HomeMy WebLinkAboutELDON BLK 1 LT 8Onsite File
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GANCHORAGE AREA BOROLJOIH
HEALTH DEPARTMENT
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327 E-AULE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
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NAME Aoonsss49 PHDNEc�����.
LOCATION
-LEGAL DESCRIPTION/
SEPTIC TANK:
D|STAN[EFROwvvELL
° NUMBER OF '
4JER|AL cnwpAnnwsmTs
�|Qu/o
LIQUID CAPACITY__Z |NS|D� LENGTH lM5{DE Yv|DTH ^�--'� ospT*___���'
SEEPAGE SYSTEM:.
SEEPAGE PIT:
mumasn OF p/o
� �~^~
^ nuTs|oe DIAMETER on w|oT*�. �sw�T�__4-- ospT*___�____.
LINING MATERIAL
DISTANCE FROM wsu . BUILDING FOUNDATION.
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. p[
TILE DR/\|N FIELD:
TOTAL LENGTH
DISTANCE FROM WELL
. pnuwo4no . NEAREST LOT LINE . OF L|wcS_________'
momasxop LINESo|3T�wcs
��
uE/��sm uwss TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORP AREA »O. p[ LENGTH OF EACH LINE
ocpTx. Top OF TILE TO p|w/sH GRADE oeprn OF FILTER MATERIAL BENEATH TILE,IN. ABOVE TILE
WELL:~ DISTANCE FROM ' WATER----- TYPE DEPTH .BUILDING FOUNDATION. __����SAMPLE Zc�2wsAnsnr
, wcAxssT ~� SEPTIC� osep4Gs ^~~-�� o7*sn
LOT LINE. sEwem LINE- .TANK . SYSTEM ______ CESSPOOL __-. S0ux[cS___
DIAGRAM OF SYSTEM
DISTANCES:
o^Ts - Appnovso-~�
GREATEF ',ANCHORAGE AREA '~-~OROUGH
flEALTH DEPARTMENT
327 Eagle St. Anchorage, A~ 99501 279-25
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS :' ~::.~ ~'~: ~
APPLICATIONT0 INSTALL: SEPTIC TANK /~ , SEEPAGE PIT. ,DRAIN FIELD ,0THER
TO SERVE THE FOLLOWING FACILITY
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
, PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE /g~'g'? TYPE
DISTANCES:
-.: ,_- ,..~ ..
SEEPAGE AR EA~'~~ ~ TYPE_
DIAGRAM OF SYSTEM
Ly certify that ! am t'amJ]Ja~ with the ~equ~eme~ts of G~eater A~cho~a~e Area Borough O~d~na~ce No. 28-68 a~d that the
aboYe described system is J~ accordance with said code.
'EATER ANTCHORAGE AREA BOROUGH
i'FALTH DUARPTENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
279-201
DATE RECEIVED, z
INSPECT:
TIINE:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
FOP,
I. Approval Requested By
6. Sewage Disposal System:
A. Septic Tank (If homemade, show diagram on back)
1. Size
2. Age
3. Manufacturer
4. Installer
Approval Request for Sew,, & !,Dater Facilities
Page Two
B. Seepage Pit
1. Size
2. Lining
C.- Disposal Field
1. Number of Lines
2. Total Length
7. Required 1,4easurements
A. Well to Septic Tank
B. Well to Seepage Pit
C. Well to Sewer Line
D. Well to Property Line
E. Well to Other Possible Contamination
F. Foundation to Septic Tank
G. Foundation to Seepage Pit
H. Seepage Pit to Property Line
8. COIND-1ENTS:
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rn
APPROVED:
DISAPPROVED:
DATE:
DATE:
APPROVAL VALID FOR ONE YEAR FRON' DATE SIGNED.
MER AINMORAGE ARE -A BOROUGH
1TALT11 DMART','ENT
327 EA -GLE I I
STPKE"
MCHORAGE, ALASKA 99SOI
279
1 -2S11
DATE RECEIVED
INSISPECT:
TI!ME:
RE -QUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE MID WATER FACILITIES
FOR
1. Approval Requested By
Address
Lv
Phone
2. Property Owner Phone
3. Legal Description
4. T yp e of Faci11t y to he I n s p e ct e d STREET:
Number of Bedrooms rooms
Well Data:
;4
A. Type
B. Depth
C. Size
D. Construction
E. Bacterial Analysis—a-
6. Sewage Disposal System:
A. Septic Tank (If homemade, show diagram on back) i I
I Size
2. Age
3. Manufacturer
4. Installer
Approval Request for Se-, & Water Facilities
Page Two
B. Seepage Pit
1. Size
2. Lining
C—DisposalField
1. Number of Lines
2. Total Length
7. Required Measurements
A. Well to Septic Tank
B. Well to Seepage Pit
C. Well to Sewer Line
D. Well to Property Line
E. Well to Other Possible Contamination
F. Foundation to Septic Tank_
G. Foundation to Seepage Pit
H. Seepage Pit to Property Line
8. COINSENTS:
DISAPPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROM' DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARrMUMr
t0< e
4
*41
a
REQUEST FOR APPROVAL OF
k(I INDIVIDUAL SEWAGE AND WATER FACILITIES
r ,7 (fill out in Triplicate)
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_
-Name .of person requesting approval
2. ` Name of property! owner
3. Legal descriptio
4. NtkTTtb % -d3 bedrooms in house
5. Waten.Anallysis: n -t
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a. Bacterial_
b. Detergent
6, We.l_l data:lk
G
ba
�p-�y+ f 4 Type �Y. fid+ :,qq
R,5
b. Depth,
C. Casing Size
i
d. Distance from well to closest existing or proposed:
1. Sewer line'
2. Septic tank
3. Seepage Area f.
4. Cesspool`
-7-177
5. Property Line
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc.
7. Sewage di.spasal system..
a. Age of system
i'
b. Septic tank capacity in gallons
e. Name of septic tank manufacturer
1. If "home made" show diagram on reverse side of this form.
da Disposal field or seepage pit size and type
IL
1. Distance to property. -Line , to house foundation
e. Percolatim Test 'results
f. Percolation Test performed b
Use the reverse side of this form to show diagram. Diagram should include
he following, information: property lines' -well location, house location,
eeptic tank location, disposal area location, location of percolation test,
an4 direction of ground slope.
9. The Information on this for is true and correct to the best of my knowledge.
Signature of Applicant Dae 4S��-rn"e—d
ti
TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL
he above described sanitary facilities are hereby approved, subject to the
fallowing conditions':
Conditions:
The above described sanitary facilities are disapproved for the following
reasons:
S ,nature of -77—e 4.7
Dat
Approval is valid for one year following the date of approval.
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June 1, t971
Federal Housing Admtntstratten
Box ~a¢
Anchorage, Alaska 99501
SubJectz Reinapection of Lot 8, Block 1, Eldon Subdivision.
Owner: Leonard Kelly. See 1.&%~r of May 13, 1971.
Dear Sir:
A :retnsrmctlon of the subqect ?ro~>ert;¥' r~?vesleft that the
trailers h~d ap~>arentlv been disconnected from the well Out
one of the tr'at]ors had not vet been remo/e:~ f~nthhe sewer
8y,~ter~. The ~;e~Ner s,/stem ts therefore, st~ll disapproved.
Sincerely.
Lynn 5. Coed
Sanl. tarfan
cC~ Leonard ~ielly
Alaska ~utuai Savings Bank
kmy
May 13, 1971
Federal Housin9 Administration
Anchorage, Alaska
Sewer and ~eter Facilities for Lots8 Block 1
Eldon Subdivision. Owner: Leonard Kelley.
Dear Sir:
An inspection of the sublect lot revealed that the house and two
trailers where all on the sa~e sewer an,t water system. The sewer
s~stem is adequate for the two bedroom house and ~ one
bedroom trailers. The distance from the sewer s~sf-e~'to'the well
meets individual well distances only.
For this 4epartment's approval one of the trailers must be
removed from the sewer system end both trailers need to be
disconnected from th~well, so that the well serves only the
hOUSe.
If there are any questions regarding the above please do not
~esttate to contact this office at 27g-~686, eltenston 336.
Sincerely,
Lynn $. Coed
Sanitarian
Leonard Kelley
Alaska ~utual Savings Bank
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