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Home My WebLink AboutCOLONIAL PARK BLK 4 LT 4A GRE ANCHORAGE AREA B0? Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~-/"~2/--/-/~/~ ¢~'~//'-~'~ MAILING ADDRESS J~ ~'~/¢~/~5'~*~/~ PHONE3 .~/~'~ LOCATION .~..~-~<~-~'~,/.~--~ ,~~ LEGAL DESCRIPTION SEPTIC TANK: D I ST A N C E FROM WELL ~-/~_~_.~-. MANUFACTURER /~.;~*-~ MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /¢¢~¢~_2 GALLONS. NUMBER OF PITS ~ DIAMETER LINING MATERIAL ~'.~-~-~-- CRIB SIZE: -,~,~ OR WIDTH ~""~-,/ LENGTI-'I.,.'~~, /'DEPTH / DIAMETER ~ DEPTH/'¢~ DISTANCE FROM: BUILDING FOUNDATION//~~, ADDITIONAL ABSORPTION WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~--~:)g) SQ. FT. NEAREST LOT LINE WELL: ~ ~A~'.4.//~ /~, ~/~ TYPe ~ ~'~"'//~- CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION __, LOT LINE , SEWER LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED. REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE , TANK __ , SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: ~-~.~-~- REMARKS: DIAGRAM OF SYSTEM Form No. EQ-031 GRe. ANCHOrAGe Area BO ~~ DEPARTMENT OF ENVIRONMENT AL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 S~EWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION F I ~%" ~ I. ~ ~ ~' / , _ .. II It I I I ~ ~ I TYPE AND SIZE OF FACILITY TO BE SERVED : COMPLETION DATE ANTICIPATED 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. SEPTIC TANK SIZE .... TYPE ~ EEPAGE AREA SIZE ~~TYPE MINIMUM DISTANCES, REQUIREMENTS / DIAGRAM OF_SY~TE~ FOUNDATION TO SEEPAGE PIT .... DRAIN F ELD ~ - , WELL TO SEPTIC TANK ~ ~ SEEPAGE PIT ..... DRAIN FIELD ~ ~ ~ , ALSO CONSIDER AREA WELLS. WATER ~AIN TO SEPTIC TA~K , 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 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 GREAT~R'WCHORAGE Ar~A BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ,' '7 "'* 7 , FORM NO. EQ-01 6 JREAI'ER ANCtlOt</\Gt: AU, LA UORO~ ...... Department of I]nvironmenl. al [)uality 3330 "C" Street Anchorage, Alaska 99503 ,";()II,S 1,()(; - I'I'~I~.()I,ATI()N TI';,";T Performed for This form reports Depth Feet 3- 4- 5- 6- 7- 8- lO- ll - 12- 13- 14- Was ground water encountered? /~/.~_ ....... If yes, at what de~th? Reading Date Gross Time Net Time _-_~Depth to Water Net i.~rop Percolation rate minute. .Proposed installation' Seepage Pit Drain Field ................................ Depth of Inlet ~. Depti~-t¥-i~¥O'~-~F'-pit or tre~c~ ....................................... ALASKA enUIRO[lme[1TAL COI1TROL SeRUlCeS, InC. ~nclinee~'in§ 1~ I~nuironrnental Studies 9/29/81 E N',/IR<;:; .... ,Z i i0 N RECEiVLD NATIONAL BANK AK 301 W NORTHfRN LIGHTS ANCHORAGE AK 99503 SRI,T,RR - CURT SEITZ SUBDIVIS ION-OOLONIAL PARK IDT-4-A ADEQUACY TEST FOR SI~NER SYSTt~4 THE TYPE OF ABSORPTION SYSTfM IS A ~RENCH WITH AN AREA OF 500 SQFT. THE SYSTfM IS CAPABLE OF ACCEPTING 450 GAT,IONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTt~Vl IS 535 GAT,TONS. BASED UPON THE TEST DATA THE SYSTfM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/23/81 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 THIS 3 B~DROOM HOUSE. IS ADEQUATE FOR 1220 LUcst 25th Auenu¢ · Anchoracje, Alaska 99503 · (907) 276-1361 ...... ~ ~ DA~' R ECEIV ED INSPECTION APPOINTMENTS TIME ~. /~'~'-~J~ TIME , TIME DATE DATE , DATE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street-Anchorage, Alaska 99501 0 CT 2, $ 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C Ei V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER · PHONE MAI LING ADDRESS 3, LENDING INSTITUTION I PHONE MAILING ADDRESS / 4. REALTOR/AGENT I PHONE MAI LING ADDRESS :./,:,~. ~-~ /~oo-~ ,4~ez. .4./< 5. LEGAL DESCRIPTION /~oy- q~ STREET LOCATION I~ ~'. .~, 5' ~?/~ ' ~;/~ r~~.., 6. TYPE OF RESIDENCE [O-"'~NG LE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five E~"~ree [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* [~-~COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for al wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~"~OlVl DUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY OL(~ CL ~LjLi~t~ZLk C~ ,~_~y- NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PRO~SSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON -SITE r-1 PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: [] ONE [] TWO 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: NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SlX [] OTHER Absorption Area to nearest Lot Line Septic/Holding Tank IAbsorption Area [Sewer Line Nearest Lot Line 5. COMMENTS DATE [Z~'"~APPROV ED FOR ~:> BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)