HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 19
GREI
-:R ANCHORAGE AREA BOR' 'IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~':-~-'~> ~'~,,~J,~'~'~Z.~ MAiLiNG ADDRESS f/~/~-.~-/~J~-~7~/~PhOne~?
LOCATION ~//~/~ ~//~-~ LEGAL DESCRIPTION
DISTANCE / /~-'~ NUMBER Of
FROM WELL //-~ MANUFACTURER~~/'/~-/~ MATERIAL ~/_2/~'~E'-~--~-~ COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH ~-- / / "~ -
LIQUID DEPTH ~' LIQUID CAPACITY J> ~2~7. GALLONS.
NUMBER Of PItS __
LINING MATERIAL
BUILDING FOUNDATION ~
ADDITIONAL ABSORPTION
DIAMETER I OR WIDTH__
CRIB SIZE: DIAMETER__
, NEAREST LOT LINE__
, LENGTH__
, DEPTH
.DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
' SQ. Ft.
WELL:
TYPE .///~/~///~//~/~- CONSTRUCTION ~/~-~-~ DEPTH ~
BUILDING . / NEAREST NEAREST ~ ~, SEPTIC
FOUNDATION~?~;~, LOT LINE ///2 ~ SEWER LINE~ TANK
DISTANCE FROM:
SEEPAGE
SYSTEM j4.~///
C ESS PO 0 L//f~/~~, OTHER SOURCES
APPROVED
DISAPPROVED
INSTALLED BY: ~P
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM Of SYSTEM
DATE ~//Z:'./~ APPROVED
G.A.A.B.
GREATEr ANCHORAGE ArEa Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM I' APPLICATION AND PERMIT
PERMIT NO.
LEGALDESCR'PT,ON A./ /? /S /
MAIL,.G ADDRESS
INSTALLATION OF: SEPTIC TANK ~
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT
TO BE INSTALLED BY
DRAIN FIELD _~/ , OTHER
NOTE; THIS PERMIT IS NOT VALID WITHOUT BOIL T~BT
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 DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ /
FOUNDATION TO SEEPAGE PIT ~/'
SEPTIC TANK TO SEEPAGE PIT WALL --~/~/~ /
DRAIN FIELD
SEPTIC TANK . SEEPAGE PIT ., DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPT C TANK (~ , SEEPAGE P,T )~
WATER UAIN TO SEPTIC TANK /4~/''''/'' SEEPAGE PIT)--//-'/ /' DRAIN FIELD //~/j .
TO RIVER, LAKE, STREAM.
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.
O.A ,A ,B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
ERE/ R ANCtIORAG[ AREA BOROUGH
DEPARTI,~ENT OF ENVIRONMFNTAL QU~LI,,
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case
Performed For Leo Sawyer (Mt. Galley) Dated Performed__May 31, 1974
Legal Description: Lot_ /P' Block ./ Subdivision Birch Tree Estates
This Form Reports Soils Log_ X Percolation Test__
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet
2--
3--
4--
5--
Soil Characteristics
10--
11--
12--
13--
14--
Large cobbles
Coarse gravel and silty sands
Medium-to-fine gravel with
clay and silty sand
-i
GW
ML
GW-ML-CH
Was Ground Water Encountered? No
If Yes, At What.Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field X
Depth of Inlet Depth to Bottom of Pit or Trench
COMMENTS: Based on BOrough requirements and regulations, we recommend 230 sq. ft.
.Der bedroom.
Date Certified BY:
Date'
Test Performed BY ]ohn]ameSon
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P
MUNICIPALITY OF ANCHORAGL
~~ e ' P~°te~'i~~' /?' ,i',:.
D partment of Health and Envzronmental , ~., ,~
~'~~\t 825 L Street, Anchorage, Alaska
264-4720
· ~~equest for Approval of Individual Sewer and
e
1. Property Owner:
Mailing Address:
Name of Buyer: ~
Mailing Address:
Water FaCilities
Phone
Phone: Z?f ~g'/
Lending Institution:~O. Rk~t ~p¥~q.~q_ clq5o~
Mailing Address: 320[ C 51r~ q~,{~"t', ~0 ~C Phone:
Realtor/Agent: ~0~- ~" ~-~'"m" l~'
Mailing Address:
Phone:
Legal Description:
Street Location:
/
Single Family Residence: (¥)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Water Supply: *Individual Well
If Individual Well, well depth
Public/Community System
If Community System, name of system
( )
Sewage Disposal System: *~n-site System (~ Public System
If On-site System, date of installation: ~ I~ Q%'
( )
*NOTE:
A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77
February 21, 1978
Lloyd E. Galley
Star Route AB ox 326E
Anchorage, Alaska 99507
Lot 19 Block I Birch Tree Estates
Thew ell on the subject property is approved by this
department. The water analysis is fine of coliform
bacteria.
Although the well is approved, this letter wilX not
serve as a full comprehensive approval until the se~er
system can be approved.
If there are any further questions, please contact this
office at 264-4720.
Sincerel~,
Robert C. Pratt,
Sanitarian
Jan Vorhels
4208 North Star Drive 99503
Spokane MortgageCompany
3201 C Street, Suite 2t0 99503
Type of Inspection:
Property Owner:
Floyd Gailey
Mailing AddreSs: SRA Box. B26-E Anchorage _~ay Phone
Alaska 99507
Name of Buyer: ....
mREATER ANCHORAGE ARE,', BORLu~H
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-.~56,t~i,.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
CMRO VA FHA ..
279-9461 Ext,!'
232
Mailin§ Address: Day Phone
Name of Lending Institution: National Bank of Alaska
?.O..Bo× 3-3859
Mailing Address: /h~chorage,. Alaska 9950~hone 279-2506
Name of Realtor or Agent: n/a
Mailing Address: Phone
Legal DescriptiOn:. Lot 19, Block i Birch Tree Estates Subd.
Location: Up DeArraon Road
.Type of Facility to be inspected: single family
No. Bdrms.
Water Supply
Type of Supply: Public Utility
Individual xxxx
If Individual, number of dwellings presently served
if Individual, depth of well
Sewage Disposal'System
Type .of S)stem: Public Utility Individual
If Individual, date of installation
(on-site)
Nr. Gailey said he had already gotten the sewer approval .... pleaSe
double check this for us.