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Home My WebLink AboutPATNODE BLK 1 LT 6 GREAmFR ANCHORAGE AREA BORuuGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~¢'_.A~_. NUMBER Of ~ FROM WELL ~¢ MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH ¢ / INSIDE WIDTH__ LIQUID DEPTH .LIQUID CAPACITY /¢-g/-~¢..2 GALLONS. SEEPAGE PIT: NUMBER OF PITS /. DIAMETER /4¢ OR WIDTH /6, LINING MATERIAL ~'/~ / '~'~C~B ~:~"~/ SIZE: DIAMETER BUILDING FOUNDATION._ , NEAREST LOT LINE ADDITIONAL ABSORPTION WELL: LENGTH DEPTH ___DEPTH. DISTANCE FROM: WELL ~7--,,¢-,~ ~ . TOTAL EFFECTIVE ~ ~<'?/d i~ ABSORPTION AREA (WALL AREA) ~'~¢ '/¢-~ SQ FT. TYPE ___7~__E_ ~ CONSTRUCTION BUILDING NEAREST FOUNDATION_ -, LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED_ DEPTH DISTANCE FROM: NEAR EST SEPT lC SEEPAGE SEWER LINE ......... TANK , SYSTEM REMARKS DISTANCES: f'~ ~ i PIPE MATERIAL: LOT SLOPE:_ REMARKS: DIAGRAM OF SYSTEM ~4~'J :~//~ Form No. EQ-031 GRE, --r ANCHORAGE AREA BO[. Ugh /e~o , .A DEPARTMENT Of ENVIRONMENTAL QUALITY - IT-"'~c~. J ~ /VI' - ~Z ~ ' ' ' -- A..UCAr ON AN.. .M r -- INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT FINANCED THROUGH SOIL TEST RESULTS / -- ~~ DRAIN F4'E~L-~~' ,OTHER TO BE INST,~LLED BY ~ /.¢-~C,'" r<5 -/~.; ~-~' ,--~,a.~.~e-,- ~ /~" 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 DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. EEPAGE AREA SIZE r/ ' ' ,, . TY~E~ 2 SEPTIC TANK SIZ~ ~ J FOUNDATION tO SEPTIC YAN. .T~ ~-- ~OUN~ION ~0 ~E[~A~E ~I~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC Tank 5~ // , SEEPAGE Pit TO NEAREST LOT LINE. / WELL TO SEPtiC Tank D R A I N.'P'I,E-,L-'I~ ,,,.~;--- ~ DRAIN , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK . , SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE PIT 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 REMOyABLE CAPS. . /// CONFORM TO BOROUGH R,~GULATIONS REGARDING I~ALLATION. O~ I O[~IFY~HA~ I AM F~I~I~ WI~ ~[ ~EQ~I~E~EN~8 OF ~[&~E~ ~N~O~A~[ ~EA ~O~O~N O~INAN~[ NO. ~B-~B AN~ ~H~ ~[ ABOVE '~, GREATER ANCtlOkAGt, Al<LA UOROUGi~ l)epartment of Environmental Qua'liLy 3330 "C" Street ....... p Anchorage Alaska 99503 ~ -- S()II~S I,OG - I)ER(~I,ATION TEST Performed foC -]~e~.~_.~ ~L~e~.) -- ;)ate Legal Description-p~' .... ]~'~-:--~ .......................... $'-(} ........ H]lS torm repor:s: bOllS lOg _ZF~ Percolation ~est Del) th Feet . ............ Was ground water encountered? ___/_,~0_ ...... If ,yes, at wilat depth? ~a.~ .__~. Gross Time ~_ Net Time ~Deptn to-ater Net i]roF Gte/ --r ANCHORAGE AREA BO[ UGH DEPARTMENT OF ENVIRONMENTAL QUALITY IT NO. 3330 "C'°STREET ANCHORAGE, ALASKA 99503 ~ll ............. &l eVf--~&~l APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAin FIELD OTHER ~, SOIL TEST RESULTS 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 SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALE SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE._~.,~.~ I WELL TO SEPTIC TANK ~ Drain field /~,~0~ WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ., SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT , DRAIN FIELD 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. 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 DATE ~' ~ ,,~ '""~ APPLICANT'S SIGNATURE ~',,OM ...... 0.'. ............. ~T. TO ..... .0.~5:.. ...... ~T ...... F/,-,~:~..r.,.r~o FROM ........................ FT. TO ........................ FT ............................. FROM ........................ FT. TO ........................ F.T .........................:... FROM ........................ FT. TO ........................ F'T ............................. MUNIciPALITy OF DEPT ANCHo ENVIR ~,i :~OF HEA r~ ~ RaGE CT/oN JUL 1 g 19~3 ~a GREATER ANCHORAGE AREA BOROUGH DePartment of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: ?ost Offlce Bo× 720 2. Property Owner: Peter Nicolard Mailing Address: Bg_x .6.28 Date Received October 20, 1976 9:00 a.m. 10-21-76 Thurs. Kennedy First National BAnk of AnchOrage 99510 Phone: 3. Legal Description: Lot 6 Block 1 Patnode Subdivision 4. Location: See map Phone: 694-9580 5. Type of facility to be inspected 6. Well Data: ../ 0 Single Family No. of bedrooms 3 A. Type Individual B. Depth 280' C. Construction D. Bacterial Analysis Sewage Disposal System: A. Installed 1976 On-site system B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Ar~?~ E. Disposal Field: Total length of lines 2. Manufacturer 2. Material 8. Distances: A. Well to: Septic tank Nearest lot line , Absorption area , Other contamination , Sewer Lines ..... B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages 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: CMRO .VA 2. Property Owner: ~'~-~--~--, /'t//,/~::~0~/~,~ ~ Mailing Address: ~ ~ ~ 3. Name of Buyer: ~~ FHA..~' CONV Day Phone:, Mailing Address: Day Phone:. 4. Name of Lending Institution: Mailing Address:/?~. go ~ ~Z~,/~ Phone: 5. Name of Realtor or Agent: Mailing Address: Legal Description: ~/o-7 Location: Phone: Type of Facility to be Inspected: Water Supply Type of Supply: No. Bdrms. ~' Public Utility .Individual If Individual, number of dwellings presently served If Individual, depth of well Z ~O Sewage Disposal System Type of System: If Individual, date of installation Public Utility .Individual (on-site) 72-O03( 3/76) Page 2 of two pages - Re ~st for Approval of Individual er & Water Facilit'ies Legal Description Lot 6 Block 1 Patnode Subdivision Comments Date Approval ~,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental 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) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 14, 1976 ~gq~~ Time of Inspection 2~3~/p.m. ~/~' Date of Inspection 9-1~76 Wednesday ~ REQUEST FOR APPROVAL OF K~nf~dy b-jD INDIVIDUAL SEWER & WATER FACILITIES ~ FOR FHA l. Approval requested by: First National BAnk of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 2. Property Owner: Peter Nicolard Phone: Mailing Address: B~x 628 Eagle River 99577 Legal Description: Lot 6 Block 1 Patnode Subdivision Location: Above Skyline Drive, see map on back Type of facility to be inspected Single Family No. of bedrooms 3 We] ] Data: Individual A. Type B. Depth ~ 280' C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed june 1976 B. Installer C. Septic Tank: l. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 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 MUNICIPALITY OF ANCHORAGE /.-"~ DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 INDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO, VA , , FHA ,~,N~ CONV ,'~ : ~: Property Owner: ~- 7-~-/~. //V ~/'z'J~.-~/~ ~ ' Mailing Address: ~)~, ~"ZO~,) ~¢'u~-Z~-~/~///~-(~) ~'~)ay Phone: //~/¢/V~-- 3. Name of Buyer: _~'~-~/-~2~--- . Mailing Address: Day Phone:. Name of Lending Institution: ~-~'~ Mailing Address: ~0 ~ ~.~..l~'~,~o~A.~--~ ~ ¢~JO Phone: 5. Name of Realtor or Agent: Mailing Address: Phone:~ Legal Description:. Location: ~---~-'~---- ~/~'~-~ , ,,- Type of Facility to be Inspected: No. Bdrms.--~ Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well . ~~ Individual / Sewage Disposal System Type of System: Public Utility If Individual, date of installation ~'~-- Individual (on-site) 72-003(3/76) Page 2 of two pages Re( st for Approval of Individual S ~r & Water Facilities Legal Description Lot 6 Block 1 Patnode Subdivision Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental 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)