HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 2 LT 3
oGRE/
'R ANCHORAGE AREA BOF
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
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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