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HomeMy WebLinkAboutT15N R1W SEC 9 LT 66 S PTN GRE ER ANCHORAGE AREA BO?'UGH Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE , ~ FROM WE EL ~2/ INSIDE LENGTH MANUFACTURER C' l'(' -~:~,~ INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH __ LIQUID CAPACITY /z~,/~Z'~ GALLONS. SEEPAGE PIT: / NUMBER OF PITS /. DIAMETER __OR WIDTH/~ , LENGTHff-~,~'& ' DEPTH ~ LINING MATERIAL/I~f/~ CRIB SIZE: DIAMETER ~//DEPTH ~ ;~DISTANCE FROM: WELL/~)~'//~ BUILDING FOUNDATION~z~ ,~ NEAREST LOT LINE ~--~'~ ~ TOTAL EFFECTIVE · ABSORPTION AREA (WALL AREA) /~/,~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK , SYSTEM DISTANCES: INSTALLED PIPE MATERIAL: ~,$1 LOTSLOPE: REMARKS: Form No, EQ-031 NAME Of APPLICANT INSTALLATION LO CAT~/q~ GREATER ANCHORAGE AREA BOROUGH DICPARTMIE;NT OF ENVIRONMENTAL C~UALITY P£RM]T NO, SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT ~ SEEPAGE PiT ~', , DRAIN FIELD OTHER TO BE INSTALLED BY FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL C~UALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION· SEPTIC TANK sIZe TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE P]T SEPTIC TANK TO SEEPAGE Pit WALL / ~- [ SEEPAGE PiT SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SePTiC TANK DRAIN Field DRAIN FIELD · DRAIN FIELD SEEPAGE PiT///~l-/ ALSO CONSIDER AREA WELLS. , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST RON SIPHON ~l~F-S--0~ SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE ~ ~/ :~7: APPLICANT·. SIGNATURE'S' ~'~:* / ' ' 0SE Russell Oyster 694-2774 Soils 8 Foundations GEOTECHNICAL 8 DEVELOPMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl Ellis 6~-2280 Land Development SOIL LOG Performed for: Name: ~"'%~ ~ x"-,:. ~'x~%/-vS'~-~-Tel. No. Mailtng Address: ~ 'Legal Description: ~ ~' ~ Depth (feet) Sol1 Characteristics 5 ' Ground Water Encountered: Yes No ~ If ~e~, wh~t ~epth Proposed Installation: Seepage Pit ¢ Drain Field GP"e, TER ANCHORAGE AREA BOROI'~-H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE EROM WEL 5 / LIQUID CAPACITY / ~_.~-,..~l GALLONS. MAILING ADDRESS ~'~ '/"///~'~'~/',~' PHONE LEGAL DESCRIPTION MATERIAL ~-~)/t~J C ~ ~'~' ~'~''' NUMBER OF COMPARTMENTS /~ L,QU D INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS NEAREST LOT LINE OUTSIDE DIAMETER ~ OR WIDTH ~'~! , LENGTH /"~ ! DEPTH /~/J~/Cw;r,~ .DISTANCE FROM WELl //V~(~ f ,BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /~ ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA FOUNDATION .~.~...~,,-:"'~AREST LOT LINE DISTANCE BETW[EN'CT~[S TRENCH WIDTH .,~' 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 WELL: TYPE ~/~.[~..~.et~ . DEPTH ~,.~l'J~ > NEAREST SEPTIC LOT LINE SEWER LINE ~ , , TANK DISTANCE FROM ~ / WATER j~/~ ,BUILDING FOUNDATION, SAMPLE ., NEAREST ~,~ / SEEPAGE //~,~ ~' OTHER , SYSTEM , CESSPOOL ~ , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED ~*"~'~'~ GREATEI ANCHORAGE AREA' )ROUGH Case No. HEALTH DEPARTMENT 327 EaSe St. Anchorage, Alaska 99501 279-2511 APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ~c~.~ PERCOLATION TEST RESULTS ~/',/4 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ,/~-~-/.,~.,~ il. z~,../~.,~,.~j. MAILING ADDRESS .,, PHONE NO. RESIDENCE ADDRESS LOCATION OF INSTALLATION LEGAL DESCRIPTION////'/~' '' ' ×? ~/ ,SEEPABEPIT. ~ ,B~AINFIELB ,OTHE~ TO BE INSTALLED BY ~/~'~- . ) ANTICIPATED DATE OF COMPLETION ;}~ ~/~2 ,-,.4.~,~/~ 2 BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT ____ AS DESCRIBED BELOW. SIZE O~NIT TO ~SERVED ~ ~A',,'~-/ ' . SEPnC TANK S~Z, /O'~g~ .TY,E /~/~ ~',EPA~E AREA /~ ~/F TY,E '~ %?'"J DISTANCES: Mth Authority / / DIAGRAM OF SYSTEM I certify that I am familiar with the requixements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE . Sapto 2#~ 1969 ¢lebu~fle ~sa 75051 .~UBJECTI '1~o Bad,oma Rental tiouse On Sl~h~Ond Loop Road Wee The ~reate~ .~age A.-em Bo~ot~h Health llepa~t~ent has bee. contacted b~ ~he tenon~ yo~ s~e~ prope~ o~e~An~ ~he se~e~ ~7~em, T~e Lueplot~on lbo. ~d the ~olt~An~t The sewe~ system consists of a cesspool located 65t from the well. 2. The sewer system uo~ overflowing at the tine of the l~spactiou. We wish to lnfoL-,m you that both conditions mentioned above a~e in v~olation of Borough Ordinance #20-68 in that the mininu~ degree of sewage treatment shall be by a p~ope~ly last&lied septic tank and seepage pit and that overflo~in~ sewaBe le exposed to ehlldren, dogs, flies, ver~ttn~ et~,, and aah spread serious diseases. You Are he~,eby n~fioAmlly notified that this system is to be corrected within 21 d~ys after ~his letter has been sent, Correction shall be oc~plete on or before Ootobe~ 15, 1~69~ immediate legal action to have the pre.iaea vacated and remain vacated until the sewe~ system has bees repaired. This Department will issue a ~et~sit ~o install a ~ew system ~s soon as ~ritten notice is received from you that this ia satisfactory, ^rrenge- manta for payment of the aewe~ system eau be made mt this time also. The tenant contacted Wmllace Cons~uctinn to have ~he system installed and was quoted m price of approxl~ateAy $1,000,00. Please advise us if another company o~'y~u~ choice ls~sired. Slnaerely, DAVID R. Lo DUMCAN, H. O. Medical Director Sanitarian cog Borough Attorney the eub~eot p~operty, wad sorrowed, eot ~o~oufih At~t:ormmy REQUEST P' APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITlt,~ (Fill out in Triplicate) :'' '~ame of person requesting approv~~ ) '~~cr b. DetemKent U h. c. Casin~ Siz9 d. Distance from well to closest existing or proposed: 1. ~ewer ].~ne ~ 3. Seepa~e Area~. 4, Cesspoo]~___ ,,. 5. Property Line_~_~. 6. Other sources of possible contamination, i.e.: creeks, lakes, houses~ ba~n~ drainage d~tch, etc. Sew~t.e d~spooal system, a. A~e of system .... b. Septic tank capacity in ga].~ons... ,//~/.~ 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepage pit size and type _. ~-~. . ....... , .... ? ~'' - l, Di~tance tol~rope~y L~ne~.. to house f~mdation. _ Pefco] atJ on. Te'~.;t Percolation Test performed by Use the reverse .side of this form to show diagram. Diagram should include .'the fo]lowing h~formation: p~operty lines~.well location, house location, ~>o-l,~c tank locatioa, disposal area location~ location of percolation test, a~d direction of ground slope. 9. The ~n~-~,,,~¢m on this form is true and correct to the best of my knowledge. 'S'i~ature of Applicant Date Signed ~.p. ~ FILLED OUT BY HEALTH DEPART~ENT PERSONNEL The above described sanitary facilities are hereby approved, subje.c.t to the. Condit iona :~~~ The above described sanitary facilities are disapproved for the followin~ Appz'oval is valid for one year following the date of approval. CPJ:cw