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Home My WebLink AboutHUFFMAN #1 BLK 1 LT 2.L ?... ~ GAAB-HD- I Gi iTER ANCHORAGE AREA BORO/ 'FI DEPAFITMENT OF ENVIFIONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS DISTANCE FROM WELL/e;''~''-/,//-'~' '5~2'~Jl::'2 LIQUID CAPACITY '/(~'~; (? GALLONS. MATERIAL ~'~'~'/~'~:~ 'Z~-~ NUMBER OF COMPARTMENTS ~' ~c~,,:'~,~_. ,~/~ -- ,.,/~./)/.>.,~'c'-';,'";z/~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS__ '/ OU1SIDE DIAMETER -- OR WIDTH "/~'" / , LENGTH ~"~(~) / , DEPTH_ ~' / MATER,AL/ :,C. .D,STANCEFROM /Ct'4',:-,' BU,LO,NOFOUNDAT,ONZ ;' LINING WELL - ~ , NEAREST LOT LINE ~' /~(" '-~':' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~,-r~-' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION , NEAREST LOT LINE. ~E B ETW E E N LII,,I E S "'"'"""~ _TRENCH WIDTH SQ. FI. [ENGIH OF EACH LINE DEPlH OF FILLER MAIERIAL BENEATH TILE TOTAL LENGTH , OF LINES I~I~AL EFFECTIVE IN. ABOVE TILE~ WELL: TYPE/).)0 .g/,~u DEPTH --- NEAREST LOT LINE . SEWER LINE DISTANCES: ,~_ DISTANCE FROM ~. WATER , BUILDING FOUNDATION.___ SAMPLE_ SEPTIC .m.~,,/ ~ .... SEEPAGE -,~ / , · TANK ~;)I:" ,~- ~ ~:~- SYSTEM___J'(/,~/,,,,~_<~d,~. CESSPOOL DIAGRAM OF SYSTEM NEAREST OTHER SOURCES GrEal~ER ANCHORAGe AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ SEEPAGE Pit ~--~ , DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED f~/~/f~ ~'~'~-~ J/~f~ f~/~J/ · OTHER TO BE INSTALLED BY //~~ ~--~/'~ ~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINANCED THROUGH SOIL TEST RESULTS ~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE J~ TYPE ~/~d~ SEEPAGE AREA SIZE~- ~ TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIt ~J~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /~/ SEPTIC TANK ~/ SEEPAGE PIT ~ ~ --- ., , DRAIN FIELD TO NEAREST LOT LINE. ~/~ J~-~/ ~/ ~J~ ~/# ~'~/ WELL TO SEPTIC TANK ~ SEEPAGE Pit J/;~ DRAIN FIELD . ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK ~ , SEEPAGE PIT ~.~ DRAIN FIELD SEPTIC TANK, .'.~/ , SEEPAGE PIT .///'~i DRAIN FIELD TO RIVER, 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 FITTED WITH Airtight REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. Health AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. CREATL'~ ANCHORAGE A~!EA .[~t !.lqH 327 EAGL~ fTREET ANCUORAGE~ ALASKA' 99501 Depth I~!' Was Ground Water Encountered'~ If Yes, At What Depth Reading r; ~ , ~a,e Gross Time Ne'~ Time Depth To H20 Net Drop Test Performed Data Certified GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: ~;~t'~Z~,- ,<~,~/_J z~/~'~ Mailing Address: 3~mmO ~r~/ ~.,~,x~d~~ ~z~m3 Phone: 2. Property Owner: ~Tc~J/c/ /~ (/~-~.~ k/~/~-/~ Phone: Mailing Address: ~J~ /5c).m~ ~-?~ 3. Legal Description: ~/~ c~ xS~/ ~~x/ ~//.t',~/ 4. Location: ~.,~'2fZ ~,9,~¢/~-~0 ,~'~//~/~Y' ~/zf-~ ~z/9~c~¢'~ 5. Type of facility to be inspected ~/~¢~,-~¢~.~ No. of bedrooms 6, Well Data: A. Type k~'~~~ C. Construction ~Z/'~ Sewage Disposal System: A. Installed y/.Y4/// C. Septic Tank: D. Seepage Pit: 1. B. Depth D. Bacterial Analysis B. Installer 1. Size /~~ 2. Manufacturer ~/6~°' 2. Material Absorption Area E. Disposal Field: Total length of lines Se Distances: A. Well to: Septic tank ~ , Absorption area Nearest lot line ~,~'~J , Other contamination , Sewer Lines B. Foundation to septic tank ~.~' , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Pan~ 1 nf fwn n~n~ er & Water Facilities ~'age 2 of two pages - Re .st for Approval of Individual "Legal Description Comments Approved ~//-~ ~c~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area ~orough, Department of Environmental qualit~ 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) GREATER ANCHORAGE ARLA BOROUGH Department of Environmental~q~.ali:t~ 3330 "C" St., Anchorage, Alaska 9§503 74-4561 ~ECEIVE~ JUN I 71974 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIE~.AT~R^NCHOR^G,^R APT. OF ~NVIRONMENT~ QUALITY 1. Type of Inspection: CMRO VA J FHA CONV 2. Property Owner: j/~ ~-~ ~_/~m.¢~_~..~ ~/~j~ ~ Mailing Addres ,~];~. , ./g/~/~,~z~-- DaS Phon_- 3. Name of Buyer: ~-%~ .... ×~ Mailing Address: Day Phone 4. Name of Lending Institution ~z_ Mailing Address: ~¢~ "~" ~ ,,.~--.-Z/~.-~.-~' Phone 5. Name of Realtor or Agent: ~/~ Mailing Address: .~ ~.~ .~ Phone Legal Description: Location: 8.7. Water Type of Supply Facility to be inspected:.m,~.~/'- ~-s~.~No-/x Bdrms.~ Type of Supply: Public Utility Individual ~ If Individual, number of dwellings presently served ~.~_~ If Individual, depth of well ~.~m~.~ 9. Sewage Disposal System Type.of S~stem: Public Utility Individual (on-site) If Individual, date of installation GREATER ANCHORAGE ARL~ BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2.b Property Owner: Mailing Address: 3. Name of Buyer: M~iling Address: CMRO VA xx FHA Jean A. Jordan Box 225 SR A CONV S~kme 4. Name of Lending Institution: Mailing Address: 3380 "¢" Street 5. Name of Realtor or Agent: n/a Mailing Address: Anchorage Das Phone ~-~%- Da7 Phone Phone 274-7661 Phone Lot 2, Block 1, Huffman S/D 6. Legal Description: Location: 7. Type of Facility to be inspected: single family 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well /~.Q~ 9. Sewage Disposal' System Type,of S~stem: Public Utility If Individual, date of installation No. Bdrm$. 3 Individual (on-site) x GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alask~a 99503 274-45_1,,_~ Date Received ~#~' Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: ~-~:::~-~. ~' ~ ~ '" Phone: 2, Property Owner: ~. ~-~ ~.~-~(~'~~ Phone: Mailing Address: ~, ~.~- ~ ~ ~' 3. Legal Description: ~ 2.~ ~'~/ ~-'-.~.'~-~'~'~ ~' 4. Location: ~~/~-~.° ~ ~ ~. Type of facility to ~e inspected ~ ~ , No. of ~edrooms C. Construction ~~ .,_ D. Bacterial Analysis 7. Sewage Disposal System: . ?/:x/?/ B. Installer A. Installed C. Septic Tank: 1. Size /~/~/,P,/~/ 2. Manufacturer D. Seepage Pit: 1. A~sorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank ~'~ ,.Absorption area , Sewer Lines/~ .~.., Nearest lot line ~i:~ , Other contamination B. Foundation to septic tank ~.~ / , Absorption area C. Absorption area to nearest lot line Fn.n~ {117~ Page 1 of two pages Pa~.e, 2 of two pages - Request for Approval of Individual '~' k6gal Description ~Zz ~- ~d'x~ /' ~~ ~//~P~ & Water Facilities Comments Approved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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. Date SIGNED July lO, 1974 Lomas .. & Nettl eton 3380~ff~C" Street Anchorage,~Alaska · ,. ' . · SUBJE~CT:.x,?~Request?i~or approval of sewer and water facilities serving Block-1,'Huffman~Subdivision #1 .. offic~"'~ece'~ved';r~'~equest from yo~,for an inspection · property~ 'Before-the sewer and water facilities can be items~ m~st be .corrected: )es; ¢om the.s'eptic tank"and seepage pit must. be provided with '.: ~e~ pening between,thewell casing and the drop pipe nee ~o ~e-completely sealed so as to be watertight. -:~3) The:well depth must'be furnished to this office. If yo~ have;any questions, regarding theabove, please do not hesitate to contact me at 274-4561, extension 134~ Ronni ] Kinneen, MPH Sanitarian':; / '