HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 4 LT 12A GRr'~-~R ANCHORAGE AREA BOROU~'~- DE..~nI'MENT OF ENVIRONMENTAL QUALr, . 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~;'t~./L~ /1~ J (,J~, __. SEPTIC TANK: '7~,'~ /;~ p,~*5;'-~I'~/~) ,L~-"/----~ (_-.~(--~' Z::~,~ ~,~z/?~'~' ~' DISTANCE FROM WELL ~4~/~/v' ~ MATERIAL ~J-~-J~ ~L~_j.~,U~, /'J'~8~o NUMBER OF COMPARTMENIS LIQUID CAPACITY /l~ GALLONS. iNSIDE LENGTH ~ INSIDE WIDTH ADDREssMAILING /~. ~. LEGAL DESCRIPTION LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PllS / OUTSIDE DIAMETER OR WIDTHJ7' """- , LENGTH Iq I , DEPTH LINING MATERIAL / J(~ ~?~,iJj~ DISTANCE FROM WELL ~)/'/~U/})~/ . BUILDING FOUNDATION NEAREST LOT LINE ~ ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl FOUNDATION /.~T LOT LINE. NUMBER OF LINES DISTANCE BET~,~NES TRENCH WIDTH ABSORPTION AREA /,~'Q. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH~J~DE DEPTH OF FILTER MATERIAL BENEATH [ILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE DISTANCE FROM WELL: TYPE ~/'/J////ll-J , DEPTH , BUILDING FOUNDATION NEAJREST SEPTIC SEEPAGE LOT LINE , SEWER LINE ., TANK , SYSTEM WATER SAMPLE , CESSPOOL NEAREST OTHER SOURCES.,~ ~(,~z DISTANCES: J)J,L ~J~ ~, T IRC r,/ DIAGRAM OF SYSTEM DATE d'L/.£~ J~. /~)~'~ APPROVED ~"/,L.L-J~& C'? ~J/~,f-- G.A.A.B. GRE~..~R ANCHORAGE AREA BORuOGh DEPARTMENT OF ENVIRONMENTAL QUALITY ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~EEPAGE PIT /[ ., DRAIN FIELD ]FINANCED THROUGH TO BE INSTALLED BY f PHONE , 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 HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DIBTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL ~/~/? ., DRAIN FIELD TO NEAREST LOT LINE· WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPtiC TANK ///~ · SEEPAGE Pit ~//~ DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT ~ DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IrON InTO AND OUT OF SEPTIC tank AND INTO CRIB CROSSING GAP OF EXCAVATION 5 PEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTed WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL (2ONFORM TO BOROUGH t:~EGULATIONS REGARDING INSTALLATION. SEEPAGE AREA SIZ ~ TYPE DIAGRAM OF SYBTEM I CERTIFY THAT I AM FAMILIAR With THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B-~B aND THaT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ ~r~/~/~_.~- ~__~//~ //~_~.~-~)~_~ Leal d~crip~iou: Loc ( ~- alock., ~-! Depth 8o'1.1 Cba~accez':Loc l~a Q 80 9. Vino ~round u~cer e~ountored Zf ]roe, ac ubaC depth Seepage pie ,,,,, I~ECEIVED I~iP~ QF J~NVIRONMJ~NTAL QUALITY MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION : Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) davs for processing. PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE I MAI LING ADDRESS M LI GAD RESS I,~ i. LEGAL DESCRIPTION STREET LOCATI OIXL~ 6. TYPE OF RESIDENCE .~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ,,~- COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **lfindividual/on-site, give installation date /qr~ ~ . If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-o10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED' INSPECTION APPOINTMENTS TIME TIME TIME DATE I DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or ~]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/H°lding Tank IAbs°rpti°n Area Isewer Line INearest L°t Line Absorption Area to nearest Lot Line 5. COMMENTS ~0 ,~'~"'~ ~ ~ APPROVED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~1: Time Date Insp - ~'~NICIPALITY OF ANCHORAGE- DEPARTMEN, ~,- HEALTH AND ENVIRONMENT~. ,'ROTECTION · 825 L Street, Anchora*e. Alaska 99501 264-4720 Date Received: 11 .~a_. m. 4- 7-78 Tuesday Pr/_ tt #2: April 14, 1978 Time _3; ;~DI #3: Time Date _=5-q-~ ~_~ Date I nsp /F')./%~, I nsp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Jack White Company % Dale Murphy Mailing Address: 3201 C Street 99503 Phone: 277-1~53 2. Property Owner: Kenneth/Mary Lou Foster Phone: 274-8611/her Mailing Address: 611 Chatanika Loop 99577 3. Legal Description: Lot 12A Block 4 Eagle River Heights North Subdivision 620 Chatanika Loop house ~ on the house 4: Single Family Residence: (~ Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual Well ( ) Community/Public System (x) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System Public Utility ( ) Installed 1972 Installer Manufacturer Soils Rate Material o Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area Page'Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 12A Block 4 Eaqle River Heiqhts North Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ) Approved: Disapproved: Date: Date: Department Worksheet: GREATER ANCHORAGE AREA BOROUGH_ Department of Environmental Quality~6~-~7~ 3330 "C" St., Anchorage, Alaska 99503 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV xxxx 2. Property Owner: Kenneth and Mary Lou Foster Mai-ling Address:611 Chata~uika Loop Day Phone274-8611 (Mary Lou) 3. Name of Buyer: Mailing Address: Day Phone 4. Name of Lending Institution: Mailing Address: Phone 5. Name of Realtor or Agent: Jack White Co. (Dale Murphy) Mailing Address: 3201 C. Street, Anchorage. Phone 277-1553 o Legal Description: Block 4, Lot 12A, Eagle River Heights North Location: 620 Chatanika Loop ~ ~v, q~ ~-- Eagle River 7. Type of Facility to be inspected: Single Family 8. Water Supply Type of Supply: Public Utility Oommunit~ndividual I~ Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual If Individual, date of installation 1972 No. Bdrms. 3. (on-site) xxxx EQ-037 (!/74) 18 August 1978 CIVIL ENGINEER PH 694-2979 Mr. Dale Murphy Jack White Real Estate 3201 C Street Anchorage, Alaska 99503 Dear Mr. Murphy: A sewer system adequacy test was performed on the three bedroom residence located at 620 Chantanita Loop, Lot 12A, Block 4, Eagle River Heights, North, Eagle River, Alaska. The septic tank was pumped on 14 August 1978 and approximately 500 gallons were removed. The system was charged with one thousand gallons of water on 15 August 1978. Percolation over a 24-hour period recorded on 16 August 1978 will result in the removal of 468 gallons from the system or 156 gallons per bedroom. Records at the Department of Health and Environmental Protection office indicate that a one thousand gallon septic tank exists within this system. On the basis of the above survey and test, it is determined that the sewer system (~eptic tank and seepage pit) is adequate. CF: Dept of Health & Environmental Protection ,MUNICIPALITY OF ANCHORAGe. DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION .RECEIVED H~EL TER, A. L B. D. JOHN H. A'merican Institute o~ Buildih~ Design 140 E. DOWLING ROAp ANCHORAGE, AK. 99502 OFFICE:279-3933 qNt' HOR,\(;E \REA ATt ..\N[.~ SfREE[ t)IRECfORY Addilional c~)2ies can be 0bl,~ncd 196 EAGLE RIVER August 24, 197~ Kenneth Foster 620 Chatan~k~ Loop ~agle River, Alaska 99~77 Subjects Lot 12A Block 4 ~agle River Heights ~rth 500 gal!oms re~ved. ~for~ ~ ~y approv~ ~u request for ~e~r ~d water approvale ~ add~t~o~al 500 gallon ~ank mu~t be insta11~. It ~s a ~sibility thu tank ~o~la be a 1,000 gallon In order ~ establ~mh the s~ you ~y ch~se to ~ver of~ce at 264-4720. 3~01 C ,freer 99,0~ /~