HomeMy WebLinkAboutCOLONIAL PARK BLK 4 LT 8A
GRE,
" ANCHORAGE AREA BOr .... 'H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMFJ~~ ¢~J~'" MAILING ADDRESSJ~ ~g::~'~2~/,.~;,~.
LOCATION .~P~'~'~*~-~'~'.*"~/~",~-~/ ~'~'~ LEGAL DESCRIPTION
SEPTIC TANK:
D I ST A N C E ~f
FROM WELL ~'~'~.,'~,,~, MANUFACTURER ,,,~'~-f~'..( MATERIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS <~.'~/~
LIQUID CAPACITY /~ GALLONS.
SEEPAGE PI~:
NUMBER OF PITS r~ DIAMETER ~ OR WIDTH ~ LENGTH ~ DEPTH i~' /
LINING MATERIA~ CRIB SIZE: DIAMETER ~ DEPTH~ DISTANCE FROM:
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)~'~'--~""~"'~' SQ. FT.
WELL:
TYPE ~ ~""~'~'~:'- CONSTRUCTION
BUILDING NEAREST
FOUNDATION __, LOT LINE
CESSPOOL , OTHER SOURCES.
APPROVED DISAPPROVED
DEPTH
NEAREST SEPTIC
SEWER LINE , TANK __
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
/~-//./>~ -~/
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
Form No, EQ-031
DATE
Gre~. ANCHORAGE Area BoR ~
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503 C,,~
TELEPHONE 274-4561
SOIL TEST RESULTS . E'/ " " TE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
'1 - :"t 5
· c~'. o.'~
PERMIT NO.
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.
! ..~; ~ I . ~
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS~
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK , SEEPAGE PIt
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD - ~"'~ ·
DRAIN FIELD
SEEPAGE PIT
,ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK, ., SEEPAGE Pit
TO RIVER, LAKE, STREAM.
, DRAIN FIELD
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 GR~E~Tr~R-~JqORAGE AREA BOZGH
OESCR BED SYSTEM IS IN ACCORDANCE WITH SAID CODE, '"~-- J Zd~/~
FORM NO. EQ-0I 6
/
ORDINANCE NO. 28-68 AND THAT THE ABOVE
Performed for
GREATER ANCtlORAGL AP, LA l;OROU(h~
Department of [nvironlnenLa] {luality
3330 "C" Street
, ~gJ J~
Anchorage A1 aska ~ ' ~' ':'
S()ll~fi 1,0(; I'EIIOI,ATION ~1'1.:,~'I'
;)ate Perf'orlu:,,:i ~- 2 7-'7~
This form reports' Soils log F Percolation ~est
Depth
Feet
3-
4-
5-
6-
7-
9
10-
11 -
12-
13-
14-
Was ground water encountered? /t~ 6 If yes, at wilat depth?
Reading ~ Gross Time Net Time tbepth to Water Net Urof
Pe rcol ati on Fa~- ............... in-ih-fix-e-. ....... J ...................................................................
'Proposed installa~h? Seepage Pit Drain Field
Depth of Inlet ~ 'z ~p~o"~'~-t~m-~o:f-'l)~ ~rellcj, :~ ............................
EQ-. 04 oPerf°rmed(6/?4)BY: __.~ _~.~ ~ ............... · ...... /~'~ /~~'"--~ .__ .......
Date Date Date
Inspector Inspector Inspector
Comments Conditional Approval
Date Sewer Instal~(~ }I-~ Permit No. Septic Tank Size
~ ~ ~ ~ Holdlng Tank SIze
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY .
Buyer
Street Location
Typ~ Residence
~SIn01o Family
Q Multiple Family No. of Bedrooms ~ ~
U Other
Water Supply
~lndlvldual A~AOH WELL LOG. A well log is required for all well8 drilled 8into June
~Communlty 1975. For wol~~lor to that date, give well depth (attach Icg
~ Public Utilit~ available.)
Sow~ Disposal
~lndividual Ye~r Individual Installed:
~ Public Utility When Connected to Public Utility:.
~ Holdln~ Tonk
NOTE: THE INSPEOTION FEE MUST ACCOMPANY EACH REQUEST BEFORE P~OOE$$1NG OAN BE INITIATED.
DATE ~, ~ ~ /~, DATE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H.--ALT[I &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P[~OTECT ON
ENVIRONMENTAL SANITATION DIVISION NOV ~ 4 1980
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing.
MAILING ADDRESS /
PROPERTY RESIDENT (If ~fTe~nt from~e) PHONE
PHONE
~3' LENDINGINSTITUTION~ ~~, , '.__ ~ '- ~~ [ PHONE
MAILIN~ A~ - ' '
~ REALTO~EN~ '
!
5. LEGAL DESCRIPTION ~ .4 ~' x ~
. '
6. TYPE OF RESIDENCE ~ NUMBER OF~BEDROOMS
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
[] INDIVIDUAL*
COMMUNITY
PUBLIC UTILITY
[] One [] Four
[] Two [] Five
~ Three [] Six
[] Other
* 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.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING 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
[] NDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
NUMBER OF BEDROOMS
3. SEWAGE DISPOSAL SYSTEM
[] 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
[] ONE
r-~ TWO
[] THREE [] FIVE
[] FOUR [-q SlX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
JSew~I Line
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
MATERIAL
[] OTHER
IN~a'~est LOt Line
~ APPROVED FOR ,3 BEDROOMS
[][] CONDITIONALDisAPPROVED APPROVAL (letter must/~pany certificate)
72-010 (Rev. 6/79)
DAVID A. SLENKAMP
ROBERT A. SHAFER
MECHANICAL ENGINEER
694-9055
November 29~ 1980
CIVIL ENGINEER
694-2979
MUNICIPALITY OF ANCHORAGE
DEPT. OF
ENViRONMEN T,,X,L I, : ~ ) [ ECTIOIxl
Totem Realty
ATTENTION: .Audrey Mason
P.O. Box 911
Eagle River, Alaska 99577
1. I980
RECEIVED
Dear Audrey,
Reference: Webb Property; Lot 8A; Block 4; Colonial Park Subdivision
A' seMer system adequacy test w~s performed on the system located
on the referenced property as you requested. The septic tank
was pumped and verified to have a capacity of 1000 gallons.
The absorption trench was tested by a continuous flow of approximately
600 gallons over a period of 24 hours.
It can be c6ncluded from this test that the sewage system is
currently functioning adequately for the three bedroom residence
located on this property.
If we may be of further assistance, please do not hesitate to
call.
Sincerely,
cc: Municipality of Anchorage
Department of Health and Enviornmental Protection
aRB lg6x EAGLE RIVER, ALASKA