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Home My WebLink AboutRAYMOND TEDROW BLK 3 LT 26L T' G~ '~TER ANCHORAGE AREA BOROtrmH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 365 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: DISTANCE FROM WELL .~--~,~)~'-~' LIQUID CAPACITY ,/,.~Z.~_~ GALLONS. NUMBER OF MATERIAL -~<~-'~-~.'"~ ~'~ COMPARTMENTS INSIDE LENGTH / INSIDE WIDTH. ~ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER /'/ OR WIDTH /~"' ~' ~"g' '~ , LENGTH , DEPTH LINING MATERIAL c"~:~/~"~:/~ ~.~./._/'::_~r DISTANCE FROM WELL~:/~; -~': BUILDING FOUNDATION NEAREST LOT LINE /~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~/~ SQ, FL TILE DRAIN FIELD: DISTANCE FROM WELL A B/~'RPTIO N AREA. /"'/~ FOUNDAflON_ -~ ,I~NEAREST LOT LINE DISTANCE BETWEEN LINES ~ IRENCH WIDTH LENGIH OF EACH LINE TOTAL LENGTH OF LINES DEPTH OF FILTER MATERIAL BENEATH TILE .JN~TCTI'~ L EFFECTIVE SQ. FT. DEPTH: TOP OF TILE TO FINISH GRADE. WELL: TypE.~r'/.~,,~4'/.,~-/~'~'~ , DEPTH ~.~_...~ DISTANCE FROM ~/- WATER G~_ , BUILDING FOUNDATION. _SAMPLE_ NEAREST NEAREST ~.~-.~ SEPTIC ..6 ~'-"-~ SEEPAGE .~_~ OTHER LOT LINE ~ SEWER LiNE .,TANK , SYSTEM CESSPOOL ~ , SOURCES DIAGRAM OF SYSTEM DISTANCES: ~/.Z-/.,/~.z~ IN. ABOVE TILE__ DATE ,% GAAB-HD-2 GREATER 327 Eagle St. kNCHOI AGE AREA ItEALTH DEPARTMENT Anchorage, Alaska 99501 qROUGH 279.2511 Case No. ~'~-5-j SEWAGE DISPOSAL SY$¥EM - APPLICA¥1ON & PER. MI? NA'E OF APPLIOANT~,/'~.,..~.o ~' .~/~-~..~/~,,,_ MAILING ADDRESS~;~~ PHONE RESIDENCE ADDRESS&~'~'~~¢~ ,/"~'~'~./ LOCATION OF INSTALLATION ~~ AP~--PU~ATION'T0 . NS'TA kk: SEPTIC TA, K.: ~, S,EEPAG, PIT_ /~-'~'~ T0 SERVE THE FOLLOWING FAClI. I;Y~___~ ~~ ......~ FINANCED THROUGH_...~_/~' _ TO BE INSTALLED BY .~A~' PERCOLATION TEST RESULTS~ ~ /~ ~ ~_ ANTICIPATED DATEOF COMPLETION ~ ~k .~ ~RELO~ TO BE FILLED OUT BY HEALTH DEPARTMEnt THISIST0~ERVEAS~ ;~~-;~PERMITTOINSTALLA DISTANCES: HEALTH AUTHORITY OR LICENSED DeSIGNEr I certify that i am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. DATE, . APPLICANTS ~. /,// ,/~¢/ - ,.~ 2~ ~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF I':AI.Til & . DEPARTMENT oF HEALTH & ENVIRONMENTAL PROTECI~Ij(~RONMENi,,,L; ,.~:;~CTION 825 L Street - Anchorage, Alaska 90501 ENVIRONMENTAL ENGINEERING DIVISION FEB 2 Telephone 264-4720 DErE/~IE~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~A~I[,~ DIRECTIONS: Compiete all parts on page 1, Incomplete reques~ will not be processed, Please allow ten (10) days for processing, I. PROPERT~ OWNER PHONE MAILIN~DRESS ' PROPERTY RESIDENT (if different from abova) PHONE ...... PHONE MA~LING ADDRESS MAILING ADDRESS / 4, REALT~AGENT / PHONE §. LEGAL DESCRIPTION STREET LOCAT ON TYPE OF RESIDENCE NUMB~'R OF BEDROOMS [] One [~ Four ~ SINGLE FAMILY [] Two I-] Five [] MULTIPLE FAMILY [~ Three [] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.} 8, SEWAGE DISPOSAL SYSTEM ! · *If individual/on-site, give installation date ~..c.- ~. INDIVIDUAL/ON-SITE** ' If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE ' DATE DATE INSPECTOR ~NSPECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line [ Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Line ~ APPROVED FOR ~W- BEDROOMS ~~.~t'~~ ~ONDITIONAL APPROVAL (letter must accompa/y ~fi~e) ~ ~ 72-010 (Rev, 3/78) MECHANIEAL ENGINEER DAVID SLENKAMP 694-9055 $&S ENGINEERING MECHANICAL ENGINEERS CIVIL ENGINEERS SRB 196X Eagle River, Alaska 99577 CIVIL ENGINEER ROBERT A. SHAFER 694-2979 20 February 1979 Pat Fencl 150 Dawn Street Eagle River, Alaska 99577 Dear Pat, Reference your property located on Lot 26, Block 3, Raymond Tedrow Subdivision. An adequacy test of the sewage system on the referenced property cannot be performed at this time due to the uncertainty of the seepage pit. It is recommended that the test be delayed un~il frost conditions allow excavation to locate the pit and install a stand pipe. It is estimated at this time that the maximum cost to be attributed to the upgrading of the system, if required, will be: lump sum $1,800.00. Smiley Real Estate ATTN: Gary Deardorff On completion of the adequacy test in the spring, the exact nature~ of the upgrading, if required, can be determined. I am confident that the cost will not exceed the above figure and may be considerably less. FHA Form 2573 U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FEDERAL HOUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL INI)IVlDUALWATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Form Approved Budgel Bureau No. 63-11296.8 PART I.--TO BE COMPLETED BY FHA INSURING OFFICE Anchorage~ Alaska MORTGAGOR OR SPONSOR Lob'lay Construction Co. UBDIVISION NAME R_a~ylllor~d Tedrow Subdiv±s±on MORTGAGEE Nat±onal Bank o£ Alaska SERIAL NO. 59006-1 PROPERTY ADDRESS NHN )awn Street~ Eagle River, Alaska JB~-~)CK;O.. LOT 26NO' tOTAL NUMBER: 1 4 2 BASEMENT j[~ New installation WATER SUPPLY BY: [] Public system EX] Community system SEWAGE DISPOSAL BYz [] Public system E] Community system Con attic or other area be mode Into oddltlonal bedrooms? (If Yes, how rnan¥~) [~] Yes k-~] No Individual Individual ~ Yes ~ No PART II.---TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMEN'f INSPECTOR'S SKETCH It is the opinion of the [] State [] County ~ Local Department of Health that this individual water-supply system ~J is [3 is not satisfactory asa domestic water supply for the subject property. It is the opinion of the [-] State tern with proper maintenance: [~Can be expected to function satisfactorily, and is not likely to create a/~sanitary condition [] County ~ Local Department of Health that this individual sewage-disposal sys- J--] Cannot be expected to function satisfactorily TITLE J Sanitarian NOTE: The ~/ealth.~/uthorlty :hould complete the appropriate opinion statement above and affix date, signature and title in the Tile Disposal Field: Distance from: Well, Total length of tile lines, Trench width Length of each line Type of filter material: [] Gravel. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Number of lines, Distance between lines, inches. Total effective absorption area in bottom of trenches, feet. Depth, top of tile to finish grade, [] Broken stone. Other_ Depth of filter material beneath tile,~ inches. Depth of filter material over tile, Seepage Pits: Number of pits .... Outside diameter, feet. Depth, feet. Lining material Distance from: Well, feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear,. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by. Date of inspecti~n 19 feet. square feet. inches. REPORT OF INSPECTIONmlNDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, __feet. Size of main, inches. Individual wells [] are [] are not ousts)mary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems. L~t size: feet wide, feet deep. Dwelling set back from front property line, feet. Individual water supply l¥om: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. ~)l~tance Qf w®ll from: Building foundation cast irnn sewer, feet; tile sewer, seepage pit~ feet: cesspool,. Well construction: Diameter, inches. Total depth~ Approximate depth to pumping level of water in well, Sealed watertight to depth of feet. feet; nearest lot line at [] front, [] side, [] rear, leer; septic tank, .feet; disposal field, feet~ other sources oi possible pollution, feet~ feet. Type of casing, Depth of casing, feet. Approximate yield, gallons per minute. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump: [] Shallow well. [] Deep well. Lengxh of drop pipe, feet. Pump capacity, l~cated in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity, .gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Lotal Health Authority. Inspected by Date of inspection 19__ gallons per minute. feet; .feet. 19 (TITLE) ' '*~:"~' Lab. No INDIVIDUAL WATER. SUPPLY ALASKA DEPARTMENT OF HEALTH Section of Sanitation and Engineering ACTION ON REQUEST FoR .BACTERIOLOGICAL WATER ANALYSIS Your recent request for an analysis of a sample front the Individual Private Water Supply !4z~, Patlt ~e~alkei' received Z~t~/~9 and examination has been completed. __Satisfactory /:":' Questionable , Unsatisfactory Records in this office indicate this Individual Private Water Supply to be of sanitary stares. ~.,... Analysis shows this SAMPLE to be_ ? "~ Satisfactory. .Questionable Unsatisfactory. If an "Unsatisfactory" or "Questionable" status is indicated above, you should take immediate action as recommended below. 1. Boil or chemic, a, lly treat your ,,water supply to protect your family from water-borne diseases as outlined in eh- dosed leaflet, Drink It Pure. 2. Improve your spring~ See bulletin HSF.-6-2 3. Improve your cistern~See bulletin HSB-6-3 4. Improve your dug well--See bulletin HSE-6-4 5. Improve your driven well-- See bulletin HSE-6-5 6. Improve your drilled well--See bulletin HSE.6-6 7. Relocate your well to a safe location in relationship to your sewage disposal system- See bulletin HSE-15 8. Bottle broken in transit, please send new sednple. 9. Sample too long in transit; sample should not be over 48 hours old at examination to indicate tellable results. Please send new sample. 10. Contact your nearest [] Local Health Department or [] Alaska Health Department, Sanitation office for bulletins, consultation, and assistance. 11. This is a surface water source and subject to pollution by man and animals. An approved water supply source should be develop?d: .: ADH--.HSE-6-FI (e) Out completely. INDIVIDUAL WATER SUPPLY ALASKA DEPAI%TMENT OF HEALTH Section of Sanitation and ~.-glneerlng Request for Bacteriological Analysis Please Look on Rever~e o! Shoes for Sample Collection !n~ruetions. / Water sample collected ' .~..~ ~ ~ ~ .... L. . ~...~::~C~ ~2-:. ................................ by ............... + ......... :-.,...~ ............. ~. ...................... ;~'"~a~ ~ (Time) (Name of person collecting sample) Water sample collected from ~Kl~hen tap; ~ Bathroom tap; ~ Basement tap; [] Other (1Mt) ............... ~ ....................................... :y ....... ~ ............ :~. ......... ~. .............. ~,~ ............... premise ,,, ...................... .......... _ (Mr.) ~, , " ' ' ~ ~ ~, 7v~ ,..~ (N'am~ (Box P~ease place an "X" tn the box before items which bast describe your water supply: SOURCE: Well -- ~ Dug, ~ Driven,~ Drilled, ~ Bored ~ Spring, [] Clstern, ~ Other (list): .............................................................................................................. ~ Creek, ~ River, ~ Lake, ~ Pond ...... ~ ........................................................................................................... DUG WELL O1{ C~TERN CONSTRUCTION: Walls ~ ~ Wood, ~ Concrete, ~tal, ~ ~le, ~ Brick or Concrete Bl~ck Top -- ~ Wood, ~ Concrete, ~etal, Il Open Top LOCATION: ~ In basement, [] Basement oHset, ~ Under ~o~e, ~n yard Other .................................................................................................................................................................................... DISTANCE TO: Building sewer or other drainage pi~.. ~.....feet, Septic tank . ..~.....feet, Tile field .............. ~ect, Seepage pit .~..~eet, Cesspool .............. feet, Privy ..............feet. Other p~sible sources o~ contamination (12t) ................ ~-~:::: ........ ~..~L.~ ................. : ...... , ...................................................... ~TE~I~,: Building sewer --- ~st iron, ~ Wood, [~ THe, ~ Fibre pipe, ~ Asbestos cement Joint material ~ ~pe .................................................................................................................................. ~ .................... GENER~ INFOR~'~ON: Does water become muddy or discolored? [~ yes, [~ When? ............................................................................................................ : ......................................... Diameter of well ............ .~.~..f:~ ........... ~ ............ depth .............. ~..~;~ ............................. feet Well casing material....,...~.:~.u~':~:~[, diameter .................... depth .................................. Length of drop pipe ............ ~.~ ..................~ ................................................................................ Water depth from bot~m ..................... ~.~ .............................................................................. feet Pump location: ~ ~l well, ~j Offset in basement, ~ In basement Oo you suspect tlln~ from this supply? ~ yes, ~o /--' ,_ .- ............ ................... ....... ............................. . '(,EA~E DRAW A SKETCH ~ q~E ~]PAC~ELOW. THIS SK~CH SHOULD SHOW ~CATION OF HOUSE, WA~ SUPPLY SOURCE, SEPTIC TANK, SE~R, D~AIN LI~S OR O~ SOURCES OF POLLU~ON ~D DIST~CES ;.IE~EEN WAT~ SUPPLY SO~CE AND ~ OF ~IOVE FAC~I~S SAMPLES~' ~ ~. sUBMITTED IN cONTAi~'ER~ PR0~IDED ]BY THE ALASKA DEPARTMENT OF HEALTH DIRECTIONS FOR COLLECTING SAMPLES OF WATER FOR BACTERIOLOGICAL EXAMINATION Read Carefully and Follow Instructions Exactly DO NOT cor,r.WHT SAMPLES FROM FIRE HYDRANTS, YARD HYDRANTS. DRINKII~rG FOUNTAINS OR SIMILAR OUTLETS WHICH ARE DIFFICULT TO D IS I N F E C T PROPERLY Bear in mind that water analysis deals with materials present in very minute quantities. The least carelessness in collecting and handling may give rise to results which are misleading~ Arrangements should be made to have water samples reach the laboratory as quickly as possible. After 48 hours .the significance of the bacteriological analysis is impaired. For obvious reasons the laboratory prefers to receive samples in the early part of the wee~', but is willing to accept samples at any time. In collecting samples from TAPS or PUMPS proceed as follows: (a) Thoroughly flush tap or pump by allowing water to run freely for five minutes. (b) Shut off water and flame the outlet with torch or burning paper. The flame should not be merely passed over the outlet, but should be applied until fixture shows indication of being hot. Flame should be directed against inside edge. (c) Open fixture so that a small stream flows. (d) Remove bottle from mailing tube. Hold bottle by the lower half in one hand and with the other remove the screw cap with the fingers, leaving paper protecting cover in place. Fill the bottle to the shoulder. Replace cap with paper cover, screwing firmly into place but do not apply pressure which will split cap. (e) Pack bottle carefully in mailing tube enclosing this completed information sheet, being sure that a simple sketch is included. In collecting samples from STI~EAMS and RESERVOIRS proceed as follows: (a) Remove cap and hold bottle as described under (d) above. (b) Collect sample by holding bottle in a slanting position and sweeping it below the surface in such a manner that water that has been in contact with the hand is not introduced into the bottle. Avoid collecting surface scum and bottom ~ediment. SAMPLES MUST BE SUBMITTED IN CONTAINERS PROVIDED BY THE AL~~ December 2, ].959 described as follows' Depamtment of.' Health ii~E: Sale of lot, · 327 '~,~agle ~' otreet~' ~' roll of the N. 1/2 of Lot 4~, of the ~nchorage, L~taska ']~aymond Tedrow, Subd. ~ ~ec. 12, Twp. 14~ R2W~ Dear Sirs: Sold to ~[alter C.J. Beaty & geanette Beatty, Veterans Loan No.30~6-261 Following is the legal description and a sketch of my property and locatien of the well and septic tank, also the location of the cess pool. The well is ]2.~,3 feet deep, steel six inch casing, the pump is 12 feet below the surface of the ground, and is a deep well pump: 3/Z~ horse motor, the make is Homart jet. The septic tank is approximately ~ feet from the well and the oess pool is approximately 100' or more from the well. The septic tank ~.s a 500 gallon stell tank, the cess pool is a cribbed pool 8'X.8' X ~' and is down approximately 6' below the Paul Walker, Owner~ seller '~:'~'o~e~ ~ .~mn~'tation ."dmndpoi~it, we have. no ot,fittetio, s '~.o 'i'.his PoO. Box 1399 ~%~cltoraBe, Alaska 99501 SU!;,IL'CT: Lot 2.5, R~,~ymmld Te, drow Subdivist.on Water :l'e~r the ~ubjcct lot would bo supplied via the Smmy olola., com~un:Lt)' we, ll ~,hich is a sourc~ approvod by this Do?artmoni:, ~wer :Faciiitie.q would com~ist of a .,mptic 'tank - se(qmy.o pit a)u'angeae~t that would have to be built i., accor(kmce with ~or~¢~ (}rdinanco ~28,-68, f~wa~c Disp(mat P~mtices. 'fhcro ave n,m~rotm sowm: systems pre~cl~tly in thi~; arca which l.~r~ funCtt onina proi~yrly. Si] Ice re,. ly, Ct,[tq"OilI~ P..JtiI)KINS, AdniI~isr. ratiw~ I)i. rcctor JRI,: ra BY: ,%anitarian cc: Jack (:;arrett