HomeMy WebLinkAboutRAYMOND TEDROW BLK 4 LT 23
oGREA
ANCHORAGE AREA BOR('"3H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LEGAL DESCRIPTION ,~/, ' ~ ::~
PHONE.
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER ,
INSIDE WIDTH
, ' NUMBER OF
(;~',l!C ~:, MATERIAL '.i ~!l' :'
i ~ '~ COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY / ~'((" GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION___
ADDITIONAL ABSORPTION
., , :( ?/'
DIAMETER ? ( OR WlDTN (' LENGTH ~ , DEPTH . ·
CRIB SIZE: DIAMETER l- DEPTH (: DISTANCE FROM= WELL
TOTAL EFFECTIVE ' -
NEAREST LOT LINE__ ABSORPTION AREA (WALL. AREA) "/~:(
.SQ. FT.
TYPE CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION .... LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED __ DISAPPROVED REMARKS
DEPTH_ DISTANC['- FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
APPROVED
,G.A.A.B.
Form No, EQ-O31
SEWAGE
NAME OF APPLICANT __
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4551
DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
MAILING ADDRESS
INSTALLATION LOCATION
PHONE
INSTALLATION OF: SEPTIC TANK .
TYPE AND SIZE OF FACILITY TO BE BERVEl:~
PJNANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
SEEPAGE PIT , DRAIN FIELD
, OTHer
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE Pit
SEPT[C TANK ., SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK-- DRAIN FIELD
WATER MAIN TO SEPTIC TANK
., DRAIN FIELD
· DRAIN FIELD
SEEPAGE PIT
DIAGRAM OF SYSTEM
DRAIN FIELD
SEPTIC TANK, . SEEPAGE PIT DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON~IN. TO~/~:j~j~)_~ 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 BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
/~/ or
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ~HORAGE AREA ~)/ROUGH ORDINANCE NO. 28-68 AND THAT ]'HE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /' / C~ /~/'
08-E
Russell Oyster
694-2774
Soils ~ Foundations
GEOTECHNICAL 8' DEVELOPMENT
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
CO.
Earl Ellis
688-2280
Land Development
S__O I L_.__LO_~G
Performed for:
· Legal Description:
0
Name:
Hat1 tng Address:
7
llw
12
Ground Water Encountered: Yes No ~--' If yes, what depth
Proposed Installation: Seepage Pit / Drain Field ....
Comments: /
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
INSPECTOR I NsPECTOR¢~[~¢ ,INSPECTOR~ ~
MUNICiPALiTY OF ANLH '
MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PR~ENTAL p~,OTECTION
825 L Street - Anchorage, Alaska 99501
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
~IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing,
1, PROPERTY OWNER I PHONE
MAILING ADDRESS
P~OPERTY RESIDENT (If differeet from above) PHONE
2. BUYER PHONE
MAILING ADDRES~
3. LENDINGIN~TITUTION ~ ~ PHONE
I
MAILING ADDRESS
4. R,AL~OR/AG~NT ~ /~. ~ ' PHONE
5. LEGAL DESCRIPTION/
STREET LOCATION
6, TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
J~ Three [] Six
[] Other
7, WATER SUPPLY
INDIVID[JAL*
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
· ~ INDIVIDUAL/ON-SITE**
E~] PUBLIC UTI LITY
.YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
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
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY "~' ' !"
Connection Verified INSTALLER
EZ]Septiq T_ank 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
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
~ CONDITIONAL APPROVAL (letter must accompany certificate)
72-010 (Rev. 6/79)
825 "L" STREE I-
ANCHORAGE, ALASI<A 99501
(907) 264-4111
GEORGE I,A. StJL LIV/~.N,
MAYOR
f3EPAf] I r',,IEN [ O[ II!:AL[II ANO ttlN;/IIIQNMENI-AL PR()1 tZCNON
June 24~ 1981
Everett Miller
Post Offioe Box 694
Eagle River, Alaska
99577
Subject: Lot 4 Block 213 Raymond Tedrow Subdi. vision
Approval for 'the individual sewer and water facilities
cannot be granted untJ.1 t. he following items have been
completed:
(1) The septic tank' pumped with a receipt submitted to
this office,
(2)
An adequacy 'test needs to be performed on the existing
leaching area. This 'test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there are any further questions, pi. ease ca]_l this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCp/ljw
cc: Alaska USA Federal Credit Union
777 Juneau Street 99501
Marion Pippel
Post Office Box 577 99577
EXCAVAI'ION
ROBERT A. SHAFER
WORK
September 9, 198].
Century 21¢ Metropolitan
ATTEN?ION: AZ Swires
P.O. Bo× 677
Eagle River, Alaska 99577
Dear Mr. Swires,
Reference: Lot 4; Block 23; Raymond Tedrow Subdivision
CIVIL ENGINEER
694-2979
MUNICIPALITY OF ANCHORAGE
DEPT. OF ii-:,:4
ENVIRONMEiNT~. ~' C £ECTION
RECEIVE[)
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 of 1000 gallons. The seepage pit
was charged with 1000 gallons of fresh water and after a period of
24 hours 686 gallons had percolated out of 'the crib.
It can be concluded from this test that 'the waste water disposal
system serving 'the three bedroom residence locs'ted on this property
is currently £unctioni~a~u~t~iy~Haw~ver, the system cannot be
guaranteed against subsequent failure.
If we may be of further assistance, please do not hesitate to call.
Y~
~s/ss
cc: Municipality of Alaska
Department of Health and Enviro~ental Protection
SRB 196X EAGLE RIVER, ALASKA