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: