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Home My WebLink AboutCREEKSIDE PARK #3 LT 38(]re ESiCl lO. ri<. $'D' Ns LB GP;ATER ANCHORAGE AREA BORO!~¢-,~ HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ADDRESS PHONE ~;~LEGAL DESCRIPTION ~% ¢"> . SEPTIC TANK: DISTANCE FROM WELL ( i:; 'TL~i " ' LIQUID CAPACITY //~-zt~ GALLONS. 7 MATERIAL INSIDE LENGTH NUMBER OF COMPARTMENTS / ~ '/ LIQUID INSIDE WIDTH __DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE OUTSIDE DIAMETER. ~'~ OR WIDTH // ,~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH /'~' / , , DEPTH , BUILDING FOUNDATION, SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA FOUNDATION ~T LINE DISTANCE BETW, f,,~E'~S TRENCH WIDTH ~,~'Q. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE (--~'/'7/~;/ /~/;~', DEPTH NEAREST LOT LINE SEWER LINE SEPTIC , TANK DISTANCE FROM BUILDING FOUNDATION. SEEPAGE SYSTEM WATER SAMPLE , CESSPOOL , NEAREST OTHER , SOURCES DISTANCES: --2,(:L :.=/_¢'" DIAGRAM OF SYSTEM DATE APPROVED GAAB-H D-2 ~, GREATEL~ANCHORAGE AREA _ZROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case N o. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY "'" ' FINANCED THROUGH /'~'/"/~"- , su,'rs MAILING ADBRESS~4 ! ~' PHONE NO. LOCATION OF'INSTALLATIO~' ~ ~B'~ ' '"' ,i;, "" ,, *' , SEE"A~E PIT ~'~ , O"AIN~FIELO ¢- ', OTHER ANTICIPATED DATEOF COMPLETION~4~ ~7~ge BELOW TO BE FILLED OUT BY HEA,LTH DEPARTMENT THIS IS TO SERVE AS /,4e., ~ppe PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO/.BE SERVED . SE~IC TANK SIZE ]~0 TYPE~SEEPAGE AREA ~ TYPE DISTANCES: u-/7/T~,/ /..~¢7~",j~":,DIAGRAM OF SYSTEM / ~ .,althAuthority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. OATE /~///~ APPLICANTS SIGNATURE ~..x--~.~ ~-~ ~"~._ ~::~¢-~ ~x~~ i i .~ MUNICIPALITY OF ANCHORAGE . DEPARTMEN,,..,OF HEALTH AND ENVIRONMENT, ~PhuTECTION i 825 L Street, Anchorage. Alas~-~ 99501 ' :"' C~.'~ 264-4720 ~ /ytia~a~ i~.lq~ Date Received: October 12, 1977 #1: Time #2: Tim~ #3: Time Date Date Date REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage Mailing Address( Post Office Box 4-2090 99509 Phone: 274-1521 Property Owner: John T/Harbetta C. Chihuly Mailing Address: 7400 Old Harbor Avenue 99504 Phone: 276-2233/wife 3. Legal Description: Lot 38 Creekside Park Subdivision #3 4: Single Family Residence: ~) Multiple Family Residence: ( ) Number of Bedrooms: Number of Bedrooms: Three Se Well System: Permit # Construction Individual well ( ) Community/Public System ( ~ Depth of Well Well Log on File ( ) Bacterial Analysis Sewage Disposal System: On-site System ~ ) Public Utility Permit # Installed 1969 Installer Septic Tank Size i,~"'"~ ("li~AI ~t?,~,% Manufacturer Absorption Area ~-~/&~i]' Soils Rate 9~ Material I~ 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Municipality of Anchorage DEPARTlk_.~,T OF HEALTH & ENVIRONMENTAL PRG.._..qTION" ~..~ ~,. ,, POUCH 6-650 ANCHORAGE, ALASKA 99502 ~' 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES [] VA [] F.H.A. [] CONV/ref~ i" ..... ~ 3. LENDING INSTITUTION 4. REALTOR OR AGENT ~ :i First ~-~ational Bank of Anchorage , ~: P.O.._qox ~-2090 ~_ ~O~TE Anchorage, Alas]~a 99509 5. ~ O~ner 6. BUYER ...~i,..,:: Job~n T. & Harbetta C. ChJ_huly '.,: ~.i!: ,~'.i'.'::~.!:~i 7400 Old F~rbor Ave. Anchorage, A3aska 99504 ,:,~ · ~' i (wife) 276-2233 ?~ ~i,. 7. LEGAL DESCRIPTION S. LOCATION/STREETADDRESS LOt 38, Creekside Park S/D ~!3 7400 Old ~arbor Avenue, 9. TYPE OF DWELLING 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM [] SINGLE FAMILY RESIDENCE 3 DORMS [] PUBLIC UTILITY [] PUBLIC UTILITY [] MULTI-FAMILY RESIDENCE DDRMS [] PRIVATE ON-SITE [] ON-SITE 1969 YEAR ~NSTALLED INSTRUCTIONS TO REQUESTOR 1. Complete Items ] to 1] above 3. Se.d to address above 5. Response will be returned to lending 2. Remove the carbon 4. Please allow ]0 days for processing institution DATE RECEIVED DATE OF INSPECTION TIME OF INSPEClION INSPECTOR TYPE DEPTH YEAR DRILLED PERMIT REFERENCE ~ FT. ~ CONSTRUCTION BACTERIAL ANALYSIS LAB REFERENCE NO. YEAR INSIALLED INSTALLER TANK SIZE MANUFACTURER ~ DIMENSIONS CRIB CONSIRUCTION [] mT o TOTAL LINE LENGIH TRENCH DEPTH GRAVEL DEPIH ~- [] DISPOSAL "' FIELD ~ FT. FT. FT. TOIAL ABSORPIION AREA PERMII REFERENCE SQ. FT. 72-010 (11/76) ~ag~' Two ~' -- Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 38 Creekside Park Subdivision ~3 Comments: Affadavit Attached: (') Letter Attached: ( ) Approved: Disapproved: Date: Date: Department Worksheet: R&M CONSULTANTS, INC. 5024 CORDOVA · BOX 6087 E ANCHORAGE;, ALASKA 995C, 2 · PH. 907-279-0483 · TLX. 090-25360 ENGINEERS GEOLOGISTS PLANNERS SURVEYORS November 8, 1977 R&M No. 751541 John Chihuly 7400 Old Harbor Avenue Anchorage, Alaska Subjeot: Adequacy Test on Existing Sanitary Sewer System, Block 38, Creekside Park Subdivision, Anchorage, Alaska Dear Mr. Chihuly: On November 7, 1977, we conducted a test of the septic system on the above described property. During the test, the liquid level in the septic tank was monitored through the standpipe as 150 gallons of water were added to the system. The following table summarizes the measurements. Time Liquid Level Below Top of Standpipe Meter Reading In Gallons 3:04 5.12' 10905 3:09 5.20' 10930 3:17 5.30' 10955 3:28 5.30' 11005 3:42 5.30' 11055 3:52 5.30' 11055 If the three bedroom residence on the property is to house six people, the average load on the system can be expected to be 450 gallons per day or 0.31 gallons per minute. During the test, the system accepted 150 gallons in 38 minutes. This indicates an effluent acceptance rate of approximately 3.95 gallons per minute at the time of the test. Since the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. The standpipe for the leach field could not be found and the configuration of the system is unknown. We conclude that the system is apparently disposing of effluent at an adequate rate for a three-bedroom residence. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA November 8, 1977 Mr. John Chihuly Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or this letter or if we can be of additional service. Very truly yours, R & ~ CONSULTANTS, INC. Gary. S. Smith Senior Geologist Jim McCaslin Brown, Ph.D. Head, Earth Science Department GAS/JMB/gld Ir'mm Ap~'oved ~'d~3 ~ U.S. DEPARTMENT OF I~OUSING AND URBAN DEVELOPMENT v' ~dget Bureou No, 63-11296.1 , i958 FED~RAL HOUSI~GADMINISTRATION ~ HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.~TO BE COMPLETED BY FHA -~NSURING OFFICE MORTGAGEE SERIAL NO. M~GA~R ~ S~N~OR PR~ER~ ADDRESS SU~IVIS~ON N~ ~K NO. LOT TOTAL ~M~: ~E~ ~ ~eW ~S~g~JO~ e~l LIWNG UN~TS ~O~OMS I&mS~ (If Yes, ~w WA~SU~Y BY: ~ SYS~ ~ I. I~blic system ~ ~i~ system ~ Individual ~. o, ,~. e.~ ~AGE DIS~SAL BY~ PART fl.--TO ~ COMPLIED BY HEALTH DEPARTMENT HEALTH ~PART~ INSK~OR'S ~CH _~_ _~ .... _ ~ ~ ~ ..... ~ , ~ ~_~' ~ ........... ~ ~ ..... ~ ~ ........ ~ -- ...... ~--~&~w-~ ...... ~ ~---- ~ ...... ___. ~--- m .... . ..... ~ ~ ..... ~- -,~- .~ ~ ..... ~ , ...... ~ - ~ ..... ~---~-_~--~ _. ~ .__ ..................... ...... ~ ~ ~ ~-- It i~ the opinion of ~e ~ S~te ~ Coun~ ~~ ~partment of Health that this individual water-supply ~V*tem ~ i~ ~ is not ~ati~hctory a, a domestic water ,upply for the ~ubj~t proart. ~.~ /~ It i, the opinion of the ~ Sm~ ~ County ~al D~pa~ment of Health that thi~ individual sewage-disposal ~- tern with proper ~intenance: ~ ~ exp~ to ~nction ~ti~fa~orily, ~d ~ Onnot be ex.ted to run.ion ~ati~h~orily i~ not likely to c~ate an in~anit~ condition ~A~ J SIGNA~RE . , 1T~E spoc~ Provided. Use of the above g~d ~or Health Department Inspector's sketch as well as use of the bock of ~is form Is at the option of h~ aurora. PART III.~R USE OF FHA OFFICE TO ~E CHIEF UN~RWRI~R: [ h~ve r~i~ the ~re~oin~ ~nd the ~inem FHA Com~li~ce ]risk. ion ~e~, ~nd ~o~end chGc Zndividu~ w3cer-suppZy syscom ~ conside~ ~ Acc~blc ~ Noc Acccp~bZe ~ dis~l ~ c~sidemd ~ Ac~ble ~ Not Accep~ble.