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Home My WebLink AboutCOLONIAL PARK BLK 4 LT 7A REAI :R ANCHORAGE AREA BORuJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILtNG ADDRESS LEGAL DESCRIPTION SEPTIC TANK: DISTANCE ~.~/~/~/~.// NUMBER Of FROM WELL ~'~]//~-- MANUFACTURER MATERIAL~'~i/~e~/ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __LIQUID CAPACITY /j~9 GALLONS. SEEPAGE PIT: NUMBER OF PITS --- . DIAMETER --- OR WIDTH --', LENGTH ~ DEPTH LINING MATERIAL~'~-----~:t-~~"- CRIB SIZE: DIAMETER -- DEPTNt~ ~ DISTANCE FROM: WELL '~g~'~_~,..~,/m~. ~ . BUILDING FOUNDATION //g> ~'~Z'-NEAREST LOT LINE ~__~/-. TOTAL EFFECTIVE , ABSORPTION AREA (WALL AREA) ~//~/~ SQ. FT. WELL: ~_:2~/~~ TYPE f~'/~"'~' ""/'~'" CONSTRUCTION BUILDING NEAREST FOUNDATION __, LOT LINE CESSPOOL , OTHER SOURCES APPROVED _ DISAPPROVED DEPTH DISTANCE FROM: NEA REST SEPT lC SEEPAGE SEWER LINE , TANK __ , SYSTEM REMARKS DISTANCES:--r//~-/--//-~ INSTALLED BY: LOT SLOPE: REMARKS: ~"~/~-~ PIPE MATERIAl' Form No, EQ-031 DIAGRAM Of SYSTEM APPROVED GRea. .r ANChorage Area BOA DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 9950:3 TELEPHONE 274-4561 ~gh PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME Of APPLICANT ~~ ~/~ ~ MAILIN~ ADDRE~ ~,'m~ ~.,: PHONE I~;L~%I~'~NsEPTIC TANK ~ ' '-- ' DRAIN~ '; ~~A' TYPE AND SiZE OF FACILITY TO BE SERVED SOIL TEST RESULTS 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,~, . ~ /~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANk DRAIN FIELD WATER MAIN TO SEPTIC TANK .'AGRAI~J~SYSTEM ,SEEPAGE PIT ,DRAIN FIELD / 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 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. ! ) G .A .A .B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF ~R ANCHORAge AREA DESC.,.EDSYSTEM,S,.AOGO.DA"':EW'T'-'SA'O ODE. BOROUGh ORDINANCE NO. 28-68 AND THAT THE ABOVE FORM NO, EQ-016 ,, ..? GREATER ANCtlOk/\(2. AkLJ\ UORI)UG, Department of lmvironmenLal ()uality 3330 "C" Street Anchorage, Alaska 99b03 S()IIJS I,()(~ I'EI{OI,ATION 'FI,;ST Performed for '"' ~'- This form reports' Soils log ~ Percolation 'lest Del) th Feet 5- 6- 7- 8- ll - 12 - ®A. SA 13- -~ ~ Was ground water encountered? If yes, at what depth? Read_in_g_ ~ Gross Time ' f~_p~t?, to W~ter __N__et Time Net Urop ........................ ....................... iai hute. Percolation rate ,.Proposed 'installation: Seepage Pit Drain Field Depth of Inlet . Dept.IT-t]o)-'b~i-t-o-m-6:f-'I, i t or trenci~ : MUNICIPALITY OF MUNICIPALITY OF ANCHORAGE - DEPT. OF ~'TALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECI[IJ(~qRONMENTAL P~O ~gCTION 825 L Street - Anchorage, Alaska 99601 ENVIRONMENTAL ENGINEERING DIVISION APR Telephone 264-4720 ' QUEST FOR APPROVAL OF INDIVIDUAL WATER AND S F C'EI~iES ' DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER " ' [ PHONE ' " Michael S./Judith J. Anderson 'r~AI LING ADDRESS PROPERTY RESIDENT (If different from abovei ' PHONE 2. BUYER '' ' PHONE William B. Hammond 272-4812 MAILING ADDRESS r 694-3946 3,"'LENDING INSTITUTION ' ' I PHONE Alaska Mutual SaVings Bank % smitty I 274-2551 MAILING ADDRESS r , 1503 West 31st Avenue 99503 ,, , [ F~HONE , 4. REALTOR/AGENT ..... I MAILING ADDRESS L'EGAL DESCRIPTION Lot 7A Block 4 Colonial Park Subdivision STREET LOCATION 6, TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY [] INDIVIDUAL' ~ COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY NUMBER OF BEDROOMS [] One ~ Four [] Other [] Two [] Five ~ ~ Three [] Six ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available,) **If individual/on.site, give installation date_~=,~. 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 APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL -'"El3 COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM 'Eib] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified '{;~]Septic Tank'or [] Holding Tank Size: ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot, Line NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX [] OTHER PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERI'lIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MATERIAL I ISewer Line I Nearest Lot Line 5, COMMENTS /' APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE IBY (Title) 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO . _VA yw,w×w FHA% 2. Property Owner: Michael S, & Ju(]ith J. Anderson Mailing Address: Day Phone: 3. Name of Buyer: Will,mm B. Mmmmond Mailing Address: 4. Name of Lending Institution: Alaska Mutual Sav±nRs Mailing Address: 1503 w 31st AYenue CONV 5. Name of Realtor or Agent: Non e 272-4812 Day Phone:. Bank Phone: 274-2551 or 694-3946 Mailing Address: , Phone: Legal Description: Lot 7A~ Blk. 4 Colonial Park Subd. Location: TyPe of Facility to be Inspected: .Sing] e Family Home No. Bdrms. ,3 Water Supply *Community Well Type of Supply: Public Utility. Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of Systemi Public Utility. .Individual (on-site) If Individual, date of installation RE: 'Sfmitty)Alaska 274-2551 Mutual Savings Bank Alsska Savi s 3sRk 5th & F STREET · P. O. BOX 1120 · ANCHORAGE, ALASKA 99510 DATE: 4-30-79 CHEM LAB 4649 Business Park Boulevard Anchorage, Alaska 99503 ANDERSON - HAMMOND RE: LEGAL: See Above Lot 7A, Blk. 4 Colonial Park Subd. Enclosed please find our check in the amount of $15.00 for your water analysis on the above referenced property. Please forward results to the Municipality of Anchorage, Department of Health and Environmental Protections, Thank you. ~'~t t y~ 274-255'l- Loan Processor MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION