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Home My WebLink AboutT12N R3W SEC 21 LT 1A COUNTRYSIDEOE° Z?3- 3? --wi 'QGREA 2R ANCHORAGE AREA BOR, JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL PO INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER ~- TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL. , ' · · ~7~ ~,~f, ~.. 5%~.~..:-/-)~,~1,~... TYPE _~ CONST I~U CT~ON BUILDING NEAREST FOUNDATION__ LOT LINE__, CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE__ DEPTH SEPTIC SEEPAGE TANK , SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: ~-- SEWER LINE DEPTH= DIAGRAM OF SYSTEM T GREA, ER ANCHORAGE AREA BOR~. JGH ,., ,/,~ Department of Environmental Quality O 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LO,AT O~G'~/J'y~ ~~ LEOAL DESCR,PT'ON L t ~¢-.,A! ~/2 ,d .P., .~&) SEPTIC TANK: DISTANCE FROM WELL / ~'~ -c-gl INSIDE LENGTH INSIDE WIDTH ~ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY ~--~'~GALLON$. DISTANCE FROM WELL '~'~:: FOUNDATION _'~_.__--~ _ NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH NEAREST LOT LINE ~O~'~'7'~ OF LINES TRENCH WIDTH~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER f~I~tf~MATERIAL BENEATH TILE~g~ IN. ABOVE TILE .IN. DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST FOUNDATION__ LOT LINE__ SEWER LINE__ SEPTIC ~ .~$EEPAGE - 1, O CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: ~I SEWER LINE DEPTH: PIPE MATERIAL: Eorm LQ-032 DIAGRAM OF SYSTEM DATE GREA, R ANCHORAGE AREA BOR .JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ~ , INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION'~ ~)'J~'Ii~II~v'/~ AJ~J_~J~r' LEGAL DESCRIPTION l l, ~"(~-~' ~"'J ~".J'~ ~ j~ SEPTIC TANK: DISTANCE ~..~ FROM WELL INSIDE LENGTH MANUFACTURER ~--~'~/'~/-~"~--~ MATERIAL .~'"~(~:.(C"~,j INSIDE WIDTH ~ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPAC ITY~L.~ALLONS. T~: DISTANCE FROM WELL ~_FOUNDATION ~ / NUMBER OF LINES I DISTANCE BETWEEN LINES ABSORPTION AREA ~ SQ. FT. LENGTH OF EACH LINE DEPTH: TOI5 OF TIL~%FO FINISH GRADE"~ DEPTH OF FILTER NEAREST LOT LINE '~)~"~ / TOTALOF LINEsLENGT~':J' '..; / TRENCH WIDTI~ IN. TOTAL EFFECTIVE IN. WEEL: "'~ T'~'PE i ~-'7-~i--~ubhi~ CONSTRUCTION BUILDING NEAR~ST FOUNDATION LOI~ LINE __, CES~R~OO L OTHER SOURCES NEAREST SEWER LINE__ APPROVED DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE TANK , SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM G.A,A.B. -'~ ]. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHONE L:EGAL DESCRIPtiON ~/¢ INSTALLATION OF: SEPTIC TANK tYPE aND SiZE OF FACILITY TO be SERVED FINANCED THROUGH COMPLETION DATE AN.,~IPATED SEEPAGE PIT DRAIN Field NOTE; TI~II~ P£RMrr I$ NOT VALID ~/rrHOuT SOIL, 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 SiZE TYPE SEEPAGe AREA SIZE TYPE MINIMUM D ISTAN CE$,~.:REQU I REMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ;C- SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK TO N~AREST LOT L~NE. WELL TO SEPTIC TANK DRAIN Field WATER MAIN TO SEPTIC TANK DRAIN FIELD ., SEEPAGE PIT , DRAIN FIELD · DRAIN FIELD SEEPAGE P~T (~"~ ALSO CONSIDER AREA WELLS. · SEEPAGE PIT 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 FEES INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPESON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM T(~GBOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAM:ILIAR WITH THE REQUIREMENTS OF~REATER ANCHORAGE AREA BOROUGH~ORDINANCE NO. 28-68 AND THAT THe ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ~ , APPLICANT'Sr~ Ju~ .22, 1976 Mr. Ned Newton Newton Excavating 5237 E 27th Avenue Anchorage, Alaska 99507 R &~.~" No. 656254 RE:' Test Hole and Soil Log Report for Sanitary System T12N R3W Lot 1 SM Dear Mr. Newton: We are submitting herewith the boring logs, percolation results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of June 18, 1976 and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. ~%~o test holes were put down with the Lot area for the purpose of defining general subsurface soil conditions ~nd conducting percolation tests for a proposed sanitary system. Excavation was accomplished with a tractor mounted backhoe/and the test holes were extended to a total depth of 17 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. W~ appreciate being given this opportunity to 'be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. Jfmes ?L .Roone~3 Vice- rP esident ~c, J~R/ xc: Municipality of Anchorage T.H. 1 6-19-76 0.0I SAND W/SOME SILT (SP-SM) (200) 3.0' SAND W/SOME ·SILT TRACE ORGANICS (SM) 7.0I SAND W/SOME SILT AND GRAVEL (SM-SD) (200) 12.'0' SAND W/TRACE GRAVEL (SD) NO WATER TABLE 17.0' T.D. T,H. 2 .0.0' SAND W/SOME SILT TRACE ORGANICS (s~) 1.5' SAND W/SOl~E SILT AND GRAVEL (SM-SP) 4.5I SAND W/ TRACE TO SOME SILT AND TRACE GRAVEL (SP) NO WATER TABLE 17.d, T.D. Log R~presents Location of Test Hole Tt2N R3W Lot 1 Log Represents Location or Test Hole T12N R3W Lot 1 I~NSULTANTS, INC. L-- Log of Test Holes Anchorage, Alaska [F.8. GRID: //?~O'J' N(D- 656254. · JLDWG. NO. A-ol HEALTH ANCHORA~]~ pe~fo~med For Le~:.~ D~ScrlD~_o~ This Fcrm B. epO~tS Depth Feet Was Ground Water Encountered?~~ ~if Yes~ A~ ~,~hat DepTh ................ Location Reading Date G'noss i'i me ?,!e'~ 7~me DeDi:~ 'i'o ,,,,~, Net Drop I::!i:::'F'!.... :1: E:I::iNT L ZI(]:F:IT 'J' ::iEr'iR'GE ....TL.H,4R F _ q E n M' .LL. - ~ P:'.[:, Tit.;;i:H F::.~:H SEE: ;i._:::l_ Lit. t..OT S:[ZE /z3-,--3 '7 - 2~ c?:~_D. M Ti: I'.,i ]; MUH E:, ]: :~!;TI::INCE E~[E"F'HEEht R 1.4EELL Rt'.,ID RN'T' Oh,I-..'::; ): TE SE:klFIGE E.', .'[ :BI::'OS;RL S.';'.r"..s"r'Ei'"l Z ::5 :~.[!:.i(:.~i F'EET l:::'Ol::i: F'I F:'F:;[VF:ITE: HELl... Ot;;: ;.:;~EIE1 F:EET F'OF?. R F'LtE4L]:C .t,.IEL.L. HE:!..L LOGS; FIRE F4:E(;IU.i:F'.EE:, Ri'.,ID HUST BE F:ETURI"4E[.':' TO THE DEF'F:d:',i:Tt'"IEi'-~,T 1.4.'r. TH:[N Z.:':~.3 (]JIF: "I'HE i.,.IEi..L. COi',!PI...ET ] r31'.,I. J:i;F:'t'EE: :[ F'Z C:t:::IT ]: 13i'.4% FiI'.,IE:, C:Ot'-,tSTI:,~:LICT Z Ot'.,! D .T I..-.IGF:I:rti'"I'J:.; FtF..'E FI',,,'R .'1.' LRE,'LE "t"O :[ I'.,ISUI:RE F'Iq'.OF:'EF.: .,..,, ..... "I"~"IF::I T ::L: ]: I::ll'"l F:'I::'IH]~L.:[F:IF:: t.,.I]:'t"H THE ~C.:¢J:[F:EI"IEi",tT'.':'-;., FOF.: Ed",!-'.E;fTE SEI,-IER£S FINE:' HEL..L.:'Z, FIS; :SET 4.1 offi~ at 276~-222t, ~iO~ 291. APPLI¢' 'NT FILLS OUT UPPER HAl ONLY Buyer ~ ~~ Phone~ tie ~ ~ Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ ~ Other 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 well depth (attach log if available). ~ Public Utility Sewer Disposal t ~ ~ Individual Year Indiv~ual Installed: ~ Public Utility When Connected to Public Utility; ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Inspector Insp~tor Insp~tor Insp~ ENVIg .;i il,; ~h ~A. ~::~0, ECTiC; ~ DECEIVED ( ~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* OAT~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~ ~'~ Well to Tank Septic T~k Size 72-023 (3182) ; ~)~.,-~~N S pE DATE RECEIVED .... i CTION APPOINTMENTS INSPECTOR INSPECTOR ~UNIClPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH b ENVIRONMENTAL PROTECTIO~VJRONMENTAL pROTECTION 825 L Street-Anchorage, Alaska 99501 SEP 1 ¢- 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND.SEWER FACILITIES ~LRE (10) days for processing. CTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten MAI LING ADDRESS 2. BUYER PHONE MAIkI~G ~DD~ES8 4, REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE ~ NUMBE~F~BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six Other 7, WATE R .,S?~LY ( '~/;COMMUNITY L'-E~// PUBLIC UTILITY * 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 log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** 1¢')6 ~/'~''~ YEAR ON-SITE sYSTEM WAS INSTALLED. I~] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-o~o (R,v. 6n*) ~~ ~ 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 UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING Dive dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS ~"- APPROVED FOR /1~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE ALASKA i~rluil~onml~rITAL CONTROL ~n§inecrin§ 8 ~nuironmental Studies SEP ~ 6 lg80 RECEIVED No. 225 I'-E 1220 UJesl 25th Auenu~ · Anchorac~¢, Alaska 99503 · (907) 276-1361 j,~JJNICIPALITY OF ANCHORAGE ALASKA ~nulRonm~nTAL CO[1TROL S~RUIC~$, ,,,. pEP,. oF H~A~TH~ '1~') RONMENTAL PROTECTION ~nclineerincI ~- ~nuironmental Studies SEP 2, 6 1980 RECEIVFD 1220 [[Jest 25th Auenu¢ · P~nchoraq¢, ^lash 99503 * (907) 276-1361 MUNICIPALITY OF ANCHORAGE ALASKA enUlRonmenTAL CONTROL $1~RUlCi~$/nrta,. OFHEALTH& ~ I:M~I~bf,~MENTAL PROTECTION I~nqJn¢~rJn§ & I~nuironmental Studi~s SEP P, 6 1980 RECEIVED 1220 LUest 25th Auenue · Anchorage, Alasko 9950s · [907) 276-1:)61 'i i? I GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 '~" Street, Anchorage, Al~aska ~9503 274-4561 ~,~'~'~,~ ' Date Received ~,'~x~ ~ Time of Inspection ~ .--..~ ~..~/~r ' Date of Inspection ~ : · REQUEST FOR AP ROVAL OF ~ ? ?/INDIVIDUAL SEWER & WATER FACiLiTIES /~ ~/ FOR ~ 1. Approval/requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: ~3--'/~ ~ /'-~, ~ Phone: ~-7~z'~ ~g_~rx_z~ Phone: / 5. Type of facility to be inspected 6. Well Data: A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: 1.. Size 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line No. of bedrooms B. Depth D. Bacterial Analysis B. Installer 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 o~ two pages - Re~-X~st for Approval of Individual '/~ler & Water Facilities ke~al,.Description Comments Appr6ve~J ~ ~ Disapproved Date //~7~/ Approval iValid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality 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) 'GREATER ANCHORAGE xNc,, BOROUGH Department of Environii~ental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACiLITiES 1. Type of Inspection: Property Owner: 2. · ,' Mailing Address: ~ 3. Name of Buyer: ~.- ~.~ai I i ng Address: 6] Name of Lending Institution: Mailing Address: ~ Name of Realtor or Agent: Mailing Address: Phone Phone .Type of Facility 'to be inspected: $~ater Supply Type of Supply: Public Utility indiVidual If Individual, number of dwellings presently served Sewage Disposal. Systen~ Individual (on-site) . Type .of S~stem: Public Utility If Individual, date of installation' :