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Home My WebLink AboutT12N R3W SEC 35 NW4NW4NW4NW4 PARCEL 34GAAB-HD I GI~F-~TER ANCHORAGE AREA BORO~I-~H HEALTH DEPARTMENT ' ~, 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 ~'-' "~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL ¢'¢'~¢? / LIQUID CAPACITY //,:;:::~. ~) GALLONS, MATERIAL //.~,m~..~¢ ~¢..j~ ~-:'~ .~ NUMBER OF / COMPARTMENTS .... C~'~'~-~¢~-~ ~/~?~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDIH ./~ ~' LENGTH /'~' / -- . , , DEPTH L,'",NOMATER,A, "¢ TA.CEEROMWEL' . BU'LO''GFOUNDAT'O" C - NEAREST LOT LINE .~:~ / '~'""""""""'~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) r~~--~'''~' SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ~ , F~:kNDATION .,NEAREST LOI~ LINE , OF LINES_ NUMBER OF LINES DISTANC EN LINES CH ~ I L EFFECTIVE ABSO SQ. ACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYp/~.~-,'~.~//~ DEPTH./'~/~J ;~' , BUILDINGDISTANCE FOUNDATIoN.FROM ~ / SAMPLEWATER ~ , NEAREST .~ ~ ~EAREST SEPTIC ~ ' SEEPAGE /~ ) OTHER ~ LOT LINE SEWER LINE ~ TANK , SYSTEM , CESSPOOL ~ . SOURCES DISIANCES: DIAGRAM OF SYSTEM DATE ~.,~ APPROVED GAAB-HD-2 GREATEF'"S. NCHORAGE AREA :'gROUGH ^ c~eNo, >~4 HEALTH DEPARTMENT A .~0 -/ , 327 Eagle St. Anchorage, Alaska 99501 279-a5~.~,~ ,~ ,~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME 0P APPL,CANT &4/'~.-~;d,~# MA,L,NG AOORESS +'/~v ff~, RESlOENCE ADDRESS .~C~.,~.~.-~.~., LOCATION OF INSTALLATION APPLICATION TO INSTALL: SEPTIC TANK ~" · ,SEEPAGE PIT /~ , DRAIN FIELD. , OTHER TO SERVE THE FOLLOWING FACILITY ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT AS OESCR,BED BELDW. S,ZE.OF ~Ns,;o BE SERVED q &~'~"~' . · SEPTIC TANK SIZE/~-0 TYPE ~-~ , SEEPAGE AREA . - TYPE DISTANCES: DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the ..., . ,,,,, ,, above described system is in accordance with said code~'r~,.~/~ DAT ~ ~ APPLICANTS SIGNATURE · · CASE /'~GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 32? EAGLE STREET ANCHORAGE, ALASKA 99501 Legal Descrl~tzon: Lot Block ~-~ Subdlvlszon~~,~,sT, iz)4~W,S,~, Depth Feet Soil" ~ ' ' LhaP~erlS~lCS Location Sketch Was Ground Water Encountered?__~kL. if Yes, At What Depth 6~-oPq; D~PP~o~, 10° ~o~+ Reading Date Gross Time Net Time Depth To H20 Net Dmop 1 Proposed Instal~Seepa~e Pit '/ .... · · ~ ~ .... urazn ~ ].eld Depth Of Inlet .... ~., Depth To Bottom Of P' TIME TIME TIME NSPECTOR INSPECTOR ~UNICJPALI~ OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~RONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ( ENVIRONMENTAL SANITATION DIVISION JUl_ 2 2 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACIL DIRECTIONS: Complete aH parts on page 1, Incomplete requests wiH not be processed, Please allow ten (10) days for processing, 1, ROPERTY OWNER _ PHONE PROPERTY N ' PHONE 2, BUYER MAILING ADDRESS w 3. LENDING I~STITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS STREET LOCATION 5. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [~] Four [] Other ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well [og is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach iog if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE ~ OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY ~] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~7 ~ '~ O Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: /,,~-~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding<~ ~ Tank Absorption[~_~Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I~APPROV ED FOR Z~ BEDROOMS (letter must accom,p~¢ certificate) CONDITIONAL APPROVAL []DISAPPROVED MUNICIPALITY OF ANCHORAGE :!:' ''! DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECT ON 825 L Street - Anchorage. Alaska 99§D1 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWleR FACILITIES ~IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE MAILINGADDRESS ~ ~ ~'~ ~/0 PHONE PROPERTY RESIDENT (if different from above) 2. BUYER PHONE MAILING ADDRESS MAILING ADDRESS PHONE MAI LING ADDR ESS STREET LOCATION 6. TYPE ~/~ E:Ii~NLC: FA M i LY NUMBER OF 8EDROOOO~MS [] One [~ Four [] Other~ [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [~ iNDIVIDUAL~ ~ ATTACH WELL LOG. A well log is required for all wells drilled [~] COMMUNITY since June 1975. For wells drilled prigr to that date, give well [] PUBLIC UTILITY depth attach og favailable.) 8' S EWA~i ~o~ iA,~ iSDYi~,~t/rVlo N _ S i T E.. **1 f individual/on-site, give installation date If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY 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 FIME TIME TIME DATE DATE DATE INSPECTOR.~. INSPECTOR INSPECTOR 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~/SINGLE [] ONE [] THREE [] FIVE [] OTHER FAMILY [] MULTIPLE FAMILY [] TWO [~'"~FOU R [] SIX PERMIT NUMBER 2. WATER SUPPLY [~"1 N DI VI DUAL DEPTH OF WELL I~] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~ DIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY 7/70 Connection Verified INSTALLER E~r'~eeptic Tank or [] Holding Tank Size: /A.~O If Tank is homemade SOILS RATING · give dimensions: ~ .~ t~ TYP~. MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ion Area Sewer Line Nearest Lot Line 4. DISTANCES Septic/Holdin~ WELL TO: /.2-..0 Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR ff BEDROOMSO, [] CONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED ~ LEGAL DESCRIPTION ~ 72-010 (Rev. 3/78) SIGNED SIGNED DATE Redi~prm ® SENO PARTS I AND $ WiTH CARBON INTACT 4S 469 PART 3 WILL BE RETURNED WITH REPLY ALASKA enulRonmenTAL CONTROL Sl RUlCeS, InC. ~ngineerincj ~- ~nuironmenta[ Studies 7/25/81 'MUNICIPALITy OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL P~?OTECTION JUL 2 ? i981 RECEIVED 1ST NATIONAL BANK OF ANCHORAGE SRA BOX 226-D ANCHORAGE AK 99507 SELLER - LOFFREDO SUBDIVISION-R3 NW 1/4 BLOCK-NW 1/4 LOT-NW 1/4 NW 1/4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 384 SQPT. THE SYSTEM IS CAPABLE OF ACCEPTING 800 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/25/81 1220 [gcst 251h ~uenu¢ '~ J~ncboraq¢, J~laska 99503 "(907) 276-1361 -'~,o R&-~ .',o. g5153-4 Polar Realty 101 East Intor ~' ~ ~ Anchorage, Alaska 99502 Atten%ion: Bob Stanton Subject: -~u_quacy lest on =~zst~ng Sanitary Sewer System; N~, }~],,'~, N~,,].} ~R4~, Sec 35, T12N RB"d, S.M., Alaska ' Dear Hr. Stanton; .-1% 5.'our request of June 7, 1978, wecommct,xl' ~ a test ot~ tDe septic the above dasc~oed properny. During the test the liquid level h~ the septic tank was !,~oni, wastable: added to nbc system. The measuremeats are su.~mar~z~d ~n the Liquid Level Below Top Total Ii~ ~ Pr_ S ~'~!!~P '_[ P e Ad d e d 1:25 6./ 0 1:32 6.1 25 1:~ 6.0 75 2:05 6.0 125 2:!5 6.0 150 2:30 6.1 150 .... " u_~;:,= idring Nie" EeSL was a Rock~,'e!] r /o°" sLandar<i' water ,,~,P .... ' · ~.:~' p~-ev/ou~s;,,- ,-,:~.-~- . lh~ .... ~'d by 1,.,,i Co[',snl Inc. the d bedroo:: re:<t.lence or! the properly ~s to ho,ri., S pr'opic, Llle average load oa the svsLy!2 '2::n be exyect~.r tn b~. 600 gallons per day or .41 '~ Paso -2- A water ~a2ple was taken according ho Municipality specifications. The sa!np!e w~s d_'iivered to the city ]aboreL,',-y and the ~-esu'[ts will be mailed directly to Mr. Shoe upon h~ req~'est. We appreciate this opportunity to be of service ~o yot~. P]:~:~se contact us if you haw any questions concerning this test or if we can be o[' additional service Very tru!v yours, R.S2'I COS?JLTAA-I S, INC. Staff Ge¢!*g~st