HomeMy WebLinkAboutFIREWEED HILL BLK 2 LT 2l 32- GREA- :ANCHORAGE AREA BORe' 'H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWA-G~DiSpOSAL SYSTEM LOCAT,ON~:'Ck ;~, ~ ~ .LEGAL DESCR,PT'ON t~r~, ~/~i~, SEPTIC TANK: DISTANCE FROM WELL /~)/¢) /~'"'~MANUFACTURER NUMBER OF ~. MATERIAL ~T~-.,~ ____ COMPA RTM ENTS~ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. DISTANCE FROM WELL /~'' FO~,DATION .NEAREST LOT LINE TOTAL LENGTH __OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE __ SQ. FT. LENGTH OF EACH LINE _ DEPTH OF FILTER MATERIAL BENEATH TILE __IN. ABOVE TILE IN. WELL: p,. LL_ CONST RUET,ON 4A BUILDING NEAREST NEAREST FOUNDATION__ LOT LINE ___, SEWER LINE ~J.._, .... DEPTH SEPTIC SEEPAGE TANK /~ . SYSTEM DISTANCE FROM: CESSPOOL _ OTIIER SOURCES APPROVED ~ISAPPROVED ....... REMARKS INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: ~ LOT SLOPE: '~ ~g) p~--'" DIAGRAM OF SYSTEM DATE APPROVED G.A.A.B. Form EQ-032 ~ERMIT NO. APPL I CANT JAMES LOC~K~AR....._~,D LOCATION MICHIGAN AVENUE LEGAL L2 B2 FIREWEED HILLS SUBD FILII'-I I (-: I F~ L I T'~' OF RNCHr DEPARTMENT O, 2RLTH AND ENVIRONMENTAL F ,'ECTION 2510 E. TUDOR RD., ANCHORAGE, AK. ON--SITE SEb~ER PERMI]- ) LOT SIZE i~2OO Sg~UARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MA>',IMUM NUMBER OF BEDROOMS = 5 SOIL RATING (SQ FT/BR>= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:'ER'I-H= i6 LENGTH= 27 GRAVEL DEPTH= 12 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND 8ND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI~.U I RED SEPT I C TANK S I ZE= 1500 GALLONS BACKFILLING OF 8NY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PE[~:PI I l' VRL I D FOR ONE YERR FROM ISSUE I CERTIFY THAT '~: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. ~PPLICANT JAMES LOCKARD .......... MUNICIPALITY OF ANCHORAGE DEPARTMEN 3F HEALTH AND ENVIRONMENT. PROTECTION 825 L Street, Anchorao~. Alaska 99501 264-4720 Date Received: March 2r 1978 #1: Time %\'__~%~ a.m. #2: Time ~3: Time Date 3.9~78 (~%~ Date Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: A~aska State of, Veteran's Administration Mailing Address: 907 West Northern Lights Blvd. Phone: 2. Property Owner: Mailing Address: James E./Barbara J. Lockard Box 1754L Star Route A 99507 Phone: 349-1077 3. Legal Description: Lot 2 Block 2 Fireweed Hill Subdivision 4: Single Family Residence: ( Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Five Se Well System: Permit # Construction Individual Well ~ ) Community/Public System ( ) Depth of Well 268' Well Log on File ( ) Bacterial Analysis 0 Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System $~ Public Utility ( ) Installed upgrade '7~nstaller ~O~ Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line MUNICIPALITY OF ANCHORAGE ' Department of Health and Environmental Protection¢p'~f~>~ 825 L Street, Anchorage, Alaska 99501 of Indzvldual Sewer and ,~ '--!,~:~quest for Approval ' ' Water Facilities 2~ Property Owner: Mailing Address Name of Buyer: Mailing Address: Lending Institution: Mailing Address: Realtor/Agent: Mailing Address Phone ,/L'/9-~ ,~tz- 7- ~'''' Phone Legal DescFiption: Street Location: Single Family Residence: ( ) Number of Bedrooms: Multiple Family Residence: (~ Number of Bedrooms: Water Supply:~ * Individual Well (~) If Individual Well, well depth ~ Public/Community System ( ) If Community System, name of system Sewage Disposal System: **On-site System (~) Public System ( ) If On-site System, date of installation: /~Y~--g~ / ~/¢ *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 Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 Block 2 Fireweed Hill Subdivision Comments: Affadavit Attached: Disapproved: Letter Attached: ( Date: Department Worksheet: RECEIPT FOR CERTIFIED MAIL--30~, (plus postage) SENT TO STREET AND NO. -- ' -- POSTMARK OR DATE P.O.. STATE'AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN ~ 1. Shows to whom and date delivmred ........... With delivery to addressee only ............ $5d RECEIPT 2. Shows to whom, dote ood whore dellverod 35¢ SERVICES With delivery to addressee only ............ 85d DELIVER TO ADDRESSEE ONLY 50~ SPECIAL DELIVERY (extra fee required) PS Form 3800 NO NSURANCE COVERAGE PROVIDED-- Ap,*. ~',?) NOT FOR INTERNATIONAL MAIL GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received November 5, 1976 Time of Inspection Date of Inspection //-~?~ /~~ ? REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 4. 5. 6. Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Alaska Mutual Savings Bank Post Office Box 1120 James E. Lockard Star Route A Box 1754L 99507 Lot 2 Block 2 Fireweed Hills % Chris Anderson Phone: 274-3561 x 235 Phone: 349-1077 O'Malley Road to Livingston, turn right onto it, then end of rd. Type of facility to be inspected Duplex Well Data: A. Type Individual ~p~/~_ C. Construction /~ , ~.__ Sewage Disposal System: On-~lte ByBtem A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line No. of bedrooms 1. Absorption Area Total length of lines B. Depth D. Bacterial Analysis B. Installer Size~dP~9~> 2. Manufacturer 2. Material Sewer Lines , Absorption area , 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 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: VA FHA CONV '~,', ~.-'1 q77 Mailing Address: q?,A ~:<,-~ '175/~T. .^m?~n,"n-,f, ~'qr~7 Day Phone: 3. Name of Buyer: Mailing Address: 4. Name of Lending institution: Mailing Address: ~,.n. 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Day Phone: .A.];~f?';I 'ltt-u~i ',i~v.]~,~; l~,,'tl~1 ..... Phone: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: o 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) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION NOV 0 5 1976 RECEIVED 72-003(3/76) Page 2 of two pages -Rec, t for Approval of Individual S r & Water Facilities Legal ~escription Lot 2 Block 2 Fireweed Hills Comments Approved ~/~~ Disapproved Date ! App~e~al ~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) GREATER~.4~HORAGE AREA BOROUGH ~ Departmen~q/~6f Environmental Quality Street~chorage, Alaska 99503 274-4561 ~/~7 Date Rece' d April 26, 1976 Date of Inspection //,' lA- ~{X~, REQUEST FOR APPROVAL OF ~/0. INDIVIDUAL SEWER FOR & WATER FACILITIES Conv. l. Approval requested by: National Bank of Alaska % Jerri Reese Mailing Address: Post Offc Box 3-3859 Phone: 279-2506 2. Property Owner: James E. & Barbara J. Lockard Phone: 349-1077 Mailing Address: Star Route A Box 1754L Legal Description: Lot 2 Block 2 Fireweed Hills Subdivision Loca ti on: O'Malley and Livingston Type of facility to be inspected Well Data: Individual Singler Family No. of bedrooms A. Type C. Construction Sewage Disposal System: A~ Installed C. Septic Tank: 1. B. Depth D. Bacterial Analysis On-site system B. Installer Size ~d-~9 2. Manufacturer D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 1. Absorption Area Total length of lines , Absorption area , Other contamination C. Absorption area to nearest lot line 2. Material Sewer Lines , , Absorption area LQ-034 (1/74) Page 1 of two pages REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CHRO VA FHA COHV xxx Prope'r~y Owner: James E. Lockard & Barbara J. L0ckard M a i 1 i n g ' ' Aadress: SRA Bo× 1754T, Da.y_ Phane 349-1077 Name of Buyer: Royce K. & Deborah Mueller f-iai!i~g Address: 6141 E. 12th Ave. D2~/ ~hO~le 337-1730 Name of Lending IJ]stit~'~jO~: National Bank' of Alaska Mailing Address: P.O. Box 3-3859 Phone 279-2506 5, Name of Realtor or Agent: N/A Mailing Address: PLEASE MAIL REPORT TO National Bank of Alaska. P.O. Box 3f3859 Anchorage, Alaska 99510 Legal DescriptiOn:. Attn: Jeri Reese Location: P~,o,qe Lot 2: Block 2: Fireweed Hill Subd. ' O'Malle¥ Road ~ Livingston__ .Type of Facility to be inspected: !,later Supply Type of Supply: Public U'~:il';ty individual 1 If Individual · " , numaer of d,.'lell'ings p;"esen'tiy served if individual, depth of well Sewage Disposal. System Type .of S~'st'em: PL~b'lic Utility Individual If ind'ividual, date of installation (on-site) xxx Page 2 of two pages - Re~ ~ for Approval of Individual ~ - & Water Facilities Legal Description Lot 2 Block 2 Fireweed Hills Subdivison ^pproYed~ ~ 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) .lA ~' S. HAMI~OND, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCEHTRAL REGIONAL OFFICE 338 DENALI STREET MmcKAY BUILDING, ROOM ANCHORAGE ~r~l May 12, 1976 Bob Neale Dept. of Health & Environmental Protection Anchorage Municipality 2518 E. Tudor Road Anchorage, AK 99507 Subject: RECEIVLD T.ot 2,, ~lock 2, Pire~ee~ Hill ~ub~ivi$io~ (~a. mes ~oc~ar~) Dear Mr. Neale: Due to the circumstances of lot dimensions and existing sewer and water systems on the surrounding, in addition to the 260 foot depth of the well, w~ have no objection to the modifica- tions to the sewage disposal system worked out by the Anchorage Municipality. Sincerely, Kyl~~e j. C~he~/~F Regional Environmental Supervisor cc: James Lockard GR' 'R ANCHORAGE AREA BOROUr' DErARTMENT OF ENVIRONMENTAL QUALI, 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: D,STANCE fROM WELL_ LIQUID CAPACITY__ / Z~- 0 GALLONS. A D D RE S S/,~4".~,,~ LEGAL DESCRIPTION NUMBER OF .~ MATERIAl ~" ~/~-~-- '/' .COMPARTMENTS ~'~'~'~('J'(' ~/~/~ '- ~//'~'J~'~t"~"~'~' ~ LIQUID INSIDE LENGTH_ INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PllS ____ _~ ..... OUTSIDE DIAMETER_ OR WIDTH NEAREST LOT LINE~ /~' ~ j~) TOTAL EFFECTIVE ABSORPTION AREA (WALl AREA) , LENGTH i~' , DEPTH BUILDING FOUNDATION · T~ 7~'~ SQ. FT. TILE DRAIN FIELD: ABSORPT~,~N AREA _ SQ. FT. LENGTH OF EACH LINE -- DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAl. BENEATH TILE TOTAL LENGTH./ , OF LINES / IN, ~.,~A/LL EFFECTIVE IN. ABOVE TILE DISTANCE FROM '~ WATER WELL: TYPE b ~--.-~-J'~"~'~ , DEPTH ~ , BUILDING FOUNDATION._ J. ~ __SAMPLE ., NEAREST ~ NEAREST SEPTIC SEEPAGE LOT LINE !~) '~i1::~ ~.-') , '- , , CESSPOOL SOURCES __-- SEWER LINE , TANK SYSTEM DIAGRAM OF SYSTEM DISTANCES: GREATER ANCHORAGE AREA BORUUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3600 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHOne 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT No.l?O? INSTALlaTIOn OF: SEPTIC TANK /; ~ /KSEePag~j~PiT , DRain Field FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED PHONE TO BE INSTALLED BY NOTE~ THIS PERMIT IS NOT VALid WITHOUT SOIL TEST FINAL INSPECTION; HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE · -' SEEPAGE AREA SIZE 24 HOUR NOTICE REQUIRED. SACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . SEEPAGE Pit TO NEAREST LOT LINE. WeLLTO SEPTIC tANK Drain F~ELD WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD SEPTIC TANK, . , SEEPAGE Pit ~ ~/~ , 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. TYPE DIAGRAM OF SYSTEM GRAVEL SACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. '/:/ .. ?/~'-:?.. f ' ~'.'' HEALTH ~THORItY I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIRemeNTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S-6B AND THAT THE ABOVE APPL, OANT'S SIGNAT.RE,. :?" / , GRE^~"R ANCHORAGE AREA BOROUGH DEPAR JT OF ENVIRONMENTAL QUALL 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For ~,~ ~,,~ Date Performed //~ Legal Description: Lot ~ Block ,~ Subdivision This Form Reports Soils'-[-~g ,2<2 Percolation Test Depth Feet 7D..', 8---- g,~- 10---- Soil Characteristics _ I Was Ground Water Encountered? ~"o If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Dro~ N Proposed Installation:' Seepage Pit Depth Of Inlet COMMENTS: Test Performed By. ~-F-Z ~ _ . / ' ,. //1 ~__9,,~./~ v ~-'~ Drain Field Depth To Bottom Of Pit Or Trench Data Certified By: Date: