HomeMy WebLinkAboutT12N R3W SEC 23 PARCEL 5
' . APPLI¢. .~IT FILLS OUT UPPER HAL ONLY
Zip
Code
Lending Institution /-2 ~ ~ ~/]/-{~ ~/]/~ ~ Phone
Phone
Realty Co. & Agent
Address
Legal Description
Water Supply
~[ndividual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give weg depth (attach log if available).
~ Public Utility
Sewer Disposal /
~dividual Year Individual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE ~NITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes: ~( ~)-'~> (~2 / ¢ ~ '¢.,~
....... ( ~. MUNICIPALI~DEPT. OF OFHsALTHANCHORAGE&
'~ z~ i,~ ,o. ~ ,~: :?~/ / / ~, ~ ENVIRONMENTAL PROTECTION
/ - AU6 5
( ~ APPROVED BEDROOMS
OF
APPROVAL
( ) DISAPPROVEB
( ) CONDITIONAL APPROVAL'
Soils Rating Date ~wer Installed Well TO ~sorptio~ Area Well Log Received
Well to Tank Septic T~k Size
72-023 (3182)
ALASKA eF1UIROFIIll FITAL COFITROL $ RLIICI $,
~nqJneefinq 8 ~nuJronmentol $1udJe$
InC.
AUGUST 16 1983
ED HERZOG
P.O. BOX 10-237
ANCHORAGE AN 99511
SELLER - BUYER -
SUBDIVISION - T12N R3W SECT 23
BLOCK - PARCEL 5
LOT - SW 1/4 SM
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A UNKNOWN WITH AN UNKNOWN AREA.
THE SYSTEM IS CAPABLE OF ACCEPTING 700 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 8/16/83 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000
THIS 3 BEDROOM HOUSE. -
IS ADEQUATE FOR
1200 IlJesl 33rd Auenue, Suik ~ · Al~chora§e, glosko 99503 · (907) 276-1361
August 16, 1983
J3rian Giitett
P.O. 10-237
Anchorage~ AK
99511
Subject: Parcel i~5 T12N R3W Sec 23
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
The septic tank pumped with a receipt submitted to this
department. The total number of gallons pumped needs to be
on the receipt and verified by a registered engineer as to
the actual number of gallons pumped. This is to verify the
size of the septic tank.
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system is
adequate according to National Standards° A listing of
private firms performing the test is enclosed. This report
needs to be submitted to this office for our revie%~.
! ifhe %yell casing must be extended
~he pit has standing water in it
so that the pit remains dry.
12" above ground leveto
and will need to be sealed
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions~ please call this office at 264-4720.
Sincerely,
RP34/p/E
Enclosure
Robert C. Pratt
Associate Environmental Specialist
TELEPHONE (g07) 562-2343
CHEMICAL & GE,.,. ~OGICAL LABORATORIES ~
ANCHORAGE INDUSTRIAL CENTER
5633 B Street
Drinking VV~ter Analysis Report for Total Colifo. rm Bacteria
ALASKA, INC.
TO BE COMPLETED BY WATER SUPPLIER,
TOBE COMPLETED BY LABORATORY
Water System ~ame ,~ Phone No
Mailing Address
City
MO. Day ..
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose ~
State ZiP Code
Year
[] Treated Water
[] Untreated Water
Analysis shows this Water SAMPLE to Be:
~S~tisfactorv
[] Unsatisfactory
--] Samole too Brig ~ transit: samole should
Rot 3e over 48 hours old at examination
~q indicate reliable results. Please sene
n~w san: ~le.
D~te Received
Time Received
Al~lytical Method:
[] Fermentation Tube
~ Membrane Filter
SAMPLE
NO.
t
4
LOCATION
Time Collected Lab~Ref. No. Result* Analyst
I I ~
I I ~
I~ I ~
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
o6-~22o (~,) BACTERIOLOGICAL WATER ~'I~ALYSIS
RECORD
24 Hours
Broth 48 houri,