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Home My WebLink AboutLot 08H tjff'rnanS/D L8 0/g 61 i6 yun�li/4" � By f i- ~2S ON--S I STREET, ANCHORAGE, AK. 99SOi SEWER UPGRADE PER~'~I][ ~ LOCATION RABBIT CREEK LEGAL LT.8 BLK. 1HUFFMAN LOT SIZE lB000 5~mnE FEET The required size of the soil absorption system is: The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation (in fee±). Ther'e is no set width for trenches. installation inspections of any wells adjacent to this property and the number of residences that the well will serve. Minimum distance between a well and any on-site sewage disposal system s i00 feet for a ~rivate well or iSO to 200 feet from a )ublic well del Peri, i± expi r-es Oece~'~'~ber 31.. 1'380 2: t will install the system in accordance with the codes. B: i understand that the on-site sewer system may require enlargement if the residence is ~modeled to incl ~ore than B bedrooms. ' MUNICIPALITY OF ANCHORAGE . DEPARTMEN¥ OF HEALTH & ENVmRONIVIENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~ ~IPGRADE ~ ~ · ~{~.C~ NO, OF BEDROOMS _o v DISTANCE TO: Well Absorption area Dwelling PERMIT NO, I- Z Manufacturer Material No, of compartments ~ ~ Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Well Dwelling PERMIT NO. ~O~ DISTANCE TO: O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well ~ , Foundation... Nearest 1o, ,in~ PERMIT NO. ~ DISTANCE TO: '~ I Total ,~f lines Trench~h Distance be~ lines NO. of lines / Length of ne inches ~' rnti ~ Top of tile to finish grade ~ MateriaFbeneatl~tile ~ inches Totaieffectiv~a~./~ '~area Length Width Depth PERM IT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to [ct line PERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER INSTAELERi REMARKS ~ j ' ~ DATE LEGAL QGREi-~_R ANCHORAGE AREA BOR,>=~!GH Department ~3E0n;irs~rn2;ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /2~/'//~/ /~//~ .z::~'~//~z~/~-~ MAILING ADDRESS /~,~// ,//~/~,Z~/ PHONE ~z//~/-~2~/' LOCAT,ON .~'i~,~ ~.~ ~X.~'~'~ ~/~LE GA' DESCR,PT,ON ~ ~ ~/i ~ ~'//~' ~"/'~/ SEPTIC TANK: DISTANCE ? ' ~ FROM WELI.~j?~_~ANU FACTU RER INSIDE LENGTH INSIDE WIDTH NUMBER OF ~/~/ MATERIAL d~A~:/~''~ COMPARTMENTS LIQUID DEPTH ~ .LIQUID CAPACITY //~Z'') GALLONS. SEEPAGE PIT: / ~ ~, ~, DEPTH /~/ NUMBER OF PITS __ DIAMETER OR WIDTH LENGTH LINING MATERIAL /4~/~C/~' CRIB SIZE: DIAMETER /)~ DEPTH ~ DISTANCE FROM: WELL /~/~/[*~ /, ~d / TOTAL EFFECTIVE ~/~ BUILDING FOUNDATION~ NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) S~. FT. ADDITIONAL ABSORPTION WELL: TYPE .~'~.//~~ CONSTRUCTION / / EA~ BUILDING NEAREST N FOUN~D.A~TJON ~ , LOT LINE , SE~R LINE CESSPOOL ~~C~E~ I DEPTH (~}~' DISTANCE FROM: ~ SEEPAGE , TANK , ~.STEM _ APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: '~/---/ REMARKS: d*~'/~/Z~/P/-~ ~2.~ ~ / DIAGRAM OF SYSTEM DATE ~////'-~- ////~PP R OV E D ...<~P,.~x.- /Z--x.-x~' ~'.---.//' G.A.A.B. =---~'~i~ MUNICIPALITY OF ANCHORAG? ~%~--~i x',':~~'~ ";~EP. ARtME~T'uF HEA'LTH AND ENVIRONMENTAL PROTE~CTiON :'?'e~!~,¥' '. ' 825 '% Street, Smchorage, Alaska 99501 ls~ Inop=~c~:ion: T=me /J~$q~Z____ 2nd Inspect=on: Y=me __~ Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 99510 Phone: 274-3561 x 217 Thomas G./Sharon L. Mc Gillivray Phone: 2. Property Owner: Mailing Address; 3. Legal Description: Star Route A Box 230G 99507 Lot 8 Block 1 Huffman Subdivision 272-4441 (w) 4. Single Family Residence: (x) Multiple F~lity Residence: ( ) Well. Data: Type '-~rublm~- onst==otion N'uraber of Bedrooms: 2 Number of Bedrooms: Depth ~ . . Backerial Analysis Well Log Filed ( ) Sewage Disposal System: On-site system Ix) Public Utility ( ) Permit ~ N~ Installed ~/~ Installer ~.~~ Septic Tank Size //P~O Manufacturer Absorption Area __~ Soils Rate ~ ~--~ Material ~~ ._ Distances: Well to Septic Tank ~-~ F.& to Absorption Area to Sewer Lines ; ~ Nearest Lot Line ~ ,4 Absorption Area to Nearest Lot Line ~ O ~ MUNICI~^UT',' MUNICIPALITY OF ANCHORAGE DEPT. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI~I~" ~' 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF ,.D,v,DuA. SEWER and WATE. FAC,L,T,ES 1. Type of Inspection: CMRO VA FHA_ 2. Property Owner: MC GTLLIVL~,Y, Thomas G. & Sharon L. Mailing Address: $[LA. 230 G, Day Phone: CONV XXX 272-4441 (work) 3. Name of Buyer: none Mailing Address: 4. Name of Lending Institution: Mailing Address: ~', 0. 5. Name of Realtor or Agent: Mailing Address:. 6. Legal Description: Location: Day Phone: Alaska Mutual Savings Bank 1120 Anchorage. AK none Phone: 274-3561 ex: 217 .Phone: Lot 8, Blk 1, Huffmnn Subd., Addn. NHN Frontame Road 7. Type of Facility to be Inspected: SP.p~c 8. Water Supply Type of Supply: Public Utility ~x~ If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of Svstem: Public Utility. If Individual, date of installation. No. Bdrms. 2 .Individual Individual (on-site) 72-003(3/76) Department of Health and Environmen%al Protection Request for Approval of Individual Sewer and Water taclll~mes Lot 8 Block 1 Huffman Subdivision #1 Affadavit Attached: ( ) Letter Attached: ( ) Disapproved: Date: 06-1220Ca) ~Re~. ~973 DATE AL/--1 DEPARTUENT OF HEALTH AND SOCIAL $'""~'ICES ~ DIVISION OF PUBLIC HEALTH Lab No. INDIVIDUAL AND SEMI.PUBLIC BACTERIOLOGICAL WATER ANALYSIS OEE,CE INDIVIDUAL [] 'SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO lAME ADDRESS CITY ADDRESS OF SOURCE , , , · ZIP CODE - COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Sample Collected From -1 Kitchen Top [] Bathroom Tap [] Other (List) [] Basement Tap Well- [] Dug [] Driven [] Drilled SOURCE: [] Spring [] Cistern [] Other Dug Well or Cistern Construction: Walls--[] Wood [] Concrete [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset []In Yard [] Other [] Bored [] Tile Brick ~r [] Open Top [] Concrete [] Under House Analysis shows this Water SAMPLE to be: E Satisfactory [] Unsatisfactory [] Questionable E Sample too long in transit; sample should not be over 48 hours old at examination to indkate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS Building Sewer DISTANCE TO: or Other Drainage Pipe Tile Field Feet. Seepage Cess- Pff Feet. Pool Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? When? Septic _Feet. Tank Eeet, Feet. Privy ~__F~et. [] Wood I~Tile [] Fibre [] Asbestos Cement [] Yes ,~] No Diameter of Well Depth Well Casing Material Diameter Depth Length of Water Depth Drop Pipe From Bottom Offset in [] Basement [] In Basemeht PUMP LOCATION: [] In Well On Top [] Of Well [] Other [] RoaCh PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? [] Yes READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING 8AMPLE [] Yes ,:[-1 No [] No Repairs to System? [] yes [] No Signature 064220 lb) BACTERIOLOGICAL 'WATER ANALYSIS RECORD Rev. 1973 Lactose Broth , 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours 48 Hours '~- Brilliant Green 24 Hours - 48 Hours EMB AGAR Lactose Broth, 24 hrs. 48 hrs. Gram's stain Coliform DensU (Most probable No. per 100col MF Results This analysis indicates Coliform Organisms to be: ~r Absent' Present NAME OF APPLICANT greaTEr anchorage Area borougH pERMIT NO, DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-496! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION LEGAL DESCRIPTION ~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO SE SERVED FINANCED THROUGH SOIL TEST RESULTS~ COMPLETION DATE ANTICIPATED , OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. C~w~ / OOO SEPTIC TANK SIZE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAge Pit WALL SEPTIC TANK ~ // , SEEPAGE Pit TO NEAREST LOT LINE. WELL tO sePtiC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD //{~ DRAIN Field _ / DRAIN fIELD /0 ! . SEEPAGE Pit i ALSO CONSIDEr AREA WELLS. .. SEEPAGE P~T ~.~_!RON ,NTO A~D OUT O~__SEPTIC TANK ANO iN*o CR,B cRossiNg GAF OF 4 iNCH D~J~Mft~i~ ~n~' II~ON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Q~ER ANCHORAGE AREA BOROUGH ORDINA~NO. ZS-SS AND THAT THE ABOVE DESCRIBED{ SYSTEM IS IN ACCORDANCE WITH SAID CODE, { ~I/~RE~ /~~~ Lot 8 BTock H~fI~aan b'ubdivision Sheet of W.O. ~ 7-~erator Jim Ma.ak Date____'l~ Cl ie~-t~l de r s Projec~et~ Home C LASS iF iCAT ION SY STBM Overburden Mixed Gra,~els ~ Sands, Silt-G~aveL-Sam] Mixt, ur(~ with coobi,oz 3M - ,~ Bottom of [~e~c Pi't 200 s~. ft ~rainage reqaired per bedroom No Bedrock or water cable ~_ feet below seepage pit SAMPLI~ DATA IJSGEND Gravel Sa nd Silt Clay Organic Content Peat Frost Table GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received //(J2~/ Time of Inspection Date of Insoection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 2. Prooertv ~ner: ~ 5. TVp~ of F~ctlity to be Inspected: 6. Wel 1 D~t8: ~~ / A. T~e B. Deoth ~. Septic ~ank: 1. Si~e ~ 2. Ranufactu~e~ .. D. Seepage Pit: 1. Size 2, Material Distances: A. Well To: Septic Tank ~'-O //- , Absorption Areaz//~2 ~.~z__, Sewer Lines //~ ~/-- , Nearest Lot Line .//~- ~- . , Other Contamination~<"/~/~/c/ · Fc~unaatfon to Septic Tank ~- / '~ Absorption Area Absorption Area to Nearest Lot Line ~2 Request for Approval of Individual Sewer & Water Facilities Page Two 9. Comments: Approva] Valid for One Year From Date Signed Greater Anchorage Area Borough, DeF~rtment 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 located at: Signed Date