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HomeMy WebLinkAboutT13N R3W SEC 13 LT 30 E2� � . � : � . .: > � a , « \ � © � , � ©� } <�{ \ } \ ) \ / . z z� � : \ § � \ ? \©° ( z }moi � > . § a , � \ �� - � < . � .. :�5 » � ® (�� � � ^ ` � " G['~,TER ANCHORAGE AREA BOROI,/~-!' DErARTMENT OF ENVIRONMENTAL.GUALITY~ 3500 TUDOR ROAD ANCHORAGE. ALASKA ggs07 27g-8885 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ~"'--~.~"",¢'"~ ..~.~x"~(...,~ .. ADDRESS PHONE LEGAL DESCRIPTION -~-~-,J/~--- ~ .~.. .~./~. SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. MATERIAL --%~'.~"-'~-- NUMBER OF COMPARTMENTS. INSIDE LENGTH /~"~INSlDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PiT: .~---)(~-'~~2-' ~/~ ~x~/~ ~/~~ ~~~~. NUMBER OF PITS ~ OUTSIDE DIAMETER OR WIDTH , LENGTH , DEPTH LINING MATERIAl ~~~~/~ DISTANCE FROM WELL NEAREST LOT LINE. ~/~~/ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /~ ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL _ ~ NDATI , NEAREST LOT LINE NUMBER OF ~~ DISTANCE BETWEEN LINES ~CH WIDTH ABSORPT~ AREA SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE W E L L: '~-'~-~'~/-/~*:/'~'~' ~'- T y p E ..~'. ,~'~'~-_~ , DEPTH LOT LINE f,9 /~' NEAREST SEWER LINE ~ DIAGRAM OF SYSTEM DISTANCE FROM ~ WATER ~, BUILDING FOUNDATION SAMPLE -'"~/~- NEAREST SEPTIC SEEPAGE OTHER ~ DISTANCES: ~ .~'..=~,~'/~-- /.'~ ~""~/ APPROVED.~_ G.A.A.B. GREAT;ER ANCHORAGE AREA BOROUG~/~//~/~ DEPARTMENT OF ENVIRONMENTAl- QUALITY pERMIT :3500 TUDOR ROAD POUCH 6.650 ~,/ ANCHORAGE. ALASKA 99502 T~EPHONE 279-8686 SEWAGE DISPOSAL SYSTEM --- APPLICATION AND PERMIT G ADDRESS NAME OF APPLICANT ---",~' *~- / ~' t'- PHONE~ oTHER ~ LEGAL DESCRIPTION // DRAIN FIELD ~ SEEP, AGE PIT- ~ ~,~,,~,~/.~/~_.~'~'~,"..~ ~ TYPE AND sIZEOF FACILITY~O BE ~ERVE ~~ '~~ ~ ~ ~ ~O BE INSTALLED BY ~ ' FINANCED THROUGH .~~ / NOTE~ THI~ ~ER~IT IS NOT VALID WITHOUT ~OIL ~ sOIL TEST RESULTS COMPLETION DATE ANTICIPATED ~~ FINAL INSPECTION' 2~ HOUR flOTIc~UI~ED' BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AuTHORI~ WILL BE SUBJECT TO PROSECUTION. ~ ~~ ~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT -- ~,~ ~ __, DRAIN FIELD -- " SEPTIC TANK TO sEEPAGE PiT WALL -- /~ / SEPTIC TANK ~' · SEEPAGE PIT -- ~ __~ DRAIN FIELD -- WELL TO GEPTIC TANK ~ ~ A~SO CONSIDER AREA WATER MAIN TO SEPTIC TANK ~ /~ / , SEEPAGE PIT - DRAIN FIELD / sEPTiC TANK, ~, SEEPAGE pit ~ DRAIN FIELD- TO RIVER, LAKE, 5TREA~, 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 51PHON pIPES ON SEPTIC TANK AND ~EEPAGE PIT FI~ED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO I:::IOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR wITH THE REQUIREMENTS OF (~REATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE AE ~ L~'~' ~-,~(EATER AMCHORAG~ AREA BOROUGH _ .~ Oopartment o~ EnvSronmental 3500 Tudo~ Road, Anchorage, A].aska 99507 27g-8686 ~QI. JEST FOR APPROVAL OF ZND~V~DUAL SE~qER & WATER FAC~LZT~ES FOr~ Approval Requ*s%ed By: ~~~ Address: Phone 3. Legal Description: ~ ~ ~,~,OSO ~'~/:~j~=e 5. Type of Facility to be I~srected: ' Number of Bedrooms: ~ ~ 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis ovstem. 7. Sewage Disposal ¢ · A. Installed 8. Installer C. Septic Tank: 1. Size 2. Manufacturer D, Seepage Pit: ]. Size 2. Material Disposal ,held: 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 Request for Aporoval of ~.,vidue! Sewer & Water Fac~liti~~-. ~.e T~,o . ~ _ J ,~?.rova] Valld for One Year Fro~ Date Greater Auchorac~e Area n - ., ~ · . .ox oue, h, Oeca rtme~.t ':f Envzron... enta] Qua tlty DIAGRAM OF SYSTEK I certify that the information contained in this request for approval to be a true and accurate representation of the sub4ect se~er and water facilities located at: Signed Date REQUEST FOR APPROVAL OF .... INDIVIDUAL SEWER & WATER FACILITIES FOR ~ Phon~e: Address: 2. Prooertv O~ner: /'$/.~ ~ ~ Phone, S~ ~0~ 5.Type of Facili%y to be I~spected: ~ Number of' Bedrooms: ~ GREATER ANCHORAGB AREA BOROUGH Department of Environmental Quality Date Received Time of InsDec~io~ 6. Well Data: C. Constructi on_~~. D. 7. Sewage Dfsoosel System: [~ A. Installed C. Septic Tank: 1. Size I~k~O 2. D. Seepege Pit: 1. Sizeable' 2. Disposal Field: Depth___ Bacteria] Ana]ysls Installer ~) ~ Manufacturer~T~'~ aterie Total ~emgth of L~ne~ 8. Distances: A. Well To: Septic Tank ~) ~ Absorption Area Io~_0+ Sewer Lines , Nearest Lot Line 4~) , Other Contamination . Foundatio~ to Septic Tank~/~4~'L~',~ Ab§orption Area Absorption Area to Nearest Llt Line ~ Request for Approval of ~ndividual Sewer & Water Facilities 9, Comments,' .~.4..t~-~/~ .,(~L~'~2 ~.~~ -,'~/~ ~/'~ ? ADoroved Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borouqh, Department of Environs. eh%al Quality D!~SRAM OF S,ST,~N~ 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 located at: Signed Dage u~P~_o~ b~wRo~,~ 3~ T~ Ro~ ~9-8~86 RECUEST ~OR APPROVAL OF I~IVIDUAL SB'~ &~ NATER ~ACILITI~S ~OR FttA APPROVAL REr~JESTED ~y~, ADDRESS :, ~ 0 'iA LO. .~, LEGAL DESCRIPTIOiJ'- ff/~ ~ 2-- ~ /--], TYPE FACILITY TO BE INSPECTEDL /~L~_~_ [~J~ER OF BE~ROOt4S:_. 2_~ ~ /~ p/fl SEPTIC TANK (IF P~E/qADE, SH~.'I DIA61~q ON BACIO ~JATA, B, DEPT]{... -P~'~ '/ .... C, SIZE 6, SB'~AGE ~IS~S~ SYST~: A, 2, AGE. t~Ai~UFACTURBR. IHSTA~ ~ ° "' ,','L c~ FACILITIES APPROVAL REnUEST FOR oP~:R PAGE 1! !0 f 2, TOTAL LENG,'D-I i'{EQUIRED ! ~EASUREMENTS C, D, E, F. Il. FOU~ATIOr~! TO SEPTIC T~,!K , ,/V'/~ FOUNDATION TO ~ ~ SEEPAGE PIT TO PROPERTY LINE. APPROVD.); D I SAPPROVED: D~,T~, DAI'E: ~PPROVAL v~t:~ .m,) .,,~..., ,,~, O~!E YESR FR,,, D';',IE SIntEL ,: .~, ~AT~I~ AN~:IOI~{ACE AREA BOROUGH DEPARTPE~FI' OF BNIRO~ENTAL eUALITY m77! September 1, 1~71 1/2 of Lot 30~ Clarkeo Owner. houses~ The ~ell ~as in e pit belo~ ground and ~es 56' fro~ the closest cesspool, 8e¢ore approval of these ~ystems can be given by this oCftce~ an approved se~er syste~ ~htch normally conststs o~ a septic ~enk~ seepage p~: arrangement is needed, Alee, the cons~ru¢~ :ion of ~he ~ell ~eeds ~o be upgrede~ and proper distances ~rom the se~i-pebltc ~ell to the se~er sys~em~ need ~o be obtained. there a~e any questions re~ardtng the above please do not Slnce~ely~ Lynn S, Coed CC: FHA ~eseph Clarke (~/o