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Home My WebLink AboutSKYWAY PARK ESTATES BLK 6 LT 66/1> "ER ANCHORAGE AREA BOR" JGH Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'/:~P- ~*& ¢/ LOCATION MAILING ADDRESS ~'~/:'~ ~: /G,;I - ~/-~ PHONE LEGAL DESCRIPTION lOT (,~ /~&O~f~/~ g ~':~/~'~'/Z2:-).'DZ/ SEPTIC TANK: f~f.)z~e-,O ':/?3 o:_~.-Zi,~'z~,,/G qo~ &}l)~., DISTANCE i ~- FROM WELL //J~ __ MANUFACTURER ~¢4 ~,~[T[~ MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY_~'~-~ _ GALLONS. TILE DRAIN ~: DISTANCE FROM WELL. /~,_/) /'t" FOUNDATION NUMBER OF LINES__ J __ DISTANCE BETWEEN LINES ABSORPTION AREA NEAREST LOT LINE ~ I/-' TOTAL LENGTH OF LINES DEPTH: TOP OF TILE 'FO FINISH GRADE TRENCH WIDTN IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE ~Lt~ IN. ABOVE TILE IN. WELL: TYPE .CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE____ SEWER LINE DEPTH SEPTIC ~/I, SEEPAGE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH:. PIPE MATERIAL' LOT SLOPE~ REMARKS: .~/~/.~ TT) g~_. ,~--£} 7~ Form PW,027 G.A.A.B, GRE'ATER ANCHORAGE: AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL (~UALITY SEWAGE DISPbSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO be INSTALLED BY NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL SEPTIC TANK SIZE TYPE / ~,1 SEEPAGE AREA SIZE TYPE .SEPTIC TANK TO SEEPAGE PIT WALL __ / ~ I SEPTIC TANK-'~ I , SEEPAge Pit ----~') ( ., DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK (COt , SEEPAGE PIT ~ ~ SEPTIC TANK, (C~L~t SEEPAGE PIT ~0 ~ ., DRAIN FIELD GRAVEL BACK':ILL INSTALLATION, I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. C~(~REATE R AN Clio Id)GK/~L A Uepartment of En~4'~onmonLal Quality 3330 "C" Street ' Anchorage, Alaska 995{;3 SOII,S l,O(; PEllOI,ATION TEST Performed fo r. ~ ~L?_ .Z~: ~ ~U~/, Legal L)escription: Depth Feet 6 - / 7- 8- 9- lO- ll - 12 - 13- Was ground water encountered? _.~L'ZD ....... If yes, at wi~at depth? Reading Date Gross Time Net Time t Depth to Water Net i~rop · Proposed installa~%g-:--gb~ge Pit Depth to bottom oF pi t or trench Depth of Inlet ................. · COMMENTS: E(~ 040 GRr'~TER ANCHORAGE AREA BOROUGH HEALTH DEPARTML:NT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ADD RE SS L~_J.~_~LO', ,,:~'-, / · // PHONE __LEGAL DESCRIPTION ZOT' ~__~,~'"'~'~_~/K ~ DISIANCE FROM WELl LIQLJID CAPACITY SEEPAGE SYSTEM: NUMBER OF PHS LINING MATERIAl GALLONS. SEEPAGE PIT: OUTSIDE DIAMETER. OR WIDTH__~ Z. / DISTANCE FROM WELl NEAREST LOT LINE 1OIAL EFFECTIVE ABSORPTION AREA (WALL AREAJ NUMBER OF COMPARTMENTS L,O ,D INSIDE WIDTH DEPTH_ LENGTH_ / ~ ~, DEPTH , BUILDING I:OUNDAIION~ TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DISTANCE BET.~LEEI~ LINES .... 1RENCH WIDTH /,~"~'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 TILE IN. ABOVE TILE WELL: TYPe. ~/~-&~D ., DEPTH ~" / LOT LINE ~.S~' t NeArest ._,4"'_,S' / sEptIC , SEWER LINE ., TANK DISTANCE FROM /1 / WATER , BUILDING FOUNDATION (~ SAMPLE ,/Vo , NEAREST ~'~ ! SEEPAGE OTHER , SYSTEM , CESSPOOL , SOURCES__ DIAGRAM OF SYSTEM DISTANCES: ~->D =6-8~ DATE 3AAB-HD-2 GREATER 327 Eagle St. ,tNCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 )ROUGH 279-2511 SEWAGE DISPOSAl. SYSTEM - APPLICATION & PERMIT NAI~IE 0 F APP LI CANT__c'" ~.L ('~..~Yq Lvv~ t. _ MAILING ADDRE$$.~O~ APP',C T'0"T0'NSTALL: SE,T,CTAN _ ,SEE,A E P,T. ,D,^,N __ TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH_ ¢~"/'¢'/¢ TO BE INSTALLED BY PERCOLATION TEST RESULT8~,~/~,~ ANTICIPATED DATE OF COMPLETION ~r~.~- /~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS_ ~/~, ,D[OiN ¥ ,' _, PERMIT TO INSTALL A __ "CS~{~qJ-~q_ AS DESCRII~Eo-B~ko,W. SIZE OF UNIT TO /, '75',¢, DIAGRAM SYSTEM DISTANCES: Hsalth Auth0rit¥ I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE APl LICANTS SIGNATURE GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Th{s Form RePOrtS a: Soils Log A/ -PercoSatio~Test Depth Feet Soil Characteristics Location Sketch Was Ground Water Encounl:ered?__./VO~_.. vw~e If Yes, At %;~'at Depth Gross Time Net Time Net Drop Proposed ~nstalla(:~on: Seepage Pit Depth Of inlet~/ Dep~7i~ Or 'rrenc~ Certified By: ~z.. ' DEPARTMEN 825 MUNICIPAI_]TY OF ANCIIORAGE OF ltEALTH AND ENVIRONMENT L Street, Anchors(~, Als skil 264-4'720 PROT~¢I'ION 9950Z Date Rece, ived: March 31, 1978 #].: Time , ~ · _.~~ ~2. Time Date _~_L3.~-~ /_~ Date Insp _ ~.~ Insp T:Lme [)ate Insp REQUEST FOR APPROVAl, OF INDIVIDUAL SEWER AND WA'I'ER FAC.[LIT]E~ Lend iag Institution Request:: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 99510 Phone: 274-3511 2. Properuy Owner: Larry J. Heckart Mailing Address: Star Route A Box 192T 99507 Phone: 349-3361 344-0541/231/wk 3. Legal Description: Lot 6 Block 6 Sk_y_wa~ Park Estate Subdivision Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Three Well System: Permit '~ Construction Individual well (x) Community/Publ%c Sysu m ( ) Depth of Well 65' Well Log on File Bacterial Analysis ( ) Sewage Disposal System: On-s:Lte System Permit = Installed 1975 Public utility Installer ( ) Septic Tank ¢~' ~ olze ~I~t~, I~_~--~) Manufacturer Absorption Area ~ Seils Rate __ Material Dismances: Well to Septic Tank -~g~o to Absorption Area ~( ~3 to Sewer Line Nearest Lot line Absorption Area Nearest Lot Line Page Two Departlllent of Request for Approval Heal-th and Envlzonmenta]. J?}'o'techlon of Individual Sewer and Water Facilities Legal Description: Lot 6 Block 6 Skyway Park Estates Subdivision Comments: Affadavit Attached~ ( ) Letter A~%ached: O.Lsapp~ oved. Date: ( ) Depar%menh Worksheet llV~'~i 'IVNOIIV/OJ]INI ~JOJ ION OOB£ tZ6t '~dv MUNICIPALITY OF ANCHORAG' ' '" :(~' :~, Departmen~ of Health and ]'h~vJronmenta~ l?rohection ' Op~.~-~/ 825 L Street, Anchorage, Alaska 99501 ~c~ Request for Approval of Individual Sewer and Water Facilities Mailing Address: 2. Name of Buyer: Mailing Address: Phone: Lending Institution: MailincI Address: Phone: o Realtor/Agent: Mailing Address: Legal. Description: Street Location: Phone: Single Family Residence: Mu].tip].e Family Residence: Number of Bedrooms: Number of Bedrooms: 7. Water Supply: * Individual Wel]. ~) Public/Community System ( ) Ill Individual Well, well depth' 6~- ~ If Conm]unity System, name of system 8. Sewage Disposal System: *~On-site System (~) Publie System ( ) If On-site System, da~e of installation: /~7Z~~ "HAL PROTE~[1.10N *NOTE: A well log is required on ALL wells drilled s~ 7 9~ test is required by this department. A fee of $25.00 must accompany each request before proce~sJnq can be initiated. 3/77 REQUEST FOR APPROVAl. OF INDIVIDUAL SEWER & WATER FACILITIES FOR GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 D~te Rece ed ~, Time Of Inspection Date of Inspection · '~ ' ' " ~' ' ~ i 2. ~;d~roperty Owner: ' Mai~ing Address: 3. Legal Description: 4. Location: ~ ~ Phone: 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis A. Installed B. Installer C. Septic Tank: 1 Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Mater~al E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area 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 Approved ,_~_~_~<~ ~. ~ m~-~w~YDi sapproved Date ~"/~' ?-~-- 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 sub2e~,t sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date E(1-034 (1/74) 1 GREATER /~'NCHORAGE AREA BOROU~[ ' ' DepartmenFof Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 27q-q561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of 2. Property Inspection: CMRO VA FHA CONV Phone Phone Owner: Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Phone 7. Type of Facility to 8. Water Supply Type of Supply: If Individual, If Individual, 9. Sewage Disposal System Type of System: Public If ~ndividual, be inspected: _~'/ c/~__r/~,~.I No. Bdrms. '~ Public Utility Individual ~/'~'~ number of dwellings presently served / depth of well ~ Utility date of installation Individual (on-site) EQ-037 (]/74) GREATER ANOItOPAGE AREA BOROUGH D.~partme. nt of Envfronmenta] Q,.mlity ~500 lJdor Road, Anchorage, A]aska 99507 2'19-8686 RI!QUL~ST Fr ~ AP~:ROVAL OF ................... T,,me of Fa~]!J. tv to be Number of Bedrooms: ~.- C. Construction D. C. Septic Tankt 1, D. Seepage Pit: !. Diaposa! ~ield: ,. / De Pt h____Z.az'_~ ............ flacgerzal Analysis Installer Total Length of Lines Distances: . . ,~. [ ~[ · A. U/eli. T,). beot]c Tank Absorption Area -~'p~j-j ~T Sewer Lines ~ , ~eareM: Lot , Ot:he~ Cankam~na~xon . C Absorpt;ion Az'e~ +n I,.eare~,. Lot Lino Request for ~oroval o~ ~divtduel Sewer &Waner FacilJ.~ !;age Two I ;ert~f" ti~at the ~nfot,~M,~on ,' ~ ' t. on,~ne, ~.n thor, request for approval to be a true and accurat,~ represent:at~,o~ of fha (;uMect Sm~e~' and water fac:).lfttes located at: J ..- Date REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) ~'~' ~, _ 'Name of person requesting apDroval .................... i,- a. Bacterial b. Detergent -----' Wed_l data: e, Casing Size do Distance from well to closest existing or proposed: 1, Sewer line Septio tank Z ! ' 5, Property Line~[Z. 6. Other sources of possible contamlnation~ i0e.~ creeks, lakes, houses, barn, drainage ditch, etc. Sewage disposal system. a. Age of system ~ ~ O · b. Septic tank capacity in gallons_ ~ . , 1. If "home made" show diagram on reverse side of this form. e. Peroolatio~ Test'results f, Percolation Test performed by Usc, the reverse .sade of thzs £orm to show dxagram, Diagram should . .~he ~ollowxng Information: ~operty lines~ well lonatlon~ house location, t~pt~c tank location, disposal area locatlon~ locatlo~ of percolation a~ direction of ~round slope, 9, The ~ormation on this form is true and comrect to the b~st of my knowledge, ~i~matUPe ~f ~p-~ca--~'-----'~"-----~ Date Signed TO BE FILLED OUT BY HEALTH DEPARTI.~ENT PEI~SONNEL above described sanitary facilities are hereby approved, subject to t~he f_3.~:l, owin ~ eon~i~ipns__': The above desc~.ibed sanitaPy facilitJ, es are dlsi3ppmoved for the following '-. Appl-ov~ i~valid for one year following the ,late of approval, .,-' CPJ: ow