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HomeMy WebLinkAboutCHALET TERRACE LT 1 G~'a, TER ANCHORAGE AREA BOROP~'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 520 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PHONE SEPTIC TANK: DISTANCE FROM WELL I~)ql MATERIAL NUMBER OF / ~,~PA RTM ENTS WIDTH D SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS /' OUTSIDE DIAMETER NEAREST LOT LINE /cf /7 OR WID . LENGTH , DEPTH · DISTANCE FROM WEL UILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT, TILE DRAIN FIELD: DISTANCE FROM WELL ~""'"'"~'~ , FOUNDATION , NEAREST LOT LINE NUMBER OF LINES DIST~ TRENCH WIDTH ABSORPTION AREA. SQ. FT. LENGTH OF DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATER"I",~,,,,~ENEATH TILE WELL: TYPE ~r~5~/oSe4 ~L~//I'(4 NEAREST SEWER LINE LOT LINE DISTANCES: DISTANCE FROM WATER ,/~U~_~J~J~J~J~J~J~J~.I~C/~F~:~N D A T I O ~AM P L E SEPTIC/~'"~~ ,v/~:~J~,'~ ~JEEPAC~'~I/~.~ ~/ , TANK ~ l! '~SYSTE~/I~_______..~'~CESSPOOL DIAGRAM OF SYSTEM TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE__ NEAREST OTHER SOURCES '-HEALTH AUTHORITY GREATER ANCHORAGE AReA BOROUGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-6510 ANCHORAGE. ALASKA 99502 TELEPHONE 279-8~i86 '7~ SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT MA~L] NG ADDRESS inSTallatiON OF: SEPTIC Tank ~ SEEPAGE Pit ~ DRain FIELD OTHER tYPE aND SIZE Of facIIITY TO BE SERVED, SOil TEST RESULTS ~~'~ (/~/ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORI~ WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ~ YP MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK '~ DRAIN FIELD FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK / "i * SEEPAGE PIT , DRAIN FIEld TO NEAREST LOT WELL TO SEPTIC TANK ' SEEPAGE PIT WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD /~.., ~r' SEEPAGE Pit d0 , , DRAIN FIELD 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 DIAGRAM OF SYSTEM CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. /J' .55~5 HEalth AUThOrITY ' OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ~AGE AREA BOROUGH~ORDINANCE NO. 28-68 AND THAT THE ABOVE DATEDESCRIBED?~SYSTEM~/~IS//~/IN ACCORDANCEAPPLicWITH SAID CODE. -~~7~--~ ~~. ~~ ~ - , ./ , / ANTS SIGNATURE  ~/ ~C.;]ORAC, E, AI,A,qKA 99S01 Pc. ri:or, meal For v.. ~... ,-- ? ~- ..... Date Performed L~.gai Description: Lot~ [:lock 6ubc',lvi~ic'n .... -'~ - T~,is Fcrm Ee~o~.ts a~o~Lo~ - ~ -Pcrcc)lot~n '~: ~ / ..... ~ . . Depth Feet Soil ~Z~eristics Location Reading Date Was Ground Water i~ Yes, At what Depth Gross Time ~.o, /Io 79 ~---'----- ..... }'roSe.ed lnstali~t-~c3n':-S,:~e~,afe P.{lt Dra~n ?ielO , Test Performed Data Certified By:~~~ ' ~" ! E RECEIVED INSPECTION APPOI NTM ENTS TIME. TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCH©RAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I-!EPL?i-i &  825 L Street - Anchorage, Alaska 99501 ENVIRONMENT,~L ~, :~ ~ECTION ~ ENVl RONMENTAL SANITATION D WS ON Telephone 264-4720 ~l~fi~TIOffiS: Complete all Oarts on pa~e 1. Ineom~loto r,quits ~ill not b* pro~e~,d. Please allo~ ten {10} dags for processing. MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2 BUrR ~ PHONE , 3. LENDtNGINSTITUTIO~ ~ PHONE MAILING ADDRESS 4. REALTOR/AGENF~/2 ~ ~~ ~. ~/~ ,; .~ ~'t PHONE MAI LLNG ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other j2r¢ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY /,¢ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OFBEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tanker [] Holding Tank Size'. /L-~(~~(~J If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED (~ ~ ~ ( INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line MATERIAL ~_ Septic/Holding T~on Area lSefNer Line Nearest Lot Line 5. COMMENTS )ATE lY/APPROVED FOR __ L~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) E~] DISAPPROVED]BY~__ ~ 72-010 (Rev. 6/79) - / u cipali Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 (3EOf?GE M. SULLIVAN, ~71,',,Y O f/ I)E!)ARTM~:NT OF HEAL'FFI AND ENVtRONMENTAI. Pt~OTECTION August 31, 1981 Jean-Paul Billaud % Bob Shefield Century 21 - Shennum Realty 209 West Dimond Boulevard Anchorage, Alaska 99502 Subject: Lot 1 Chalet Terrace Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (2) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The standpipes to the sewer system need to be raised above ground level. This will need to be re-inspected after it has been completed. .)(3) The septic tank pumped with a receipt submitted to this office. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw ALASKA i r'lUlROr'lml rlTAL COFITROL $1 RUICI $, IRC:. I~nclin¢¢rinc1 F., I~nuironmentcd Studies 10/2/81 MUNICIPALITY OF ANCHORAGE DEPT. OF H[ALfrt & ENVIRONMENTAL pROTECTiON OCT 6 ~981 RECEIVED JEAN ' PAUL ~TT,LIUD SRA BOX 2399-M ANCHORAGE AK 99507 SELLER - JEAN' PAUL ~TT,T,IUD SUBDIVISION-CHALET TERRACE ADEQUACY TEST FOR S~NER SYSTEM ~ TYPE OF ABSORPTION SYSTSM IS A PIT WITH AN AREA OF 456 SQFT. ~ SYST~4 IS CAPABLE OF ACCEPTING 450 GAT.TONS OF WATS~ PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 489 GALLONS. BASBD UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROCM HOME. THE SEPTIC TANK W~S PUMPED ON 10-1-81 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 m~-DROC~ HOUSE. 1000 1220 Lgesl 25th Auenue · J~nchoracje, AI,ska 99so3 · [907) 276-1361 ' DATJ~ RECEIVED INSPECTION APPOINTMENTS "~ ~'1'1 ME TIME TIME DATE DATE DATE I NSP EO'gg, R ' -- ' INSPECTOR INSPECTOR '4~)'5£'~ ~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF IUALTH &  DEPARTMENT OF HEALTH & 'ENVIRONMENTAL PROTECTIOIB~VIRONMEN]r:,L ;, r :. TSCTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION JAN $ I 1980 Telephone 264-4720RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. incomplete requests will not be processed. Please allow ten (10) days for processing. JPHONE 1. P.OPERTYOW.ER a _ Uu PROPERTY RESIDENT (If different from above) PHONE MAI LING ADDR ESS PHONE 4. REALTOR/AGENT PHONE MAILING ADDRESS STREET LOCATION [~ i,.,,.. ,,~ ,.e~ ~,~.; _ (O ~. [¢;: 6. TYPE OF RESIDENCE X SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE*~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] TWO [] THREE [] FIVE [] FOUR [] SiX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] IN DI VI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank o.r i-qHolding Tank Size: I ~)~)O If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER ,~,,~ , ~ Septic/Roldin§Tank IAbsorptionArea 1sewer Line INearest Lot Line 5. COMMENTS ~]'"' APPROVED FOR ,.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)