The URL can be used to link to this page

Home My WebLink AboutRAYMOND TEDROW BLK 4 LT 16 GR ]'ER ANCHORAGE AREA BOROU '~ DEPARTMENT OF ENVIRONMENTAL QUALll~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ,re ~,DDRESS ~2.,~ ~- 3 "~;~.J-~ f~__ PHONE " DISTANCE FROM WELL.._~'_[?,¢_I~'I~_ LIQUID CAPAC ITY__~,_~'6~ GALLONS. NUMBER OF .~ ~ LIQUID IN$1DE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIf: NUMBER C)F PITS / OUTSIDE DIAMETER L,N,NG MA ER,AL OR WIDTH__ DISTANCE FROM WELL ~----_ ,~,~.,f .~'~__~_ .... NEAREST LOt LiNE ...... ~;~,_.)_ ............. fO1AL EFEEcflVE ABSORPTION AREA (wALL AREA) LENGTH /'~'~ . DEPTH. ~y ,BUILDINO FOUNDATION -~'~_, sQ. Ft. TILE DRAIN FIELD: DISTANCE FROM WELL_~-,~_~, FOUNDATION NUMBER OF lINES DISfAN%1WEEN LINES ABSC)RPTION AREA .SQ~ FT, '~: EACH LINE DEPTH: TOP OF ilLE ~O FINISH GRADE TOTA~L L- EN~I-I , NEARESt LOT LINE ~,:~OF'~LINES TRENCH WIDTH _~,--~'~ IN. tOtAL EFFECTIVE DEPTH OF FILLER MATERIAL BENEATH TILE IN. ABOVE TILE_____ WELL: NEARESt SEPf,C LOT LINE ~ , SEWER LINE , TANK DISTANCE FROM WATER ,BUILDING FOUNDATION .-- ..... SAMPLE , NEARESt SEEPAGb OTHER ~-- , SYSTEM ....... ~ , CESSPOOL ~, SOURCES_ DIAGRAM OH SYSTEM DISTANCES: /~? J'~¢- /V APPRO¥£D2 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONe 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPL,OANT INSTALLATION LOCATION DESCR,PT,ON INSTALLATION OF: SEPTIC 'rANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TSST RESULTS l'~('l~'? SEEPAGE PIT ., DRAIN FIELD TO BE INSTALLED BY PHONE , OTHER NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24. HOUR NOTICE REQUIRED. BACKFILLING OPANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL TO NEAREST LOT L]NE. ., DRAIN FIELD / SEEPAGE PIT , DRAIN FIELD WELl- TO SEPTIC TANK ¢::~(~-- ' , SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK . , SEEPAGE Pit DRAIN FIELD SEPTIC tANK, ~ 2' / , 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 SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACK F~_lJ.L CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITyOR LICENSED DESIGNE 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 DESCRIBED SYSTEM IS IN ACCORDANCE W~TH SAID CODE. DATE /~'%' /. ~/ APPLICANT'S SIGNATURE _, ~/ *'".¢ $ APPLi( ~T FILLS OUT UPPER HA[ ONLY Property Owner '/~ I(//'//? /' /'/'" ~':1'~ ~ J'~'i/'4?t('/(f /¢~'~ 1 Phone '.- ' ,.;~ ?.2-- ~;/~¢'// Buyer Address Zip Code Lending Instilution Address Phone Zip Code Ftea, lty Co. & Agent Phone Address Zip Cede Street Location /:1' ~,/¢.~' ('~) .~- Type of Residance .,Single Family / Multiple Family No. of Bedrooms [~ Other ','/' ' ,- ~i' /~TTACH WELL LOG. A well log is required for all wells drilled since June 1975. ;" ~ )' ~ For wells drilled prior to that date, give well depth (attach log if available). Water Supply ~, Individual /~ Community 'Public Utility Sewer Disposal ,~ Individual [] Public Utility '~ Holding Tank Year Individual Installed: / ~'~ -~2 / When Cosnected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACFt REQUEST BEFORE PROCESSING CAN BE INITIATED. Time 'l-ireD Time Date Inspector Date Inspeclor Date Inspector Time [)ate / Inspector Field Notes: MUNICIPALITY OF ANCHOIb&GE DEPT. OF ~'~' & ENVIRONM_-NTAI. PROTECTION R E C E ! _V_ E D APPROVED BEDROOMS DISAPPROVED ( ) CONDITIONALAPPROVAL' *CONDITIONS OF APPROVAL oils Bating Date Sewer Installed l W ell To Absorplion Area Well to Tank Well Log Received Septic Tank Size ROBERT A. SHAFER ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD OESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK January 17, 1984 CIVIL ENGINEER 694-2979 Mr. Charles Turner 152 Echo Street Eagle River, Alaska 99577 Dear Mr. Turner, REFERENCE: Lot 16: Block 4~ Raymond Tedrow Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity in excess of 1000 gallons. The seepage pit was charged with 500 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot 'be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to contact us. Sin¢,~~ '-C/RObERT A.- BttAFER~ P.E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 J'o o. )sox 7']D].b2 Subjnch: L. ot J. 6~ !'}lock ~ ',..~aymnnd co,,mt,.~nit7 wato}- '.~uppiy J:or ~xOt.ltl subdivision is in comi)liance with hheit' ox'(l:Lnar~c;e~ Y()u car/ call hJ.~ at 27,t-2533. [dt'kl~er ,tt~e~-;tions~ p.[ease call this~ C i,,].[ 0 3/e ]/t:; .i GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAL REQUESTED DY: PHONE: 2. PROPERTY OWNER' -]'/'-'""" -:. ?' ///::.~-L/ PHONE: · _ ~ ,.:b' ~>.~.'c?' _.__ 4. TYPE FACILITY TO BE INSPECTED: NUMBER OF BEDROOMS: 5. WELL DATA: A. TYPE ./ B. DEPTH C. SIZE D. CONSTRUCTION E. BACTERIAL ANALYSIS 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SNOW ~AGRAM ON ~. SIZE /& ~ 0 2.A~[ '--/' [ ~: 3, MANUFACTURER ::: INSTALLER : :< .'/J/ FHA Form 2573 Form Approved Rev. July '958 Budget Bureau No. 63-R296A U. S ARTMENT OF HOUSING AND URBAN DEVELOPMENT FEDER.~C HOUSING ADI,ilNISTRATION HEALTH AUTHORITY APPROVAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM. PART I o--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. Anchoraqje, Alaska Clarence LoMay MORTGAGOR OR SPONSOR PROPERTY ADDRESS National Bank of Alaska F. agle River SUBDIVISION NAME J BLOCK NO. [ LOT NO. Raymond Tedro¥~ [ 4 I 16 TOTAL NUMBER: BASEMENT [~ New installation X~] Yes [~No 4 WATEIt SUPPLY BY: [] Public system Et'] Community system C] Individual SEWAGE DISPOSAL BYs ['-'] Public system E] Community system [] Individual Can cfftlc or other area be made Into additional bedrooms? (If Yes, how many~) I .o. o, "':2727 2L 4 ~Yes ~ ~o PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County Y~ Local Department of Health that this individual water-supply system [~ is [] is not satisfactory as a domestic water supply for the subject property. Raymond l'ed~ot~ I~later it is the opinion of the n:-1 State [] County )~ Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanitary condition ()ct. 26, 1971 r ;~ " ~ ---L.']-' !£nvtronmental Specialist ~OTE: The health authority ?hould complete the appropriate opinion statement above and afflx date, signature and title In the