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Home My WebLink AboutPETERS CREEK BLK 1 LT 3 (2) QGRE?'-'R ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~, C,'~ told ~'(' ~1'~ ~- MAILING ADDRESS ~/;~1 (--i-~t~ IA~. PHONE LOCATION SEPTIC TANK: DISTANCE FROM WELL u~.*~ MANUFACTURER INSIDE LENGTH INSIDE WIDTH. MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY /~0 GALLONS. SEEPAGE PIT: NUMBER OF PITS ADDITIONAL ABSORPTION DIAMETER q~/ OR WIDTH /'Z,'*' , LENGTH /Z./, DEPTH CRIB SIZE: DIAMETER__~_~ DEPTH 6 DISTANCE FROM: WELL TOTAL EFFECTIVE , NEAREST LOT L,NE /tit' ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE BUILDING FOUNDATION CONSTRUCTION NEAREST , LOT LINE OTHER SOURCES DISAPPROVED. CESSPOOL APPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK__ , SYSTEM REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DATE 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. .AME OF APP1,CANT. # INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK L~ SEEPA E PIT /~ ELD OTHER TYPE AND SIZE OF FACILITY TO BE ERVED FINANCED THROUGH =il TO BE INSTALLED BY SOIL TEST RESULTS /~ NOTE.' THIS PERMIT IS NOT VALI'D 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 f~-~/ TYPE-- MINIMUM DISTANCES, REQUIREMENTS · FOUNDATION TO SEPTIC TANKF FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE Pit WALL' SEPTIC TANK -- TO NEAREST LOT LINE. WELL TO SEPTIC TANK iDRAIN FIELD /(/7 ' DIAGRAM OF' SYSTEM DRAIN FIELD , SEEPAGE Pit , DRAIN FIELD SEEPAGE PIT /~)0~ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD IOO, 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 ~]PHON PIPES ON SEPTIC TANK AND SEEPAge PIT ;FITTED WI:TH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHOF~I~E AREA BOR{~UGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBEI~ SYSTEM IS IN ACCORDANCE WITH SAID CODE. //~ ~ _~k~ /~// -- //, // DATE APPLICANT'S SIGNATURE ~ FOR~ NOT~Q-~I 6 ~ Russell Oyster 694-2774 Civil Engineering Soils Et Foundations Performed for: Legal Depth 0 1 2 Descri pti on: (feet) 0 E~ E ElVdlNEERING 6' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Mail ing Address: Soil Ead Ellis 333-5240 Surveying Land Development Characteristics 3 4 8 9 ll 12 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No ~ If yes, v/ Drain Field what depth,, Performed by: AB-HD-1 GR~TER ANCHORAGE AREA BOROI"~"~ HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION /~7 Z'Z, ~ Cie/4 LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. MATERIAL COMPARTMENTS 77 LZJa4z. 4c~' l~? ,,c~u,D INSIDE LENGTH INSIDE WIDTH__ · DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER GE P~TS LINING MATERIAL ~_."T(~ NEAREST LOT LINE OUTSIDE DIAMETER OR WIDTH /~t~ , LENGTH /*'~ , DEPTH ~ /~///~' ~ DISTANCE FROM WELL /"~/47 ,BUILDING FOUNDATION?~._~, TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~OO SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA FOUNDATION DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE_ DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE TOTAL LENGTH OF LINES TRENCH WIDTH IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: ~"~' I,,U~/~ / TYPE J~ j~-I J-.J-- ~-J~ DEPTH /0'~,~ / DISTANCE FROM WATER ,BUILDING FOUNDATION. /~ ~O . - SAMPLE , NEAREST LOT LINE ~/ NEAREST SEPTIC ~ ~ . , SEWER LINE ~ ~ SEEPAGE ~ OTHER . ,TANK SYSTEM /~ , CESSPOOL ~ ,SOURCES DISTANCES: DIAGRAM OF SYSTEM Case N o. GREATEI...,NCHORAGE AREA HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 ~ROUGH 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ~ ! F' PERCOLATION TEST RESULTS //~/~ LOCATION OF INSTALLATION. ~ ., SEEPAGE PIT. ~ ,DRAIN FIELD TO BE INSTALLED BY /~)4 ¢ &.~ ANTICIPATED DATE OF COMPLETION ,OTHER BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /~, ~"~/~/J¢ '¢¢:,"f'//~ , PER M IT TO I NSTA L L A DISTANCES: AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED . SEPTIC TANK S~ZE ~¢~ .TYPE ~44'/~,,~EEEPAGE AREA ~ DIAGRAM OF SYSTEM Health Authority · / ! / / , I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE APPLICANTS SIGNATURE ITIES (Fill out in Triplic~Ze) Name of person requesting approval ~~f~ 3. 4. 5. 6. Well data: Type Casing Size Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank 3. Seepage Area 4. Cesspool' 5. Pmoperty Line houses, barn, drainage ditch, etc. Sewage disposal system. Other sources of possible contamination, i.e., creeks, lakes, a. Age of system b. Septic tank capacity in gallons~~ , . c. Name of septic tank manufactu~.er 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepage pit size and type Distance to proper~y line to house foundation .e. Percolatio~lTe~tl~pes.ults f. Percolation Test performed by "~.. Use the reverse.side of this form to show diagram. Diagram should include ~'..~[he following information: p~operty lines,.weli location, house location, ~-~t~:{.c tank location, disposal area location, location of percolation test, an~ direction of ground slope. 9. The tn~fox~tion on this form is true and correct to the best of my knowledge. I ~gnature ~f Applicant .... Date Si?ne~ TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL [--~'T~e above described sanitary facilities are hereby approved, subject to the ............ ~'l~gwin~ con~ions: ~ .... Conditions: Th2above described sanitam~ facilitiss are dissr, mroved for ' ' , ..' "' ':'; ~:,~i ..... Date :~f[ i~[[; /~,~,..~.; Approval is valid for one year following the date of approval, CPJ: cw November 26, 1968 Civilian Nilitary Referral Office Box l?g Anchorage, Alaska 99501 SUBJECT= Disapproval of Sewer and Water System, Fouv-Plex at Lot 3, Block 1, Peters Creek Sub, Gent leben: Our investigations have shown that the sewage system serving the subiect building is located an insufficient distance from the well. It is our recommendation that this building be removed from the approved list because of the above stated condition. Mr. Clement will make corrections on the system as soon as frost condi'~ions permit. Sincere ly, DAVID R. L. DUNCAN, M. D. Medical Director DBH/srr BY: David ' a k ess Sanitarian