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Home My WebLink AboutBENITO BLK 1 LT 3OSO GREAT ANCHORAGE AREA BORC,"' H Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS, ~'-g,~----~g,"'~-~J/' ~'~'z:::~ PHONE LEGAL DESCRIPTION /-~7/~-~-~' / SEPTIC TANK: DISTANCE FROM WELL_ INSIDE LENGTH ~ ~' NUMBER OF MANUFACTURER,<~'~ ~'~ MATERIAL /~;: ~;2/42~ COMPARTMENTS.-~ INSIDE WIDTH LIQUID DEPTH__ LIQUID CAPACITY //~<~"~;) GALLONS. SEEPAGE PIT: NUMBER OF PITS / . DIAMETER __ ~ OR WIDTH/,')"-'4' //LENGTH/~ '/DEPTH ~--~q LINING MATERIAL CRIB SIZE: DIAMETER~2t~DEPTH TOTAL EFFECTIVE BUILDING FOUNDATIo~N _, NEAREST LOT LINE /~-'~/ ABSORPTION AREA (WALL AREA) ~_~,'~-I~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~' CONSTRUCTION DEPTH ~ DISTANCE FROM: BUILDING NEAREST NEAREST .____ SEPTIC ~2)~_. ~ / SEEPAGE / FOUNDATION--- , LOT LINE CESSPOOL ~ , OTHER SOURCES APPROVED DISAPPROVED REMARKS INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form PW-026 DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3.500 TUDOFt ROAD POUCH 6-850 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION PHONE ~ SEEPAGE PIT~ ~ INSTALLATION OF: SEPTIC TANK TO BE INSTALLED BY SOIL TEST RESULTS DRAIN FIELD OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEST COMPLETION DATE ANTICIPATED PFRMTT VAi TD 13NF YFAR FINAL INSPECTIONE 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE~t~..~] {3~ E:O~C~P-~CeSEEPAGE AREA SIZE TYPE MINIMUM DIBTANCESo REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 20 f~. DRAIN FIELD t0 SEPTIC TANK TO SEEPAGE PIT WALL [.~ f/C~ SEPTIC TANK 5 f~. . SEEPAGE PIT 20 f~. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~ ~ WATER MAIN TO SEPTIC TANK 10 DRAIN FIELD 10 SEEPAGE PiT I IK~ ALSO CONSIDER AREA WELLS. SEEPAGE PIT ]LO ft. SEPTIC TANK, ~ fi;. SEEPAGE PIT 100 fi,, DRAIN FIELD ~ fi' , TO RIVER, LAKE, STREAM. ~lhl'! u.! ~fEl. t. D] ~'1A;;C F S 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. LICENSED DESIGNER DIAGRAM OF' BYS'I'EM ~," CA~T IROH I$1PllOl'( · 5t'PTIC PiPE k'll)l AIRTIGHT CRIB I I %,aVEL required whenever l~ne crosses (CRIB ~* RIHI~U~ ABO~'[' ~A.T[R '; undcr dr (ve~'ay. TABLE) 4 lflCH S~.]ER LIllE. C0~(SI[H~ ARCA ~IELtS. SEEPAGE PJl EXCAYATI0)I BASED ON SOH. VEST. Grade: ~'.per IC3' , er 1/4" p r foot ~ except 10' prec~udi~ tank t tha. should HOUSE ~0t exceed ?~. 6' pe~ 100 on flat terrains, CAST I~0ttt ~$EPTIC nl~ttm~En/------) T [ EAST IRON SIPll0N PIPE SOIL ,/ / I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ~REA BOROUGH ORDINANCE NO, 2.8.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, Fib No.~ ~'1 It hu beea ImmfM to ou~ ~ that publio sewe~ ia available eo Lot O'aud. Blook 1, Let O, Bealto Subdl~oJou. be hmalbd o~ ~______oa a.~ jaqsflse, whew~ ~ osge~, a~e avdbbb within oeven~ (~e) reef er tbs nearest lot line er said~ ,,,". Ir we do not hem* fFom you ~ ooveu (?) days, we wll~ aaoume that out--are caftan. We. thoJ~roL*e, nJquoatyou ~aneet an~ and You must app~ fo~ a ~mmse~Jm~ penMt fFom the penmit offlee~ ro~ the ~r ~~ ~a ~o~, ~ E~ ~r R~. ~ y~ have ~ ~ ~ ~~1. em~ 141. JL/~ RECEIPT FOR CERTIFIED MAIL--30~~ (plus postage) SENT TO POSTMARI~ OR DATE STREET AND NO. OPTIONAL SERVICES FOR ADDITIONAL FEES 6155~- ~--- ~. Sh~ho~a~d~at~ve-~ ........ With de very to addressee only ............ P.O.. STATE AND ZIP CODE RETURN RECEIPT SERVICES 2. Shows to whom, date and where deivered 35¢ With de ivory to addressee only ............ 85¢ , DELIVER TO ADDRESSEE ONLY ...................................................... 50-~*~ SPECIAL DELIVERY (oxtro Fee required) ................................... ' PS Form NO INSURANCE COVERAGE PROVIDEO-- (See other side) Apr. 1071 3800 NOT FOR INTERNATIONAL MAIL *oPo:~97~ 0-460-743 DATE DATE DATJE 'INSPECTOR INSPECTOR , NSPECTE MUNICIPALITY O1= ANCHORA{3; MUNICIPALITY OF AN~HO~GE r~ ~ --- "~ --"~ DE D PA TMEN H H PT OF H=ALTH & ~ E R TOF ~LT & ENVIRONMENTAL PROTECTION ' ~ ~ 825L Street- Anchora~, Alaska 99501 ~IRONMENTAL P~,OTE~ION ~ ~ ' ENVIRONMENTAL SANITATION DIVISION JAN ~ 9~'~ ~ Telephone 264~72~ DIRECTIONS: Complete all parts on page 1. Incomplete requ~ will not be pr~ed, Please allow ten (10) days for processing. ~1, PROPERTY OWNER ' ~ PHONE MAILING ADDR~S ' 2. BUYER ~ MAILING ADDRESS ~ ~ . ' ' 3. LENDING INSTITUTION ~ . ' ' I PHONE ' MAI LING ADDRESS 4, REALTOR/AGENT _ v MAI~NG ADDRESS ' / - 5, LEGAL' DESdRII~'ION ' STR E ET LOCATI ON 5. TYPE O~ RESIDENCE NUMBER OF~gEDROOMS [] SINGLE FAMILY MULTIPLE FAMILY '7. WATER suPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** PUBLIC UTILITY [] One [] Four [] Other [] Two [] Five [] Three [] Six * 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 tog f ava labia.) .YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACcoMPAN~ EACH'REQUEsT BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO PERMIT NUMBER [] FOUR [] SlX DEPTH OF WELL [] OTHER [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/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 DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTURER MATERIAl_ Septic/Holding Tank '5. COMMENTS Absorption Area [Sewer Line ' ] Nearest Lot Line DATE [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED I 72-010 (Rev. 6/79) EXCAVATION ROBERT A. SHAFER WORK December 26~ 1982 CIVIL ENGINEER 694-2979 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Reference:- Residence ll7 and ll8 Ge~ora Streot, Eagle River, Alaska~ ~h~s ~e~e~ ~e~o~ ~e ~~ a~ ~e~e~a~o~s o% a~ ~s~ee~o~ of the individual water system serving the duplex located af the referenced address. The residence is currently served ~ and connected to the ~nicipal sewer system. A single well serves the duplex and ~s checked to determine if the grade around the casing and the ~ring around the casing ~"s in compliance ~th the existing codes. A water sample ~s also collected at this time. The ~ater system consists of a six inch steel cased well, depth unknown. The well wires were placed in conduit and a sanitary seal is installed on top of the casing. The ~ade around the casing is adequately sloped to prevent water from draining to the welL., · representative water sample was collected from the kitchen sink in unit ll8 and submitted to chem lab of Alaska. The test results for total coliform bacteria were reported as satisfactory and a copy of the report is attached. If we~ be of fur~er service, please do not hesitate to call. / / ~~~~, E~Sin / . s/Ss SRB 196X EAGLE RIVER, ALASKA