The URL can be used to link to this page

Home My WebLink AboutSUNNY SLOPES LT 28 OAAB-HD- J GREATER ANCHORAGE AREA BORO~'~H ~ HEALTH DEPARTMENT ',...~, 327 E~G"~ELE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY ~"~//~'~ ' .MATERIAL °""7 '~ O GALLONS. INSIDE LENGTH NUMBER OF COMPARTMENTS / LIQUID INSIDE WIDTH _DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT; OUTSIDE DIAMETER OR WIDTH ~' DISTANCE FROM WELL ~'~('-~?~"f ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH ~'~ ,DEPTH .~ · BUILDING FOUNDATION .~:~'., SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION ., NEAREST LOT LINE. NUMBER OF LINES DISTANCE BETWFEN LINES TRENCH WIDTH ABSORPTION AREA 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 TIL~ IN. ABOVE TILE__ WELL: C)~); ~T . TYPE , DEPTH NEAREST LOT LINE , SEWER LINE. DISTANCE FROM , BUILDING FOUNDATION SEPTIC SEEPAGE , TANK. , SYSTEM : WATER ~ SAMPLE ., CESSPOOl , NEAREST OTHER ., SOURCES DISTANCES: DIAGRAM OF SYSTEM APPROVED HEALTH AUTHORITY Q~.~REATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Performed For ~D~ v~ ~ ~.x_ .. Date Performed Legal Descrzpt~o~: Lot ~ Block . S~d~v~s~on~~ This Form Reports a: Solls~Log~~~ ~~__'' If Yes, At What Depth , , ' __ _t Net Drop Gross Time Net Time Depth To HtO I ~ep~n Of ~nle~ 'Z/.~/~ ~ ~ Depth To Bottom Of P~t Or Trench / Test PePfor~d Data Certified By:~ Date Depth Feet Soil Characteristics Location Sketch GREATEIL INCHORAGE AREA _ )ROUGH aseNo. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT '~ TO SERVE THE FOLLOWING FACILITY ~.~ //~e*/~"d~[~ MAILING ADDRESS ~"~/~:7~'~ ~'~J/~ PHONE NO. ~?/-~,~- LOCATION OF INSTALLATION ~ ~ ~ FINANCED THROUGH ~TEST RESULTS , DRAIN FIELD , OTHER. ' ~'/~ ~ TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~/'~'~/~' '~'¢ ~ ' , PERMIT TO INSTALL A , ~'f~,,,~/,-?/'Z ~ .~,~,~,~,~,~,~,~,~d~ ~'.~/~-~/ .AS DESCRIBED BELOW. SIZE OF UNIT ~BE SERVED ~ ~-~J~"~/'~Z · SEPTIC TANK SIZE ~'-~;=~ TYPE ~?/~ SEEPAGE AREA /'~L2-/-7/ TYPE Z-~'~,~' DIAGRAM OF SYSTE~ DISTANCES: /4/// /~? Health Authority, /~ I that I am familiar with the requirements of G~eate~ Anchorage A~ea Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. f / ~ ~// U.S. DEPART~ENT OF HOUSING AND URBAN DEVELOPMENT '~ FEDERAL HOUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA iNSURING OFFICE MORTGAGOR OR SPONSOR UBDIVISION NAME MORTGAGEE PROPERTY ADDRESS BLOCK NO. LOT NO. 28 TOTAL NUMBERI WATER SUPPLY BY~ BASEMENT X [] Yes [] No ~New installation 1~ Communii'y system additional bedrOoms? (If Yes, how maflyt) No. SYSTEM DESIGNED FOR [] Individual ' ~ individual ~ [] Yes [] No [~] Public system SEWAGE DISPOSAL BY~ [~] Public system [] Community system PART II,--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County J~ Local Department of Health that this individual water-supply system J~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: ~j~] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanitary condition ¥ATE . I S,GNATU' / nl //, I J T,TLE ?' . i : NO'J: The health .~hor~should. complete the appropriate 0pinion stat*men, above and amx dGte, signature .nd tille !" the spaces provided. Use of the a~ove grid ~or Health Department Inspector's sketch as well as use of the hack of this fQ~m Js at the option QJ the healih authority. DATE PART III.~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 cgnsidered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM [~]~ CHIEF ARCHIFECT DEPUTY FOR CHIEF ARCHITECT FHA Form 2.~).~ Rev, July 1958 March 25, 1975 File No.: 4-1 GrEaT l ANCHORAGE ArEA B(: OUGH 33:~0 C STREET. Mr. Robert R. Johnson P.O. Box 381 Eagle River, Alaska 99577 Dear Mr. Johnson: It has been brought to our attention that public sewer is available to Lot 28, Sunny Slopes Subdivision. ? According to Greater Anchorage Area Borough Ordinance, Chapter 16, Article 16.45, Section 16.45.050: "Septic tank-seepage system sewage disposal facilities shall not be installed or used on any premises where sanitary sewers are available within seventy (70) feet of the nearest lot line of said premises ...". The Greater Anchorage Area Borough Public Works Department has checked their records and they indicate that your structure (s) is not connected to the sanitary sewer. Would you please check your records to verify that the structure(s) is or is not connected and notify us immediately if your records indicate that a connection has been made. If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore; request you connect any and all structures located on the subject property to public sewer during the 1975 construction season. You must apply for a connection permit from the permit officer for the Greater Anchorage Area Borough, 3500 East Tudor Road. If you have any questions regarding the above, please do not hesitate to contact the permit officer at 279-8686, extension 259, or the Department of Environmental Quality at 274-4561, extension 141. Ea~le River District Sanitarian JL/lw