Loading...
HomeMy WebLinkAboutSIEFKER #3 TR 5 LT 2 GAAB.HD, I GE 'ER ANCHORAGE AREA BOROI DL~'ARTMENT OF ENVIRONMENTAL QUALh ~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY NAME ~.~'.~./~,~'~-~ /'~Z)~"~"~'~'~ MAILING ADDRESS ~/~ ~ ~ ~//~ PHONE LOCATION ~/~ ~ ~/~~~LEOAL DESCRIPTION. ~~...~/~ .~~~4~; NUMBER OF / //~2 MATERIAL .~ -~ .COMPARTMENTS NUMBER OF P~TS / OUTSIDE DIAMETER ~ OR WIDTH~/~ / , LENGTH ~' /, DEPTH NEAREST LOT LINE_~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) //~ SQ. FT, TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION. ,NEAREST LOT LINE -/ DEPTH: TOP OF IILE TO FINISH GRADE DEPIH OF EATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABO'~V ~LE_ WELL: TYPE ~'Z/~,/~.~/~//../,~'~' '"' '*'*'/ "'-'~ DEPI'H NEAREST SEPTIC LOT LINE ¢~'~ , SEWER LINE ~ , TANK DISTANCE FROM ~._~_~-. WATER , BUILDING FOUNDATION ........ SAMPLE SEEPAGE~_~:-- ~:'~'"' , SYSTEM ____, CESSPOOL NEAREST OTHER SOURCES__ DIAGRAM OF SYSTEM DISTANCES: J,;~ DATE G.A,A,B, GREAlER ANCHORAGE AREA BORudGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TElEPHOne 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT I NSTALLAT,ON LOCATION INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~/ , DRAIN FIELD TYP~ AND SIZE O~ ~AC]L[TY FINANCED THROUGH COMPLETION DAT~ ANTICIPA%ED MAILING ADDRESS /'~-~_~/~.~.~ -~'~'-'~-' ~7~/~.~¢~¢¢: PHONE ., OTHER NOTE~ THIS PERMIT I$ NOT YALIB WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS SEPTIC TANK . SEEPAGE PIT TO NEAREST LOT LINE. / WELL TO SEPTIC TANK ~) SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO sePtiC TANK ., SEEPAGE PIT DRAIN FIELD / TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPT]C 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. H EA/LT~"AU T~'O R i Ty OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE rEQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM ISIN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE GREa~[R ANCHORAGE AREA BOROUGH DEPAR NT OF ENVIRONMENTAL QUAL1 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # .erfor~ed Fgr~.- <]~'¢A~/~L~ . Date Performed Legal uescrlptlon: Lot z_Block ._s-SubdiviSion %]m~,,_ This Form Reports Soils--[-6-g...~-" ~~~ Depth Feet Soil Characteristics Was Ground Water Encountered?~ If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop '~'~cnl~'~ n~ ~+o' u~,,~...~-~ .............. nute Proposed Insta~"iation¥' Seepage Pit . Drain Field Depth Of Inlet Depth To '~Jt'tom Of Pit or ~'ch'" COMMENTS: t~! ~,~- ~ .... ' ~:'~ ~ Test ...... , , , .... · - vertormed By__~/i <,, l~, Data . ~ ,~ .~-~f:'~ ~i' 'Certified By. Date: -.,~;- Well, Owner Henry Estle ocatfon (address o~ Township, L2, Tr 5, S'e~fker Sub.N~. M-W DRILLING, Inc. P.O, Box4-1224 . 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 MUNICIPALITY OF DEP?. OF H~LTH & ,JUN 1 ? .... " DRILLING LOG ..... -'" RECEIVED Use of Well Dom Section, if..know~; or distance ~in road. 3 ': '"- Size of b~sing 6" -' . ,~.~ .. Depth.-.?f Hole lO0' feet Cased to q'~-, 2 feet ~ · ~ .... ? , --~,, _, '?, ' '" · ~,~'~" ' Z ' ..,~., 8~)e.~er ~e~e]: ~ .... fL ~):.¢ (~1ow)..l~nd surface ~inish o~ well (checA one) open end ( ' De~crib~ Screen 0r~perfo~n ' - Well pumping test at !10 gallons ~e~ ~YP) (minute) for of drawdown from static level. ' -, Date of:couplet{on 9 :,June i]~'~7~;Zi;:] -: '~:~:?. ~/~'~ u~'' f WELL LOG Depth i~ feet from ~ouhd surface'1 x ); 1 hours with 1OO% it. <: -~ ,, ._...G[~.detmls ofform,atmfls penetrated, .size of materml, colorJ'and l~ardness .... TO. TO .TO 2 -- STATE FEII..MTT NO. ¢.' 762':L8 ) fi- F L [ _.HN ¥ HENR'¢ ESTLE L..OORT I ON C:LEO LEGFIL L.2 TR5 SIEFt-'.:ER SLIBD LOT .:,I~E tE~ :1., SQUFII:;:E FEE'T MIIqlMUM DiSTRNCE BE'TWEEN 8 WELL. AND RNY ON-SITE SENRGE [:,ISPOSRL SYSTL::M IS t¢3C4 II:'EEI' FOR R PRIVAI'E WELL. OR 200 FEET FOR FI PUBLIC WELL I.,.IELL LOGS RRE REt:]UIREI) RN[.', MUST BE RIF.:TURNEC, TO THE DEPFIRTMEN'F WITHIN ]:0 OF THE WELL COMPLETION. SF'EC];F:'ICFITIONS FINIS.', CONSTRUCTION DIRGRFIMS RRE FIVRILRBLE TO INSURE PROF'ER I NS TI::ILL.Fi'¥ 1 ON. I CERTIF'¢ THFIT ::L: I BM FAMIL. IFtR I.'.IITH THE REQUIREMENTS FOR: ON-SITE SEI-'.IERS FIN[) WELI_S RE; SET F'ORTH E,"¢ "I't4E MUNIOIPFILIT~" OF RNCHOF,'FIGE. 2: I WILL. INSTFILL THE S"¢STEM IN FICCOF.:DFINCE WITH THE (](][;'ES. \. ~) .? S I G Iq E I'): - ~1 ~"~'L I C F:I~NT-'~.34 El"i~.'r E=,TL.E · D. , RECEIVED INSPECTION APPOINTMENTS TIME ' TIME T~ME DATE DATE DATE INSPECTOR INSPECTOR ~UNICI~ALITY OF ANCHORAG~ D:PT. oF I ...... ~,~ & DEPARTMENT OF HEALTH & ENVIRON~E~A~  825 LStreet. Anchora~e, Alaska 99501 ~l~) 1 6 I981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECE!. P ~EQUEST FO~ APPROVAL OF INDIVIDUAL ~ATE~ AND SE~E~ FACILITIES DI~BTION~: Qompl~ta dl psrt~ on psfi~ 1. Inoom~lot~ roquosts will not b~ ~ro~o~d. Plisse dlow ~en (~0) d~Vs for pro~sdn~. ~. PROP~TV O~N~ PHON~ MAILING ADDRESS , ~TY RESIdenT ~lf different fram ab~va~ 3: LENDING INSTITUTION, ' ~ / ~ ~ ' ~, MAILING ADDRESS 5. LEGAL DESCRIPT'I(JN ST R~E ~; LO~?AT~i O N'TI'~ ~C'/- 6, TYPE OF RESIDENCE ~ SINGLE FAMILY ~ MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* ~--I COMMUNITY [] PUBLIC UTI LII'Y * ATTACH WELL LOG. A well log is reauired for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Io§ if available,) 8, SEWAGE DISPOSAL SYSTEM '~ INDIVIDUAL/ON-SITE** [] PUBLIC UT LITY YEAR ON-SITE SYSTEM WAS INSTALLED, 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 [] FO~IR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: '~_~"~3 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSQRPTION 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 []~-~ iOsNA~IpT~ ~vN EADL AP P R OVA L (letter ,~st acc°mpany certificate) 72-010 (Rev. 6/79) ALASKA I FIUllqOFImi F1TAL CODTFqOL $1 F UICtB$, IFIC. I~nqineerinq 6 I~nuironment~l Studies 9/"n/81 MUN!CIPALITY GF : h© iO?¥~t: ENVIR:; ,::, ,: ,, CTION 1ST NATIONAL BANK 5305 E NORTHERN LIGHTS ANCHORAGE AK 99503 SELLER - RICH & LINDA FRANCE SUBDIVISION-SIEFKER SUB 93 BLOCK-TRACT 5 LOT-2 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTf~i IS A PIT WITH AN AREA OF 448 SQFT. THE SYS'I~I~I IS CAPABLE OF ACCEPTING 300 GAT,TONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYST~i IS 395 GALLONS. BASED UPON nl/tE TEST DATA THE SYST~NI IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/30/81 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. 750 IS ADEQUATE FOR 1220 LUcst 256 Aucnu¢ · A~¢horo§e, Alosk,~ 99503 · (907) 276-1361 September 22, 1981 Richard A./Lynda R. France 906 West 56th Avenue Anchorage,Alaska 99502 Subject: Lot 2 Tract 5 Siefker Subdivision Approval for the individual sewer and water facilities cannot· be granted until the following items have been completed: i The water analysis report needs 'to be submitted to f. his office from the Chem Lab, 5633 B Street, for our review. The sewer system on the neighboring lot needs to be located so that distance measurements can be taken to insure minimum requirements are met between the well and sewer system. A 500 gallon septic tank needs to be installed in iddition to the 750 gallon existing tank. A permit will need to be obtained from this office prior to ~the installation. An adequacy test needs to be performed on the existing leaching area. This tes-t will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This test will need to be submitted to this office for our review. Please notify this office for a reinspec%ion when the noted descrepancy has been located. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw t~t~H~!~/~/ GREATER ANCHORAGE AREA BOROUGH ~?!1~1~/~/ ~ Department of Environmental Quality ~A .~/~330 "C" Street, Anchorage, Alaska 99503 274-4561 ~"~'~ ~'i ~ Date Received June 23~ 1976 - ~-', a ~'~ ~ Time of Inspection 10:30 a.m. ~ ,,~.~ ~ ~,~1, Date of Inspection 6-24-76 %~ ~ ~. % INDIVIDUAL SEWER & WATER FACILITIES 1. Approval requested by: p/~~ ie~, Mailing Address: ...... ~ 2. Property Owner: Henry R. Estle Mailing Address: Star Route ~ Box 1554E Legal Description: Lot 2 Tract 5 Seifker Subdivision 4. 5. 6. Location: See map on back Type of facility to be inspected Well Data: Individual C. Construction ~/3~~ Sewage Disposal System: Single Family Phone: 344-7188 No. of bedrooms 3 B. Depth 100' D. Bacterial Analysis A. Installed /~70 C. Septic Tank: 1. D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Installer Size 1. Absorption Area Total length of lines 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines B. Foundation to septic tank C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual er & Water Facilities Legal Description Lot 2 Tract 5 Seifker Subdivision Comments Approved Approval Valid for one year from date sigoe~F~ Greater Anchorage Area Borough, Department of Environ~ntal Quality DIAGRAM OF SYSTEM I 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV RONMENTAL PROTECT ONr,, 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 "¥¢/";': :';,,',',,.;, , ,,.~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~;~J/f//~/¢ Mailing Address: /,~,-~ 7 ~ Day Phone: CONV. ' ' ' 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent:.' Mailing Address: 6. Legal Description: ~'~ ?~ Location: ~?~ ~-~- Day Phone: Phone: Phone: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: No. Bdrms. -~ Public Utility .Individual '- If Individual, number of dwellings presently served If Individual, depth of well /'-~ ~' Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76) Virginia Pu~k~tt