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Home My WebLink AboutT15N R1W SEC 4 LT 45 ~ER ANCHORAGE AREA BOROg,mH. HEALTH DEPARTMENT ~ 027 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2'511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY MATERIAL ~ COMPARTMENTS C'~?.L~'-~ F/43t j'~ ~'~) LIQUID GALLONS. INSIDE LENGTH_ INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NEAREST LOT LINE SEEPAGE PIT: OUTSIDE~DFA~'~ OR WIDTH .~-,~OTH . DEPTH f/ DIST~ ~,~ N~GG _~F~O U N D~ T I O N , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL //~ / NUMBER OF LINES ~'~ ABSORPTION AREA ¢i~j~) DEPTH: TOP OF TILE TO FINISH GRADE / /~ TOTAL LENGTH--, / , FOUNDATION ~O ~ , NEAREST LOT LINE ~O ~ , OF LINES DISTANCE BETWEEN LINES ~""'~' ~': i TRENCH WIDTH :~ '/ IN. TOTAL EFFECTIVE FT. LENGTH GE EACH L,NE V -~ / . /:~, IN. ABOVE TILE //2 DEPTH OF FILTER MATERIAL BENEATH TILE WELL: TYPE'~'~/~ ~ , DEPTH ~ LOT LINE ~ I NEAREST SEPTIC ~ , SEWER LINE ¢ ,TANK DISTANCE FROM WATER //~ · BU LDING FOUNDATION · SAMPLE NEAREST ~'~ ~ / SEEPAGE / / ~- OTHER , SYSTEM ~/,/'~ - CESSPOOL , SOURCES__ DIAGRAM OF SYSTEM DISTANCES: '-116' DATE GREATEIT iNCHORAGE AREA r' iROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT MAILING ADDRESS~¢Y /~, ~/~¢¢~,,~/g~PHONE NO/,'~? .2~ ~ LOCATION OF INSTALLATION ~ ~' /~2/F~;//~'~¢~ · APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT. -,DRAIN FIELD TO SERVE THE FOLLOWING FACILITY '~, /~ ~ ro,~ ~Y! ~)~,L( FINANCED THROUGH TO BE INSTALLED BY, /~'~ PERCOLATION TEST RESULTS ,/'.fl,~ -~. ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT I-'""'~,OTHER 5~L , .t 3'~ ~u¢ ,~ THIS IS TO SERVE AS ~)-'~-) J?-~ rTL ~' e' I,v'¢~1~<3 , PERMIT TO INSTALL A - AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ,fi2. ~¢JF¢~I~? · SEPTIC TANK SIZE. r'~ ~(~ .TYPE ~ SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No, 28-68 and that the ',above described system is in accordance with said code. lATE APPLICANTS S IGNATU RE REATER ANCHORAGE AREA BOROUGH,/ HEALTH DEPAJTMENT 327 EAGLE STREET ANCHORAGE, ALASKA· 99501 CASE Pe=formea PoP .5o.~,~ ¢~k Exc4oa. hna pate Performed ,,, ;,7~ ~0 .. r s ri tiofi: L~ ~ Block S~di~sion ~c.~a ~ .... ~egal De, c p . ~ .~ · rnzs .... ~orm V~,evorts a. Sozls Log , ~--~/ .... ,, ,Perc°lati°n Test .~ ~ · ~ ,, ~ Depth Feet Soil Characteristics Was Ground Water Encountered?~__~ If Yes, At What Depth Reading Date -~rcola~ib~n a~e z"/ Gross Time Net Time Location Sketch Net Drop Proposed Instal~Seepage Pit Drain Field D~pth Of Inlet Dsp~t%0m Of Pit Or '.vrench~:~ .. o,_ Test Performed BS,:' Da%a Certified By~~ Date :~_~--' DAVID A, SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 June 30, 1980 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHO~AO~ DEPT. OF H~ALTH & ENVIRONMENTAL pRoTECTION Dennis Anderson, D.D.S. PoO. Box 154 Eagle River, Alaska 99577 JUL $1980 RECEIVED Dear Dr. Anderson, Reference: Lot 45; SW 1/4; Section 4; T15N; R1W; SM At the request of John Russell, Lee Houston Associates, a sewer system adequacy test was performed on the referenced property. The septic tank was pumped and verified to have a capacity of 750 gallons. The seepage pit located on this property had at one time-been upgraded with the addition of a trench tied to the existing seepage pit. The crib in the seepage pit was filled with water and. a continuous flow of 507 gallons was added to the trench over a period of 24 hours. At the conclusion of the test there was no measurable rise of the water in the sump at the end of the trench. It can be concluded from the above test that the existing septic system is adequate for a two bedroom residence. Because of the distance of the existing well to the septic system, both the main house (one bedroom) and the guest house (one bedroom) must be utilized as a single family dwelling. If we may be of further assistance, please do not hesitate to call. - SHA R, .E. cc: Lee Hou :on Agt sociates · ATTENTION: John Russell Municipality of Anchorage ~- Department of Health and Environmental Protection SRB 196X EAGLE RIVER,ALASKA DATE RECEIVED ~- :~i INSPECTION APPOINTMENTS ~}.-C.~.~ , DATE DATE DATE INSPECTOR I N S P E~5~0~.~, INSPECTO~_x~ _ ~ / MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PRDTECTI(~IPT' OF I~!~.~'.LT~I & 825 L Street - Anchorage. Alaska 99501 ENVIRONMENTAL P;i01ECTION ( ENVIRONMENTAL SANITATION DIVISION JUL 3 :[ 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S )1RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE MAILING ADDRESS,~ 4~,.~ PROPERTY RESIDENT (If different from above) ./ PHONE /. MAILING ADDRESS ~--/~~~ ~> 3. LENDING INSTITUTION PHONE ) MAI LING AD DR ESS 4. REALTOR/AGENT.~ ~.~,~.~> (~j~_ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RE[~IDENCE 4~IUMBER OF~BEDROOMS [] One E~]' Four [~ ' SINGLE FAMILY ~ Two [] Five [] MULTIPLE FAMILY E~] 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 E~ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER (~]IN DIVI DUAL/ON -SITE DATE INSTALLED [--~] PUBLIC UTILITY Connection Verified INSTALLER [~Septic Tank or [] Holding Tank Size: 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 [~"~ONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 {Rev, 6/79)