HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 4 LT 3
GAAB-HD-I
GR'"' TER ANCHORAGE AREA BOROt'~"'I
DI:rAFITMENT OF ENVIRONMENTAL 0.UALIJ r
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS /,.~c ~ -5-~' ~/ PHONE
DISTANCE FROM WELL
LIQUID CAPACHY
GALLONS.
NUMBER OF /
MATERIAL (~¢/~ - C k-'~-~ COMPARTMENTS
~"([~,"~'~('~-~ ('j5~';~/~" "~'~~'''4~9z~''~ LIQUID
INSIDE LENGTH. INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF pITS /
LINING MATERIAL (J~'~'(/~'~ ~
NEAREST LOT LINE ~'~ /,~0 ~.~-
_OUTSIDE DIAMETER ~- OR WIDTH_ J~ /
~1~['?' DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH ~""'~- , DEPTH ~
BUILDING FOUNDATION ~'~' J,
',-~'~ ~ SQ. FT.
TILE DRAIN FIELD:
D~STANCE FROM WELl /,/'/-~-~FOUNDATiON ~'~ ,NEAREST LOT LINE.
NUMBER OF LINES //'/ DISTANCE BETWEEN LINES ~NCH WlD]H
ABSORPTION AREA' SQ. FT. LENGTH OF EACH LiNE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
~. IOTAL EFFECTIVE
IN. ABOVE TILE.__
WELL:
TYPE. (CiV~/~/, DEPTH
NEAREST --. SEPTIC
LOT LINE , SEWER LINE , TANK
DISTANCE FROM WATER
BU LDING FOUNDATION ~' SAMPLE ,~'~''/~/z~ , NEAREST
SEEPAGE -- _ OTHER
SYSTEM___ , CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
Greater ANCHORAGe ARea BONOUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION Of: SEPTIC TANK ~ SEEPAGE PIT DRAIN FIELD ., OTHER
~INanC~DtHrOUgH tO Be in,taileD ~Y ~ ~3~O~ ~O~
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
/~ ,~ '~t ,'r seePAGE AREA s,zs ~6, TYPE
MINIMUM DISTANC[S, R[QUIR;M;NTS DIAGRAM O; SYSTEM
fOUNDATION TO SEEPAGE Pit ~ ,DRAIN FIELd
SEPTIC TANK TO seepage Pit WALL
SEPTIC TANK~- , SEEPAGE Pit~ , DRAin FIELD
TO NEAREST LOt LINE.
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT
DRAIN FIEld
SEPTIC TANK, Z ~-- ' SEEPAGE PIT /~'~ ~
.... DRAin FIELD
TO RIVER, LAKE, STREAM.
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.
LICENSED DESIGNER
I CERTIFY THAT I 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.
DATE APPLICANT*S SIGNATURE
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
4.
5.
6.
Date Received July 24, 1974
Time of Inspection 3:00pm
Date of Inspection July 24~1974
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
SMILEY'S REALTY
EAGLE RIVER AK 99577 Phone: 694-2114
Wicker, ~iitchell Phone: 694-264~
Eagle River
Legal Description:
Location: i~adow Creek Drive off E.R. Loop
Type of facility to be inspected Single
Lot 3, Block 4, Eagle River Heights North
Well Data:
A. Type COIqMUNITY
C. Construction
Sewage Disposal System:
A. Installed 1971
C. Septic Tank: 1.
D. Seepage Pit: 1.
No. of bedrooms
B. Depth
D. Bacterial Analysis
B. Installer WALLACE
Size 1000 §al 2. Manufacturer WALLACE
Absorption Area 12xlSx6' 2. Material Concrete Rings
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
Total length of lines
, Absorption area
, Other contamination
, Absorption area
20'
, Sewer Lines
27'
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Req._ot for Approval of Individual
Legal Description ~ ~ ~ ~7/ ~ ~~
Water Facilities
Comments
Approv ~. ~ Disapproved Date ~/~
~ ...... Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation cf the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED:
INSPECT:
TIME:
APPROVAL REQUESTED BY:
: · } x( /
ADDRESS: ~,.~x~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
PHONE:
, . /
PROPERTY OWNER: !-, , ~' ,)~ ~ -'~
2. PHONE:
3. LEGAL DESCRIPTION:",' . -
,.' 4 STREET:
4. TYPE FACILITY TO BE INSP£CTED: ~'. .', . -
NUMBER OF BEDROOMS:
WELL DATA:
A,
TYPE
B. DEPTH
C. SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
1. SIZE
2. AGE-,
3. MANUFACTURER
4. INSTALLER
'~PROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
B o
o
B.
C.
D.
E.
F.
G.
H.
SEEPAGE PIT
1 . SIZE , ..... . , ·
2. LINING' ,, C'~
DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTA~ LENGTH
REQUIRED MEASUREMENTS
A. WELX~ TO SEPTIC TANK
WELL~O SEEPAGE PIT
WELL TO~EWER LINE
WELL TO PROPERTY LINE
WELL TO OTHE~ POSSIBLE CONTAMINATION
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT --
SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
APPROVED:,
DATE: ' ' ' ' ,/ ~
DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
HEALTH AUTHOEITY APPROVAl.
IHDIVIDUALWA?I:R SUPPLY AND SEWAGE DISPOSAL SYSTEM
Anchorage, Alaska
, Associate Builders
Eagle River Heights
! 3
~ Public system
'MORTGAGEE
Peoples Bank and Trust
Chatanika
BASEMENT
New installation
E] Community system
0 Community system
SE~TIAL NO.
Loop, Eagle River
Individual 3 J~ Yes ~ No
It is rLe opinion oF d~e [_~ State [] County BI Local Department of Health that this individual water-supply system
[',~ is [] ~s not s'_tisfactory as a domestic ,,,at~r supply for the subject property. Publ ~ C Water
it is the opinion of the O State [] County Z] Local Deparm~ent or Heald, that this individual sewage-disposal sys-
tem ~irh proper maintenance:
[5 ~n be exp=ted to function satisfactorily, and ~ ~nnot be expected to function satisfactorily
is no~ Iikely to create an insanitaT condition
_~/' . ~ ),' /' /.
I have revic,:c4 the foregoing and the pe~inent FItA Complim<t Insp:txion Repmt, and recommend that the
Ir, dM,iud ,:~tcr-supply system ~ considered [2 Acceptable ~] Not Accep~ble
S~wage disl~snl be ccnsidered [~ Acceptable [] Not Acceptable.
