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HomeMy WebLinkAboutT14N R2W SEC 12 LT 16 REM GRE.e' R ANCHORAGE AREA Department ~3Et;irs~en~;ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ' '~ -" ' ' ;"~HONE NAME ~"7'~'g~'~- /~'Jg..~- MAILING ADDRESS /?';, ~ ,:: /~ I .~ 'Jr ~ " ": ' LOCATION ~//Z{~ / Z /J~'/ ~ /~r' /2/~*' LEGALDESCRIPTION ~ /g]~ it)Tl~ ~ ~'CS'~, SEPTIC TANK: DISTANCE FROM WELL ~'~ INSIDE LENGTH MANUFACTURER '/~'~/~/,~ ~',¢/t2 ~ , MATERIAL NUMBER Of COMPARTMENTS / INSIDE WIDTH LIQUID DEPTH. LIQUID CAPACITY /:Z -'~> GALLONS. S~¢D~-Ae. Em~iT: /.'h~'4~'?/~'' ~ .,7_.,/~.m~././ g, oz uj/.1~NS','~.~U~.,~ t2ip~; NUMBER OF PITS __ DIAMETER OR WIDTH LENGTH DEPTH LINING MATERIAL BUILDING FOUNDATION__ CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ~-~g)O ADDITIONAL ABSORPTION .SQ. FT. WELL: BUILDING .~.,~,~ FOUNDATION CESSPOOL APPROVED .~ CONSTRUCTION NEAREST ~.~ LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH /'Z'~ ~' DISTANCE FROM: SEPTIC ,,~ / SEEPAGE TANK (~'(~) SYSTEM //.~- i DISTANCES: INSTALLED BY: /~,//q /~ ~ ;' /' ,';',~'-:; PIPE MATERIAL: - r ' '] ~'~ r ../ f LOT SLOPE: REMARKS:- '% ~,J '-' :~ /" 2,~ - ,..; .-, ,. Form NO, EQ-031 DIAGRAM OF SYSTEM GrEA/-hR ANCHORAGE AREA BOR~'*'IGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. PHONE TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLETION DATE ANTICIPATED NOTE' THIS PERMIT~'~/~/~Wl/~O~UT~OI~j¢ 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. FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ., DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK ., SEEPAGE PIT~ TO NEAREST LOT LINE. ~&~ WELL TO sePTIC TANK WATER MAIN TO SEPTIC TANK SEEPAGE P[T _ ALSO CONSIDER AREA WELLS. ., SEEPAGE PIT . CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH D[AMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT FITTED WiTH AIRTIGHT REMOVABLE CAPS. GRAVEl. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE ~/ ~ APPLICANT'S SIGNATURE ~ O~- EGEOTECHNICAL ~' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils ~- Foundations Ear/Ellis 688-2280 Land Development SOIL LOG Performed for: Matltng Address: Legal Description: L-~-~ Depth (feet) 0 m 2 Soll Charactertsttc~ 3 12 Ground Water Encountered: Yes No Proposed Installation: Seepage Pit v/' Drain Field m Comments: ~x~-~,,-~ Performed by.' If yes, what depth GAAB HD I G~-c.-~,TER ANCHORAGE AREA BORO?~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 /~/~) NUMBER OF ~,~.,~._~ MATERIAL ~ ~'~..~--=:-'~'--"~--,: COMPARTMENTS GALLONS. INSIDE LENGTH 4~INSIDE WIDTH· ~--~' DEPTH.__ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER ~ OR WIDTH //7( ~-~ /'"~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH .,'~.6-- / , DEPTH BUILDING FOUNDATION'''~' ~ SQ. FT. TILE DRAIN FIELD: //~- .-~F UNDATION NEAREST LOT LNF ~l: TM~: i EoF: :/:>E~"'~- DISTANt: B~_LTWEEN LINES ' ,~'DTHh iE DE~PTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH · OF LINES IN, TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE/~-~'~/~ DEPTH //~ NEAREST ~ SEPTIC LOT LINE .~-~ ~'~ . SEWER LINE .. TANK DISTANCE FROM WATER / ~,/~? · BL LDING FOUNDATION ~"~' SAMPLE - NEAREST .~ / SEEPAGE ~ ~r.-- OTHER SYSTEM ~ . CESSPOOL . SOURCES DISTANCES: DIAGRAM OF SYSTEM DAT~ HEALTH AUTHORITY GAAB-HD-2 GREATES~ANCHORAGE AREA:"-'~ROUGH c~seNo./O~ HEALTH DEPARTMENT 327 Eagle St. Anchorage, Ahska 99501 279-2511/t9/ SEWAGE DISPOSAL SYSTEM- APPLICATION & PERMIT / NAME 0~ ,,~,~,T~ ~'.>'~~;~'' ~ ~-:~ ~?::' APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT ~ , DRAIN FIELD ,OTHER. TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT TD BE ,NSTALLED ~Y ANTICIPATED DATE OF [;OMPLET~ON THIS IS TO SERVE AS ~ P~ '~'~0~4(2/~ ,PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO/BE SERVED .SEPTIOTANKSIZE I~"-~C TYPE.~ ~ SEEPAGE AREA DISTANCES: ,,,, TYPE /-:. DIAGRAM OF SYSTEM I certify that I am familiar with the requkements of Greater Anchoypge Area Bor~uf>b O~/d~nance.~ 287.6~nd tha~he above describedCyste~ is in accordance with said code ~ff~ ~'=~d-&ff ~f~¢2-~~/' /~-~IREATER ANCHORAGE AREA BOROUGF"-~ HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE # Performed For ,~-~c~K~ ....~'~a d.O m~ , ,, pate Performed__~_z~¢ Le~a] Desc~iPt~n: Lot //~ Block . S~division ,.~. ~ o ~,= =. ~m~l~ LO~ ,/ ' .Percolation Tesz Depth · Peet Sell Characteristics~ _ Location Sketch Was Ground ~fater Encountered?~ If Yes, At What Reading Date ~rcola~ib~ Gross Time Time Nat Drop Proposed Instal~Seepage Pit._.._~..... Drain Field Depth Of Inle~ ~OMMEN.S. Test Performed Data Certified By/~ (~ ~...y~ ~. ~ ' -_~/; ' _ Date~,,,~ APPLIC FILLS OUT UPPER HALD CtNLY ~ Phone Propel, ,~ ~w~er. Sonja McKee Mailing Address % Totem Realty, Box 911, Eagle Rive~ ZipCode 99577 694-2744 Buyer Bob Mains' Address Anchorage zip Code Lending Institution Phone SAfeco Title , 694-4773 Address Eagle River ~, Zip Code Realty Co. & Agent Lori Crowder, Tot~ 'Realty Phone P. O. BOX 911, Eagle River, AK 9957 694~9494 Address Zip Code LegaIDescription T14NR2W12, :Lot 16 Street Location Mile 1 Eaqle River Road Type of Residence IX Single Family [] Multiple Family No. of Bedrooms 4 ~ Other Water Supply {~ Individual ATTACH WELL LOG. A well log is required for ali wells drilled since June 1975. [~ Community For wells drilled prior to that date, give well depth (attach log if available). E] Public Utility Sewer Disposal [~ Individual Year Individual Installed: _ [] Public Utility When Connected to Public Utility: [~ Holding Tank NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Date Date Date Da ~ Q ~ ~. o. ~lc ~ ~ ~uNtCIpALtTY [NvIRONMSNI'AL cFIVED BY: ~~ Boils Rating Date ~wer Inslalled Well TO Absorption Area ~ ~ Well Log Received December 16, 19t~3 Sonja 6[cKee c/o Totem Realty iJox 911 Ea~te River, AK 99577 Subject: T14N, R2¥~12, Lot 16 Approval ~or the inOividual se,#er aad water facilities cannot be granted until the following items }lave been cor4pleted: Expose~ electrical ?;ires to the well head are in violation of the [~unicipality of Anehora~e codes ant3 must be encased in conduit. 'i'~%e septic tank pu_raped with a receipt submitted to this department. An adequacy test needs to be perfor~ned oa the existing leaching area. This test will determine if the system is adequate accordin~ to National Standards° A listing of private fir~(~s performing the test is enclosed. This report needs to be submitted to this office ~or our review. Please uotify this Department for a reins[pection whe~l the noted discrepancies have been corrected. I~ there are any ~urther questions, please call this office at 264-4720. olnc~lel~ , CW78/ej/Et Cory Willis, RoS. Acting Sewer & Water Program Hanager ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK ROBERTA. SHAFER January 8, 1984 CIVIL ENGINEER 694-2979 Totem Realty ATTENTION: Lori Crowder P.O. Box 911 Eagle River, Alaska 99577 Dear Ms. Crowder, Reference: Lot 16; Section 12; T14N: $2W A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of approximately 1800 gallons. The seepage pit was charged with 1000 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the four bedroom residence located on this property is currently functioning adequately° However, the system cannot be guaranteed against subsequent failure° The well wires were placed in conduit and the well is equipped with an adequate sanitary seal. The ground around the well casing adequate slopes away from the' well. be of further service, please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577