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