HomeMy WebLinkAboutRAYMOND TEDROW BLK 4 LT 21
_ .-~. MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~~JNICIPALI'rY OF ANCHORAGE
825 L Street. Auchorage Alaska 99501 _.. DEPT. OF HEALTH &
' ENVIRONMENTAL PROTECTION
ENVIRONMENTAL :NG NEER NG )lVlS ON
Taleph~e 264-4720 0(~T ~ ? 1978
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND s.w.R E,E,F E D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing,
PROPERTY R E,~I DENT (If dif~r~ from abov~ ~ PHONE
MAI LING ADDRESS
3, LENDING INSTITUTION~ - PHONE
MAI LING ADDRESS
4, REALTOR/AGEN~'
MAILING ADDRESS
TYPE OF RESIDENOE NUMBER OF BEDROOMS
.C[;~'~I N G L E FAMILY [] One [] Four
[] Two [] Five
[] MULTIPLE FAMILY ..I~ Three [] Six
Other
7, WATER SUPPLY
[~ NDIVIDUAL*
~ COMMUNITY
[] PUBLIC UTILITY
ATTACH 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.)
8. SEWAGE DISPOSAL SYSTEM
:~ I NDIVI DUAL/ON-SIT
[] PUBLIC UTILITY
I f individual/on-site, give installation date _~~//
If system is over two (2) years old an adequacy testUequired
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 INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY E~ TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or E~Holding Tank
Size:. If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
[~APPROVED FOR 3 BEDROOMS
E~ CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title) ~'~
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
23 October 1978
MIJNICIPAt. I'ry OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
1§78
OCT
RECEIVED
Sun Real Estate
ATTN: Ms. Darlene Nicolaysen
P. O, Box 1201
Eagle River, AK 99577
Dear Ms. Nicolaysen:
Reference property ow~ed by Jim Mutcraff in the Raymond Tedrow
Subdivision, Block 4, Lot 21, Eagl~ River, Alaska. ~,
A sewer system adequacy test was conducted on 21 and 22 October 1978
per your request. The septic tank was pumped and 500 gallons were
removed. In order to w~rify the size of the ~ank for this three bed-
room residence, the tank was excavated and inspection ]port opened.
It was found that the second compartment of the tank was full of solids
and required tho addition of water and a second pumping to remove an
additional 500 gallons. As a result, the septic tank its verifi~d to
have a capacity of 1,O00 gallons.
The water level in the seepage pit was recorded. The pit was charged
with 750 gallons of water. Percolation over a 24 hour period as
recorded on 21 October 1978 resulted in the removal of 1~355 gallons
bringing the water level below the original recorded figure. It can
be concluded that percolation through this seepage pit will provide
for approximately 452 gallons per bedroom over a 24 hour period.
On the basis of the above survey and test, it is determined that the
system (septie tank and seepage pit) is adequate.
1 Incl
Statement
CF: Dept of tlealth and
Environmental Protection