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Home My WebLink AboutKNIK HEIGHTS BLK I LT 20 GRE/ ANCHORAGE AREA BOP' Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~¢.[EFL~bl /Z/,iC /~¢.~ LEGAL DESCRIPTION SEPTIC: TANK: DISTANCE ~2,~=~,~ o FROM WELl /0,~ INSIDE LENGTH. MANUFACTURER ((')/2 U ~/z MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS / LIQUID CAPACITY /'¢£~'~GAI_LONS. TILE DRAIN FIELD: DISTANCE FROM WELL /O(? NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION DISTANCE BETWEEN LINES __ ~'- TRENCH WIDTH ///~ IN. SQ. FT. LENGTH OF EACH LINE / ~'-? .~,:h / DEPTH OF FILTER ~, ~ ¢ MATERIAL. BENEATH TILE ~,~ /'1' NEAREST LOT LINE :'?(~ / ¢' TOTALOF LINES LENGTH :~¢() i TOTAL EFFECTIVE IN. ABOVE TILE ? IN. WELL: TYPE BUILDING FOUNDATION CONSTRUCTION NEAREST NEAREST LOT LINE____, SEWER LINE DEPTH SEPTIC ~.F-- 12,':~;EEPAGE TANK /0¢ / SYS'FEM DISTANCE FROM: CESSPOOL , O'FHER SOURCES APPROVED DISAPPROVED REMARK5 DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: RI--MARKS: G.A.A.B. Form PW*027 GRHATHR ANCHORAGE: ARHA BOROUGH DEPARTMENT OF ENVIRONMENTAL. QUALITY 3330 "CI' STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4!~6 ! . .... ?_ /v/l/ PERMIT NO. SEWAGE DISPOSAL SYSTEM w APPLICATION AND PERMIT MAME DP AFPLICANT INSTALLATION LOCATION PHONE INSTALLATION OF: SEPTIC TANK /~ SEEPAGE PIT DRAIIN PIE~LD , OTHER ~ FINANCED THROUGH TO be INSTALLED BY ,~ ~)4/)//~'~/C//' SOIL TEST RESULTS '~ c~ ' --? ~]-'"' / NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: g4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAl. QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK size //S'~:/"/~-~ ~/ TYPE .~'~-/~-g~'~'/' SEEPAGE AREA SIZE TYPE ~ ....... ~- MINIMUM DISTANCES, REQUIREMENTS SEPTIC TANX To SEEPAGE Pit-WALL · SEEPAGE TO NEAREST LOT LINE. WELL TO SEPTIC TANK / ~" DRAIN FIELD · GRAIN FIELD SEEPAGE PIT / ALSO CONSIDER AREA WELLS. · SEEPAGE Pit SEPTIC TANK, r SEEPAGE Pl-~' / g f~ . DRAIN FIELD /' TO RIVER, LAKE, STREAM, CAST IRON INTO AND OUT OF SEPTIC TANK ,&'ND INTO CRIB ¢~O~1N6 ~AP OF 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT F~TTED WITH AIRTIGHT REMOVABLe CAPS. GRAVEL. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM _ ,CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT~R~NCHO~AGE/Ad~'~"y~OR.~/~-H ORDINANCE .O. DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 28-68 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROU( Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Legal Descrip~n: This form reports: Soils log~_ Depth Feet 1 - T~' ~.s~,, '/- ............................ I 10- ll - 12- 13- Was ground water encountered? verco/ation test - ---_.~2_.__ If yes, at wt~at depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute. -- · Proposed instal lat--~h-:---~-e-e~]~Ue Pit Drain Field :)cpl:h of Inlet~ ~ . Dept~--t]~]J'o'~-n~-O-f-])it or trench ....................... ' ........ ~. ~:..~ ~.._ ~ ........ ~._~__]~.~.:~ ......... ~ ............ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received May 12, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: First Federal Savings & Loan Association Box 4-2200, 99509 Phone: 247-6561 Michael J. & Victoria V. Farrell Phone: 349-4949 Star Route A Box 1590M, 99507 3. Legal Description: Lot 20 Block 1 Knik Heights Subdivision 4. Location: NHN Sheldurne Road off of Huffman Road 5. Type of facility to be inspected 6. Well Data: A. Type Individual C. Construction Sewage Disposal System: A. Installed Single Family No. of bedrooms 4 196' B. Depth D. Bacterial Analysis On-site system. B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 2. Manufacturer 2. Material , Absorption area , Other contamination Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~ AV~ "c" st., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF aO~OU~NV~Oiin~,.., .... INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: CMRO VA FHA Michael J. & Victoria V. Farrell CONV x SRA Box 1590 M, 99507 Da~ Phone 349-4949 Michael J. & Victoria Farrell Mailing Address: 4. Name of Lending Institution: Mailing Address: Bo× 4-2200, 5. Name of Realtor or Agent: Mailing Address: SRABox 1590 M, 99502 Dh_S_ Phone 349-4949 First Federal Savings & Loan Association 99509 Phone 247-6561 ..................... Phene 6. Legal Description: Lot 20, Blk 1, Knik Heights Subd. Location: NHN Sheldurne Rd. off Huffman Rd. 7. Type of Facility to be inspected: S/_~.ami_lx_ 8. Water Supply Type o'F Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 196' 9. Sewage Disposal System A~FRO~_~VE~ 6-25-75 Type of System: Public Utility If Individual, date of installation Individual Approved 6-25-75 No. Bdrms. 4 (on-site) X F(1-g37 (1 /74/ Page 2 of two pages - Rec. it for Approval of Individual S Jr & Water Facilities Legal Description Lot 20 Block 1 Knik Heights Subdivision Comments A p p r o v 'ed ~~_~.~d~,~~- /~"~ ~ Disapproved Date Appr~Valid for one year from date signed Greater Anchoragc~-w~ea 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) 06d220(a) Rev. 197:3 Lab No. DATE ALA~ DEPARTMENT OF;HEALTH AND SOCIAL SE ~ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WA'rER ANALYSIS iNDIVIDUAL ~ SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO NAME ' ' :' :! ; ~' ' OF SOURCE ;' :' ~.x · 4 - OFFICE saAnalysis shows this Waler SAMPLE 1o be: tisfaclory [] Unsatisfactory [] Questionable [] Sample too long in Irons]t; sample should not be over 48 hours old at exam~natlon to indkate refiable resuhs. Please send new sample. [] Boltle broken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS' SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY J ; DATE COLLECTED · /' TIME COLLECTED Sample Collected From [~ K~tchen Tap [] Bathroom Tap [] Basement Tap [] Other (List) Well -- [] Dug [] Driven [] Drilled SOURCE~ [] Spring [] Cistern [] Olher. Dug Well or Cistern ConslrucHon~ Walls--[] Wood [] Concrele [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] in Basement [] Basement Offset [lin Yard [] Other Building Sewer DISTANCE TO: or Other Drainage Pipe Tile Seepage Cass* Field Feet. Pit. __ Feet. Pool Other Possible Sources of Contamination MATERIAL: Building Sewer* [] Cast Iron [] Wood [] Tile [] Plaslic Joint Malerial - Type GENERAL: Does Waler Become Muddy or Discolored? When? Feel, [] Bored J~ Tile Brick or [] Open Top [] Concrete [] Under House Septic Tank Feet. Feet. Prlvy__ _Feet. [] Fibre [] Asbeslos Cement [] Yes [],No Diameter of Well Well Casing MalerJaJ Diameter Length of Drop Pipe Offsel in PUMP LOCATION: [] In Well [] Basement On 'Fop [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? [] Yes Depth ' Peet. Deplh Waler: Depth From Betlom Feet. [] Jn Basement [] Room [] Yes [] No [] No Repairs to System? [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Signature T~ §6-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. ]973 Date Received _ .Time Received Lactose Broth 24 Hours 4B Hours Brilliant Green 24 Hours 48 Hours EMB Lactose Broth, 24 hrs. Coliform Density MF Results an1 phi Lab. No. AGAR 48 hrs .... Gram's slain (Mosl probable No, per 100cc) Reported by This analysis indicates Coliform Organisms to be: