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HomeMy WebLinkAboutRAYMOND TEDROW BLK 4 LT 26LoT- GP~-ATER ANCHORAGE AREA BOROI'GH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 359 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING '-' .... ADDRESS ,.~,~'~'~"~'~' //~{-//~-~/.~)/I/ .~a~'.~l¢· PHONE .... LEGAL DESCRIPTION ~/~. DISTANCE FROM WELL LIQUID CAPACITY .///2 /'~,(',) GALLONS, NUMBER OF MATERIAL .b~.-~''~ .COMPARTMENTS ~ LIQUID INSIDE LENGTH ~"~ INSIDE WIDTH ~ DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / LINING MATERIAL .,,~'~ ~:g~' NEAREST LOT LINE ~/ / , LENGTH ~,~/~<"' , DEPTH OUTSIDE DIAMETER OR WIDTH ~/~'/ / '~'~' ~'~m~ ~ .DISTANCE FROM WELL ~!/¢~/~.~ ,BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ · ~ SQ. FT, TILE DRAIN FIELD: DISTANCE FROM WELL .//, FOUNDATION~~ , NEAREST LOT LINE DEPTH: fOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE ~--~" ~;'/~A"P~g'/'~'J/~/~-~ '-'~ /_~,~- DISTANCE FROM WATER WELL: TYPE ,,/:,~',/'~".~,~/~f' , DEPTH , BUILDING FOUNDATION ~ SAMPLE /NEAREST /_..~.S EPTI C SEEPAGE LOT LINE L., , SEWER LINE ~ , TANK ~'~, SYSTEM ~"'~, ~ESSPOOL TOTAL LENGTH OF LINES -~--~'~-'~- '" ':'"~Tff-~AL EFFECTIVE IN. ABOVE TILE , NEAREST 4~__.~OTH ER , SOURCES ~" DISTANCES: DIAGRAM OF SYSTEM HEALTH AUTHORITY GAAB-H D-2 GREATEI 327 Eagle St. ANCHORAGE AREA itEALTH DEPARTMENT Anchorage, Alaska 99501 OROUGH 279.2511 Casa N o. ~'> SEWAGE DISPOSAL .SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ". 4-,~ RESIDENCE ADDRESS ~ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK r/ ,SEEPAGE PIT. ~ ,DRAIN FIELD ,OTHER. TO SERVE THE FOLLOWING FACILITY. ,Z "~'~- '~' .... 7 rz~,.-2 ...... ,~ FINANCEBTHROUGH TO BE INSTALLED BY~,~ C'~o -~'~,~.~/±. PERCOLATION TEST RESULTS ,/~o r/'/ .~c<,," ANTICIPATED DATE OF COMPLETION /~'C'32~L:~,~ BELOW TO FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS (---~ ..... ~,'-,. ;i/' .... ,/ , PERMIT TO INSTALL A -.~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE/Pc' o fro/ .TYPE--~.8'EEPAGE AREA -,~,-~)J;~X / ~q¥-q~i~'.l';~/ DIAGRAM OF SYSTEI~ ' DISTANCES: HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with thc reqtth'cments of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. d ~7"~// ~ ~?' r c BATE 14, 1970 F~;dor~d. i]ou,~;J,n}~ ^dm~nist~at~on I'~,[L i~ox 400 Dc~t3; Si rs: ,5into i'01¥ ~ Jack APPL ( NT FILLS OUT UPPER.HAl ONLY Property Owner ~:~i~:.~.l~!(.,~ ~ b ,q,;<,: L-~(__.~ '..)(~-~,;u: t-~~ ,' Mailing Address ~-'.,:-: t/<; '~ '7 ~ .') ~- /./';t; ~: .,.)(,: (¢ pi i' '¢ ,'¢* d'/~' . "~ ,' '~ Zip Code ,,, i;: !; '? ,'.) Address Zip Code Lending Institution /17..: :; /(),i; ,,-:,...,.-~i/ ':: ~ ~I '..~':: h,i.~ ; ~) c: Address Zip Code Realty Co. & Agent Address h-;"~ "! Legal Description Street Location Zip Code -?,.;.~. () ¢ Phone Phone .2 '?~P · ,_1//,./ Type of Residence .~ Single Family 72 [] Multiple Family 7~;~I No. of Bedrooms .. ) ___ [~ Other Water Supply [] Individual , .: ~' Community [] Public Utility_. Sewer Disposal (~ Individual [] Public Utility ~ Holding Tank 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). Year Individual Installed: __[ : i ,/~ ~ / ,/ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Tirne Date Inspector Date Inspector Date Inspcctor Time Inspector Field Notes: MUNICIPALrTY OF ANCHORAGE ENVIRONMENTAL PxO[~CTION (~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ) DISAPPROVED ) CONDITIONAL APPROVAL' Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank tWell Log Received Septic Tank Size 72-023 (3/82) EXCAVATION ROBERT A. SHAFER WORK August 8, 1983 CIVIL ENGINEER 694-2979 Richard Schaeffer Box 118, Echo Street Eagle River, Alaska 99577 Dear Mr. Schaeffer, Reference: Lot 6: Block 4: Raymond Tedrow Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was.~ and verified to have a capacity in excess of 1000 g~llons. The seepage pit was teste~[~y--~rging the system with 750 gallons of water and after a period of 24 hours all the water which had been added to the crib had percolated away. It can be concluded from this test that the waste water ~i~Qo~a .Dystem serving the thr_ee bedroom residence 16cated on this property is currentl_~_ functioning adequately. However, the system canno~u~'a~%e~gai~s~ s~b~egUe~t failures. If we may be df further service, please do not hesitate to contac/t~us. / t/~_/P/DBERT A. SHAFER, P.E. ~./~AS/ss cc: Municipality of Anchorage Dep~rtmeht of ~ealth and Environmental Protection SRB 196X EAGLE RIVER,ALASKA ANCHOP, AG~ UNICIPALITY'' OF DEPT. OF t4EALTH & [NVIRONMENTAL pF, O'fECTiON NOV 9 1978 13 November 1978 Mr. llarold Johnson Box llF,, Echo Street Eagle River~ Al( 99577 REF: Property Located at Lot 26, Block 4, Raymond Tedrow Sub~- division Dear Mr. Johnson: A sewer system adequacy test was conducted on 10 and !1 November 1978, per your request. 'l]~e septic tank was pumped and verified to haw~ a capacity of 1,O00 gallons. The wat~w level in the seepage pit was recorded. The pit was then charged with 1,000 f~allons of water. Per- colation over a 24 hour period as recorded on 11 November 1978 resulted ia the r~moval of approximately 1,494 gallons or 498 gallons per b~d~ room for your three bedroom residence. On the basis of the above survey and test~ it is determi~ed that the syste~ (septic tank and seepage pit) is adequate. I~cl CF: Dept of IleaJ. th and Enviro~m~ental Protection Century 21, Heritage Homes Inc. A%"~N: Mr. Mike Scott