HomeMy WebLinkAboutSWANEE SLOPES #1 BLK 1 LT 4zz/
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GREA ,-/'-R ANCHORAGE AREA BOR ,JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
INSIDE LENGTH INSIDE WIDTH
MATERIAL
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY__ GALLONS.
TI'~ N F,F,-D:
DISTANCE FROM WELL/~'';~' FOUNDATION 3Is-!
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPT,ON
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE ~-f~'~J~ _OF LINES
TRENCH WIDTH ~:~'IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER ~__¢ IN,
C~ MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:
TYPE-~}~'~'~' t CONSTRUCTION
BUILDING ~ NEAREST NEAREST
FOUNDATION__ LOT LINE SEWER LINE
DEPTH
SEPTIC SEEPAGE
TANK SYSTEM
CESSPOOl
OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE: /¢ 6/'g~ / '
REMARKS: //
DIAGRAM OF SYSTEM
i/
D AT E/"/'/'~'/- '~' A P P R O V'~"h'3 ~x"¢?'"~ "~ ~-~'''~'U Gg.A.A.B.
......... ~...
'i~'UNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG -- PERCOLATION TEST '~
I~r SOILS LOG
[] PERCOLATION
TEST
LEGAL DESCRIPTION: ~ ,4- /:.31~::~k--
2
3
.,----4
5
6
7
9
10
11
12
13
14
15
16
17
18
19
20-
SLOPE
/ova
---
~aydq 3,e_~aa/ L~W)
Well q/~aded/ Id-Me 4o ,~o
WAS GROUND WATER
ENCOUNTERED;)
DATE PERFORMED:
IF YES, AT WHAT
DEPTH;)
SITE PLAN
_
I
o ~
p 4.
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND -- FT
PERFORMED BY: '/~//3W~/-~"~
72-008 (7/76)
CERTIFI ED BY: fl///]~-~//¥ -- ~'~'~? cg' ~ DATE:
GrEaTer ANCHOrAgE ArEA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 !
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO. 76 ~'~ ~
, OTHER
NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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.
SEPTIC TANK SIZE TYPE
MINIMUM DISTANCES, RE<:/UIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK -, SEEPAGE P}T .
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPT,C TANK. , SEEPAGE P'T
CAST IRON INTO AND OUT OF SEP TANK AND INTO CRIB CI GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED IL.
4 INCH DIAMETER CAST IRON SI ANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS. ~
TYPE
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
~I~UNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99E02 276-2221
SOILS LOG - PERCOLATION TEST
~ SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR: ~.~.U~~') ~.~'~'~.C/C~-I~"~?
DATE PERFORMED:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7'
8
9
'10 -
11-
12-
13-
14-
15-
17-
18-
19~
20-
SLOPE SITE PLAN~
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
COMMENTS /~,-~f/~m~nd t,(,~e
PERFORMED BY: ['~t l /Zl CZC[ ,~', t/~C2~,~L.ff
72-008 (7/76)
PERCOLATION RATE minutes/inch
TEST RUN BETWEEN FT AND , FT
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received September 29, 1976
t'~ ~ ~ Time of Inspection
~/~/~ ~/ ~ ~ Date of Inspection
/ ' [ I~ ~I~UAL SEWER & WATER FACILITIES
~ ~ ~ ~ U FOR
gpproval
11:30 a.m.
10-1-76 Friday
Neale
requested by: State of Alaska, Veteran's Administration
Mailing Address:
Phone:
2. Property Owner: Philip D. Ault
Phone: 279-6622
Mailing Address: Box 175 Chugiak 99567
3. Legal Description: Lot 4 Block 1 Swanee Slopes
4. Location:
Mile 19½ Old Glenn Highway
5. Type of facility to be inspected Single Family
Community B. Depth
Well Data:
A. Type
C. Construction
Sewage Disposal
A. Installed
C.
D.
System:
1965
Septic Tank: 1. Size
Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
No. of bedrooms 2
D. Bacterial Analysis
On-site system,
B. Installer
2. Manufacturer
2. Material
., Absorption area
, Other contamination
, Absorption area
C. Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74)
Page 1 of two pages
Page 2 of t~o pages - Re(~.xst for Approval of Individual ~.~ar & Water Facilities
'Legal DescriDti0n Lot 4 Block t Swanee Slopes
Comments
Approved ~-~ ~~ Di sa pproved
~/~ ~alid for one year from date signed
~/Gr~ter Anchorage Area Borough, Deoartment of Environmental
DIAGRAM OF SYSTEM
Quality
c'ertify 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 ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address: /~ ~ ~/~
4. Name of Lending Institution:
FHA _CONV
Day Phone:
Day Phone: 27 ~?~ -. $'~g ~?
Mailing Address: Phone:
5. Name of Realtor or Agent:
Mailing Address: ~/~ ~, ~.e-.~ Phone: ~q~-~
Location:
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility
No. Bdrms.
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation ' /q fi, -~'-~
Individual (on-site)
72-003(3/76)