HomeMy WebLinkAboutCOLONIAL PARK BLK 4 LT 3AO.CO 3ol
GREA, K ANCHORAGE AREA BORu dH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ./~
LOC AT I O N~
~_.~L, MAILING ADDRESS
<~'~ ~ ~ LEGAL DESCRIPTION ~.~
SEPTIC TANK:
DISTANCE
FROM WE LL'~~'~-
INSIDE LENGTH
MANUFACTURER ~a ]__!~
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY
GALLONS.
SEEPAGE
NUMBER OF PITS __
LINING MATERIAL
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
,.cd X
DIAMETER __
CRIB SIZE: DIAMETER
NEAREST LOT LINE__
OR WIDTH__, LENGTH ,
DEPTH
DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
,SQ. FT.
WELL:
TYPE ~
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST
, LOT LINE , SEWER LINE
, OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEPTIC
, TANK lI
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:~,~
LOT SLOPE:
REMARKS:
Form No. EQ~O31
DIAGRAM OF SYSTEM
4_o1' C.t r~f..
DATE~ 7/)t'/~ ~ APPROVED
G.A.A.B.
GRE, ., ANCHORAGE AREA
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE Z74-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
TYPE AND SIZE OF FACILITY TO BE SERVED
INA.CED THROUGH
COMPLETION DATE ANTICIPATED
INSTALLATION LOCAT --
INSTALLATION OF: TANK --
TO BE INSTALLED BY · ~_ , .~~
. 7 OTE, T.,B ...M.T ,S .OT VA--,D W,T.OUT SO,L T..
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, REQUIREMENTB
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK , SEEPAGE Pit
TO NEAREST LOT LINE.
/
WELL TO SEPTIC TANK ~ ~
/
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
DRAIN FIELD
,. DRAIN FIELD
SEEPAGE Pit
, ALSO CONSIDER AREA 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 GREATEI~NCHORAGE AREAJOROUGH ORDINANCE NO. ?.8-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, ~ /
DAT APPLICANTS SIGNATURE _
FORM NO. EQ-016
GREATER ANCtlOkAGL AREA BOROUt,,,
L)epartment of Environmental ()uali ty
3330 "C" Street
Anchorage, A1 aska 99b03
SOII~S I,O(; - PEROI,ATION TEST
Performed for
Legal Description: /_of ~_~
This form reports:
Soils log
;)ate Perfornm, d ~-~-?- ?~
Percolation test
Depth
Feet
2-
3-
4-
5-
6-
7-
8-
z~o
10-
11 -
12-
13-
14--__
Was ground water encountered?
If yes, at wi~at depth?
Reading
Da te
Gross Time Net Time Uepth to Water_ Net grop
Percolation rate minute.
..Proposed installa~T~h" Seepage Pit grain Field
Depth of Inlet . Depth to bottom of pit or trenci~
c0~TS: ...... ~:l] ~Z.~_~__-:-_ ..... 1~_,.~ ........................
DAVID A. SLENKAMP
ROBERT A. SHAFER
MECHANICAL ENGINEER
694-9055
CIVIL ENGINEER
694-2979
~y 1, 1980
MUNICIPALITY OF ANCHORAGE
DEPT. OF J r-.\LTiI &
ENVIRONME;.~'i',~:~L , 'T~CTION
Jack Wright
SRB 147
Fegle River, Ale aka
Dear ~. Wright,
Reference:
99577
MAY :2. 0 1980
RECEIVED '
Lot 3A; Block 4: ColOnial Park Subdivision
A sewer system adequacy test was performed on the system locsted
on the referenced property per your request. The septic t~nk w~s
pumped and verified to have a capacity of 1000 gallons.
The absorption area was charged with approximately 730 gallons
of w~ter by continuous flow over a period of 24 hours. The water
level in the sump within the absorption area was monitored with
no measurable rise in the water level.
It can be concluded from the above test that the septic system
located on the referenced property is adequate for the three bedroom
residence.
If we may be of further assistance, please'do not hesitate to call.
Since~rely, ~
~-~//ROBERT A. SHAF~ R, P.~.
ATTENTION: Velda Drake
~nicipality of Anchorage
Department of Health and Enviornmental Protection
Alaska National Bank of the No~th
SRB 196X EAGLE RIVER, ALASKA
;Srl2Nd
S? /
W 3AI~J 399~5
,og
Ld (~
0 --
0
O'
_c: 0
0 ~
r-
MUNICIPALITY OF ANCHORAGE ENVIRON/viE:!1,,.,_ .... :iZCTION.~._
DEPARTMENT o. HEA'TH ~ ENV,RONMENTAL ..O~C~.O.
825 L Street-Anchorage, Alaska 99501 MAR 2 7 1980
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 R [ C E I VI D
~IRE~TIONS: Complete all parts on page 1. Incomplete requests will not be pro~essed, Please allow ten (10} days for process ng
1. PROPERTY OWNER 3 * ' I PHONE
MAILING ADDRESS /~ ~ / .:~ ..
PROPERTY RESIDENT ~lf d~f{eren~ from above)~ PHONE
2, BUYER , ~ ~ PHONE
3. LENDING INSTITUTION ~ . ~ F/ PHONE
MAILING ADDRESS . /~) / /~
4. REALTOR/~ENT .~ ~/ . .~ ] PHONE
5. LEGAL DESCRIPTION
STREET LOCATION
~. TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
~UM~ O~ ~OOMS
One ~ Four
Two ~ Five
Three ~ Six
[] Other
7. WATER SUPPLY [] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTI LITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8, SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date ,/~'~,5~ .
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78) ' '
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOI NTM ENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[~]Septic Tank or []Holding Tank
Size: If Tank is homemade
give dimensions:
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL '
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] OTHER
'Septic/Holding Tank IAbsorption Area
Sewer Line
JNearest Lot Line
5. COMMENTS
ompany
certificate)
72-010 (Rev. 3/78)
u cipali
of
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
April 4, 1980
Jackson Wright
Star Route Box 147
Eagle River, Alaska
99577
Subject: Lot 3A Block 4 Colonial Park Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following items have been
completed:
(1)
The septic tank be pumped with a receipt submitted
to this office.
(2)
An adequacy test be performed on the existing leaching
area. This test will determine if the system is
adequate according to National Standards. A listing
of private firms performing the test is enclosed.
This report needs to be submitted to this department
for our review.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/tjw
CC:
Alaska National Bank of the North
Mortgage Loan Department
3301 C Street - Calais II 99503
Valda Drake
% Dynamic Realty
501 West Northern Lights Boulevard
99503