HomeMy WebLinkAboutT13N R3W SEC 13 Lot 77
GREA,CR ANCHORAGE AREA BORL.~GH
Department of Environmental Quality
3330 G Street
Anchorage, Alaska ggs03
INSPECTION REPORT ON-SITESEWAGE DISPOSAL SYSTEM
NAME ~/~rcJ .4//,'~r7'7~ MA,L,NG ADDRESS ~ ¢00 .4r--[- ~OW,~'PHONE
SEPTIC TANK:
DISTANCE
FROM WEU ~
INSIDE LENGTH,'""~'~
NUMBER OF
MANUFACTURER ~-~'~ MATERIAL. _ COMPARTMENTS
INSIDE WIDTH~<JLIQUlO DEPTH.Y LIQUID CAPACITY/~'(~0GALLONS.
DISTANCE EROM WELL ~/~0 ' FOUNDATION
NEAREST LOT LINE
TOTAL LENGTH '
OF LINES /"~'
=7/
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE 4--
BUILDING //z7 (/',~/~,~,/~ NEAREST j NEAREST
MATERIAL BENEATH TILE . ABOVE
TRENCH WIDTH IN. TOT. AL EFFECTIVE
/n
/
7/
~',~ SQ, FT. LENGTH OF EACH LiNE
TILE
DEPTH. DISTANCE FROM:
SEPTIC~.~' SEEPAGE
TANK M~J , SYSTEM
APPROVED __
DISAPPROVED
REMARKS --
DISTANCES:
SEWER LINE DEPTH:
PIPE ,MATERIAL' ~'-~-~ '
LOT SLOPE: ~g..~,2
DIAGRAM OF SYSTEM
DATE
Form LQ-032
i NE~; fR L L R'T I ON.
i CERFZF:"!" 'f'H.~i'
'L.: ( i:;~M FF~HiLI611?. F.ii!"H THE RE:(::AJlF:EHENTE5 FOR ON'"'E;i"fE:
FOi4:~'i'i EF¢ 'iHE HUNIE:iF'F~I-.iT"r' OP' i~NCHORRGE.
:".: i N!L.L. iN?i'RLL. THE ?.¢:~¢?EH iN RCCORE:,F!NCiE F.tiTH THE (;:ODES.
3: ): UN[:,EEE::STRNE:' ~l'i-ll:~"i~ THE: Oi",!-:~;:i:TE SE:P4E:R E;'¢ST[EH ifiR'¢ i;'.E(;!UIRE Ei'.~LFFE:GEEHEi"4T IF: THE:
F~'.EEE;I[:,iENCE ]:S REHOE:,Ei_ED "F() iNCLLiDE I"'iORE THFtN
2204 Cleveland Anchorage, Alaska 99503
Performed For AO~ ~'~C Co~S~ ~C~, Date Performed~~
Leoal ~escrintion: Lot~Block Subdivision ~ /.~7~ /~~'~l~
This Korm Renorts Soils LoQ )/~ Percolation Test
/
Penth
Feet Soil Characteristics
6--
8--
10--
16--
18--
20--
Was ~round Water Encountered?y~O
IF Yes, At what Depth?
Readinq Date Gross Time Net Time Depth to H20 Net Dron
Percolation Rate Minute
Proposed Installation: SeenaQe Pit
Deoth of Inlet Depth To
Test Performed By /'~~7
Drain Field
3ottom Of Pit Or Trench
Data
~ DATE RECEIVED
TIME TIME
DATE
DATE DATE
,NSP R
INSPECTOR
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL F,;OT~CTiON
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street- Anchorage, Alaska 99501 MAR 6 1980
~ ENVl RONMENTAL SANITATION DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS; Complete all parts on page 1. Incomplete reques~ will not be proceed. Please allow ten (10) days for processing.
PROPERTY RESIDENT {If different from above}
PNONE
2, BUYER PHONE
M~ILING ADDRESS
4. REAL~/AGENT / PHONE
I MAILING A~DfiESS
'EfEET LOCATI ON ' /
6, TYPE OF REBIDENCE , NUMBER OF~BEDROOMS
~ ,., / ~ /~/, , .~ ~/~ ~ One ~ Four
, SINGLE FAMILY ~Z~-~, r ' ,~' ~
~ MULTIPLE FAMILY ' - ¢ ~ Three ~ Six
7. WATER SUPPLY
INDIVIDUAL~
COMMUNITY
~ PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM ~] INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
[] Other
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well ~
d. pth (attach log if available.) /~t~/~ ¢~///~0 '{/J'g~'4~
//F~?7 YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ' ~.~)
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
E]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~ '--~ ~1
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank --~P~'q ~_~r~ /~{zL~'w'v---
Size: /~00 If Tank is homemade SOILS RATING '
give dimensions; ~
TYPE OF TANK MANUFACTURER /~
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank~ Absorption(~ Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR -~ BEDROOMS %~ ~i-~
~¢~ND[TIONAL APPROVAL (letter must accompany certificate}
~D[SAPPBOVED
72-010 (Rev. 6/79)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received FebrUary 7, 1977
Time of Inspection 9:30 a.m.
Date of < ~
Insnection ~?~r~e sda y
REQUEST FOR APPROVAL OF J
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by: Home Federal Savings and Loan Association
Mailing Address: 535 D Street Phone: 272-1451
2. Property Owner: Juanita M. Braun Phone: 333-6912/265-5527
Mailing Address: 7556 Duben
3. Legal Description: T13N R3W Section 13 Lot 77
4. Location: 7556 Duben, ~ on the house
5. Type of facility to%~e ln.sP',e~cte~\~mngle Fam~zly No. of bedrooms
· ~ ,.', ~?} ~.../~.~'~ w/small apt.
6. Well Da~. /'~"-- ~ ~ ~'~ · ,.
A..q%~p~ -~-~~al B. Depth 180'
C.~k. CQn~struction
7!~>-'~ewage Disposal System:
D. Bacterial Analysis
On-site system
A. Installed 1965 B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: l. Absorption ~rea
2. Material
E. Disposal Field: 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
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNICIPALITY OF ANCHORAGE
DEPT. OF tIEALTH &
ENVIRONMENTAL PROTECTIOJ'~
FEB ? 1977~
1. Type of Inspection: CMRO
2. Property Owner:-~'~T~.~..~. ,~ ~
Mailing Address: 7
3. Name of Buyer=
VA
FHA CONV
Day Phone: 333 -&qlZ
WA', ~'-,¢~-~ 7
Mailing Address: ~ Day Phone:
4. Name of Lending Institution: ~O ~.~
Mailing Address: ~' ~ Phone:
5. Name of Realtor or Agent: ~ ~
Mailing Address:ll~. ~.~!,,~,,~,~Phone:
6. LegalDescriptio.:~ ~ ~*'
7. Type of Facility to be Inspected: ~
8. Water Supply
Type of Supply:
No. Bdrms.
Individual
Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well ~_~ ~ !
Sewage Disposal System
Type of System: Public Utility.
If Individual, date of installation I ~ ~ ~
Individual (on-site)
72-003(3/76)
Page 2 of two pages - Re~%;t for Approval of Individual ~.r & Water Facilities
Le§a~ Description T13N R3W Section 13 Lot 77
Comments
/) ' k ~-;'7 ~ // ~
t~' ~-~/ '[ Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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)