HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 37..'1
3
GRE ' ER ANCHORAGE AREA BG
~,~ ~ Depart ment ;~3E0n;irs~rneme~ntal Quality ~
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'i~Pl"l'-~* /~£'}/~-~'/~ MAILING ADDRESS~4t~>';)'-- ~'~' '}
'~ (~t~.~--~>~,~ PHONE ~Y~/'~ ~/'~-
LOCATION :.. , - ~
SEPTIC TANK: 51~ ~/~ ~'
DISTANCE / ~(.:, ~.~. ~} ] NUMBER OF
FROM WELL MANUFACTURER ¢ '~ -l( ~--P~.-' MATERIAL -¢ , ¢:. COMPARTMENTS ~
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY /~.-~'-~' GALLONS.
SEEPAGE Pit:
NUMBER OF PITS }
LINI NG MAT ER IAL ":Li-il (r~ ~1
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETER OR WIDTH LENGTH
DEPTH
CRIB SIZE: DIAMETER.__
NEAREST LOT LINE
.DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE '
ABSORPTION AREA (WALL AREA) /(~(i
SQ. FT.
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
NEAREST I~IEA~EST
LOT LINE SEWER LINE
DEPTH / ~/~'~ ! / DISTANCE FROM:
SEPTIC SEEPAGE
TANK __ SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCES:
LOT SLOPE: ~L~iL~
REMARKS:
DIAGRAM Of SYSTEM
DATE /~% -~¢~ / "}~ APPROVED
G.A.A.B.
GReaTer ANCHORAGe Area BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION Of: SEPTIC TANK I ~L~U SEEPAGE P , DRAIN FIELD , OTHER
TYPE AND SIZEOF FACILITY TO BE SERVED ~' ~/~:~'~ ~~~
FINANCED THROUGH TO BE iNSTALLED BY
SO,L TEST RESULTS a~/{t~'~- ~:~I~0~.~ .OT=, ~.,. ~.M,~ ,~ .O~ ...D W,~.OU~ .o,~ ~,,
~' ,
COMPLETION DATE ANTICIPATED
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.
FOUNDATION TO SEPTIC TANK SI
FOUNDATION TO SEEPAGE Pit ~J~ . DRAIN FIELD
SEPTIC TANK TO SEEPAGE P~T WALL / ~ ¢
SEPTIC TANK~ ~l , , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO sePtiC TA;NK /~{
DRAIN FIELD
WATER MAIN TO SEPTIC TANK ~0j
DRAIN FIELD
DRAIN FIELD
, seePAGE P,T /00{
ALSO CONSIDER ArEA WELLS.
, SEEPAGE Pit (6t
SEPTIC TANK, SEEPAGE PIT _ DRAIN FIELD
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 IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED With AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B.68 AND THAT THE ABOVE
DESCRIBED SYSTEM iS IN ACCORDANCE With SAID CODE.
.... ~t_'~ xl -~,/ _.. v' ~,~;.'Xr ,~,_.~...,,
LOG OF SOIL TEST
Se~. ,]-974
DATE:
ATiON
~TYPE BORINg: ~o~oe · LOC
~ ...................
Z ~~ '
~ ~ SOIL DESGRIPTION
, ,
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'"'.~' ' · , ". ':~'~' ~ ' .';.~h- ~' ~' =~,~..'
b~, ,, '~ ~...,~..;~ ...... , '.;,.,c~ ....~.,; ,'-.
~ ' ~,~ ,~/ . ' , ~/.. ~ .... ~ tt q) ~ ~1 ~'.'. v~: ~,
' ' '~ . ' ..**.' ~ .:' '~;:- '..i~,.~'~*'",'*~''
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MUNICIPALITY OF ANCHORAGE , '.'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ,.'
ENVIRONMENTAL ENGINEERING DIVISION '~
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720'."
CERTIFICATE OF INSPECTION
SEWER AND WATER FACILITIES
1. PROPERTY OWNER
IVIAI LING ADDRESS
2. LEGAL DESCRIPTION
TYPE DWELLING
[~INGLE FAMILY RESIDENCE
MULTIPLE FAMILY RESIDENCE
OTHER (Describe)
4. WATER SUPPLY
'E~ COMMUNITY/PUBLIC
SEWAGE DISPOSAL./
[/D~fl NDI VI DU^ L/ON-SITE
[--J PUBLIC UTILITY
~ HOLDING TANK (Maintenance Required)
[~APPROVED FOR , BEDROOMS
CONDITIONAL APPROVAL (See Attached)
DISAPPROVED
DATE ~ BY (TITLe) ~/' '~ I:
72-014 (3/78)
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
PHONE I [] NEW
NO. OFBEDROOMS
MAI LING ADDRESS
LEGAL DESCRIPTION
Lo+ 3~ ~/oc/~ Z)
LOCATION (J
DISTANCE TO: Well n area
Manufacturer
Lq. capacty ngalons
= -- ~ / Ma~ -- ,William A. Ro~ertson~
~ No of hnes Length ~ ~ ~ - f lines
~ ~ ~rial beneath tile
'
Length Width Depth
~ ~ / Type of crib Crib diameter Crib depth
~ DISTANCE TO: Well Building foundation
~ /Clas~ Depth Driller
~ .......... Buimd)ng foundation Sewer line
Dwelling
PERMIT NO.
Material No. of compartments
Width Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
Nearest lot line PERMIT NO.
Trench width : Distance between lines
inches
Total effective absorption area
inches
PERMIT NO.
Total effective absorption area
Nearest lot line
Dstance.to ot ne PERMIT NO.
2'7, 5"·
Septic. tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
NSTALLER
APPROVED DATE LEGAL
June 16, 1978 R&M No. 851537
Hanson Ohrt Realtors
401 East 36th Street
Anchorage, Alaska 99503
Attention:
Subject:
Mr. Art Gotham
Adequacy Test on Existing Sanitary Sewer System; Lot 3, Block D,
Rolling Hills Estates Subdivision, Anchorage, Alaska
Dear Mr. Gorham:
At your request of June 8, 1978, we conducted a test of the septic system on
the above described property.
During the test the liquid level in the septic tank was monitored as water
was added to the system.
table:
The measurements are summarized in the following
Liquid Level Below Top Total Gallons
Time of Standpipe Added
11:30 6.5 0
11:38 6.35 50
11:46 6.35 100
11:55 6.3 150
12:02 6.3 250
12:30 6.4 250
1:00 6.5 250
The meter used during the test was a Rockwell 5/8" standard water meter which
had previously been calibrated by R&M Consultants, Inc.
If the 4 bedroom residence on the property is to house 8 people, the average
load on the system can be expected to be 600 gallons per day or .41 gallons
per minute. During the test, the system accepted 250 gallons in 90 minutes.
This indicates an average effluent acceptance rate of approximately 2.8
gallons per minute at the time of the test.
Because the house on the lot is not occupied, we tested the system with a
large quantity of water. We can therefore conclude that the system is
disposing of effluent at an adequate rate for a 4 bedroom residence.
June 16, 1978
Hanson Ohrt Realtors
Page -2-
We appreciate this opportunity to be of service to you. Please contact us if
you have any questions concerning this test or if we can be of additional
service.
Very truly yours,
Lynne Kosikowski
Staff Geologist
JMB/kah
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
r~.(~L) b~ '~).~ /~,~1~) Date Received
.h ~ INDIVIDUAL SEWER & WATER FACILITIES
1.Approval requested by: ~&~ ~,~ ~%~. ,~
Mailing Address: ~q ~,ao ~ fl~.
2. Property Owner: ~: ~~ Phone:
Mailing Address:
3.Legal Description: A~3 ~~ ~m~,
4.Location:
6. ~ell Data:
A. Type ) ,~r~,,~,m~Lkc~ B. Depth )~-~C4) '
C. ConstrUction D. Bacterial Analysis
7.Sewage Disposal System:
A. Installed C~:~.\~)~. B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
LQ-034 (1/74) p~n~ ] ~F ,,~,~
P~ge 2 of two pages - R( ~,t for Approval of'Individual ~r & Water Facilities
Legal Description~o~ ~
Comments
Approved ~~{/~~~9D'~pproved! ~ _ '/ Date /~/~7
Approval Valid for one year from date signed
Greater Anchorage Area 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.
EQ-034 (1/74)
Date ////~/]/~ ~"-
3330 "C" St,, Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVA[ OF
INDIVIDUAL S£lqER & WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. ,Name of Buye.r:
l.l~iling Address:
CMRO VA
CONV v~
Phone
4. Name of Lending Institution:
Hailing Address: P.O. Box 720, Anchorage 99510Phone
5. Name of Realtor or Agent:
Eu. il i:lg Address: Phone
The First National Bank of Anchorage
279-4481
Location~ _ Z ~ ~' ~ .~,:~,N,;,,~'- -~'--;:~,,,~-
7. Type of Facility to be inspected: ~'~ No. Bdrms.
If Individual, number of dwellings presently served /
If Individual, depth of well /l.~-~ /
Sewage Disposal. system
Type oF ~stem: Public Utility individual
If Individual aa'ce of instal'lat'ion -/ ',/ '
(on-site) _L~