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HomeMy WebLinkAboutCORONADO BLK 2 LT 9LCI I ,1 G"CATER ANCHORAGE AREA BORO~'~,H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N.° 491 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS.~.~.~' ~s~.~.,.~./~,-_,~ ~"~/~,. PHONE~~ DISTANCE FROM WELL LIQUID CAPACITY //'~.~.~_~-~:::2 GALLONS. NUMBER OF ,? _ MATERIAL -"~".~7--''"~'~'-~-' COMPARTMENTS INSIDE LENGTH ,INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PiT: NUMBER OF PITS / LINING MATERIAL -~ ~' ~'~-~" / NEAREST LOT LINE OUTSIDE DIAMETER. ~ .OR WIDTH ~ ~ LENGTH ~2~:~ , DEPTH · DISTANCE FROM WELL ~:~/)~' ,"~.~:~ , BUILDING FOUNDATION/~J~., TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL / , FOUNDAT~ , NEAREST LOT LINE OF LINES NUMBER OF LINES / DIS.TANCE BETWEEN LINES ~ TRENCH WIDTH ~l?~"~k'~C TIV E ABSORPTION/~______ SQ. FT. LENGTH OF EACH LI~ ~/ DEPTH:.,~OP OF TILE TO FINISH GRADE DEPTH OF FILT EATH TILE IN. ABOVE TILE WELL: ~"'~"~"'"'/'~' / DISTANCE FROM ~ WATER TYPE .~"~'/~-J~-' ~ DEPTH ,, BUILDING FOUNDATION. SAMPLE ~(/"~') , NEAREST ~ NEAREST ~,..~"~S E P TI C /_.,~.~EEPAGE ~...--.-~- ~,.._..~.-. OTHER LOT LINE SEWER LINE ., TANK. SYSTEM , CESSPOOL , SOURCES~ DIAGRAM OF SYSTEM DISTANCES: .~ , " . . ../~-r/c ' ,., , '~ ~ ~' ' ' H~AL'I'H AUTHORITY Greal'Er ANChOrage Area BOrOUgh DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-65'O ANCHORAGE, ALASKA 99502 TELEPHONE SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION C-~· % LEGAL DESCrIPTiON ~--~/~ INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD PINANCED THROUGH TO BE INSTALLED ~Y SOil TEST RESULTS /~ ~/ /~ / COMPLETION DATE ANTICIPATED ~ ~ ~ ~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTB / FOUNDATION TO SEPTIC TANK I FOUNDATION TO SEEPAGE PIT / SEPTIC TANK , SEEPAGE Pit TO NEAREST LOT line. WELL TO SEPTIC TANK (~ DRAIN FIELD / WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ., SEEPAGE PIT DRAIN FIELD DRAIN FIELD / ~ / SEEPAGE PIT /~- ALSO CONS,DEr ArEA WELLS. · SEEPAGE PIT · DRAIN FIELD TO RIVER, LAKE, STREAM. DIAGRAM OF SYBTEM 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. OR LICENSED DESIGNER I CErtiFY THAT I am FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE area BOROUGH ORDINANCE N~O.~68 AND THat THE DESCRIBED SYSTem IS IN ACCORDANCE With SAID CODE.E~,~?~"-~//~7/ ~~ F~ ~'~~~~/~~~ DAT , APPLICANT'S SIGNATURE */ ABOVE ~ APPLIC NT FILLS OUT UPPER HAl "ONLY '~ ' Phone Lending Institution 4 Really Co. & A~nl ' Phone Address ~ ~ ~ Zip Code Type of Resi~nce ~ Single Family ultiple Family No. of Bedroo~ ther Water Supply ~ ~lvidual A~ACH WELL LOG. A w~l log Is required for all wells drilled since June 1975. ~ommunlty For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Se~e~isposal ~lndividual Year Indiv~ual Installed: ~ Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspeclor Inspector Field Notes: MUNICIPALITY OF ANCHORAGI~ RECEIVED ( ,,~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( )DISAPPROVED ( ) CONDITIONAL APPROVAL*. Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182) EXCAVATION ROBERTA. SHAFER WORK September 22, 1982 CIVIL ENGINEER 694-2979 Chandler Construction ATTENTION: Chris Brown SR t, Box 2782 Chugiak, Alaska 99567 Dear Mr. Brown, MUNICIPALITY OF ANCHORAGE [~?T C': ';T'I?I~ ~' ENVIk ,41, if, I;,. i,,o L- i-~ RECEIVED Reference: Lot 9t Block 2: Coronado SuBdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The seepage pit was charged with 1000 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated away. It can be concluded from this test that the waste water disposa system serving the four bedroom duplex located on this is currently functioning a~]e_~ely. However,' the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to call. S'i'/c/~r e~Y ' ~ SHA ~R, P.E. / / s/ss cc: ~laska Sutual Bank Ea~le River Branch Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA