HomeMy WebLinkAboutLot 02
oGRE/ ,ER ANCHORAGE AREA BO, JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
~?3~A N~K: '
GOMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY. ~00 GALLONS.
SEEPAGE PIT: ~.~
NUMBER OF PITS_ [~~OR WIDTH , LENGTH , DEPTH
LINING MATERIAL__ _ CRIB SIZE: ~ DEPTH__ DISTANCE FROM: WELL
BUILDING FOUNDATION ~~IRVE~, (WALL AREA)
ADDITIONAL ABSORPTION
SQ. FT.
WELL:
TYPE C~ ~/FO t~?//y ~/?~-//~O NST R U C T I O N DEPTH
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE SEWER LINE TANK
CESSPOOL ., OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
DIAGRAM Of SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
GreAter ANCHORAGe ArEA BorOUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 !
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO.
NOTE; THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 2~1 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~DT'.C TANK SIZE ~ TYPE SEEPAGE AREA SIZE :~ TYPE
DIAGRAM OF ~YSTEM
MINIMUM DISTANC:ES, REQUIREMENTS
FOUNDATION TO S~4:~C TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL ~"~
~ ~ANK __, SEEPAGE PIT ~ , DRAIN PIELD '
TO NEAREST LOT ~lNE.
WATER MAIN TO ~ TANK .~ SEEPAGE PIT
K, . SEEPAGE PIT , DRAIN FIELD
TO RIVE~, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
PITTED WITH AIRTIGHT REMOVABLE CAPS.
G~AVEL BAGKIFILL
CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATION.
OR
[ CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE /
Leaal Qescrintion:
This rorm Renorts
Oe:ot h
Lot
Soils
Soil
"On~ test ~ ~h a ~h~mnd o~niond'
Block Subdivision,
~ Percolation Test
Characteristics
Ground Water Encountered?
~ It Yes, At what Oenth? -'"'(~/'
t Readinq
. . Date Gross Time Net Time Denth to H-n
Net
Dron
2v
i '
, ,
ate Minute
Proposed Insta'llation: Seevaae Pit Drain Field ..~. ~
Deoth of Inlet ' Dept'h
CnM~ENTS: Zend, '~[~, ~ ~/_~o~. To Bottom Of Pit O~ ZP'ench ~
Test Performed By Data
"~ test is worth a )h~sand o~inions" ~.~v)'~ ~t~?, o~-,c ~w. ~x~c~u~.
Performed For ,Mr. Joe Gonzolas Date Performed o-14-73
Legal Bescrintion: Lot ....... Block Subdivision_~/2 5or
This ~orm Renorts Soils Loc yes Percolation Test
2
Oepth
Feet Soil
Characteristics
Pe at
Grave].. -- ('O~d-[ ,
Was 6roun4 Wate~
It Yes, dt what
Readinq
:L ~ercolation, Rate Minute
Proposed Installation: Seeoaoe Pit Drain Field yes
Depth of Inlet Depth To BottOm Of Pit Or Trenc~
inM~ENTS: 8~ sq. ~~ge area required per bedroom from minus
minus 8 ft. Water table ~ ft. below drain field
P~rformed By Jim Mack _ _ '
Data Certified By~onstruct~on
DATE RECEIVED
' INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I NSPECTOJ~,
INSPECTOR INSPECTOR /V~I~ ANCHORAGE
DEPT. OF I'~ALTJ,
MUNICIPALITY OF ANCHORAGE ~NVIRONMENTAL P;,O[ECTION
825 L Street- Anchorage, Alaska 99501 JUL 2 1980
~~) ENVI RONMENTAL SANITATION DIVlSIONTelephone 264-4720 __R~ ~.~-~- ~ ~ ~.
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete aH ~arts on page 1. Incomplete requests will not be processed. Please allow te~ (10) days for ~rocess~ng.
1. PROPERTY OWNER
MAILING ADDRESS
' ~ 1~61~ , PHONE
MAILING ADDRESS
LENDING INSTITUTION PHONE
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
;TR EET LOCATI ON
5. TYPE OF RESIDENCE ~ SINGLE FAMILY -- .2 ~'~$~
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four(~
[] TwobUS) [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/H°lding Tank IAbs°rpti°n Area lsewer Line INearest L°t Line
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
{~'~DISAPPROV ED
DATE BY
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264~4111
GEORGE M. SULLIVAN,
MAYOR
DEPA['{TMENT OF HEALTH AND ENVIRONMENTAL PR~)TECTtON
July 14, 1980
Bob Gonzales
Post Office Box 4-1357
Anchorage, Alaska 99507
Subject: Lots 1 and 2 Range Riders Subdivision
Estate of Joe Gonzales
Approval for the individual sewer and water facilities
can not be granted until the following items have been
completed:
(1)
(2)
(3)
If the residence on Lot 1 is going to use the well
on Lot 2, the sewer system on Lot 1 will need to'be
150 feet from the well.
Because the sewer system on Lot 2 is only 112 feet
from the well a new system will need to be installed.
A soils test will need to be obtained so that a permit
may be issued prior to any construction.
The well is in a pit, the casing will need to be
raised twelve(12) inches above ground leval and sealed
so that it is air tight. The floor of the pit well
should be poured concrete approximately four(4) inches
thick.
Item number 3 will need to be re-inspected by this department
when it is completed. If there are any further questions,
please call this department at 264-4720.
Sincerely,
Robert C. :Pratt; R.S.
Associate Specialist
RCP/ljw
cc: Alaska Statebank
310 East Northern Lights Boulevard 99503
B.J. Tanner
% Tanner-Magowan
Site Plan
/5
Real Estate Services Corporation
I"" 100
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