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HomeMy WebLinkAboutRAYMOND TEDROW BLK 5 LT 3A oGRE 'ER ANCHORAGE AREA BO' UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: MAILING ADBRESS/~'~BO/)F ¢¢d¢'?~ '~'%./{~. PHONEO/,,~/'-,,/9,9~"('-~ DISTANCE FROM INSIDE LENGTH MANUFACTURER /~/~/;¢ ¢¢~(~ INSIDE WIDTH NUMBER OF MATERIAL,/''-? L~ '~-'''~ 'E;'//I'-g' $" COMPARTMENTS LIQUID DEPTH __LIQUID CAPACITY/~-O GALLONS. SEEPAGE Pit: NUMBER OF PITS ~,~.,4,,/~-. DIAMETER __-- OR WIDTH /'~4~/, LENGTH~2°, / DEPTH ~ " LINING MATERIAL ~'oA../,L:.,C~¢/;r~, CRIB SIZE: DIAMETER DEPTH ~/ / .., DISTANCE FROM: BUILDING FOUNDATION //~? , ADDITIONAL ABSORPTION WELL (~) ,k-h/,~q , TOTAL EFFECTIVE NEAREST LOT LINE ~"'/,O.4 ABSORPTION AREA (WALL AREA) ~,.~O SQ. FT. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK_ SYSTEM REMARKS DISTANCES: INSTALLED BY: /¥/°/~Z, E~/~?'~' PIPE MATERIAL: LOT SLOPE: REMARKS: 2¢~, Form No, EQ*031 DIAGRAM OF SYSTEM DATE ~'?~?/7,5~' APPROVED m ~ G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'lC" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. 'NSTALLAT,GNLOCATION LEGAL DESCRmTION .~ ..~] .,Ok INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINanCeD THROUGH SOIL TEST RESULTS / 2~ ~¢' PHONE 7¢- ,4 SEEPAGE PIT / , DRA~N FIELD , OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST cOmPLETION CATE ANTICIPATED 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. ... /. .; , SEPTIC TANK SIZE 4/ ~) Z~ (;~ TYPE ¢ ¢ er %~-¢ , /4 SEEPAGE AREA SIZE TYPE MINIMUM DI~TANOES, REQUIREMENT~ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PET SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT L[NE. WELL TO SEPTIC TANK DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE. STREAM. cast IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING G~P 4 INCH DIAMETER CAST RO~. ~J[~J~O_~[j~I[~[~Q~I~JJ~P_TI6 T,ANI~.--A/~ EEPAGE ~PPIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROU~;~EtULATIONS REGARDING INSTALLATION. {,... / LICENSED DESIGNER DIAGRAM OF' SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. GEOTECHNICAL 8 DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 688-2280 Soils Et Foundations Land Development SOIL LOG Performed for: Name:~s._]~Z~//~C~ .... Tel, No,~-' c?~_/~ ¢~/~/L~ Mailing Address: /~D. ~.,~~& ..... ~7~-ff~5-77 Legal Descri ptio~'.~~~--' * ...... ' - -% ~,~/¢ ,~~%~¢~d~ _~¢ ¢~:~.¢~,¢¢~* . D~E~t._(.f~9~..~ ~P_i! 6haracteri s ti c[ 9 11 12 Ground Water Encountered: Yes Proposed Installation: Seepage Pit__ Comments: , , ~ ~*-. ©~, ~- ~> No ~ If yes, what depth~ ~- Drain Field~ MUNICIPALITY O~ ,,F~CHORA(: DEPARTMEb, 9F HEALTH AND ENVIRONMENT, 825 L Street, Anchoracr~, Alaska 264.-4720 Date Received: 'ROTECTION 9 9 5 0 1/~U~ /zJt_L September 23, 1977 Time 2: 3 0 I%-~N_. .... It 2: Time (_ Date 9-26-77 Monday Date _c~z23~:~~~ Insp Kennedy_ Insp Time REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER PACILITIES Cdb~S~q Pacific Mortgage l Lending InstJ.tn~tion Request: Security _ Mailing Address: Denver, Colorado Phone: 2,. Property Owner: Kenneth S. Seaman Phone: 276-7737 Mai~ing Address: 1300 Southamption Legal Description: Lot 3A Block 5 Raymond Tedrow Subdivision }.am.l. ly Residence: ( ~ Number of Bedrooms: Two 4:Single '~ " Multiple Family Res.Ldence: ( ) Number Of Bedrooms: Well System: Individual Well ( ) Colmnunity/Public System ( ~ Permit tt Depth of Well Well Log on File ( ) Construe~cion Bacteria]_ Analysis sampled regularly 6 o Sewage Disposal . System: On-site System (x~ Public Utility 7 Permit tt Ins balled 1975 Inst:aller Absorption Area _.&_/~ Soils Ratt. ~ Material Distances: We].]. t.o Septic Tank ~.~4 _~&~__.___ 'to Sewer Line Nearest Lot line to Absorption Area Absorption Area to Nearest Lot Line I{eque.. t for Appn:'oval of ]:~d:[vidua3 Sewer and War:er 1. Legal_ Description: Corflnle~ k. s: A..~.adavlt; At~ached: ( ) I, etter ALtacNea: ( ) Disapproved: Date Department Worksheet: ~-_ / Iv~UNICIPALITY OF ANCHORAGE -~ ~ Department of Health and Environmental Protection t~!~N~///~ ~ 825 L Street, Anchorage, Alaska 99501 ~~uest for Approval of Individual Sewer and Water Facilities.r ~1% 1. Property Owner: _ ~,0,~/~ ~. 3~-/~/~7/~© Mailing Address: /[.~)0 .~1Z-/l~/>,p>~D z~(~ Phone: o Name of Buyer: Mailing Address: Lending Institution: 4. Realtor/Agent: Hailing Address o o o o Phone: Phone: Legal Description: Street Location: Single Family Residence: Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Water Supply: *Individual Well ( ) If Individual Well, well depth If Co~nunity System, name of system Public/Conm]unity System Sewage Disposal System: On-site System ~' Public System ( ) If On-site System, date of installation: . ~J-~ /~ *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 MUNICIPALITY OF ANCHORAGE DEPARTMENT Of: HEAt. Tft AN[) ENVIRONMENTAL PROTt:CTION 825 L Street, Anchorage, Ala.ska 99501 279-2511, ext. 224, ?.25 REQUEST FOR APPI-'tOVAL OF INDIVIDUAl_ SEWER and WATER FACILiTiES ~LINICIPALITY OF ANCHORAG~ DEPT. OF HEALTH & ENvIRONMENTAl' PROTECTION SEP g 6 977 RECEIVE¢ 1. Type o[ Inspection: VA___XZX ....... FHA _..CONY 2. Property Ow ~er ....... g_e~]%~+_,.h_._Se_~ma~_ .................................................... Mailing Address:_a/.o_Z_..0.._~o.-c._'59~Z~_A?.ck._~.A.~T~_ _. Day Phone: .... ~.~9_m,.con_~7_Z9 3. Name of Buyer: ......... J~ht~ Mailing Address:__~}5~Ltchzrdsou _I(ista l{A, ___ Day Phone:_2J?-~LE~Z_,~L~_62 ..... 4, Name of Lending nstitution ...... O~)a.st_~ior~gage ~9 ......................... Mailing 5. Name of Realtor or ,~ ............................. , .................................. Add, ess .... Mailing - -' 6. Legal Description: L_n.~_~_~_~]0..0k _~ _Raym~o__n~. T~a-?-¢.'~.'_S_~2~.¢= ................................... Type of Facility to be Inspected: .... Cq~i~g~ ~a_m__i!I_ ................ No. Bdrrns ............ ~_._ Water Supply Type of Supply: Public Utility ....................... Individual ........... If Individual, number' of dwellings presently served ........ g'~ ............................ If Individual, depth of well ...... Sewage Disposal System Type of System: Public Utility ............... Individual (on-site)__,~X_ ........ If Individual, date of installation ...... Ple~e note; ~Seaman came in~a~ week on September23, 1977~- wit~the pape~ork%and the fee./We h~ve inspected ~ an~ is sche/~led for~ adequa~, test~on it Sept/mber 27~1977. S~/~ am re~ni~ 72-00,](3/76)