The URL can be used to link to this page

Home My WebLink AboutCHALET TERRACE LT 8 GRE--'!ZER ANCHORAGE AREA BO' qUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: FROM WELL~'~'~'lJ " MANUFACTURER NUMBER OF ! INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH_ LIQUID CAPACITY/Z, .~O GALLONS. SEEPAGE PIT: NUMBER OF PITS __. DIAMETER __OR WIDTH LINING MATERIAL ?~2-~/~% ~' CRIB SIZE: DIAMETER BUILDING FOUNDATION ...~ , NEAREST LOT LINE /"7 ADDITIONAL ABSORPTION LENGTH , DEPTH DEPTH 0( DISTANCE FROM: WELL ABSORPTION AREA (WALL AREA FT. WELL:~._~ TYPE ~ ~ BUILDING FOUNDATION __, CESSPOOL APPROVED CONSTRUCTION NEAREST LOT L, NEt ~ (a , OTHER SOURCES DISAPPROVED ~ C° ',~ .~, ~J~-~ DEPTH DISTANCE FROM: NEAREST ~ SEPTIC SEEPAGE SEWER LINE TANK , SYSTEM REMARKS DISTANCES: INSTALLED BY: ~g'~g~L LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM ,12,0 \ \ DAT~(~ '~'~/ APPROVED _-~_/~ ~ G.A.A.B. SEWAGE DISPOSAL SYSTEM INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT. ~ DRAIN FIELD COMPLETION DATE ANTICIPATED GREATER ANCHORAGE AREA BOROUGH , DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO,- 3500 TurDoR ROAD VOUCH 6-650 ANCHORAGE ALASKA 99502 APPLICATION AND PER~IT OTHER NOTE; THIS PERMIT IS NOT VALID WITHOUT ~OIL T~ST pFI~MTT VAI Tll (~NF VI:AR FINAL INSPECTION~ HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SY~"I"EM WITHOUT FINAL INBPI[CTION BY TH~. MINIMUM DI~rANCE$, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~0 fee DaAIN FIELD [0 fi* FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL [5 ft , SEPTIC TANK 5 f~e . SEEPAGE PIT 20 ftc DRAIN FIELD ]0 DRAIN FIELD / ~ ALSO CONSIDER AREA WELLS. TYPE~t~.~] OT ~)nk':'."t"'RteSEEPAGE AREA SIZE WATER MAIN TO SEPTIC TANK 10 ftC, DaA'N FIELD 10 ft. SEPTIC TANK. 25 ~cte, SEEPAGE PIT 100 ft., DRAIN FIELD 50 ft.., TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF .......... TYPE 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. LICENSED DESIGNER DIAGRAM OF BYBTEM $[?T1C PIPE i~ITtl AIRTIGHT CRIB · '1 M:I; _/' CAPS -c/ ..... ~,,~ - .. '-x' .... ' '.':' 'Ii .' =':' :':":~ .. x ~.~:~ .... i: ',s~ % ~-////i/,.~~ cAs~ ~,o. . ,%1 . <.,,,,,,,,:,, AROU~D CRIB, undcr dr~veh'ay. TABLE ) SELf'ACE Pil EXCRVAT]0[I BASED 0N '~:LL~e S0[I. T[~T, 10 PIT- 100' TO FlY- 1~0' CAS~ ]ROrl CF,~ f l~6tl S[~Efi HOUSE CAST ]~NH~ : SEPTIC I'u,E s' \.--- 'TA.~ / fl1STt!PB[/...._~) "--'-----.-..! 4 If;CH /~CA~STIROHSIPIIONPIPE "'%~:j ~ SE[PAGE PiT __._.--~GRAYEL BACKFILL t;E~P[%T Lilt Lille , Grade: 2'.per IC3' except 10' prec~din tank & th&~ should not exceed ?:. 6' per 100 on fiat [er'rains. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMEN~..S OF GREATE~N~CHORAGE ARE~ BOR'~GH OR.DINANCE NO. 2.8.68 AND THAT THE ABOVE PerFormed For Lenal Qescrintion. Lot ~ Dlock This Korm ~enorts Soils Lo~ ~ll~ble ~ilders Oat~ Performed Subdivision ~et Oct h, 1972 Percolation Test nenth ~'eet Soil ~.haracteristics ~11%y %andy Gravel Coarse ,~andy Grav~! OW .-c Was Ground Water Enca~ntered? '~" I~ Yes, At what ~enth~ [i I~adinq i 9ate ! Grnss Time Net Time 9enth to H20 Net Dron erco on ate Hinute Pro~ose~ Installation. Seenaoe Pit y'~s Drain Field De~th of Inlet Denth To Bottom Of Pit Or Trench C~MMENTS: 85 sq, ft. dralnagearearequtredper bedroom No bedrock or wa~r table ~ fi, below seepage pit ' Test Performed By~~IL~~~. Data K L~b Maaa&er Certi fi ed By: co~Io~ ~ im~ ~ Da te: lO-q-T2 , DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~I4~;i~I~IPALITY OF ANCHORAGE""""""'"'"''"" 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH & '~qVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 FFB ~, r7 ~981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND Sl~j~(j:~ F~ DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten {10) days for processing, 1. PROPERTY OWNER PHONE Owen~olvn M. Moncev 344-9120 MAI LING ADD~{ESS - P. O. Box 10251. Anchoraae. Alaska 99511 PROPERTY RESI DENT (If different from above) PHONE ~TKne as above 2. BUYER PHONE Anthony & GR{] Hoover 248-4852 MAILING ADDRESS 692~ q~l 1 ~D3"tlC[C~., Anchorman. Al~.q~a 99502 3. LENDINGINSTITOTION ' - ' I PHONE MAILING ADDRESS :~10 E. Northern Z~_c~hts Blvfl., Anchoraqe, A~aska 9950J 4. REALTOR/AGENT I PHONE' Mary B. Power - TraDsa!~ska ~lty, Inc.I 276-4501 MAI LING ADDR ESS 1577 "C" Street, Anchoraqe, Alaska 99501 5. LEGAL DESCRIPTION Lot 8; Chalet Terrace Subdivision STREET LOCAIION NHN Ch~l et Court. Anchorage, Alaska 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] 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 **If individual/on-site, give installation date 1973 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~]Septic Tank or []Holding Tank Size: ' ~ ~-~;' If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX PERMIT NUMBER DEPTH OF WELL DATE DRILLED L. OG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER ~ MATERIAL Septic/Holding Tank 1Absorption Area Sewer Line [] OTHER INearest Lot Line 5. COMMENTS [~.~ APPROVED FOR ,~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) ALASKA enUIROllmenTAL CO[1TROL SeRUICe$, Inc. I~ncjinee]'incI ~- (~nuiranmental Studies MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 4, 1981 RECEIVED Al.,' S'T A'¥'EE~AN -:~ 31 () E: N 0 R'T H E R N L.. Z ;.'.; F.J 'T S AN~.,~" Or~.-.~ :,:. AJ'.", 99.3.;03 SiEL. i_.E:R - MONC;EY S LiE: D:[ V:[SZ ON-Ci-i AL.E T TERRACLE E:LOC?(-O L. O'¥- t":i T;-ilE '¥YF:'F.i: f.]'.:' AE:,c.~c)R;::'TION SY~3'I"!EM Z,.f.'.', A i::'Z'T NZTH 'T'i-iiE SYE~,'T'E:M :[E; C;~.*-.F'~E:LE: Oi"- ¢.~CCEF:'T.T. NG 600 E; ~ S E: D [J 1::' O N 'I' l-ilE T t-Z S'T D_"4 T ~4 'I" ;..i E: ,c; y S T ;E i'4 :I: ~; ¢'~ C C E F' T 4 l:!: E: ;:) F;: C) C) FI I..i [) i¥:., E ,.. 7' H !E ,c.; E ;::' T :I:C 'f ¢, N F( ~ ~ S I::' U i'd i:' E; D O N 3-- 4-... ~ I .,. C,. Reid, Jr. J'. 1220 U Jest 25th Auenue · An&oracle, Alaska 99503 · (907) 276-1361 CHEMICAL & G LOGICAL LABOR.4TORIES ~,,F ALASKA, INC. TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-3384 5633 B Street Drinking Water AnalySis Report for Total Coliform Bacteria TO BE COMPLETED~BY WATER SUPPLIER WATER SYSTEM: Water System Name Mailing Address I.D. NO. Phone No. City State Mo. Day Year SAMPLE TYPE: [] Routine I-I Check Sample (for routine sample with lab ref. no. D Special Purpose · ' zip Code [] Treated Water [] Untreated Water SAMPLE NO. LOCATION I I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube ~' Membrane Filter Lab Ref. No. I Result* I I I Analyst eno. of colonies/lO0 m or No. of Positive oort~ons READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Data Collected Source a.m. Lab. No. PresumPtlva 10mi 10mi 10mi 10mi 10mi l~ml 0.1mi 24 Hours 48 Hours Conflrmtory 24 Hours ,48 Hours , EMB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter RMults , . , :.:. %,<: · -.~ ~'~. Re~or tecl By : Broth 48 houri: 1Omi Tubas posltlv~frOtll 10mi POrtions Collform/10Oml BGB Date Collform/100ml GREATER ANCHORAGE AREA BOROUGH } Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR /~~, ,,~/, ,22f-~ Phone: 3. Legal Description: 4. Location: 5. Type of facility to be inspected ~~ No. of bedrooms~ 6. Well Data: A. Type ~<.~Y- ~ B. Depth ~ / C. Construction ~ D. Bacterial Analysis 7. Sewage Disposal System: ~--~ ~ A. Installed ~- /~-/~ B. Installer ~ ~ ~Zc/2- C. Septic Tank: 1. Size t ~-~ 2. Manufacturer ~,~7-~z~ D. Seepage Pit: 1. Absorption Area ~ 2. Material E. Disposal Field: Total length of lines 8. Distances: Septic tank.,~(~_'~ , Absorption area A. Well to: Nearest lot line , Other contamination B. Foundation to septic tank ~ , Absorption area C. Absorption area to nearest lot line / 7 ! /~_J ' , Sewer Lines EQ-034 (1/74) Page I of two pages 'GREAT£R ANCHORAGE ARL/, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of ~nspection: Prope'rty Owner: Mailing Address: Name of Duyer: Nailing Address: CMRO VA FHA Billy W. Martin January 10, 1975 CON V xx D,~¥ Phone 344-4159 MONCE%,. Printice M. & Gwendolyn M. 4503 Spenard Road Name of Lending Institution: Mailing Address: Box 4-2090 99509 Name of Realtor or Agent: Mailing Address: 3300 c st. 0ay Phone 279-8045 The First National Bank of Anchorage Phone 274-1521 Th6mas C. Da, y ~~_~ ~ Anch, Ak Phone 278-2525 Legal Description: Location: Lot 8 Chalet Terrace NHN Chalet Court Anch, Ak 99507 NO. Bdrms. 4 Type of Facility to be inspected: SFR Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served 1 If Individual, depth oi: well Sewage Disposal. System Type ,of S~stem: Public Utility If Individual, date of installation ~ndividual (on-site) Xx Page 2 of two pages - Req t for Approval of Individual S r & Water Facilities Legal Description Approved ~ ~ Disapproved Date Approval ,Valid for one year from date signed 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) 1. Approval requested by: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection Mailing Address: Property Owner: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ,~. ~. ~ ,,m..~-/'O Phone: 3. Legal Description: Location: No. of bedrooms 5. Type of facility to be inspected ~~~, 6. Well Data: C. Construction ~)./~. D. Bacterial Analysis 7.Sewage Disposal System:.~, C. Septic Tank: 1. Size /~,2~-'C) 2. Manufacturer D. Seepage Pit: 1. Absorption Area /~2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank :;~lJo~/, Absorption area /~,2~ , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank ~ , Absorption area C. Absorption area to nearest lot line ?~ EQ-034 (1/74) Page 1 of two pages 3330 'GREATER ANCHORAGE AR~/, BOROUGH Department of Environmental Quality "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO 2. Prope'rty Owner: Mailing Address: .\~ 3. Name of Buyer: ! Mailing Address: 4. Name of Lending Institution: Mailing Address: VA FHA [~', ~ ('] 1- . Da,~v ~I~EATE,R ANCHORAGE AREA I~OROUGH DEPT. OF ENVIRONMENTAL QUALITY CONV ,/. Phone ~',~,\< x'~- Day Phone ~).(~ .(~<. ~T~O .. Phone ~-~_~c~ 5. Name of Realtor or Agent: Mailing Address: Phone Legal Description: ~, _~-- Location: ~, ~-~.~,~ Type of Facility Water Supply Type of Supply: If Individual, If Individual, to be inspected: Public Utility number of dwellings depth of well Sewage Disposal' System Type .of S~stem: Public Utility If Individual, date of i.nstallation IndiVidual presently served Individual (on-site) Pa~ 2 of two pages - Req.~st for Approval of Individual S .er & Water Facilities L'e~a 1 Description Approved ~x~ (~_~v Disapproved al Valid for one year from date signed Date 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)