DEPTH DEPTH ~ / DISTANCE FROM: WELL/~/'/?/' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~( SQ. FT. TYPE BUILDING FOUNDATION CESSPOOL APPROVED CON~ DEPTH NEAREST NE~T SEPTIC LOT LINE , SEWER ~ TANK OTHER SOURCES ~ - --~_~, DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: ~, ~", DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: ~/'~/~ 7, REMARKS: g~"A~'¢ g,' g/ Form No. EQ-O31 DATE G.A.A.B. £- ~ , GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT C/~?-J~/~/"~-- --J>~/~'~C~-'dJ:~' INSTALLATION LOCATION ~f~/'-' -~ ?~ ~'C~/-~?: 7~ ,~,~- ~ - MAILING ADDRESS /f2 f)'~'~" "~J-"-" ~'~ ~:"~: PHONE INSTALLATION OF: SEPTIC TANK /d~'f SEEPAGE PIT /~ DRAIN FIELD ~ OTHER FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS ~ z;~ / ~ ~2~ / ~?~ ~;~' NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED ~ ~: ~' ~ ::~ ~/ 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. /'/~J:~<~bX'~'. SEEPAGE AREA SIZE /~,~'-'/V~J/'~ TYPE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS fOUNDATION TO SEPTIC TANK ~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , ~ -/ ~'~ ~? ' · SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~J ~) SEEPAGE PIT WATER MAIN TO SEPTIC TANK ~/ '/ . SEEPAGE Pit ~ / SEPTIC TANK, --/~)D-- . SEEPAGE PIT CAST IRON INTO AND OUT OF SEPTIC TANK AND iNTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SO~L. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER i CERTIFY THAT I AM FAMILiar WITH THE REQUIREMENTS OF GR DESCRIBED SYSTEM IS iN ACCORDANCE WITH SAID CODE. TER : AREA B DRDINANCE NO. 28-68 AND THAT THE ABOVE Performed For This Korm Renorts Soils. Lo.q~ Qeoth Feet i': I~S Ground ~later Encountered~ DEPARi .HE. ii F C..'F r~., ~,, ,,' I R,.q. N!~.Z '-. ~ :~ L 'QIM L 1 i' ." CASE 3500 TUDOR u~an A~iCHORAGE, ALASKA 99502 [~orJ~ ~]~/Jm~ gate Performed /0-.~-7~ Leaal Descrintion: Lot qA Block~ Suhdivisj_on~~ ~e~ Percolation Te~t Soil Characteristics IF Yes, ~'~ ~u what Depth? Readin~ Percolation i Net Time [ Den. th to H20 Date Gross Time i ~ ate ~!iqute Net Dron; ! , Proposed 'Instailatio.: ~-e~nu:~e Pit ~rai~. Field Deoth of Inlet Denth To ,%ot~or.) r..'f Pit OF"=~, .... Well Owner_ P..O../~ox 4-J224 .o J310C International Airpor/.Road (907) 274-461 ! · -ANCHORAGE, ALASKA 99509 DRILLING 'LOG Use of Well -Dom LOcation (address of: Township, Range, Section, if known; or distance main road LgA, B3, Prospect H~ights Size of casing. 6 :- Depth of Hole '~25 feet C~ed to 122 Teet ~ O A / o ~4 9, / static water level 120 ~t. (~) (below) land surface. Y~ish oI well (check one) open end ( x ); Screen ( ); Perforated (). Describe screen or perforation ' Well pumping test at 2 gallons per of drawdown from Static level. Date of completion 12 MaY 75 (minute) for 1 hours with 100%o WELL LOG Depth in 'feet ~rom ground surface 0 .TO. 4 Give details of formations penetrated, size of material, color and hardness 4 TO 12 12 TO 14 14 TO 40 40 TO 77 77 .TO 116 116 TO. 122 TO. TO. .TO. TO __ TO _TO _TO ' Silty Small Gravel Coarse Gravel Silty Gravel: s~dv. compacted ~ ' 0 Gr&vel ~ med~. s~dv. ~oose & 'cav~q Small Silty Gravel/Fracture~:'mur~ace o-f bedrock. -+ '~:"~" . ._: .':. -:~.~:l ' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received December 22, 1975 Time of Inspection ~/~')-~,/)~ Date of Inspection f- ~)-~(o ~A1 REQUEST FOR APPROVAL OF L~m/~oOJ;,'~'7~i~. INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska State Bank Mailing Address: 310 East Northern Lights Phone: 279-7637 2. Property Owner: Declan R. & Kathleen Nolan Phone: 349-1696 Mailing Address: Star Route A Box 61N, Anchorage 99507 4. 5. 6. Legal Description: Lot 9A Block 3 Prospect Heights Subdivision Location: side of street on Type of facility to be inspected Well Data: Individual A. Type C. Construction Sewage Disposal System: Left off of Upper O'Malley on Schuss Road, and located left A. Installed Werner Urive Single Family No. of bedrooms 3 B. Depth 0. Bacterial Analysis On-site system.~o--~<y ~ 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__//(~)~ Absorption area /~:9~-/-~ · , , 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) Paee 1 nf tun n~,~ Pmge 2 of two pages - Re ~st for Approval of Individual 'fer & Water Facilities Legal Description Lot 9A Block 3 Prospect Heights Subdivision Comments 2 P P r o v e d ~x~ ~//~J/~/ Disapproved D a t e/~//~ -7~ Appr~-rfor one year from date signed Greater Anchora(~_~ 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) DecOr 19, 1975 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONNiENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEC 2 2 1975 RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: Decla~ R. & Ka~lee~ Nola~ Mailing Address: S~L~ Box 6]z~. Anc 99507 3. Name of Buyer: N/A Mailing Address: 4. Name of Lending Institution: Mailing Address: 310 E. Nor~_h~rn L~.qh~-~ 5. Name of Realtor or Agent: N/A Mailing Address: Alaska FHA CONY ~ Day Phone 349-1696 Day Phone Phone ~7g~7~q7 Phone Legal Description: T."~f- gA Rlc~Jc 3¢ ~"~'~t_ _qei~%t_~ Location: T~ft off of U~r O'~!ey ~ S~h~'~s R. =~d it '~ !~.~ !cfr s~e of s~t on We~ ~ 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 1 ~ait house No. Bdrms. 3 Individual Individual (on-site) EQ-037 (1/74) ADHW - LAB - 2W DATE D'~'~ARTMENT OF HEALTH AND WEt~ '\RE DIVISION OF PUBLIC HEALTH .- BACTERIOLOGICAL WATER ANALYSIS REPORT RESULTS TO NAME ADDRESS CITY ADDRESS OF SOURCE SAMPLE COLLECTED BY. em DATE COLLECTED TIME COLLECTED pm Sample Collected From [] KBchen Tap [] Bathroom Tap [] ~asement Tap Well- [] Dug [] Driven [] Drilled [] Bored SOURCE: [] Spring : [] Cistern [] Olher. Dug Well or Cistern ConstrucHon: Brick o' Walls - [] Wood [] Concrele [] Metal [] File [] Concret~ Top - [] Wood [] Concrete [] Metal [] Open Top LOCATION: [] In Basemenl [] Basement Offset [] Under House [] In Yard [] Giber Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet.Tan~ Feet. Tile Seepage Cass- Field Feet. PH Feet.Pool Feet·Privy Feet Other Possible Sources of Contamination Asbesi~$ MATERIALi Building Sewer - [] Cast [] Wood [] Tile [] Fibre [] Cement -- [] Plastic Jolnl Material -- Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Deplh Fe~h Well Casing Malerlol Diameter .Depth Lenglh of Water Depth Drop Pipe From Bottom Feet Offset In [] In Basement [] Roam PUMP LOCATION: [] In Well [] Basement On Top [] Of Well [] Olher PURPOSE OF EXAMINATION: Illness Suspecled? [] Yes [] No New Source of Supply? [] Yes. [] No Repairs ia Syslem? [] Yes [] No Lab. No. OFFICE Records in this office indicate thi~ WATER SUPPLY to be of: [] SaEsfaclory [] Questionable [] Unsafisfaclory Sanitary Status, Analysis shows this Water SAMPLE to be: [] Satlsfactory [] Questionable [] Unsatisfactory. If an "Unsatisfactory" or "Questionable" status is indicated above you should take immediate action os recommended below. __1. Notify consumers water is polluted. Boil or chemically treat this water as outlined in the enclosed leaJlef "Drink If P~re." 2. Increase chlorination sufficiently to meet recommended residual standards. Determine source of contamlnafion and take action necessary fo maintain a safe water supply at all limes. --.3. Check chlorination and other mechanical equipment· Make certaln it is functioning properly. 4. ]f after checking equipment a disinfecting residual is not obtained, please wire this office for emergency asslsfande or advisory services. 5. This is a surface water source and subject to pollution by man and animals. An approved water supply source should be developed. 6. Improve your [] spring [] dug well [] driven well [] drilled well [] cistern. 7. Relocate your well fo a safe location in relationship lo your sewage disposal system] [] see enclosure 8. Sample fao long in transit; sample should noi be over 48 hours old at examination to indicate reliable results~ please send new sample. [] Bottle Broken in transib please send new sample. 9. Contact your nearest [] Local Health Department or [] Alaska Division of Public Health, sanitation office for bulletins, consultation and assistance. SANITARIAN'S REMARKS Signalure READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Date Received Time Received pm Lab. No. Lactose Broth · 10cc I 10cc 10cc 10cc 10cc 1.0cc 0.1cc I 24 hours 48 hours Brilliant Green 48 hours EMB AGAR Lactose Broth, 24hrs 48 hrs. Gram's slain Coliform Density. (Most probable No. per 100cc.) MF results am Reported by Absent This analysis indicates Coliform Organisms to be: