HomeMy WebLinkAboutCONTOUR ACRES BLK 1 LT 90 n U.'
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017
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Well
DISTANCE TO:
Manufacturer
Liq. cap
DISTANCE TO:
Inside length
£o-t ?
area
Width
IF HOMEMADE:
Well Dwelling
Manufacturer Material
PHONE
[]NEW
~,UPGRADE
NO. OF BEDROOMS
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
DISTANCE TO: Z ~ F°undat'°nTo
No. of lines Length of each
Top of tile to finish grade
Total length
Material beneath tile
Length Width Depth
Nearest lot linzo
inches
PERM,T NO ,2o2
Distance between lines
PERMIT NO.
area
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller
DISTANCE TO:
Building foundation Sewer line
Distance to lot line
PERMIT NO.
Absorption area(s)
Septic tank
OTHER
/oPt,
.
APPROVED
72-013 (Rev. 3/78)
DATE
LEGAL
GAAB-HD-I
TER ANCHORAGE AREA BOROI: '-I
DI:rAI:ITMENT OF ENVIFI0~MEgTAL 0.UALI,,
3500 TUDOFI FIOAD ANCHOFIAGE, ALASKA ggs07 27g-8585
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~-~/_~ ~/~ ~..~/~,~,~. ,~,~. PHONE
NAME ~ ~,4.x//~.~ ~. x4/~_-~._~' ADDRESS
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMBER OF ~
.MATERIAL -S/~--'~'~ COMPARTMENTS
.~.;--~'~-- c~'. LIQUID
INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL
NEAREST LOT LINE
OR WIDTH '/ ~
.... DISTANCE FROM WELL ~"Y'
,~' ~" TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION , NEAREST LOT LiNE
NUMBER OF~LINES___ /~'
DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTIO_N~~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
LENGTH -.Z~ ' , DEPTH ~' ,
BUILDING FOUNDATION "~' <"~",
SQ. FT,
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE /~_./~.~4~__~ DEPTH / '~'-? / DISTANCE FROM WATER
, BUILDING FOUNDATION/~~/~//~/~'~ SAMPLE
NEAREST SEPTIC . SEEPAGE ~
LOT LINE -/,~ ' -~ , SEWER LINE ,/'~ '~ , TANK /-~-~ , SYSTEM ~/~ , CESSPOOL
NEAREST
OTHER '
S 0 U R C E S4'~-'~'~,
DISTANCES:
DATE
DIAGRAM OF SYSTEM
G.A.A.B.
PERMtT NO.
DE!;F:'FIR'T.'MEN'T' ._ :.:' HEF:IL"FI'-! FIND EN',/I RONMENTF:IL. r RI:]TEC'T i ON
;~:25 "L"' S'FREET., FINCHORRISE., FlK. S, 95E~:'£
264-4?20
C, ~'-.lt ...... £5 ::It: ""r EZ :=.::; E] It...-tl E I~-." If:.":." E:£ .~".-:." IPl I: 'T
,:] ']::::202. ,::; 2
FlPPL I CFlNT
LOCFIT I ON
LEC:iFIL.
SOL. RR F'LUS INC
HUFFMRN RRER
L. 9 8 ::L CONTOUR RCRES
S. R. FI.
:1. 56::L U
L O'l" S t :ZE
Si: ,:.I. 53 4 (; 8
9(;.'1000 SQURRE F.:'EE'T
T"r?E OF' SOIL FIBSORPTION S'¢S"f'EH I'.S: 'T'RENC.:H
~' =,U L. RFITI NG ,":':K~ F'T'..'"E P.", ...."""A
....MFIX]:MtlI"I NUME:EF.: OF E:EE:'ROOMS = ~ '""-T.. =
,_ ....... ,,_,...,, ,
,.EL...U]:RED .=,Zz.E C'F THE; SCI! RE,_-,_F..FTZON '=;'~STEM IS:,~
iF_'::, ES F' !" H == :I ::.'L ii...._ El l"--~ ,3 T' F~ == -i~ C:~ F-." F~ ".,,," E?. L_ IE:, E.'.-."E F" T' 11-.1f '.='.',~.
't"HE LENGTH DIMENSION IS THE L. EN(:~"FH < IN FEET) OF THE TRENC'H OR DRFIlNt::']:EL.D.
THE DEPTH OF R TRENC:H OR P:I:T I5-; THE DISTR1'.,ICE BETHEEN THE '"-";URFFICE: OF THE
GROUN[:, R1'q[:, THE BOTTOM OF THE E',.",;C:R'v'RT!ON (I1'.,I FEET).
THERE ]::5 NO 5-;ET HIDTH FOR TRENCHES.
THE GRFlVEL E:,EPTH Z'.:.'; 'THE.-": M!N]:MUM DEPTFI OF GRRVEL BETHEEN i"HE OU"FFFIL. L. I:::' ]: F:'E
FIND THE BOTTOM OF THE EXC:FtVRTTON (]:N FEET).
PERMI'T FIPPL. ICFtNT' I-IRS THE RESF'ONSIBILIT'T' TO INFORM THIS [:,EPFIRTMEt'.,!T E:,LIR]:NG THE
I N_.':,ThlL_Lt-' F I L N 11'45. PEC T I C NS OF Fll"J."r' HELLS RDJFlC:ENT TO T!"I I F.:; PROF'ERT'¢ FIND THE
NUMBER OF RE'"":;IDENC:ES THFlT THE HELL H I'LL SER',/E.
................ l- [-..II ,~::} ,::: ;L:..:.' ;:, :I 11'-,ti :_:..-:; F" E-' C: l" :ir_' C~ If'",! ."-.~:-'; F~ F.'.: E F~: E (;~ lt_J I I1:~: E:- IE)
BRCKF't LL ]: NG OF FlN"r' 5-;"r'S;'TEM H I THOUT F I NFl[_ I NSF'ECT l ON FINE:, F!PPROVFIL 8"¢ TH I S
[:'EF'F:IRTMENT H]:LL BE SUE:..IEC:T "f'O PROSECUTION.
H]:NIMUM D!S'TRNCE BETI.4EE:N Ft HELL. FIN[:' AN"r' ON-'SITE SEI.,.II::IGE [:'ISPOSRL. S';'¢STEi'd IS;
tOO FEE:T FOR Fl F'RI',,,'FITE HELL OR t50 'TO 200 FEET FROM Fl PUBLIC HEL. L DEF:'ENDII"4G
UPON THE T'T'PE OF PUBLIC HELL
MINIMUM DISTFlNCE FROM F1 F'RI",,'FITE HELL. T'O .FI F'R!'v'FITE :SE'HER L. INE: IS; 25 F:'EET RND
TO Fl COF!MUNIT'T' SEHER LINE: IS 75 FEET.
OTHER F.:EQU!REMENTS-; MFl'-r' RPPL.'T'. SPECiFICR'I"]:ONS FI1",ID Cf"~NSTRUCTION [:,IRGRI::!M:!::'; f::fRE
FI',/Fi]:L. RE~LE TO INSURE PROPER INS-;TFILLFiT:i:ON.
:[ CER]"IF'?' THFlT
±: t RM FFiMILIRR HITH THE RE6!L.IIREMF'1'.~]"S FOR ON-SITE SEHERS RNI::) HE:L. LS; RS S:;ET
FORTH B'T' THE MUNI C :[ PR[.. ]: T'T' OF' RNE:HORRGE.
2: I !.4ILL. ]:NSTFIL. I. THE S'¢STEM ]:1"4 RC:CORDRNC:E HITH 'THE CODES.
:Z::: ]: UNDERSTFIN[) 'FHRT THE ON-SITE 5-;EHER S"r'STEM MFI'T' REtT~U]:RE EI"4LFIRGE:MEI'4T tF THE
RES ]: [:'ENC:E ~S REMO[':'ELE:D 'TO ]:NCLUDE MORE THFII",I 3 BEDROOMS;.
..................
t S SUE[:, :~ ~' _5.~ ............... ~..-~'~"A/ .................t} FITE_7__L ...............................
;'/4. 0
GAAB-HD-2
GREATE[
327 Eagle St.
ANCHORAGE AREA'
HEALTH DEPARTMENT
Anchorage, Alaska 99501
)ROUGH Cas. No.
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT ~,)o,v;¢/~ ~7',/'~,,,Eo .fi' MAILING ADDRESS ~'o~,¢,,,,¢.,,,r G¢,~ ,,,"d~ PHONE N0,.~--2"'7-~"7
RESIDENCE ADDRESS /f,,v,-.,¢~,,,..,,,~ ¢~"-a~. LOCATION OF INSTALLATION ¢~/,.,',~'ou,,e'
/-/'~.,~',,¢'M,,~,,-,' ,,,~'/->, LEGAL DESCRIPTION..ZoT ?., ~'.Zo¢/' /, ~o.,~ 7-,, ,.,,,c
APPLICATION TO INSTALL: SEPTIC TANK/,,~q',.~'/-)?,,~SEEPAGE PIT v/ , DRAIN FIELD.
TO SERVE THE FOLLOWING FACILITY ~ ~'JA~d'"¢~ /~-'~ .~
FINANCED THROUGH/¥~'~¢ ,¢fuT'u,,~Z ._¢,~v,,~',~, BE INSTALLED BY
PERCOLATION TEST RESULTS -~'~ ~',,/-~-~-''~Z''' ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
Jqc j~ S~
,OTHER
THIS IS TO SERVE AS , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ ,'~,'¢~/""~'~'~"/' '"P~"t
.. SEPTIC TANK SIZE /~,d2~.?x~// TYPE L'7 SEEPAGE AREA TYPE
DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
ab ove des crib ed sy stem is in accordance with said code.~ff /
BATE /'~;~ V~//~ '/¢ ~/ APPLICANTS SIGSATURE .
!
[:~'~S(~I LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
6
7
8 -
)
/'
15
16
17
18
19 C. Rei~, Jr.
No. 225{.E
20
DATE PERFORMED:
SLOPE SITE PLAN
,I i !
(~' / ... ,:~ ' :. . i~
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
,
PERCOLATION RATE ~,~ (minutes/inch)
TEST RUN BETWEEN '~) FT AND 'FT
PERFORMED BY: ,r ~/?"'~:~' V
CERTIFIED BY:~ -r
72-008 (6/79)
i. i
GREATER ANCHORAGE AREA BOROUGH
HEALTH DEPAkTMENT
327 EAGLE STREET
ANCHORAGE, ASASKA~99501
CAS~ ~
This FcPm Reports a: Sozls'--~?"Log ~ t'ercola~'on Test
Depth '
Fec~ Soil Characteristics
~':, ,~ .... ~'~- ~V
Location Sketch
Reading Date Gross Time Net Time Depth To H20 1 Net Dro~
?reposed Instal~.t-idn{ Seepage Pit ~ Drain Field
Depth' Of Inlet Depth To Bottom' O'f"-'P'-it Or Trench- ' - '
CASE'
~L~erformed For~ Donald
This F"crm Re~or~s ' 5~' S~~'~'' ~ ~,.' .................. uoncD~r Acres
De et h
t Gray sand & silt mix
s~of clayey silt
6-- with scattered fine to
coarse gravel
Was Ground Water Encounter, ed? no
]!' Yes, At
Reading [;ate Gross Ti me
Location Sketch
,.Ne'~ Time Depth To H20 Net Drop
Dra:). n Fie,Ld
Propo:,;,ea ins :allatzo.q: See'page Pit;
;3ep'~h 05 ~Zniet ......
. ~85.square,, feet of draina e area '
_~~.:s req~._~ ..... 1~er bedroom.
Test: Pemformed By:~~~~
Data Certified By: National Testing Services, Inc.
Date:--- ' ....
ALASKA I FIUIROnmI FITAL COFITROL $1 RUICe$, IFIC.
I~n§ineefin9 ~- ~nui~onmental Studies
April 5, 1982
Steve Syvexson
SRA Box 1561U
Anchorage, Ak.
99507
Dear Mr. Syverson:
We checked the level of liquid /n the crib at the house
on ]Pt 9 b]Dck 1 Contour Acres. There is approximately 25% of
free space /n the crib. I would assume that this would be
approximately equivalent to one bedroom. One can't really
tell unless an adequacy t_.~Tc_ Js run on the c~ib.
As the system is relatively old, I would recommend that
additional trench equivalent to the ,]]eJmate size of the home
less one bedroom be installed.
If you have any questions please let me know.
Sincerely
1:220 LUest 25th Auenue · Anchoracje, Alaska 99503 · {907) 276-1361
550..00'
200 00'
c~>o~
0~0
0 ~ ~ TM 0 O_ '> ~ ~
0 3~00' 3G5,00'
zz¢.oo' -111 ,
I. · c oq ~
o= ~_ f~ ~1~
g ud~ ~ ~ 30aO0' 30500'
~m~mmm ~ m ~ ~ 0~09'30"~ 660,00'
c~ m~o o
~ ~m NOt SU891VlD5O
840.00'
50'