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HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 2 LT 3 oGRE/ 'R ANCHORAGE AREA BOF Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'GH INSPECTION REPORT ON-SITE SEWAGE DISPOS...~L SYSTEM SEPTIC TAI~K: DISTANCE FROM WELL //7 INSIDE LENGTH MANUFACTURER ~1~/OS~'it' MATERIAL C~~/~COMPARTMENTsNUMBER OF I INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/-~7 GALLONS. SEEPAGE PIT: NUMBER OF PiTS I DIAMETER __OR WIDTH /~-', LENGTHrT", DEPTH LINING MATERIAL~'~C', ~;~'~'CRIB SIZE: DIAMETER__DEPTH ~ DISTANCE FROM: WELL //"7' BUILDING FOUNDATIONZ~, NEAREST LOT LINE~~! TOTAL EFFECTIVE · ABSORPTION AREA (WALL AREA) 3~'g/~- SQ. FT. ADDITIONAL ABSORPTION WELL: BU I LDI NG N EA REST NEA REST SEPT lC FOUNDATION __, LOT LINE SEWER LINE , TANK __ II '7' SEEPAGE , SYSTEM //7 CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DiSTANCES:/~C -~ IIl',,,fj~, 117' DIAGRAM OF SYSTEM PIPE MATERIAL. LOT SLOPE: · I?' //'2 / L,/GG .~.A. B' ' - Form No. EQ-031 GREATER ANCHORAGE AREA BOROUGH ./ Department of Environmental Quality 3330 C Street INSPECTION' REpOR'r ~N-SITE SEWAGE DISPOSAL SYSTEPA NAME SEPTIC TANK: DISTANCE / / '7 FROM WELL INSIDE LENGTH NUMBER OF / ' /~ /;.A/OsC,~ Co tlc i"q__~ ~-~ COMPARTMENTS. MANUFACT?RER f' ~ MATERIAL , INSI DE WIDTH ... LIQUID I~EPTH LIQUID CAPACITYk-~ '~ O GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH }5, LENGTH/7., DEPTH LINING MATERIAL~~CRIB SIZE: DIAMETER~ BUiLDinG FOU,DAT~O, ¢,'-h NEAREST LOT UNE ~¢' ADDITIONAL ABSORPTION ,DEPTH b DISTANCE FROM:' WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE F~"/' V' ~( f(~, BUILDING FOUNDATION -- , CONSTRUCTION S~O"~d DEPTH ~[ ' DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINE , TANK //q/_, SYSTEM CESSPOOL APPROVED , OTHER SOURCES DISAPPROVED REMARKS DIsTANcEs:~.~,~' //7' /~: I/7' PIPE MATERIAL:OIl CaSt ?'~ LOT SLOPE: DIAGRAM OF S'YSTEM DATE q - !~; - ~."/ ^PPROV~O :'GREATER ANChOrAgE ArEA B O DEPARTMENT OF ENVIRONMENTAL QUALITY PERMit NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME Of APPLICANT INSTALLATION LOCATION legal DeSCRiPtiON INSTALLATION OF: SEPTIC TANK MAILING ADDRESS SEEPAGE PIT DRAIN FIELD . OTHER TYPE And SIZE OF FACILITY TO BE SERVED :J///~//~-*~'~-J~ /':~'~':~'~J'~/'~'~ ~ ~. ~J ~~ FINANCED THROUGH TO BE INSTALLED BY - _ . ~//~/~;'~ SOIL TEST RESULTS /~/~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST cO" PL~TI ON DATE A Nmi C ' PATED /r~ ~ 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. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE~r'~-'/C~~ TY~E ._r ?2/Z~ ~-~-7~.~--~ . SEEPAGE PIT '-';~) / , DRAIN FIELD seepage p,T /'Z'-~ z'? ALSO CONSIDER AREA WELLS. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ DRAIN FIEld SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT lINe. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPtiC TANK ~) ~ SEEPAGE Pit DRAIN FIELD ./~/? ., . , SEEPAGE PIT --~' DRAIN FIELD TO RIVER, LAKE, STREAM. DIAGRAM OF SYSTEM 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. G ,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 DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. FORM NO. E~I-016 o vJ~l! / / ,~:,i PROPOSED DWELL!NC LOCATION NOTE: It is tho contractor's responsibility to ehec Top oJ~ Foundation in rela[ionship to Finis Orado. Top o~ Foundation as indicated is commie of block above Finish I hereby certify that I have surveyed the following described property: Anchorage .Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the promises in question and that there are no ~oadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska thi~ ~7 r,~ day of ~~//7' , 19 2:'~ FRED WALATKA & ASSOCIATES Engineers and Surveyors GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561~~}~ Date Received ~~ Time of Inspection Date of Inspection Mailing Address: 2. Property Owner: Mailing Address: 4. Location: 5. 6. e Phone: Phone: Type of facility to be inspe~cted ~~ .~' ~ No. of bedrooms Well Data: A. Type ,___.~2~~ ' C. Construction ~// Z~.~.-..,(. Sewage Disposal System: B. Depth F(/~ ~ D. Bacterial Analysis .~J~-~'''-" C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: B. Installer ~ Size /~.~t--Z) 2. Manufacturer Absorption Area~o~>~/xzz~ 2. Material Total length of lines e Distances: A. Well .to: Septic tank 1/~' , Absorption area Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank..j~T_n/r, Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Rage 2 of two pages - Re~est for Approval of Individual ~.wer & Water Facilities Legal Description Comments Approved Approval ..Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) \~! I,i-m[v// Department of Environmental Quality ~"Y 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~ ~.,,_/~z~ ~ ~ - -: ~ ~~ ~ l~me of I~speCtSon .~~~ ~ ./ Date of Inspection · ~ ~-~~ ~ / REQUEST FOR APPROVAL OF . 1. gpproval 'requested by: Mailing Address: J/o 2 Property Owner: ~ Mailing Address: 3. Legal ~escript~on:~~ 4. Location: 5 Type of facili, ty to be inspected 6. Well Data: A. Type ~. B. Depth e C. Construction Sewage Disposal System:(~m-~(-~) A. Installed Y?7~ C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: D. Bacterial Analysis Size /'~.S~Z9 2. Manufacturer ~'~'~' ~'"-' ':',~ .- ~d~' ~"-~--~ .... Absorption Area ~L/ 2. Material ~>-."~?".~-.> ~,'~,..~...,': Total length of lines Be Distances: A. Well to: Septic tank , Absorption ar. aa !/"7 , Sewer Lines _, Nearest lot line B. Foundation to septic tank Other contamination ~ , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Rage 2 of two pages - R )st for Approval of Individual ter & Water Facilities Legal Description .... Comments Approved Disapprove~ Date C,~-"~J'''- Approval Valid for one year from date s~gned Greater Anchorage Area Borough, Department of Environmental 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 and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ~, GREATER ANCHORAGE AREA BOROUGH ..... · ,,. Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: Property Owner: Mai.ling Address: CMRO VA FHA CONV J Day Phone. Name of Buyer: -7'-~m/~r~ ~ ~, ~)~" Mailing Address: ~z'~i~_. . DaS Phone Name of Lending Institution: ~Xw ~'~?~ ~~ Mailing Address: ...~Ther~ ~ ~/~, ~.hone Name of Realtor or.Agent: ~~ Mailing Address: Phone Legal Description: Location: ~/~:~) Type of Facility to be inspected: =.~/~n~ ..~~ No. Bdrms. ~ Water Supply CJ Type,of Supply: Public Utility Individual ~ If Individual, number of dwellings presently served ,__/___ ~ , If Individual, depth of well ~ Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 ('~/74) 'GREATER ANCHORAGE AREf, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES · 1. Type of Inspection: CMRO 2. Property Owner: Mailing Address'; 3. Name of Buyer; Mailing Address: 4. Name of Lending Institution: Mailing Address: 31o 5. Name of Realtor or Agent: ~o~e Iqailing. Address: Legal Description:' Location: VA FHA CONV x×xx Thoma~ M. Petrunlc and Maureen L,. Pe.trj~.ni¢ PETRUNIC. ( owner build~) Oa~ Phone -~o ,o~ Oa~ Phone ,753 ~1223 . ,,Phone 27~-.763~ ext 44 Phone .... Lot,3~,,~lock 2 Birch Tree Estates Near Dearmoun Road and Buffalo ,Pro, pert,'¥ on 145th Ave. .Type of Facility to be inspected: Water Supply Type of Supply: Public Utility single famil¥ No. Bdrms. Individual xxx If Individual, number of dwellings presently ~served If Individual, depth of well ? Sewage Disposal'System Type oof S~stem: Public Utility If Individual, date of installation ..~.lx.%,.Au~u~ of 1974 Individual (on-site) x