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