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Home My WebLink AboutRAYMOND TEDROW BLK 4 LT 19 2500 Tudor Road --- Pouch 6-650 Anchor~.qe, Alczslcc~ 99502 ~i~7 INSPf-'CTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM N°. 878 SEPTIC TANK: LIQUID CAPACITY_ ,""'"(~:~ GALLONS. INSIDE LENGTH INSIDE NUMBER OF / COMPARTMENTS DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR W,OTH r~g /, J D,STANCE FROM WELL TOTAL EFFECT,YE ABSORPT,ON AREA (WALL AREAl f ./ .BUILDING FOUNDATIOF,~', SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION ABSORPT~9,~AREA SC.,), FT. LENGT~CH LINE , NEAREST LOT LINE. TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN, ABOVE TILE WELL: TYPE (/]//~'~/~// , DEPTH ~ NEAREST SEPTIC LOT LINE , SEWER LINE ., TANK. DISTANCE FROM ~ WATER '~- · BUILDING FOUNDATION. SAMPLE , NEAREST SEEPAGE ~__ "-- OTHER "~ , SYSTEM , CESSPOOl , SOURCES__ DIAGRAM OF SYSTEM DATE GREATER ANCHORAGE; AREA BOR,JUGH DEPARTMENT OF ENVIRONMENTAL, QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279-S686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT J~"~/'~ rr,~,~:~r~"L') /~/ MAILING ADDRESS /' ¢'* '/ /~ '¢' '~"~ "~'/<~' PHONE TYPE AND SIZE OF FACILITY TO BE SERVED NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL 'PEST COMPLETION DATE ANTICIPATED ./~ 7 '~///__.__2~, FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMI.-'NTS FOUNDATION TO SEEPAGE PIT ~;/:~2 , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / I~ seePAge Pit -~2~ ., DRAIN field SEPTIC TANK WELL TO SEPTIC TANK ~/~'?/~'~'~2'/"~' DRAIN FIELD SEPTIC TANK,'~/~) , SEEPAGE PIT SEEPAGE PIT ALSO CONSIDER AREA WELLS, ., SEEPAGe PIT ~ ~" DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING 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 CONPORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY or LICENSED DESIGNER 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 WITH SAID CODE, MIIMIctpAI ITY OF A ICHORAGE DEPT, c:c; '/',L'f': & MUNICIPALITY OF ANCHORAGE ENVIRONMr.~qTAL ,, :~ LCTION DEPARTMBNT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L ~treBt - Anchorage, Alaska 99501 MAR 2 2 i979 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SI=WEF{ FACILITIES DIRECTIONS: Comolete all carts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, OWN E R B, LEGAI.,D...~CRIPTION ..~,] ~ ./ ,r-~) . ,:~""~,- STAE~LOCAT~N ' J ~-' ' ~ ' 6. '~YPE ~ RESIDENCE NUMBER OF BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7', WATER SUPPLY [] Other [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well deoth (attach icg if available.) 8. SEWAGE DISPOSAL SYSTEM (2~] NDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date -Fl s'¢stcm [scvcr two (2) NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3178, //~ THiS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TiME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF: RESIDENCE NUMBER OF BEDROOMS '1~ SINGLE FAMILY [] ONE ~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMB~ 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL --~ COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER -E~ INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~-~ Connection Verified INSTALLER '~]Septic Tank or []Holding Tank Size: \ Lr~Lr}/"~ If Tank is homemade SOILS RATING give dimensions: c~:~c~Qo ~,~ TYPE OF TANK . MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Line 5. CQMMENTS ~ APPROVED FOR ~> BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ('Fitle) //~ LEGALDES~ {IPTION 72-010 (Rev. 3/78) ~C[IANICAL ENGINEER DAVID SLENKAbIP 694-9055 . MEC[~NICAL ENGINEERS CIVIL ENGINEERS $1~ 196X Eagle River, Alaska 99577 ~%VILENGIMEER ROBERT A. S~FER '694-2979 Mr. Dale Heider Box lO0, Echo Street Eagle River, Alaska 99577 April 2., 1979 REF: Three bedroom residence, Lot 19, Mu~:~ ~ ]~/~J~g[- Tedrow Subdi vi si on. DEPT. ~.~ !- & E'VIROi"~,:,x]"t- · .,:TiON :2 .' An adequacy test was performed on 31 March and 1 April 1979 on the sewer system (septic tank and seepage p'it) serving a three bedroom residence located on the referenced property. The septic tank was pumped and verified to have a capacity of 1,000 gallons. The seepage pit was then charged with 750 gallons of water. Measurements at the end of 2~ hours 'showed that the pit had lost approximately 772 gallons or 257 gallons per bedroom. It can be concluded, as a result of the above survey and test, that the sewer system is adequate. CF: Sun Realty Municipality of Anchorage, ~ Dept of Health & Environmental Prot ~.:.:~ ~ ~ < ' ,,. .. '% ,, . /., ~>. % · // , · ~ MUNICIPALITY OF ANCttORAGF DEPARTMENT F HEALTH AND ENVIRONMENTAL )ROTECTION. 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 Date Received: March 15, 1977 1st Inspection: Time 10:0[0/.m. 2nd Inspection: Time \(~)'.~)~ ~c!, ,f-XA,, .... Ins-ecboz , ~ra~tt Ins eeto2:~L':~-~ _~_~__~) 1. Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 276-6300 2. Property Owner: Joe-Lee/Dorinda Garner Mailing Address.: Box 100 ]Echo Street 99577 Phone: 694-93'54 3. Legal Description: Lot 19 Block 4 Raymond Tedrow Subdivision 4. Single Family Residence: ( ~ Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 5. Well Data: Type Construction Sewage Disposal!. System: Permit % Septic Tank Size Absorption Area Community Depth Bacterial Analysis On-site system ~) Public Utility Installed %~J~4~ Iq Installer Manufacturer Soils Rate Material Well Log Filed ( ) ( ) Distances: Well to Septic Tank to Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line to Absorption Area Page Two Department of Health and Environmenta]. Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 19 Block 4 Raymond Tedrow Subdivision Affadavit Attached:~ _~~~ ~' Approved: ~. Disapproved: Letter Attached: ( ) Date: -._ ,,_~_/.~.. { Date: Department Worksheet: 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 ^HFS- VA FHA 2. Property Owner:_ JO~-L~!L GARNER and DORINDA GARNER pEP'[. C,; l, .~i,~ ;' CONV. Mailing Address:_Box 100 Echo St;.Eagle RiveTDayPhone:' 694-3354 3. Name of Buyer: DENNIF: C. IIY~JER grid DALI'] J. HYDER Mailing Address:. 1200 We Dimond Sp. 1311 Day Phone~4~-°4218 4. Name of Lending Institution: 'Pits2 National. Benk of Anchorage g _iV[sin Branch Mailing Address:_ Phone: 5. Name of Realtor or Agent: OREA~ LAND REAL~Y - (%ho,'*-t l~x'~,~- Mailing Address: P,O. Box 279~ Chugiak, Ak~hone: 694-9125 6. Legal Description:, Lot 1.9, Block 4~ RAY~iOND TEDROW SUB, Location: Eagle River, Turn right on Coronado~ 6 blocks to Echo Turn right on Echo - 4th house in or right (barn red with carport - ranch 7, Type of Facility to be Inspected: Single ~'amily residence No. Bdrms 3 bedrm. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served_ Individual Communit~r Water If Individual, depth of welt Sewage Disposal System Type of System: Public Utility. If Individual, date of installation Summer Individual (on-site) or f~ll of 1974 72 003(3/76) Rev 1973 AL,._.,A DEPARTMENT OF HEALTH AND SOCIAL SEk,..ES DIVISION Of: PUBLIC HEALTH INDIVIDUAL ANI) SEMI-PUBLIC BACTERIOLOGICAL WATER INDIVIDUAL ADDRESS ADDRES~c OF SOURCE SEMI-FJBLIC [] _ CHLORINFRESIDUA[ PPM___ REPORt RESL]LTS TO , ZIP CODE. wm --[] Duff [] Driver E] Drilled [] Bored SOURCE [] Spring [] C~stern [] Other . Du!] Well or Ostern Con~Jruchon: WcHIs-- [] Wood [] Concrele [] Melo [] Tile Brick or [] Mete [] O~en To~ ~] Concrete C] Tde [] F*bre ] A~besto! Cement [] ~es [] No PUMP LOCATION [] '~ Well [] Basement [] In Basemen~ [] Room On Tap [~ Of Well [] Oilier_ PURPOSE OF EXAMINATION: Illness Su~ecled? [] 'res [] No ANALYSIS OEE,CE Ano ~ ~s shows this Water SAMPLE to be: J~] Spti~faLlory [] Unsohsfact6(, '. SANITARIAN'S REMARKS READ IN STRUCHONS ON' REVERSE SIDE BEFORE COLLECTING SAMPLE 06-1220 ,,~ Rev. ~97:~ BACTERIOLOG CAL WATER ANALYSIS RECORD DuteR ...... d~//44,~-/~/) ] Time Received _~.p_mLab. No. Locroso Bred 24 Elours 48 Hours Brilliant Green 24 Hours 48 Hours EMB - AGAR MF Results .Oc( (Most probable No. per I OOcc) Reporled by This analysis indicates Coliform Organisms lo be: 06-1220(a~ Rev. ]973 DATE ALASKA DEPARTMENT OF HEALTH AND SOCIAL SE~qVICES DIVISION OF' PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No OFFICE INDIVIDUAL [] NAME ADDRESS SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO CITY ADDRESS OF SOURCE ZIP CODE _. COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Sample ColJecled From [] KJlchen Tap [] Ralhroom Top [] Rasemenl ~ap [] Olher (List) Well-- ~ Dug ~ Driven [] Drilled ~ Bored SOURCE: [] Spring ~ Cistern, ~ Other Dug Well or Cistern Construclion: Walls--[] Wood [] Concrete [] Metal [] Tile Brick or Top -- ~_ Wood [] Concrete [] Mela [] Open Top [] Concrele LOCATION: Z ~n Basement ~ Basemenl Offset [] Under House ~]ln Yard [] Other Building Sewer Septic DISTANCE TO: or Olher Drainage Pipe Feet. Tank__ -- Feet. Tile Seepage Cess- Field_ . Feet. Pit __ Feet. Pool Feet. Privy ~ Feel. Olher Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast ~ron ~ Wood E] Tile [] Fibre [] Asbestos Cement [] Plastic Jo~nr MalerJal - Type GENERAL: Does Water Become Muddy al Discolored? [] Yes [] No When? Diameter of Well Well Casing Material Diameler Lenglh of Drop Pipe Offsel in PUMP LOCATION: [] In Well [] Basement On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes New Source of Supply? [] Yes [] No Repairs to Syslem? Deplh F~el. _ Depth Water Depth From Boltom Feet. In Utility [] In Bosemenl [] Room READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Analysis snows this Water SAMPLE lo be: ~ Satlsfactory [] Unsatisfactory [] Questionable ~ Sample too long in transit; sample should not be over 48 hours old at examlnatJon to indicate reliable ,esuJts. Please send new sample. [] Bottle broken in transit, ~lease send new sample. SANITARIAN'S REMARKS [] No [] Yes [] No Signature o~-1~o (bt BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 /' pm L([b. No Date Received ' - Time Received , am ctose Broth 10c¢ 1Otc 1Oct 1Otc IOcc 1,0cc l.Occ ~ 24 Hours 48 Hours ..... ilJi~nf Green 24 Hours 48 Hours EMB Laclose Broth, 24 hfs, Coliform Density MF Results _ AGAR 48 hrs .... -- Groin's staln (Most probable No. per lOOcc)