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Home My WebLink AboutKNIK HEIGHTS BLK A LT 3017 OZ .. L~ MUNICIPALITY OF ANCHORAGE 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 NAME MAILING ADDRESS 12.500 LEGAL DESCRIPTION LOCATION PHONE [] NEW NO. OF BEDROOMS ~ N C~'TI~)~ell I Absorption area ~..~welling PERMIT NO. DISTANC~TI~)~-J~ I Material No of corn m n I;21Manafeeturer f ' . pa. ets - Width L~quld depth Liq. capa DISTA~ ~ PERMIT NO. Manufa~ ~ Material Liquid capacity in gallons Well Foundation Nearest et ine PERM TNO, DISTANCE TO: ~ t~O ~ I ~O ~G~ No. of I~nes ~ Length of each line Total length of lines ~ Trench width Distance between lines o~e I ~ 5~ I ~Oinches - ToD of tile to finish grade Material beneath tile ~ Total effective absorption area " 4 ~ ~ inches 500 Type of crib [ Crib~ ~th I Total effective absorption area / Well Building founda~rest lot line DISTANCE TO: ICl,,s Depth Driller ~istance to lot line I PERMIT NO. Septic tank I Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS i::;i:]N'l(-'~C/l' F:'HEllq[~:: [ ..E~(i:L,.'-::~L.. I:)[.:.:SCF~'. I F:': ..... INSPECTI%_,,I REPORT:' ....... ' ':': "' , MUNI,CIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INSPECTIONS (907) 563-3464 NAME L T / BLOCK FOOTING [] ELEC. TEMP. ~ [] PLBG. UNDGR.. [] FOUNDATION [] ELEC. SERVICE ~ [] PLBG. ROUGH [] BOND BEAM [] ELEC. ROUGH [] C-,2AS TEMP. [] FRAMING [] ELEC. FINAL ~,~/G A S [] INSULATION ~ [] OTHER /.; ~:_-I'- ~ MECHANICAL . [] SHEETROCK ~ [] -'%,-T-;],..T:,t")/ij ' MECH. FINAL~ [] STRUCT. FINAL .. [] FIRE FINAL [] PLBG. FINAL ~ L~ OTHER "[] ZONING [] OTHER [] [] NO NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS EXPLAINED BELOW [] WILL REEXAMINE AT NEXT INSPECTION [] DO NOT CONCEAL UNTIl:. REI~JSPECTED COMMENTS ,i'-" ~,4,-~ ',/ · , -- /,¢(/-//,:-~. ,4 ;? .~,-~.,.,/,fF- INSPECTOR ' DATE WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION 84.002 (Rev. 2/83) DO NOT REMOVE THIS NOTICE ~'~- ~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION E] PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19, 20 COMMENTS PERFORMED BY: 72-008 ~/~-~, '~ C~i '~.~ DATE PERFORMED: SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? _ ~ L ~ O P IF YES, AT WHAT E DEPTH? ~[~ OF ANCHORAGE Reading Date Gross Net Depth to Net Time Time Water Drop DEPT, OF HEALTH & =NVIRONMENTAL PROTECTION 'DEC 8 1986 RECEIVED PERCOLATION RATE ,(minutes/inch) TEST RUN BETWEEN FT AND FT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15 16 17 18 19 20 WAS GROUND WATER S ENCOUNTERED? ~ ~ P E IF YES, AT WHAT ~ DEPTH? !1-- COMMENTS PERFORMED BY:~ DATE PERFORMED: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~" minutes/inch) /~'~'~ ~'~,~l TEST RUN BETWEEN FT AND FT CERTIFIED BY:~ DATE:~L~.~~ 72-008 (6/79) I ,....?.--. ...... ..~, ~l L.J .J ~,q... .~ .~,~ ~ .........*--';.;Z.i,;.~_*-,,.,.,.,.:L I _ ~ '~_" TO'II' D. Barter -'~'. ~ / ' · X ~ I 14F, O ~ 0" 02.' IF-. MUNICIPALITy OF AN r:).,,.._DEPT. OF ~=.. CHORAGE r'HFAL PROTECTION ~T RECEIVED .... ~~ I~-L 0 C K A K NTfK- H E_LGHT5__-i :"-- 2. ENVIRONMENTAL ENGINEERING DIVISION 825 L Street: Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE ,~ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS DISTANCE TO: I Well Absorption area Dwelling PERMIT NO. ~'<~ Manufact.ra, ~ ~ Liq. capacity in gallons Inside length Width Liquid depth /~ IF HOME.DE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest ]or line PERMIT NO. ~ ~ DISTANCE TO: ~ No. of lines Length of each line Total length of lines Trench width Distance between lines '~ inches ~ Top of tile to finish grade Material beneath tile Total effective absorption area ~ inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot Hne PERMIT NO. ~ Septic tank Absorption area(s) DISTANCE TO' Building foundati~ ~ ~wer line PIPE MATERIALS APPROVED ~~ LEGAL J!'""JJ IL,,.JJ ~"',,.~ ;][i 1[~]: ][i ~i:~:. 1¢.::!~I iL.. ;~i~ -ii'" ~i'"' IJ~i~ ~,::::" ii~:]li ~%~ C~ ~ i[~]1 ~'. ¢~::~ IE~ ~ DIEF:)AR]"MEIqT OF' HEAL..]"H AND I:NMIRONMEI',H"AL F'RO]"EC'YION 825 L. S'T'REE]"~ ANCHORAGE', AK 9950]. 264'""4720 PERI"'I I 'T' NO: DA'I'E ISSUED: J-'iF'PL,: CAI\IT ,", ADDRESS ~ {SONTACT F:'I-'ICJN'E ~ LEGAL DESCRZF:'~ LOT SIZI:::~' :I. 0/i '! 185 SUBD!Vi'SICtN: I.:::lxlIl< HE].~nH] ~:~ SI:'.-::CT :[ [.)lq ." 27 'TOWNSH :[ F': :L 2txl :l.. OA (.::.~[,.. F"T. [:3R ACRES) LO'l": 3 ELC. Ck': A RANGE: 3W I c e r' t :L ~' y t I"l a'L: !. I am Fam:L].:Lal- w:L'Lh 'Lhe requir'emer'rLs For' on-site sewers and we:l.].s as s'eC Foi"th by 't. he Munic::i. pality oF Ar~chor'age (MOA) and the S't:.aCe oF Alasl.::a,, 2. I will ii"l:EFLa:[], thE, s'ys'i:.ei(i in .:¢:u::cor'clance wi'Lb a].l MCIA Codes ~Arlcl regu],ati,:::)rls, al]c:l, in comp].ianc:e wi'Lb tl"~e.design cr'J. 1'.E,r'ia (:~' thi~ pePmi~,, _ 3. ]] t,gi].], adh(ape to ali. MOA al"~cJ St~:vLe:, o~' A].asJ.::~ P~DqL(il"ei~iG]nt~ ~'CiP 'Ll'](~) set back (:J:J.S'I:a':~FI(::C4)~i~ ['POfl] any exist:Lng well, wastewaCer', d:Lsposa], system or' public sewer'age sys'Lem on th:i.s or any adjac:ent or' nearby lo'L. IF A L. IF]' STA]"ION tS :[NS]"ALLED IN AN AREA COVERED BY'MOA BUILDtiqG CO[~ES, THEN (1) AN IEI.,.ECTRICAL.. F'ERM:i:T AND INSPECT]:ON tdUST BE OBTAINED; (2) AS-BUIL.]"S W]:LL. NO]" BE AF:'PROVED WIT'HOUT' AN ELECTRICAL. INSPEC]'ION RtEPCGR]i; AND (:3) 'THE ELECTRICAl... WORK MUST BE DONE BY A LICENSED ELECTR]:CIAN. AF'PL: CANT ~: KENIxJI:::TH AND VAI...ER: E S~J ]:K I SSLJED BY bKl:(..t:K AN(.I'IUKAGI' AREA BOI "I6H Department of Environmental (~uality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ./~.~/ '.-~/~ SEPTIC TANK: DISTANCE b~b / INSIDE LENGTH ~ INSIDE WIDTH LIQUID DEPTH · NUMBER OF COMPARTMENTS lIQUID CAPACITY. /~2~d~ GALLONS. SEEPAGE PiT: NUMBER OF PITS / DIAMETER/ OR WIDTH -'% LENGTH~2~,, DEPTH_ //~ / LINING MATERIAL~/bgC~'/<~?~//~.~Cb~iFSiZE: DIAMETER .. BUILDING FOUNDATION ~ , NEAREST LOT LINE Z// / ADDITIONAL ABSORPTION ~ DEPTH ~ DISTANCE FROM: WELL/~ ~ ,4~/~//~?~) TOTAL EFFECTIVE P ABSORPTION AREA (WALL AREA) ~"~ SQ. FT. WELL: TYPE TION CESSPOOL APPROVED CONSTRUCTION ~.EA REST NEAREST/ DISAPPROVED REMARKS DEPTH DISTANCE FROM: S E PT I C---'-"'"'"'---.~S E E pA G E TANK , S'~S.T..E M. DISTANCES: DIAGRAM Of SYSTEM INSTALLED PI PE MATE RIAL: LOT SLOPE: ~ REMARKS: .~¢~. F~/¢ / DATE ~L~/ ~/, /~'72 APPROVED / G.A.A.B .d~' Form No, LQ-031 '' GrEALFEr ANCHORAGE AREA BoROuGH/ ,.~ DEPARTMENT OF ENVIRONMENTAL QUALITY Al ~vv pERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 jv TELEPHONE 274-4561 ~ LEGAL DESCRIPTION SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT MA,L,NG ADD.ESS t INSTALLATION Of: SEPTIC TANK ~ SEEPAGE PIt // DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED _ . '~ ~/'~ ) f' SOil TEST RESULTS -- , NOTE: COMPLETION DATE ANTIClP~FbDr/ 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. S EPTI~ TANK SiZe MINIMUM DlSTANC:E$, REQUIREMENTS fOUNDATION TO SEPTIC TANK DRAIN FIELD FOUNDATION TO SEEPAGE Pit / SEPTIC TANK TO seePAge PIT WALL / ~ SEPTIC TANK, SEEPAGE Pit/ "~'/~/ ~ , DRAIN F~ELD SEPTIC TANK , SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK , SEEPAGE PIT. /~ O dRAiN fIELD ~'~ / ALSO CONSiDEr area WELLS. water ma;N to s;PTic tan DIAGRAM OF .~Y,STEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDing INSTALLATION. LICENSE i certifY THAT IAM FAMiliar With THE reQUIR~M~N~I~/'~'~)GREATER ANCHORAge AREA BOROUGH ORDINANCE NO, 2,-~, AND THAT TH, A,OVE ~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For ~ ~c~) {~2~ Dated Performed Legal Description: Lot ~ Block ~ _Subdivision ~/~/L This Form Reports Soils Log ~ Percolation ~est__ - Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet Soil Characteristics ] t L , ! m 9~ 10~ 11~ 12~ 13~ Was Ground Water Encountered? If Yes, At What Depth? /$/ Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench'' Test Performed BY /~.~ Date Certified BY: Date: