HomeMy WebLinkAboutT15N R1W SEC 19 NW4 Stewart Property #1
G~"':-~TER ANCHORAGE AREA BORO~H
· HEALTH DEPART/VlENT
· ~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
· INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION r/'~//~.~-~ ~_~_~/ /,fl/y.~/~,~'~,/J,/~'~
SEPTIC TANK:
DISTANCE FROM WELL '~'~--~¢"'~9 ~ MATERIAL
LIQUID CAPACITY ,~//'~') GALLONS.
MAILING --
A O D RE S S ~'~/~' .~ ~.~,
LEGAL DESCRIPTION
~. ~.~/~...~_~--~ NUMBER OF /
.COMPARTMENTS
J
INSIDE LENGTH /~"~ INSIDE WIDTH '~'/'...~;'
LIQUID
__ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL 7
NEAREST LOT LINE
LENGTH .~'~/ / DEPTH
DISTANCE FROM WELI..~.-~f~,/~'j~', ~.~'~'~-'~' BUILDING FOUNDATION "~'/,
· TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~::~ SQ. FT.
TILE DRAIN FIELD:
, , OF LINES ~,
NUMBER OF [I S~~'~ DISIANCE B~IW~EN LINES ECTIVE
DE~TH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE ,~,'.~//--~'~'~ DEPTH ~'~ DISTANCE FROM /'/) ~'~ WATER
, ,' , BUILDING FOUNDATION/ '"~ 7~ SAMPLE /'~'/'~) , NEAREST
LOT LINE /~ /~_. NEAREST ~/ SEPTIC .~,~'~". ~ SEEPAGE '~'~-./
, SEWER LINE . TANK ~'~;'~'~'~ , SYSTEM ~/~'~-~' , CESSPOOl //i SOURcEsOTHER
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED - - ~ ' ';
HEALTH AUTHORITY
G~REATE(~"ANCHORAGE AREA
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
case No. ~t~ ~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS
MAILING ADDRESS .//~r~/~/~; ~ ~'¢'PHONE NO.~ ,-~
LOCAT, DN OF ,NSTALLAT, DN
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH /2~z/gff~
PERCOLATION TEST RESULTS.
SEEPAGE PIT y , DRAIN FIELD
ANTICIPATED DATE OF COMPLETION
,OTHER
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ~ ¢'4,/. , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE~-'~/'L'~b ~"'~/~'~PE SEEPAGE AREA ~"~ ~ TYPE
DIAG.AM OF SYSTEM
DISTANCES:
I certify that I am familiar with the requirements of Greater Anchorage Area Boroug, h Ordin0nce No. 28-68 and that the
above described system is in accordance with said code. ~)~ty/r tJzt~:eff (~t~ 4~ "~.
//
x~'~REATER ANCHORAGE AREA BOROUGH"
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
P~Pformed For B. D. Stewart
Legal DescriPtion: Lot Block
This Form Reports a: So~-/-~-Log
Date Performed 8/2~/70
S~dlv~sl0n N. W, Quarter sec'iw'
-~ercolatlon Te~t'
Soll Characteristics
silty gravel (GM)
gray fine to coarse sandy
gravel (GW)
Depth
Feet
2 .
4--_
6--
8---
12~
14~
CASE
If Yes, A+ 4~at Depth
Rea '~- ~~os$ Time I Net
,,, ~ , ' ~ ,~,.= Depth To H20 Net Drop
FYoposed Instal~Seepage Pit F~eld
COMMEN. S.
85 square feet of drai2~ge anea is ~ 'uired e'r
Tea~ PerFom~d By:~. E. Carlisl,e ~ese reco~endations are computed from
=- visual observation and based on the uni-
fied classification system.
Ds~a Cemtlfied By:~ationa1 Testin~ Service, Inc.
Da~e:
Was Ground P;ater }fncountered? F?° I
Illjlt
Location Sketch
· ~]ox 90, Davis St., Eagle River, Alaska 99577 694-2774 or 233-5240
t~u;.$ell Oy..~ter .
· "'~942774' ' '' " ': : "' ' ' ' " ' ' '
C~s~l Engineering
Sods ~' Foundations
333-52z~0
Surveying
Land Development
SOIL LOG
Performed for: Name: ~ ~ c.q< ~,.~__~]> Tel,
Mailing Address: ~r ~mM~ ~-¢~
Legal Description: ~c. /¢ T /~ ~/~) ~ ~ , ~ ~
~p~ ( ~) '~' C~ '" C~ '~" '"
~- fee ' '"":- :' "' "" So~ ara er~stlcs
'0
1
2
3
No. ~-o~m/
ll
GREATER ANCHOI~GE AREA BOROU~
HEALTH DEPAR~ENT
327 EAGLE STREET
ANCHORAGE, ALASIO, 99501
279-2511
TIME:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE ~ND }VATER FACILITIES
FOR
Address /~, ~h~ ~-~,
Phone
2. Property 0wrier ~~/~, Phone~ ~
3. Legal Description' ~//(~,
~. TYFe o£ Facility to be lnspe:ted
Number o£ Bedrooms ~ /
Well Data:
A. Type .
B. Depth
C. Size
E. Bacterial Analysis
6. Sewage Disposal System:
Septic Tank
1.
2.
3.
4.
Size
Age
Manufacturer
Installer ~f/'-~/f~/~/-~
(If homemade, show diagram on back)
? o
Approval Request £or S~ ~ge ~ ~ater Facilities
Page T~o
B. Seepage Pit
2. Lining,
C...Disposal Field
i. Number o£ Lines
2. Total Length
7. Required Measurements
A. ~/ell to Septic Tank
B. -P/ell to Seepage Pit
c. P/ell to Sewer Line
D. P/ell to Property Line
E. liell to Other Possible Contamination
F. Fotmdation to Septic Tank
G. Foundation to Seepage Pit
Seepage Pit to Property Line
COI~I'4ENTS:
APPROVAL VALID FOR ONE YEAR FRO}I DATE SIGNED.
GREATER ANCHORAGE AREA BOROUC~I H~ALTH DEPARTME~
~Dl170
FEDERAL HOUSING ADMINISTRATION Budgel Bureau No. 63-R296,8
HEALTH AUTHORITY APPROVAL
' INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.mTO BE COMPLETED BY FHA
INSURING OFFICE MORTGAGEE SERIAL NO.
Anchorage~ Alaska Matanuska Valley B~nk 111-011136-203
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
Stewarts Excavating Htland Road
SUBDIVISION NAME BLOCK NO. LOT NO.
Seward Meridian None None
TOTAL NUMBER:
BATHS J BASEMENT
] New installation
additional bedrooms?
(if Yes, how ntany~)
WATER SUPPLY BY:
[] Public system [] Community system
SEWAGE DISPOSAL BY:
--] Public system [] Community system [] Individual
SYSTEM DESIGNED EaR
[-~'1 Individual ~C).~F BDRM$, GARBAGE DISPOSAL
[~]Yes [~ No
PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the [] State [] County [] Local Department of Health that this individual water-supply system
~] is [] is not satisfactory as a domestic water supply for the subject property.
It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
[] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily
is not likely to create~tn insa~,nitaty condition
DATE (~ ~ ~.~_~_IGNAT RE TITLE
Dec. 21, 1970 Sanitarian
NOTE: ThT~ea')~ authority should complete the appropriate oplnion statement above and affix date, signature and t~i,[~ in
of ~e a~ve grid for Health Department Inspector's sketch as well as use of the back of this Form is at the option of the
Use
health auth r~tE
PART Ill.--FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the
Individual water-supply system be considered [] Acceptable [] Not Acceptable
Sewage disposal be considered [] Acceptable [] Not Acceptable.
DATE
SIGNATURE
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
] CHIEF ARCHITECT
] DEPUTY FOR CHIEF ARCHITECT
FHA Form 2573
Rev. July 1958