HomeMy WebLinkAboutCORONADO BLK 2 LT 12C..Or-one. do
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GRE' 'ER ANCHORAGE AREA BO" 'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS PHONE
LOCATiON?OJ~14 ~f- ' ~l..J~ LEGAL DESCRIPTION L~Ip/Z' ~ f- ~CA~O
SEPTIC TANK:
DISTANCE
FROM WELL -- MANUFACTURER ~)~'~L¢.~ ,~'t~'~.e~.,'' MATERIAL
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /~'~0 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS __
LINING MATERIAL
BUILDING FOUNDATION 37'~'
DIAMETER ~' OR WIDTH iz~'
, LENGTH ~ ,~'
DEPTH
CRIBSIZE, DIAMETER__~DEPTH (j~/ DISTANCE FROM: WELL
I .~. TOTAL EFFECTIVE
, NEAREST LOT LINE ~' ABSORPTION AREA (WALL AREA) ~
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~-~
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH
SEPTIC
., TANK
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
LOT SLOPE:
REMARKS:
Form No, EQ~O31
DIAGRAM OF SYSTEM
DATE
APPROVED~P~/f.~
.A.A.B.
GReATeR ANChORagE Area BOROUgh
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAM E Of APPliCANT /~/~/t~ /~ [ [/~/~ ~/[/
INSTALLATION LOCATION ~/~//"'J ~'?//~'~ ~
MAILING ADDRESS
PHONE
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
FINANCED THROUGH
SEEPAGE PIT X , DRAIN FIELD OTHER
TO BE INSTALLED BY [ -*'~/ll:../ ~,~.~-
NOTE: TH/I'~PERM T I$ NOT VALID WITHOUT BOIL TEBT
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 DISTANCEB, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT Z~
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
, DRAIN FIELD
., SEEPAGE PIT~2//~/~P/ ., DRAIN FIELD
ALSO CONSIDER AREA WELLS.
DIAGRAM OF BYBTEM
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 § 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 BO~J~H REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE ~? /'~ /¢'7~ APPLICANT'S SIGNATURE ~/~
.o...o.,._o,, - I '
I~ECEIVED
1973
ANCHORAGE, ALASKA 99502
~REATER ,ANCHORAGE AJ~I~A
P e rl~t'~J'll~1-~[ ~^~l[~eter Haiberson
Legal Description: Lot 12 Block 2
This Form Reports Soils Log
Date Performed
Subdivision Coronoda
Perco l'a'ti 6n
June 12, 1973
Test
Depth
Feet
m
m
Soil Characteristics
Gray and Brown Sandy Gravel
(GW)
m
I0---
12--
1.4--
with Silty Gravel Lenses
brown from 5'
Was
If
Ground Water Encountered?_ No
Yes, At What Depth?
Reading Date Gross Time J Net Time j Depth to H20 , Net Drop
I .
! ' ,
Proposed Installation: Seepage Pit xx Drain Field
Depth Of Inlet Depth To Bottom Of Pit '~r Trench
COMMENTS:_lO5 sq. ff.o~drainage areais reau~ed per bedroom ---
N
ara ertl le y:
e
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received ,. Npv.mhp. ~ !977
Time of Inspection, _ ,ln.nn = m
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
CMR0
Approval Requested By: Peter Halverson
Address: St Rt. BOX 1124 Chugiak AK 99567
Prooertv Owner: SAME
Legml Description: Lot ]2, Block 2~ Coronado Subdivision
Location: Dawn Street & Coronado
Type of Facility to be Inspected:
Number of Bedrooms: FIVE (5)
6. Well Data:
A. Type CoFf~unity. water
C. Constructi on
7. Sewage Dts~osal System:
A. Installed 1973
C. .Septic Tank: 1.
D. Seepage Pit= 1.
E. Disposal Field:
Distances:
November 5, !973
Phone = 688-2] 15
Phone:
TRI-PLEX
B. Depth
D. Bacterial Analysis·
Be
Installer Polvefko
Manufacturer_ ~ack Ste~l
Material Loa
Size 1500 Gals2.
Size 98'x.12'~72.
Total. Length of Lines
, Absorption Area
A. Well To: Septic Tank
, Ne8rest Lot Line
B. Foundation to Septic Tenk
C. Absorption Area to Nearest Lot Line
20' , Other Contamination
"~ Absorption Area
, Sewer Lines
F(eq,mst for Approval of Inuzvfdual Sewer & Water Facilities
Page Two
Comments:
~/ , Aporova] Valid for One Year From Date Signed
~Greater Anchorage Area Borough, Department of F-nviro~mental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate representation of the subject sewer and water facilities located at:
Signed Date