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Home My WebLink AboutT12N R4W SEC 2 LT 26 NE4E2La'i- -} GRE :,ER ANCHORAGE AREA BOk,. · ~1~ ~ [l~q~.l~ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME DISTANCE _.~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM INSIDE LENGTH TILE DRAIN FIELD: N U M B E R OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY~ GALLOONS. FOUNDATION NEARE~INE OF LINES DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA S.~ ~. FT. DE~T-HT~OF TILE TO FINISH GRADE TRENCH WIDTH IN. TOTAL EFFECTIVE LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: BUILDING FOUNDATION__ CESSPOOl APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE __ SEWER LINE OTHER SOURCES DISAPPROVED REMAR~,S DEPTH. DISTANCE PROM: SEPTIC SEEPAGE TANK._ SYSTEM D STANCES: SEWER LINE DEPTH: ~/ /'~' PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM GrEATEr ANCHORAGE ArEA Borough ~ PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHONE SEEPAGE PIT .. DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED BE INSTALLED BY SOIL TEST RESULTS COMPLETION DATE ANTICIPATED NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . , SEEPAGE PIT TO NEAREST LOT. LINE. ~ ~ / ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, /~.~)l . SEEPAGE PIT TO RlV'E~, LAKE, STREAM. SEEPAGE PIT DRAIN FIELD 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. 28-68 AND THAT TH~ ABOVE GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Apr±l 26, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Mailing Address: Property Owner: Mailing Address: Approval requested by: Post Office Box 4-2090 Robert Yates 6948 Timothy Drive [e§a] Description: T12N R4W Section Location: 6948 Timothy Drive First National Bank of Anchorage - Southcenter Branch Phone: 274-1521 x 39 Phone: 344-9131 2 NE~ E½ Lot 26 &S50' of E½ of Lot 24 Type of facility to be inspected Well Data: A. Type Individual Single FAmily B. Depth No. of bedrooms C. Construction Sewage Disposal System: A. Installed D. Bacterial Analysis On-site system. ~~fT~ B. Installer C. Septic Tank: 1. Size 2. Manufacturer 0. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , 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 3:i30 "C" $~eet, Anchorage, Alaska 99503 2i4 4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: o. Name of E~uyer: Mailing Address: ~0-~ CMRO VA FHA CONV ~---,. Day Phone Day Phone Mailing Address: ¢(~'~)~Y'~ L~L-c%*OQO Phone ~<-/'.~,~/ ~y.'~. ,:%~ ,~ame o, ~e*tor or A..t, ~*¢~ ~t~,~O~O ¢~~ ~OZ~V Location: 7. Typeof Facgitytobe,nspected: 8. Water Supply No. Bdrms. Type of Supply; Public Utility · Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation EQ O37 (1/74) Pag~ 2 of two pages - Re?-~:st, for Approval of Individual ~'~er & Water Facilities Legal Description T12N R4W Section 2 NE~ E½ Lot 26 & S50' of E½ of Lot 24 Comments Approved AppalvalDisapproved Date ~/~-/~ id 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) '-" MUNICIPALITY OF ANCHORAG,~-~' ~ DEPARTMENT ,~F HEALTH AND ENVIRONMENTAL PROTECTION- ,~, 825 L Street, ~,chora~,-' kl~ska-99'5dl ..... :~ Date Received: March 24, 1977 1st Inspection: Time ~,'~)~ _ 2nd Inspection: Time Date ~/-~U7 ~CLUQ. Date Inspector ~. Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Bank of Commerce Mailing Address: Pouch 7-012 99510 Phone: 279-5641 2. Property Owner: Lloyd/Janet Hill Phone: 243-3797 Mailing Address; 6948 Timothy ~rive_~ ~ ~/rapj~m/~. 5o Legal Description: NE¼ E½ Lot 26 Section 2 T12N R4W Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Well Data: T y ~dd~u~4-' ,r~'-%~ Depth 1,090' // Construction ~~ Bacterial Analysis 6, Sewage Disposal System: On-site system Well Log Filed 7~ Permit ,% Installed 1976 Absorption Area= -////~//~Z ~s°ils 'tO Sewer Lines t~o~N~el Nearest Lot L~ln~ Absorption Area' rest Lot Line ~x) Public Utility ( ) Manufacturer Rate /~/~_ Material / ~ ~ to Absorption Area MUNICIPALITY OF ANCHORAGE ~AUNIC DEPT, OJ: i',:/!.i';i ~'~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION~Nvi~ONMEi, ili\i' 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO VA FHA CONV. ~ Property Owner: Lloyd Hill & Janet Hill Mailing Address:6948 Timothy Drive 3. Name of Buyer: Elam~ Clyde D. & Mary A. Mailing Address: ~20~ E~st 26%h Ap~ 4. Name of Lending Institution:Alaska :~a~k o£ Oo~eroe Mailing Address: Pouch 7012 5. Name of Realtor or Agent: Mailing Address: Phone:. 6. Legal Description: Ne~, E~ Lot 26 See 2, T12N, Day Phone: 243-3797 Day Phone: 333-6793 Anchorage, Ak. 99~10phone: 279-~641 Location: 6948 Timothy Drive Anchorage, Alaska 99~02 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: SFD Public Utility No. Bdrms. 3 .individual ~:~ If Individual, number of dwellings presently served one If Individual, depth of well Sewage Disposal System Type of System: 1,090 feet Public Utility If Individual, date of installation___:.,S-umme~ Of 1976 Individual (on-site) 72-003(3/76) · Page Two Department of'~Health'~n~. Environmental Protection Reques%··for Approval Of Individual Sewer and Water Facilities Legal Description: T12N R4W Section 2 NE~ E½ Lot 26 Affadavit Attached: ( ) Approved: ~ Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ~1: Time Date Insp ~-~-~qUNICIPALITY OF ANCHORAG~---~ DEPARTME~ ~ 3F HEALTH AND~ ENVIRONMEN'i ~PROTECTION 825 L Street, Anchoraa~. Alaska 99501 264-4720 Date Received: November 3, 1977 1:30 p.m. ~2: Time #3: Time 11-4-77 Friday Date Date Buchholz Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Spokane Mortgagage Compan Mailing Address: 3201 C Street, Suite 250 Phone: 277-0543 2. Property Owner: Lloyd/Janet Hill Mailing Address: 6948 Timothy 99502 Phone: 243-3797 3. Legal Description: T12N R4W Section 2 S50' E½ of Lot 24 Single Family Residence: (x) Number of Bedrooms: Multiple'Family Residence: ( ) Number of Bedrooms: Three 5. Well System: Individual Well (~ Community/Public System Permit ~ ~/~ Depth of Well 190' Well Log on File ~/~ Construction ~z~ ! Bacterial Analysis ~-~ 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Perm~ # Installed 1976 Installer .~ ~/~/~/~_. ,~ ~./~ ~ank Size ~ ~_ Manufacturer Absorption Area ~/~ Soils Rate ~//~ Material Distances: Well to~?i=~c Tank ~ ~ to Sewer Line /~/~' Nearest Lot.line to Nearest Lot Line ~/~ to Absorption Area ~./~ ~ / Absorption Area < ~'UNICIPALITY OF ANCHORAGE Department of Health and Environmental Protecti0 825 L Street, Anchorage, Alaska 99501 · 1 of Individual Sewer and Water ~equest for Approva ' ' Mailing Address: Name of Buyer: Mailing Address: Phone: Phone: Lending Institution: Phone: o Realtor/Agent: Mailing Address: Phone: Legal Description: ~,~¥~ Street Location: ~0[/~ ~2/?~2 ~.' Single Family Residence: (p<) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water SupPly: *Individual Well ~ pnlrl~e/Con~unity System If Individual Well, well depth If Community System, name of system ~[lbt{){I~!{9~ Sewage Disposal System: *~n-site System ~ Public System If On-site System, date of installation: *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 ,P~ge~ Two ' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Tt2N R4W Section 2 S50' Eh of Lot 24 Affadavit Attached Approved: ~ '~,~//W~i? Disapproved: Letter Attached: ( ) Pate: Date: Department Worksheet: / ~ , / INDIVIDUAL SEWAGE AND ~',ATER FACILITIES ~ ~' / (Fill out in Triplicate) ~~mq .of person requesting approval b. Detergent "' ' Well data: · a. Type c. Casing Size d. Dist.ance from well to closest existing or pro, pOseo: '~?P ' -~.~'i'''~, \'~:C,, :?;' -'""' 2. Septic tank . . / )O" ' 4, Cesspool' ~:1 . ~ .-'""': .-' 5. Property Line 6. Other sources of possible contamination, i.e.~ creeks, lakes, houses, barn, drainage ditch, etc, Sewage disposal system. rM. ) b, Se.tie tank capacity in .allon, /,~O ',f~ ~f c. Name of septic tank manufactu~. 1. If "home made" show diagram on reverse side of this form. ,~.. Disposal field or seepage pit size and type 1. Distance to property line to house foundation e. Percolatio~ Test'r~sults f. Percolation Test performed by Use the reverse side of this form to show diagram. Diagram should include the foJlowing information: ppoperty lines;.well location, house location, ~pt~c tank location, disposal area location, location of percolation test, and direction of ground slope~ 9. The l~,formation on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed T._O. BE FILLED OUT BY HEALTH DEPART~.JENT PERSONNEL ['The~ above described sanitary facilities are hereby approved, subject to the ........... ~611owing condii~ons: ' Conditions: The above described sanitary facilities are disapproved for the following Approval is valid for one year following the date of approval. CPJ:cw (Fill out in Triplicate) d. Distjnce fmom well to closest existing om p~opose~~ '. 3, Seepage Area . 5. Peope~ty Line Q 6; Other sources of possibte contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. . Sewage disposal system. ~ a. Age of system .... b. Seotlc tank capacity in gallons c. Name of Septic tank manufactu~gr If "home made" show diagram on reverse side of this form. d,' Disposal field or seepage pit size and type 1. Distance to property line to house foundation ...... , e. Percolatio~.Test~esuftts. f. Percolation Test performed by Use the reverse side of this form to show diagram, Diagra~ should include the fo/lowing information: pFoperty lines~.well location, house location~ ~,*p*ic tank location, disposal area location, location of percolation test, a~ direction of ground slope~ The Informa?ion on %his f~m is tru~ and ~rrect %o the best of my knowledge. $$~nature of ~pplicant D~e Signed T__O BE FILLED OUT BY HEALTH DEPART}.~ENT PERSONNEL ........ ~f 6'1 lowin g~_.~c on .~i~ion s: ~ above described sanitary facilities are hereby approved, subject ~o the The above described sanitary facilities are disspproved for the following reasons: Approval is valid for one year following the date of approval. CPJ:cw