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~ /~