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HomeMy WebLinkAboutRAYMOND TEDROW BLK 4 LT 25 GV'ATER ANCHORAGE AREA BORO~'GH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 360 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ~ ADDRESS ~ ~'~/~/',"'~-~,/~/~'/'~'~. PHONE LEGAL DESCRIPTION ~/)~ .~ ~~,,~~ DISTANCE FROM WELL .,~'.'-'"/~.,~, ./~_/-~¢~,~ LIQUID CAPACITY _./'"'~,~/~"~) __GALLONS. NUMBER OF MATERIAL . ~' ~ 7--~-'~.,c~~ _COMPARTMENTS INSIDE LENGTH j,--~'"' INSIDE WIDTH ~.-'~"~'- DEPTH ~'-""--' SEEPAGE SYSTEM: NUMBER OF PITS /' LINING MATERIAL ~'t NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER /'/ .OR WIDTH /~' '/ . , LENGTH /'~" , DEPTH '~' / __ , DISi'ANCE FROM WELL ~'?~.*_~c,'~'.*~/)J+~ ./-/O ~ . BUILDING FOUNDATION ~--~--~'~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) . '~/~ ~¢~ SQ. FT. TILE DRAIN FIELD: "~'-~ I N_~'~"~ TOTAL LENGTH DIS'rANCE FROM WELL ~_/ _, FOUNDAT O NEAREST LOT LINE .OF LINES WIDTH IN. TOTAL EFFECTIVE ABSORJ~N AREA ..... SQ. FT. LENGTH OF EACH L'~I~IE /'~"-~' ~PTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ ~C'~/V/~) /- DISTANCE FROM / WATER WELL: TYPE~/~/~ , DEPTH , BUILDING FOUNDATION SAMPLE ~ , NEAREST ~ NEAREST ~ SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE ~, TANK ~ , SYSTEM ~, CESSPOOL ~-SOURCES DIAGRAM OF SYSTEM DISTANCES: DATE GREATEI~ 327 Eagle St. ANCHORAGE AREA ttEALTH DEPARTMENT Anchorage, Alaska 99501 '-'OROUGH 279-2511 case SEWAGE DISPOSAl. SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS_ --~'A,~'~ ¢ ~',-~,~'-~,~,_,,.~ ,-,-' t. EGAL DESCRIPTION .V]~/PHONE NO. '~' APPLICATION TO INSTALL: SEPTIC TANK. ,,,--~-' , SEEPAGE PIT. ',-.'"'" , DRAIN FIELD , OTHER_ TO SERVE THE FOLLOWING FACII_ITY ..~ 7'-'-'/"°'"'~/ p,.:~, (~,,.... ,:,NANCED T,ROUGH TO BE ,NSTALLED PERCOkATION TEST RESUkTS.~9_9~~__ ANTICIPATED DATE OF COMPLETION Z o r' ~ ~ y~ BELOW TO'BE FILLED OUT BY HEALTH DEPARTMENT THIS IS -I'0 SERVE AS _ ~ *~'-.~" '-' ,.'/, ,;,-,/ , PERMIT T0 INSTALL A '- 7//,- , AS DESCRIBED BELOW· SZE OF UNITTO BESERV. ED ..~ ~,/~ SEPTIC TANK SIZE ./Oo o ¢~Z//_TYPE..<~'],~./ S~EEPAGE AR EA ~-./.J/.,EL/~-- TYPE / .Y'/~,4 d'-/,~-(' DIAGRAM OF SYSTEM DISTANCES: LICENSED DESIGNE~ ! ccrfi£y ~hat ! am £amJlJar with the requh'¢ments of Grca{er Anchorage Area Borough O~dJ~a~ce No. 28-68 and tha~ the above described system Js Jn accordance with said code. - .... DA~'E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE t'~. % ~I, INSPECTOR INSPECTOR ' NSPECTOR ~, :,~.X MUNICIPALITY OF ANCHORAGE MUNICIPALR'Y OF ANCHORAO~ DEPT,  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~Obd,/fi 825 L ~treet - Anchorage, Alaska 99501 ENVIRONMENTAL. SANITATION DIVISION ~', .L, Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~"~I~I~ DIREOTIONS= Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing, MAILING ADCR ESS PROPERTY RESIDENT (If different from abovo) PHONE 2, BUYER PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAILING ADDRESS '~ 5. LEGAL DESCRIPTION STREET LOCATION ' / / ' ' 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ ~ One ~ Four SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* [] 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 N DIVI D[JAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) DAVID A, SLENKAMP ROBERT A. SHAFER Conrad Sefbel 117 Echo Street Eagle River, Alaska 99 577 MECHANICAL ENGINEER 694-9055 February 18, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAQE DEPT, OF HEALTH & I:.NVIRONMENTAL PROTECTION FEB 2.5 1981 RF CF. IVFD Dear Mr. Seibel, Reference: Lot 25; Block 4; Raymond Tedrow Subdivision At the request of Mr. Stee'le of Lee Houston, Associates, an adequacy test was performed on the se~er system located on the referenced property. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with a 1000 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 the above test that the sewage system is currently functioning adequately for the 'three bedroom residence located on this property. If we may be of further assistance, please do not hesftste to call. Sincer~*lY, 7 ~OBERT A. SHAFER~ P.E. /R.~S/ss / Lee Houston, Associates Alaska Pacific Bank ATTENTION:, St/b' Taylor bkmicipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA -le River Area GREATER ANCHORAGE AREA BOROUGH //~~/ 3"17-77 Department of Environmental Quality L_~I~/?~/~/'~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 15, 1977 Time of Inspection Date of I REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 824 South Chuqach, Palmer 2. Property Owner: Edward Zelenka Mailing Address: Box 69 Eagle River 99577 4. 5. 6. Farmers Home Loan Administration Phone: 745-4271 Phone: 694-9412 Legal Description: Lot 25 Block 4 Raymond Tedrow Subdivision Location: See directions on white sheet Type of facility to be inspected Well Data: A. Type Public C. Construction Sewage Disposal System: A. Installed 1971 Single Family No. of bedrooms 3 On-site system B. Depth D. Bacterial Analysis B. Installer C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Size Absorption Area 2. Manufacturer 2. Material Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - R~ ;t for Approval of Individual ~r & Water Facilities Legal Description Lot 25 Block 4 Raymond Tedrow Subdivision Approved ~t~l~j ~<~__.L~t~i~ ~._~_" pprove~. ~.__ . ~-f~Z-=--~-.~.~~_. · -' t Approval Val\i]d for one'ear from date signed · ~ r~ Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Type of Inspection: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 ENVIRON,~4ENTAL PROTECTION REQUEST FOR APPROVAL OF ,,.,.' ~' ~' FEB i 4 1977 INDIVIDUAL SEWER and WATER FACILITIES . ~(:r'l~'o RECEIVED CMRO VA FR:A A, CONV Property Owner: Mailing Address: Name of Buyer: Day Phone: ~ ~ z/'-~' z/'/2._._ Mailing Address:_c~(D ~ LO /3 ~ '~ ~w~/~4f/~k~Day Phone: 4. Name of Lending Institution: Mailing Address'._~ '~ 5. Name of Realtor or Agent:_ Mailing Address: ~. ~/o ~ 6. Legal Description: /~ T' Location: ~g ~/~/~ ~'/6~ o~ h~o6~, 7. Type of Facility to be Inspected: /~ ~J OF/ No. Bdrms. Z~ Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served Individual If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) /77/ 72 003(3/76) 4-1 .qn~horage, ~[ 9f)SO1 Sir: Tt-~ subject lo~ ~ou].d ba availablo to ti~ i~¥moad ]i.;~ ~dro~ ~tt~ ~ater supply. This ~ator sySt~ t,s ~p~vod b~ the ~roat~r ~orage A'~a Bo~, slid ~w State of Al~ka, l'horo are no ,so~r latorals av~labl,a Ibr ~ to p~:ttc :~r for of tl~ lots ~a llcl~ Street. ~; taw ~r is ~l~le ~. strut wost, " but we ~l~ld ilot spec~at~ when ~m ox~nsi~ would be a~ to also otr~.t. ~il conditio~ tn ~st of this a~a are generally g~d should be suit~l~ for a soil ab~oq~tion syste~ if b~lt to Greater tif;~ as public se~er '~ould bo availabl~. Jo}'al '~ Eagle River District Sanitarian a~/sr ~tlA Form 25?3 Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R0296 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PARY I.--YO BE COMPLEYED BY FHA INSURING OFFICE MORTGAGEE SERIAl NO, Anchorage, Alaska Alaska State Bank 111011347 MORYGAGOR OR SPONSOR Jack Garrett SUBDIVISION NAME __ }~ayl~o~q~.~Te_drow Subdivision YOYAL ~IUMBER~ BATHS PROPERTY ADDRESS NItN Echo Street~ / BASEMENT J [~ New installation E3¥es [~] Community system Community system Eagle Ri_ve_ r_ °'. Can attic er oth~r ar®u be ~ade Into additional bedrooml? (If Ye*, how mony~) [SYSTEM DESIGNE~ FOR ~ Individual NO. OF ~O.~S~ o~.~o~ Individual 3 ~ Yes ~ No PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARYMEN¥ INSPECTOR'S SKE'rcII It is the opinion of the [] State ~ County ~ Local Department of Health that this individual water-supply system ~1 is [] is not satisfactory as a domestic water supply for the subject property. PUBI,IC WATER It is the opinion of the ~ 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 cr, sa~ ~n insanitary condition /? ...... 5::7 /? !TM March 11, 1971/~[fff4~, ~/ ~_~_~.~ .,J Sanitarian NOYE: ~fle health authorl~ should complete the approprlote opinion statement above and a~x date, signature ~nd title in tho Tile' Dllposal Field: Distance from: W~]I1 Total length of tile lines,. Trench width, Length of each line feet; foundation, fret; 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, leer. feet. square feet. inches. Depth of filter material over tile, inches. Date of inspection_ Type of filter material: [] Gravel. [] Broken stone. Other Depth of filter material beneath til% __.inches. Seepage Pits: Number of pits ..... Outside diameter, feet. Deptk feet. Lining material Distance from: Well, feet; building foundation,__ feet; nearest lot line at [] front, [] side, [] rear,__ Insl~ttlon made by: [] State. [] County. [] Local Health Authority. Inspected by 19 (TITLE) REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, __ feet. Size of main, inches. Individual wells [] are [] are not customary in neighbgrhot~d. Give most recent record d failure of wells in immediate wcinity to furnish adequate supply of water Properties in neighborhood [] are [] are not being deveh)ped with both individual water-supply and sewage-disposal systems. bt size: feet wide,, feet deep. Dwelling set back from front property line,, feet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Dlltance of well from: seepage pit, feet; cesspool1 Diameter, inches. Total depth, feet. Type of casing, Approxirnate depth to pumping level of water in well,, feet. Approximate yield, Sealed watertight to depth of feet. F~xterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. I~umV: [] Shallow well. [] Deep well. Length of drop pipe, _feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. l~mproom 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 I--1 does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Lc.xal Health Authority. Inspected by Date o( inspection 19__ feet; nearest lot line at [] front, [] side, [] rear, __ feet; septic tank, feet; disposal field, feet; other sources of possible pollution, feet. Depth of casing, .gallons per minute. gallons per minute. feet; .feet. 19__ (TITLE) GPO 889-088 SOl)t, ],0, 1970 Vei:erm~s' ~Md his tration .-~- ?/~4 ~'tc~n4i~-. Alaska 99501 SUI~J[~CT: Lot 25. R~y,~ond Tedrow Subdivision. Block Case NllS64 ~d Lot 26. Block 4. Raymond ~drow Stfl)division, C~e ~11571 [~ar Sirs In a letter dated August 6, 1970, by this off:icc,, it ~m erroneously reported that water to Lot 25, Block 4~ l~ymond 'l~drow Subdivision was supplied vi.a Sunny Slopes water supply. 1his should be corrected to read thc Raymond 'lbdrow Subdivision wcll~ Lot 26, Block 4~ R~>qaond 'redr~ S~gdivision is also supplied water by the Ra~nond Tedrow well. Ibis well is approved by this office mid should provide adequate supply of potable ~ater. We apologize for ()ur orror. Sincerely, CLIFFORD P. JUDKINS, A(k~inist rativo Director Sm~itari m~ Veterans' At~i~t~ati°n Box luncher ago ,/~l~s.~a 99501 SUBOECT: Lot ~J, Block 4, Raymond Todrow S~di~ision Poar Sirs: Sewage d~sposal for the subject lot is by, er~-site sewage dl. sposal k~hich wo~Id ha~e to be inspc, ctod by this I~partmeht. Soil con~.ti, ons are adeqmte for on-site sewage disposal in this area. ~'later would be supplied by the Surrey Slopes well. It should be noted that in the near future, an additional well will be put in servim to serve the consmmrs o[ 5mmy Slopes and to assure that there is ~ a~quate supply of water, Sincere ly, CLIFFORI-~ P. JCDKINS, R.S. Administrative Director Sanitaritm