HomeMy WebLinkAboutTALUS WEST BLK 1 LT 14 iL_,/~ MUNICIPALITY OF ANCHORAGE k.~;~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE E~[ [~NEW
,.7 7~%~.~ ~UPr, RAOE
MAILING ADDRESS
EGAL DESCRIPTI~
LOCATION
DISTANCE TO:
Liq. capacity in gallons
IF HOMEMADE:
Well Dwelling
DISTANCE TO:
Manufacturer
Foundation
DISTANCE TO:
I Absorption area Dwelling
Inside length W dth '
of lines
Well /O O
J Length of e~c~
e to finish grade
Length
Type of crib Crib diameter
Well
DISTANCE TO:
To,a, ,eng?Zgs
Material beneath'tile
Depth
Crib depth
Building foundation
Material
Nearest lot line
Trench w~tI~
?Z
NO. OF BEDIMS
PERM' 'O ¢
No. of coEnpartTnts
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Distance between lines
inches
Total effectiv~a~f~so=~c~n area
inches
PERMIT NO.
Total effective absorption area
Nearest lot line
Glass Depth Driller Distance to lot line
Building foundation Sewer line Septic tank
DISTANCE TO:
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
DATE
LEGAL
72-013 (Rev. 3/78)
PERMIT NO. ( 8±09±3 >
RPPLICRNT
LOCRTION
LEGRL
I}EF'RR]'MENT I~¢ HEFILTH RND EN'¢IRONMENTRL PROTECTI ON 825 "L"' '~TREET., F!NC:NORFIGE., RfC 9950'1
OUTCROP LRNE ,:I"RL.IS WEST :,,-
T?PE OF SOIL. RBSORF'TION 5'¢STEM IS: TRENCW
MRXIMUM NUMBE:R OF BEDROOMS = 4 SOIL RRTING (SE.! FT,-."BR)= 300
THE REQUIRED SIZE OF THE SOIL RE:SORPTION S'¢.STEH IS:
THE LENOTH DIMENSION tS THE LENGTN ,:;IN FEET) OF THE TREN]N ]R [,RMI[ lEi_C).
THE DEPTH OF R TRENCH OR PIT !S THE DISTRNCE BETWEEN THE BURFBCE OF TNE
GROUND RND ]'NE BOTTOM OF THE Ei:.:iCR',,,'RTION ,::IN FEET.'.',.
THERE IS NO SET WIDTH FOR. TRENCHES.
THE GRR',,,'EL DEPTW IS THE MINIMUM DEPTN OF GRRVEL BETWEEN THE OUTFFILL PIPE
RND THE BOTTOM OF THE EXCW,/RTION (tN FEET).
PERMIT RF'PLICRNT HR.'.:.; THE F:ESF'ONSIBILIT'¢ TO INFORM THIS DEPRRTMENT B, URING THE
INSTRL. LRTION INSPECTIONS OF RNa' WELLS RDJRCENT TO THIS PROPERTY RND THE
NLIMBER OF RESIDENCES THRT THE HELL. WILL 9ERVE.
...... -~ ~-..~ ~2~ ,:" "-:" "* 'E ~-4 "~ F' E:= (-: ~- i' ~-, ~-4 c; F~ ~: E ~: ~E ~]~ b~ % ~ ~Z E>
BRCKFIL. LING OF RN'.¢ S'¢STEH WITHOUT FINRL INSPECTION RND RPF'ROVRL.. B'¢ THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
HINIMUM i':,tSTRNCE BE*rHEEN R WELL RND RN"r' ON-SITE SEWRGE DISPOSRL SYSTEM
t00 FEET FOR R PRIVRTE WELL OR t50 "FO 20E~ FEET FROM R PUBLIC I.,.IELL.. DEPENDING
UPON THE T"r'F'E OF PUE:L.!C WELL..
MINIMUM DISTRNCE FROM R F'RIVRTE WELL TO R PRI'v'RTE 9EWER LINE I~ 25 FEET RND
TO R COHMUNI'F'¢ SEWER LINE I9 75 FEET.
OTHER REQUIREMENTS MR"r' RPPLY. SPECIFIE:RTIONS RND CONSTRUCTION DIRGRRMS aRE
RVRILRBLE TO INSI. JRE PROPER INSTRLLRTION.
I CERTtF'¢ THRT
±: ! RM F'RM!LIRR HITH TNE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'¢ 'THE MI_INICtPRLIT'¢ OF' RNCHORRGE.
2: I 1.4ILL INSTFILL. THE SYSTEM lf.,I RCC:ORDRNC:E WITH "FHE CODES.
2: I UNDERSTRND TNRT TH~ O~.4-SI'T~ SEWER S~'STEM MRS.' REQUIRE ENLiRRGEMENT TNE
TH N
r¢'
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE,SEWAGE DISPOSAL SYSTEM
LOCAT,ON LEGALDESCR,PT,ON
SEPTIC TANK:
DISTANCE . --- '
FROM WELL/~2~ MANUFACTURER ~g[/~ ~-~/ MATERIAL
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY,/~)~>O GALLONS.
NUMBER OF PITS DIAMETER OR WIDTH LENGTH DEPTH
LINING MATERIAL~ rJ~¢CRI8 SIZE: DIAMETER DEPTH DISTANCE FROM= WELL / ~ Z '
TOTAL EFFECTIVE
AREA) ~ ~
BUILDING FOUNDATION , NEAREST LOT LINE . ABSORPTION AREA (WALL ~ C~~ SQ. FT.
WELL:
TYPE CONSTRUCT,ON
BUILDING NEAREST
FOUNDATION -- LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
/~-
!
.~] O~ DEPTH DISTANCE FROM:
NEAREST SEPTIC//2/',~ SEEPAGE
SEWER LINE TANK / ~' -- SYSTEM /~ ~
REMARKS
DISTANCES:
INSTALLED BY' "~-~
PIPE MATERIAL:
.d/~,,",,/;,¢_
LOT SLOPE:
DIAGRAM OF SYSTEM
DATE
GrEATEr ANCHORAGE ArEA BorOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-/1561
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ ~ ., DRAIN FIELD -, OTHER
~.-?q ~ / &~..
PHONE
COMPLETION DATE ANTICIPATED
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.
I~INIMUM DISTANCES, REQUIREMENTB
SEePAOE AR~A S,ZE~.¢~6 &~/.~.,~..,~ ~'-
DIAGRAM OF SYSTEM
SEPTIC TANK TO SEEPAGE PIT WALL
WELL TO sePtiC TaNK
ALSO CONSIDER AREA WEELS.
DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST iRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEETINTO UNDISTURBED SO~L.
4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge ARE/ BOROUGH ORD]NANCE NO. 28-68 AND THAT THE ABOVE
GAAB-HD-I
GI(! P'R ANCI'tURAL~I: AReA I~UKUU' ']
D~,,:RTMENT OF ENVIRONMENTAL QUALIL,_..,
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAme
LOCATION
MAILING
ADDRESS
· _.:'q-I '-
PHONE
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL_
LIQUID CAPACITY
GALLONS.
NUMBER OF
MATERIAL ,'~ ~')~Ot,~ ' ~ ?~..J COMPARTMENTS
~Jz'_ ~J; /6 '~i('/
INSIDE LENGTH '~- INSIDE WIDTH.
2
LIQUID
.DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PiTS / OUTSIDE DIAMETER
LINING MATERIAL. -~) (~(~1't(1 J"~)] '~ /~c~'l ~k("j ~ ·
NEAREST LOT LINE ,~ i
OR WIDTH .. LENGTH ~? t , DEPTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
BUILDING FOUNDATION
sq. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
, FOUNDATION ,.~N~ E AR EST--t:O T~ E B'~-F
.DISTANCE BETWEEN LINES TRENCH WIDTH
//~SQ. LENGTH GE EACH LINE.
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LrNES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
TYPE ~&lZ(-£l,) /Jo'~j.(, DEPTH ,JZL)'
'~ NEAREST /7~. SEPTIC
LOT LINE . SEWER LINE,,/~J TANK
DISTANCE FROM WATER
,BUILDING FOUNDATION ~('~ / SAMPLE , NEAREST
,,/d2 ~, / SEEPAGE --, /
. SYSTEM /~'~"~-~ , CESSPOOL ,/~'/~¢:?"~/~t'¢"~ SOURcEsOTHER
DISTANCES:
· ,~')1 z 7 24 -F.'
DIAGRAM OF SYSTEM
'C
GREASe/Er ANChOrAGE ArEA BO~:::[UGh
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMITNO, r~//2
INSTALLATION OF: SEPTIC TANK ~¢ SEEPAGE PIT / DRAIN FIELD -~ OTHER
TYPE AND SIZE OF FAGIL[TY TO BE SERVED
FINANCED THROUGH . TO BE INSTALLED BY
SOIL TEST RESULT~~ /~'/~ ~ / ~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: E4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE Pit WALL
SEPtiC TANK ~-~/ SEEPAGE PIT ~'i¢,~)
/
DRAIN FIELD
WELL TO SEPTIC TANK ~--~ / _, SEEPAGE PIT
SEPTIC TANK, '~'~/ SEEPAGE PiT ~*'~'~ /
SEEPAGE AREA SIZE , TYPE
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION ~ FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROJ~FI~DINANCE NO. 28-68 AND THAT THE
T.H -I
6-8-72
ORGANICS
ORGANIC SILT
W/ SOME GRAVEL
Redish brown
SILTY SANDY (GM)
GRAVEL W/SOME COBBLES
Grey
0,01
3.0~
5.01
SANDY GRAVEL (SW)
Grey . ~ ~
8.01
SAND W/SOME SILT (SP)
Medium fo fine grain ~ P
Grey ~
lO.O
SILTY SANDY GRAVEL (GM)
Grey
No water table
Note: Hole excavated with tractor mounted backhoe.
Howard Nugent Property
¢& LOGOF TESTBORING
Engineering
Geological
Consultants
, A N CHORAeE FAIRBANE8 ALASKA
Anchorage Alaska
R&M ENGI IEERING & GEOLOGIC J L CONSULTANTS
229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503
TELEPHONE 907 279-0483 TELEX 090-35419
Civil En#ineers Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E., L.S.
JAMES H. WELLMAN, P.E.
June 8, 1972
No. 26521
RALPH R. MIGLIACClO
Engineering Geologist
Mr. ttoward Nugent
Star Route A 1591-M
Anchorage, Alaska
99507
RE: Test Hole and Soil Log Report for Sanitary System
Lot ~ Block 2; Talus West Subdivision
Dear Mr. Nugent:
We are submitting herewith the test boring .r~sults and our comments
regarding soil conditions encountered at the.subject site. This investi-
gation was performed in accordance with your request of ]une 8, 1972,
and those procedures outlined in a letter dated September 13, 1971by
Mr. Roll Strickland of the Greater Anchorage Area Borough Department
of Environmental Quality.
A single test hole was put down within the Lot 7 area for the purpose
of defining general subsurface soil conditions for the proposed sanitary
system. Excavation was accomplished with a tractor-mounted backhoe
and the test hole was extended to a total depth of 12 feet below ground
surface. One sample was recovered from the bottom of the test hole
and retained for grain size analysis. The sample will be held in storage,
up to approximately one month, for possible testing before it iS discard-
ed. The final log prepared for the test hole has been included in Drawing
A-01.
Ground water was not encountered in the~test hole.
We 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,
ENGINEERING & GEOLOGICAL CONSULTANTS
W. Rooney
IWR:wb ,
Enclosure
cc: Grea~er Anchorage Area Borough
ANCHORAGE FAIRBANKS
JUNEAU
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTrFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date
GENERAL INFORMATION {MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Telephone: Home
B u si n ess ~/~/?..) '~,,~ ~'""7-.~,/
Telephone
(e) Mail the HAA to the followine address: or: Check here I~, if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family~
Number of Bedrooms'
WATER SUPPLY
Individual Well~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~ Public [] Community [] Holding Tank []
Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page I of 2 72-025 IRev 8/861 Front
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage flies and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is io compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm '/~ ~"~')" Telephone -~'""'~'/~-5'~'~tO
Date 7-z-7
DHHS APPROVAL
Approved for ~,/~-~--(~/~ bedrooms by ......
Approved ,~ ,~'"~.._ Disapproved
Conditional
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services /DHHS) issues Health Authority Approvsl
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data
before s certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2 77-025 IRev 8/861 Back
~-~ MUNICIPALITY OF ANCHORAGE (M~[
, MUNICIPALITY OF ANCHORAGE HEALTH AUTHORITY APPROVAL (HAA)
ENVIRONMENTAL $~RVICES DIVISION CHECKLIST - FEBRUARY 1984
264-4720
J U L 2 8 1988
WELLDAT RECEIVED
If A, B, C, D.E.C. Approved (Y/N)
Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing~N)
Depression Around Wellhead (YIn)
/
; On Adjoining Lots
//¢ ""~ ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on
/¢-- ¢4/~'-'4'/ ;Date
Well Classification
Well Log Present (Yg Date Completed
Total DepthS) ,~'O~ Cased to~"~ ~'~!
Static Water Level ~) .b.~?
Casing Height Above Ground /
Electrical Wiring in Conduit~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line /-)//~
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments (~ g,~,~'&z.. /¢¢~J
B. SEPTIC/HOLDING TANK DATA
Date Installed '~- ~.-'? -~t Size
Standpipes~N) Air-tight CapsON)
Depression over Tank (Y(.~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line
No. of Compartments !
Foundation Cleanout~N)
Date Last Pumped ¢~'"~"~ /~"~'
/,)/~ ; for 'g/g-
Temporary Holding Tank Permit (Y/N) .,'"¢/~ __
/0'
To Water Main/Se~¥ice Line /O
Co~rse ' ~ "~:,
Comments · ',, ;: '
To Building Foundation /~-~
,,
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(11184)
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y.(~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation /¢ '-/-
Lot /O
TO Water Main/Service Line /0
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field /
Gravel Bed Thickness
Standpipes Present ~N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
/
To Cutbank (if present)
/¢
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level
Tested for
Dimensions
Manhole/Access
"Pump Off" Level at
Vent ~)/N)
Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (~N)
Check Permitted Bedroom'F~ating Against HAA Request
, certifytha, I h~,~tbc/~,.~,er~.ed, or conformed to all M ,O.A and HAA guidelinesin effect on the date of this inspection.
Signed ~'.-"~" ',._,, ~--k.,/¢..---.---- Date ~ '~¢~
Company ~ MOA No. ¢~
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
DESCRIPTION OF WORK
~q 't~'~ '';' ~ .:ANCHORAGE ALASKA 99511 ':: ,.,~:. :i,~ oTY PRICE: AMOUNT
LEGAL DESCRIPTION
days unless other arrange.ments are made
prior to drilling. The customer sba# pay/n- MATERIALS IFROM ABOVE)
retest at the rate of 1 ~ % per month on any OTHER CHARGES
amount not paid within ten days. Failure to
pay may result in a lien against the property.
PAY THIS AMOUNT II J ~:' ~
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI(~PL OF HEALTH &
,~ 825 L Street - Anchoraget Alaska 99501 ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION ,JUI'~ ~ 9 ]9~
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
PROPERTY RESIDENT (If different from above) .~
2, BUYER
PHONE
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
PHONE
MAILING ADDRESS
~, TYP~ OF HES~DE~¢S~J ~UMSER O~ ~ED~OOMS ~
[] One ~ Four
,Ji~' SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7, WATER SUPPLY
~' I NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN RE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR I NS PECTOR I NSP ECTOR
DIRECTIONS:
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 UT)LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
E~ PUBLIC UTILITY
Connection Verified INSTALLER
E]Septic TAn~< or [] Holding Tank
Size:'""'/~') ((J~U IfTankishomemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER ~-t~-.-
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELLTO: Septic/HoldingTank Absorl Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
E~'~',~,PP R O V E D FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)'
[] DISAPPROVED
DATE ~Y (Title) /')
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
,,,,-/
/
/ un cipal tYo
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4t 11
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENTOF REALTH AND ENVIRONMENIALPROTECTION
August 12, 1981
Dick Stallone
% Rita Rosenberg
Re/Max Properties
2702 Gambell Street
Anchorage, Alaska 99503
Subject: Lot 14 Block 1 Talus West Subdivision
The adequacy test performed on the existing sewer system
shows the system is not functioning properly for a four(4)
bedroom single family dwelling and will need to be upgraded
prior to an approval being sent to the lending agency.
To upgrade the system to a fou~(4) bedroom rating, the
following will need to be completed:
(1) A permit needs to be obtained from this office prior
to any construction for the upgrade.
(2)
Add to the existing 1,000 gallon septic tank a 500
gallon septic tank.
(3)
Add 44 feet of trench with 6 feet of gravel backfill.
The gravel backfill should be placed between the
4 - 10 foot level.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
825 "~ "'~-- ~' -
ANCHORAGE, ALASKA 9950
(9u7, 26441
June 30, 198].
Dick Sta!lone
% Rita Rosenberg
Re/Max Properties
2702 Gambell Street
Anchorage, Alaska 99503
Subject: Lot 14 Block i Talus West Subdivision
Approval for the individual
cannot be granted until the
completed:
sewer and water facilities
following items have been
t~l (1)
The water analysis report; needs to be subraitted to
this offi. ce from the Chem Lab, 5633 B Street, for
our review.
(2)
The septic tank pumped with a .receipt submitted to
this office.
(3)
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office.
(4)
The application shows the number of bedrooms e~ds the
number the sewer system was designed for. An upgrade will
be required. A 500 gallon septic tank needs to be added
to the existing 1,000 gallon septic tank. Prior to any
construction, a permit will need to be obtained from this
office,
If there are any f. ur~.her~ questions, please call this ofr:Lce~'
a't 264-4720,
Szncerely,
Robert C. Pratt~
Associate Specialist
RCP/ljw
ALASKA 6FIUIROFIm6rlI'AL COI TROL $6RUlC6S, IRC.
~mjineerin~, $ ~nuironme~i'al Studies
RITA ROSEBERG
2702
ANCHORAGE AK 99503
6/19/81
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL pROTECTION
4 4
RECEIVED
S~/,LRR - STALLONE
SUBDIVISION-TALUS WEST BLOCK-1 LOT-14
THE TYPE OF ABSORPTION SYST~4 IS A PIT/CRIB/~RENCH WITH AN AREA OF 510 SQFT.
THE SYSTE~ IS CAPABLE OF ACCEPTING 1~ GALLONS OF WAT~ PER DAY.
THE SOILS RATING OF THE SYSTF~ AT (]ONSTRUCTION WAS 125 ~ NOW
IS >300 SQFT PER R~-~ROOM.
BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A
HOME OF 3 ~DROC~4S.
THE SEPTIC TANK WAS PUMPED ON 5/25/81 .
1220 IlJest 251h /~uenue · Anchorq¢, Alaska 99503 · [907/276-i361
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "c" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address: ~/o ~ h~~~ Phone:
-
2. Property Owner. ~ ~. ~~ Phone
Mailing Address: -~
3. Legal Description: ~ /~ ~ /
' '/~~
5. lype of ~ac~lity to be ~nspected ~o. o~ bedrooms
A. Type ~,' ~ ~*~) B. Depth /
C. Construction D. Bacterial Analysis
SewagJ Disposal System: /
A. Installed '~ - / ~ , B. Installer
C. Septic Tank: 1. Size /~-~a.il 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 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
GREATER ANCHORAGE
A,~,, BOROUGtl
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
lo Type of Inspection: CMRO
2. Property Owner: '~2./~,. ~
Mailing Address: N ~lh-~ _
3. Name of Buyer: ___~.c~
Hailing Address:
CONV W~/x
~-~_~ OaS Phone
Name of Lending Institution:
Mailing Address: ~ ~. ~,
Name of Realtor or Agent:
Mailing Address
Phone
Phone
7. Type of Facility to be inspected: ~L]F~.~-eJ~O/~= No. Bdrms. _~/
8. Water Supply
Type of Supply: Public Utility Individual ~//
If Individual, number of dwellings presently served /
If Individual, depth of well
9. Sewage Disposal System
Type o;= S~stem: Public Utility ____ individual (on-,si~e) ~b~__
If Individual, date of installation
Page 2 of two pages - R~ ~t for Approval
~.~.. /~,, Z, !
kegal Description L~ / ¥' ;~ '
of Individual ~ )r & Water Paci~ities
Comments
APproved i sapproved Date
/
Approval iValid for one year from date signed
Greater Anchorage Ar~a 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)