The URL can be used to link to this page

Home My WebLink AboutIVERSON LT 2 ~__j 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 NAME PHONE ~ ~PGRADE LOCATION ~ ~',W ;'- / ~''' ~ Ab s(¢~/"'/~ ~welling~' ~ '~ ~ ~.~ NO. OF BEDROOMpERMiT NO. S~ ~ ~ DISTANCE TO: ~ell ~<~ Z Manufacturer~[~//¢' [/~_ Material No. of compartments ~ P Liq. capacity in gallons: IF HOMEMADE: Inside length Width Liquid depth ~Oz~ ' DISTANCE TO, Well ~1~ Dwelling ,ERMITNO. O ~ < Manufacturer Material Liquid capacity in gallons ~ ~ ~ N°' of lines Length o3~e¢/ T°tal~¢°f ¢¢ Tren~h inches Distanc~xn~s ~ Top ~ile ~h grade ~¢er'al behest ~zile~ __~I ~,~ ~ ¢¢inches Total effect~e absorp~(~n ~a~ Length Width Depth PERMIT NO. ~ ~ Tgpe of crib ~ Crib d[a Crib depth Total effective absorption area m ~ell Buildin~ foundation ~earest lot line e DISTANCE TO: ~ Class ~t~ Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: ( SOILTEST R ~ 9 ' ~ ~ R EMAR KS ~, O¢ .' ;,-(% ,--~ .~ ~,,~.~ · APP VED DATE LEGAL (Rev. 3/78) · F'ERMIT NO. ......ri, I::'F'[::iF::'FM[:ZNT 1..,~ ,HEFiL. TH FINE:, EN'v'! F:ONMENTFfL.,...F.:OTECT I ON 825 '" L. '" STREEfi'., FINC:HORFa. GE., RK. 995E~i. RF'F'L I CR?,'~ LOCRT I f_]N LEI3RL FIL I "."E?':~: '] t'.t N. E: I R C: H.[,.! CI[] [:, _. 00 P LOT i'f{a SEC 9 "ri~;N Rt~,~ :-'LEIEt S[-!EL. DON 'ra-.,..',:T ~ bOfi' C;T ~F' TYF'E 3';: 'F::OIL. FISSORF'T!L]N '-::VSfi'EM IS: DRF!INFIELD MFi;dIMUM NJMSER OF EE'E,P'33PiS = :.~: SO I L RFIT I NG '::F.,Q F']',..'BF: ) = 1:25 TH;E.t~'¢":'.,... ..... IF.'E[, SIZE ]iF THE 'SOIl~ ........ 8E:'::;FIF.'F'TION S'?'STEM z"'-'=, TFiE L_ENGTH DIMENSION IS 'THE LENGTH ,::IN FEET) OF THE TRENCH OR DRR:[NF'IELD. THFZ DEPTH OF' ~ TR.F:N[.'.:H OR PIT IS THE D!STRNC:E BETNEEN THE SURFFaE:E OF THE GROUND FIND THE BOTfi'OM OF THE E%CFi',,,'R]"ION (IN FEET). -? H EE 'T F~ ~] ~ C: ~-~ ~...-~ ]E Ia 'T" ~-~ :E L~ THE GRRVEL DEPTH !S THE MINIMUM E:,EPTH OF GRR',,,'EL. BEfi'k!EEN THE OUTFF~LL. PIPE R~.,![, THE E:'fi'T]lM OF THE E;,-::CR',,,'RTIZN (IN FEET). PERMi fi' RF'F'L.!CFINT HRS THE RESPONSIE:!LIT¥ TO iNFOF'M 'FHIS E:,E:PRRTMENT DLIRING TH[:J I.N'Z]'RLL.FtT!C~N I'NSPECTIONS OF RN.'¢ .WELLS RDJR[::ENT TO TNI. S PR3PERT'¢ RND fi'HE N... MDE'R OF RES i.r: ENCE':J.; THFIT THE ktELL .,. I L L, 'SERVE. 8R]KFILLI:NG OF RN'¢ ':'¢'::,TFM ~tlTH"!IT FTNR_ 'JNSPEC:T!C~N P~f.,!D RF'F'F.'"¢,,,'Fd_ F"' TNIS [,EF:'RR]'MENT !.,i!LL E:E SUE:JECT TO F'ROSEC:UTION. MINIMUM DISTRNC:E E:ETNEEN Fa NELL RN[:' RN? ESI-SITE SEt.aRGE D!SF'OSRL. SYSTEM IS igE1 FEET FOR R F'RiVRTE I...!ELL OR 15E~ TO 2~9 FEET FROM R PUBLIC NELL DEPENDING UPON THE T'¢F'E OF F'USLIC NEL.[ .... MINIMUM DZSTRNC:E FROM R PRIVRfi'E WELL 'TO R PR!VRTE SEWER LINE IS 25 FEEfi' F~NE:, TO R COMMUN~T? SEI.,.!ER LINE ZS 75 FEET. OTHER REQUIREMENTS MR'¢ RF'PL..¥. SF'ECtFICRTIONS RND CONSTRUCTION DIRGRR!dS RRE RVFIZLRBLE ]"Ci INSURE F'ROF'ER INST¢~L.LF~fi'I ON. I CERTIF:"r' TPIRT t: t RM FFIM!LIF!R 1.4tTH THE REQUIREMENTS FOR ON-SITE SEi.4E:RS RND HELLS RS SET FORTH B'¢ TNE MUNICtPRLIT¥ OF RNE:HORRGE. 2: ! N!LL !NSTF!LL 'tHE :5'¢STEM IN RCCORDRNC:E t.,.t!TH 'THE CODES. ]:: I UNDERSTRND THR'T THE ON-SITE SEWER S'.r'STEM MR'¢ REQUIRE ENLRF.:GEMEN. T iF THE RESIDENCE IS F.:EMO[:,EL.E[:' fi'O INCLUDE MORE TFfRN Z.': BEDF.:OOM.S. SOl LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST LEGAL DESCRIPTION: SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WAYER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop .'~'~ . . . .: ~:' PERCOLATION RATE (minutes/inch) ;., ;:.':i ,] '..:~ ~~ ~'~ ~ TEST RUN BETWEEN FT AND ~ FT COMMENTS PERFORMED BY: 72-008 (6/79) GRE -:FR ANCHORAGE AREA BOR' ., GH Department of Environmental OualiW 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS PHONe SEPTIC TANK: DISTANCE / FROM WELL '¢/~F,.,~ INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CA PAC I TY"~-'~'/J GA LLON 5. TILE DRAIN FIELD DISTANCE FROM WELL '¢¢),OO t~OUNDATION NUMBER OF LINES ABSORPTION AREA DEPTH: NEAREST LOT LINE DISTANCE BETWEEN LINES TRENCH WIDTH__ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER TOP OF TILE TO FINISH GRADE ~ TOTAL LENGTH OF LI NEI~ IN. TOTAL EFFECTIVE MATERIAL BENEATH TILE j~.~i ~¢~,. ABOVE TILE IN. WELL: TYPE _ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE__ SEWER LINE__ OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE TANK__ SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY:~~/'* ~ ' / SEWER LINE DEPTH: REMARKS: DIAGRA.M__OF SYSTEM -_~ G.A.A.B. Form E~-032 GREATER A N C:h OrA G E://~,~O U G H DEPARTMENT OF ENVIROFIMENT~L'QUALITY~' 3330 ~'C:" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND pERMIT SEEPAGE PIT . DRAIN FIELD 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. / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD · SEEPAGE PIT SEPTIC TANK, SEEPAGE PiT TO RIVER. LAKE. STREAM. . DRAIN FIELD .. DRAIN FIELD · seEPAGE PIT ALSO CONSIDER AREA WELLS. . SEEPAGE Pit , DRAIN FIELD 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. GRAVEL BACKFILL CONFORM TO E~OROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM iS IN ACCORDANCE WiTH SAID CODE. OSE Russell Oyster 694-2774 Soils 8 Foundations Performed for: GEO~,..ECHNICAL 8 DEVEL~,PMENT Box 90, Davis St., Eagle River, Alasl~a 99577 694-2774 or 688-2280 SOIL LOG Name: ~-~ Mailing Address: Legal Description: Depth (feet). 0 CO. Earl Ellis 688-2280 Land Development Soll Characteristic) l0 12. 13 j ~t~ Ground Water ~ncountered: · Yes No If yes, what depth~ Proposed Installation: Seepage Pit___..__ Drain Field ~ Comments: ~,~ ~,.q>x_~'~,~-~'~ '*- ~ ~'~--' ~ ¢ ~ ~ ~ Performed by: '~ ~.~c> _ .~,J¥~\~.,~ Date: APPLI(~.~NT FILLS OUT UPPER HA[~_.iONLY: PrcCerty O~er "/:~, //%, 2.~'~,/~::_~.~)~,~) Phone Buyer ~/~f//~ ~_~/./ ~ ~W~ ~~~ Address C/~ ~/~ ~/~ Zip Code ~ ~ Lending Institution ~ ~ ~ ~ ~ ~ Phone Address ~ ~ ~Z ~ ~. ~ Zip Code ~7 ~ .e~.~ co. ~ ~n~ ~--~ ~/5 ~~Y~ .~o~e Legal Description ~0 ~ /~ 5~/ ~/~ ~ ~ ~ '~ ~ - Ty~ ~si~nce ~ingle Family ~ ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975, ~munity For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ividual Year Individual Installed: ~/ ~ Public Utility When Connected to Public Utility: ~ Holding Tsnk NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector ~ JNIt~IPALITY OF RECEIVED (,.~) APPROVED BEDROOMS *GONDITIONB OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Boils Rating Date Sewer Installed Well To Absorption Area Well Log Received 72-023 (3182) POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YO R DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION To: Municipality Building Safety,. This department has reviewed the intent to connect a church to approved septic s:y-stem at I'verson s~ubdivisi'on lot 2. The design of this system was constructed for office building and the septic system will support waste watter generated by the church.