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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