The URL can be used to link to this page

Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 5 LT 7 GRE/ 'R ANCHORAGE AREA BOP" Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION /,~-/~'/¢,~ /--.-'~/,,'~g./'¢-" ~:~¢"-~¢",,'¢/¢')¢',/)g'~"~ LEGAL DESCRIPTION '~ 7'" SEPTIC TANK: DISTANCE ~'//~,~"~¢~""'"'¢¢""~ ~'JH'" ' NUMBER OF FROM WELt MANUFACTURER '~'":/~'"¢""g ¢- /"' MATERIAL ~"~,,'¢-.~7~. COMPARTMENTS ~' INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __.LIQUID CAPACITY ~/'~-~' GALLONS. SEEPAGE PIT: NUMBER OF PITS __ LINING MATERIAL/~¢ ff~;/]~ BUILDING FOUNDATION__ ADDITIONAL ABSORPTION DIAMETER __ OR WIDTH CRIB SIZE: DIAMETER__ NEAREST LOT LINE__ LENGTH DEPTH ~ ~ DEPTH DISTANCE FROM: TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ~'?¢ SQ. FT. WELL: L'7¢.~r4',,¢,f,v__.4,,v T"~ ¢.d/~7'"b/L~ . TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM REMARKS DISTANCES: INSTALLED BY:~ PIPE MATERIAL: LOT SLOPE: ~-¢ ~L,~¢¢/~,, , REMARKS: ,,~°4~/Z] 7-~ ~ ~ Form No. EQ~031 DIAGRAM Of SYSTEM DATE //~/ ~¢~ APPROVED G.A.A.B. GRe~, ,~ ANCHORAGE ARea BO[ gh ~//~~ DEPARTMENT OF ENVIRONMENTAL QUALITY /' 3330 "C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -~--- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD , OTHER SOIL TEST RESULT ~-- ~ NOTEI THIS PErM NOT VALID WITHOUT ~IL 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. MINIMUM DISTANCES, REQUIREMENTS .p_.~,.------"- FOUNDATION TO SEPTIC TANK / FOUNDATION TO SEEPAGE P}T SEPTIC TANK TO SEEPAGE PIT WALL /~7 SEPTIC TANK ,SEEPAGE PIT TO NEAREST LOT LINE. DIAGRAM OF SYSTEM WELL TO SEPTIC TANK -- DRAIN FIELD WATER MAIN TO SEPTIC TANK ~ DRAIN FIELD SEPTIC TANK, SEEPAGE PIT TO RIVER. LAKE. STREAM. ALSO CONS WELLS~, , SEEPAGE PIT /~) '""~, DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S 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.BOROUGH REGULATIONS REGARDING INSTALLATION. :-/) I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDanCE WITH SAID CODE. FORM NO. LQ-016 IAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE 0 6- E GEOTECHNICAL Et DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 688-2280 Soils ~t Foundations Land Development Performed for: SOZL LOG Name: Tel. No. Maillng Address: Legal Description: Z~7- 7, Depth (feet) 0 1 3 4 5 6 7 8 9 10 11 12 Sotl Characterts~tc~ Ground Water Encountered: Proposed Installation: Comments: Yes__ No__~ If yes, what depth Seepage Pit ~ Drain Fte~d Performed by: lille No.: 4-I ~olf StriehlGnd, ti .8. Form 2573 Form Ap~oYed ~uly 1958 _ FEDERAL HOUSING ADMINISTRATION ,Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA ~NSURING OFFICE MORTGAGEE SERIAL NO. MO~0~RTOAOOR OR SPONSOR PROPERTY ADDRESS ~ ~JJJJ~iJ~J~ SUBDIVISION NAME BLOCK NO. LOT NO. TOTAL NUMBER: Can attic or other area be made into ~1 New installation additional bedrooms? BASEMENT ................................... (If Yes, how ~' L ~ ~, [-'] Yes [~-] No [~] Yes ]~] No WATER SUPPLY BY: SYSTEM DESIGNED FOR [] Public system ~ Community system ~] Individual No. oF SDK,V*$. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: [] Public system r'-] Community system ~ Individual j ~ J~ Yes ~-] No PARt II. TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH .... 5 ................................ i is the opinion of the [] State [] County [-~ Local Department of Health that this individual water-supply It system [-~ is n is not satisfactory as a domestic water supply for the subiect property. It is the opinion of the N State ~ County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~ Can be expected to function satisfactorily, and ['~ Cannot be expected to function satisfactorily is not likely to create an insanitary condition NOTE: The health authority should complete the appropriate opinion statement above and aEfix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that 'the Individual water-supply system be considered [--] Acceptable N Not Acceptable Sewage disposal be considered [--] Acceptable [--] Not Acceptable. DATE SIGNATURE J--1 C"IEF ARCHtTECr ~ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Roy. July 1958 2, 3, 4, 5, 7e REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) Name of person requesting approval Name of property,owner ~,~Z Legal description ~.'~ ~ z~ ..~ Nu~er of bedrooms in house Water Analysis: a. Bacterial We~data: a. Type . c. Casing Size d. Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank 3. Seepage Area Cesspool' 5. Property Line houses, barn, drainage ditch, etc. Other sources of possible contamination, i.e., creeks, lakes, Sewage disposal system. a. Age of syste~ . b. Septic tank capacity in gallons c. Name of septic tank manufactu~r, 1. If "home made" show diagram on reverse ~ide of this form. Disposal field or seepage pit size and type - 1. ,~tanoe to p~,op~.-,~ li.e _D~' to house e. Percolatio~ Test ~results f. Percolation Test performed by Use the reverse side of this form to show diafram. Dia~ra~ should include ~he foilowin~ information: p.~operty lines~ .well location, house location, ~ptic tank location, disposal area location, location of percolation test, and direction of Fround slope. The l~fo~,r~tion on this form~is true and ~bV~,to the best of my knowledge. ~-'~i~n~a'ture~r~/fpplyg:u%-~~ ti ' Da-~ ~.ned TO BE FILLED OUT BY HEALTH DEPART~,~ENT PERSONNEL ~he above described sanitary facilities are hereby approved, subje,ct to the '-~611owin~ con~ions: j Conditions: ~/~ The above described sanitary facilities are disapproved fop the following re asohs: SignatSre of ~f~id.i;t.~,.~ ~'.~'-~:'[t - "Date Approval is valid for one year followin~ the date of approval. CPJ:cw Nay L?~ 99577 SUBJECT: Water SuppLy and Sewage BXo~k 5, EagXe RAver fle~Sh~a Subd. ~to~ Mr, JohB8o~l The GreaTer AnchoT'i~e A~ea Bo~oush Heal~h Depar/cmsn~ wll~ approve The tnsTalla~ion of a 1,DO0 &~lon septic ~ank installed in uon~tmc- tio~x w~th 265 squa~ fea~ of p~operly coustructed seepage a~ea to se~we a thee bedroo~ house to be built at the subject location, Wa~r sarvica is available via the approved Eagle Rlvar Heights wate~ supply sys'~em. This le%~r is To serve as preliminary approval of hhe insTalls=ion% f~nal approval will be ~anTed up~m aatis~a~to~T ~letion of ~ ~-site lns~ctl~ prior to baekflllin~ the system. Sincerely, DAVID R. L. DUNCAn, M. D. CFJ/srr EnvironmenTal Health Director