HomeMy WebLinkAboutRONS LT 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Phone(s) J Permit No. No el Bedrooms
1
LEGAL ~ESCRIPTION
.et t Block '"--, Subdi~ j%~. ~
Township, Range, Section
TANKS
[~ SEPTIC [] HOLDING
Manulacturel j Capacity in gallons
No. of Compartments
Mate,ia, S tC--E'L- t,
TYPE OF SYSTEM
[] TRENCH [~BED [] W. DRAIN [] OTHER
Depth to p~pe bottom fromm.
Flit added above origmal grade
Gravel length
Total depth from ori~nal grade
I:1- (~ ~
Gravel depth beneath pipe
FT ~
G~avel width
Distance between lines
FT
FT
FT
PRIVATE ~ OTHER
REMARKS:
DISTANCES
WELL
LOT LINE
FOUNDATION
SEPTIC
TANK
ABSORPTION WELL
FIELD
[0
AS-BUILT DIAGRAM (Show location of well. septic system, property lines, foundahon.
driveway, water bodies, etc.)
- ~ ~ ~C m.s,ect,o.s Pedormed by:
~ ~ ~ ~ . ~eMiIv t~,' this inspection was pedormed according to all
~unicipal and State guidelines
Rebert E.
N~. 4'14~- E
f_cc
¢~15 :Pa
1.
2,000 Sf reserve ~
/
bedroo~
Existing System
(to be a
~c0
Test
6,000 sf
Reserve
Tan'k/' g~
1% 250 1)
North
System Design -- 4 bedroom @ 225 sf/bed x 1.5 = 1,aS0 sf of area
Absorbtion Bed'= 24' x 57' = 1,368 sf
Ail materials, construction methods and inspections to follow
MOA rules and regulations.
Ail wells'within 125.f~t of the proposed bed to be located
prior to construction of bed to insure minimum 105' sepe~a~ion.
Remove existing tank and abandon'remainder of ~[x~g~ing system.
Maintain 10 foot from all property lines with new field and a
minimum of 20 feet from the existing trench with the new field.
Reserve Area = 4 bedroom @ 2,000 sf/bed = 8~000 reserve area.
Robert E.
Lot 1, Block 0, Rons Subdivision
Scale 1" = 50' 8-17-90
System
page 1/2
LoT 1, Rons' Subdivision System upgrade
no scale 8-17-90 page 2/2
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
's SEAL)
PERFORMED FOR:
· EGAL DESOR,PT,ON~
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS__
DATE PERFO
Township, Range, Section:
.AN
SLOPE
WAS GROUND WATER
ENCOUNTERED?
s
IF YES, AT WHAT ~ ~)
DEPTH? p
E'.
O,gl,,0 war,r*,,, b IZy Dale: I 'I~"~
Monitoring?
~" ~'~ Gross Net I~epth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~' ~ (minutes/inch) PERC HOLE'DIAMETER
T~E~S,~i~ RUN.~ETWEEN ~ FT AND ~ ~) FT
PE"FORMEDS¥: .~.'~Ct--" , J.. ~,V"~ CER',FY THAT 'rH,S TEST WAS PERFORMED ,N
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 IRev. 4/851
GREif ER ANCHORAGE AREA BOkuUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
FROM WELL 1~O UFACTURER
INSIDE LENGTH
MAILING ADDRESS ~:>~:~,"'~f ~ ~z'4'~"~'~'"' PHONE~¢~/'~"~0'~
LEGAL DESCRIPTION ~ / '
~ NUMBER OF
~ COMPARTMENTS
MATERIAL
LIQUID DEPTH
INSIDE WIDTH
LIQUID CAPACITY /® GALLONS.
SEEPAGE
NUMBER OF PITS --. DIAMETER
LINING MATERIAL CRIB SIZE':
BUILDING FOUNDATION__
OR WIDTH
DIAMETER __
NEAREST LOT LINE
.LE,~IGTH DEPTH
.DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
FOUNDATION --
CESSPOOL
APPROVED_
CONSTRUCTION
NEAREST
LOT LINE_
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
LOT SLOPE:_ __
REMARKS: __
DIAGRAM OF SYSTEM
APPROVED
GRE/~-~R ANCHORAGE AREA BOF~UgH
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
~ TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMit NO.
INSTALLATION LO°AT,ON
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE~ ~ , DRAIN FIELD i ,, OTHER
' 4
SOl, ;EST .ESULTS ~'" ~Z~~ 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 DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT A~J
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPT{C TANK SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK ~'~
DRAIN FIELD f~ ~'
/ '( &RAI"F'ELO
/
SEEPAGE Pit
alSO CONSIDER AREA WELLS.
SEEPAGE Pit
SEPTIC TANK, ~/~%'"~ DRAIN FIELD
, SEEPAGE Pit
TO riVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION E 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.
I 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 AOCORDANCE WiTH SAiD CODE'~/"'/~"~' .,~'-~.'' A ~ ~
:%,, ::--~ GREATER ANCHORAGE AREA BOROU~
~~/~/~ ~ ~ 'Department3330of,,c,,Environmentalstreet QU~ ~ tY
~~//~ ' Anchorage, Alaska 99503
~ ~ SOILS~ LOG -P~EROLATION TEST
Performed for. ~__.~//~__~~~~......... Date Performed
Lega 1 De s c ri pti on :_.Z)//~, ¢~//m~ /¢,//~ .... _¢Y~..: >~ 2~-/~ g__~_~/~.~
This form reports: Soil~ log. 2( Percolation test
Depth
Feet
4-
5-
6-
7-
8-
9-
10 -
ll -
12 -
13 -
14 - /
Was ground water encountered?
//cb
If yes, at what depth?
Reading Date Gross Time Net Time Depth to Wate~ Net Drop
Percolation rate
mi nute.
.Proposed installat-T°-n': Seepage Pit ............... Drain Field
i)epth of Inlet Depth to bottom of pit or trench
COHMENTS:
EQ-040 (6/74)
Gre/~r ANCHORAGe Area BOF~UGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
~'~.6. e ~zi.~.,6z~Ai_ ~Y~TE~ ~ APPLICATION AND PERMIT
~OIL TEST RESULTS ~OT~ T~lt ~IT It ~OT ~lLl~ WITHOUT ~O1~ T~
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 2/I 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 TYPE SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
EOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ., SEEPAGE PIT
!
TO NEAREST LOT LINE.
WELLTO SEPTIC TANK SO
/
D R A,'" ,ELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
SEPTIC TANK, ,, SEEPAGE PIT
TO RIVER, LAKE. STREAM.
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT 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.
/- ' G.%... - '*
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAg~ AREA BOROUGJai~ORD~NANCE NO. 28-68 AND THAT THE ABOVE
DATEDESCRIBED YSTEM IS IN ACCORDANC WITH BAlD CODE.~/j._~~ANppL I ~ ' (~ ~
(... )h /) t,):: C +
)'1'
!
p~ r..)< - AA{v) c
~--.,MUNICIPALITY OF ANCHORAGE--~
DEPARTME, OF HEALTH AND ENVIRONMEN' ' PROTECTION
825 L Street, Anchorage, Alask~ 99501
279-2511, ext. 224 or 225
Date Received: June 28, 1977
#1: Time
Date
Insp
#2: Time #3: Time
Date Date
Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
% Mary Ann Dodge
Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 720 99510 Phone: 276-6300
Property Owner: Allan/Marie Egbert
Mailing Address: Star Route A Box 1736P 99507
Phone: 344-5580
3. Legal Description: Lot 1 Ron's Subdivision
4: Single Family Residence: (x~
Multiple Family Residence: ( )
Number of Bedrooms: three
Number of Bedrooms:
Well System:
Permit #
Construction
Individual well (x)x Con. unity/Public System ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
e
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (x~ Public Utility ( )
Installed Installer
Manufacturer
Soils Rate Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
De~a~tment of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Ron's Subdivision
Comments:
Af fadavit Attached
Approved: _~
Disapproved.
Letter Attached: ( )
Date:
Date:
Department Worksheet:
~,UNICIPAUT¥ O, ¢t
D.F.P¥. C, fi II'~,~',!.:ili ~ ,~MUNICtPi~.
MUNICIPALITY OF ANCH~h~NtAL ~tOTtCTIOM ~-~.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
279-2511, ext. 224, ~2~
REQUEST FOR APPROVAL ~E~ E/%i F ~
INDIVIDUAL SEWER and WATER F~I~~
1. Type of Inspection: VA FHA.
2. Property Owner: Allan & Marie Egbert
Mailing Address: SRA Box l~30-Y Anchorage~ Ak,~ Day Phone:_ 3.4--4-5580
3. Name of Buyer: Billye Lou Pritchett
Mailing Address: SRA Box 1736P Anchorage, Ak. Day Phone:__ 344-0066
4. Name of Lending Institution: FirRt National Bank of AnchorKe
Mailing Address: P.O. Box 720 Anchorage, Ak. Phone: 276-6300 x572
5. Name of Realtor or Agent: Sharelle Sanders, Ellison & Ellison Real Estate
Mailing Address: Phone:._ 243-1937
6. Legal Description: Lot 1 Ron's Subdivision
___CONV_ x
Location: Off of O'Malley Road
7. Type of Facility to be Inspected: SFR
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served __
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation__
No. Bdrms,. 3
Individual. Well
SeptiG
Individual (on-site)
Mary Ann Dodge
6/24/77
72-003(3/76)
~/ GREATER ANCHORAGE AREA BOROUGH
Department___of E~onmental Quality
3330 "C" S~n~age,/Alaska 99503 274-4561
~ ~~/~ , ~ Date Received
~& [~ ~ [~g/~ Time of IBspection
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
First National Bank of Anchorage
646 West 4th AVenue Phone:
Ellison Reams Construction Phone:
4520 Edinburgh Drive
Lot 1 Rons Subdivision
Off of O'Malley and Our Road
279-4481
344-0501
5. Type of facility to be inspected
6. Well Data:
A. Type
Single FAmily
Individual - serving one
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
No. of bedrooms 2
1975
1. Size
1.
B. Depth 80'
D. Bacterial Analysis
On-site system
B. Installer
2. Manufacturer
Absorption Area 2. Material
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
Total length of lines
/
/~0 , Absorption area //~
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Paae 1 of two Daaes
Page 2 of two pages - Re--st for Approval of Individual F'~'er & Water Facilities
Legal Description Lot 1 Rons Subdivision
Comment~ .... ~'
Approved Disapproved Date
~val Valid for one year from date signed
~ Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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 operat i~k.s_a t:~ac to: ly.
S IGNED~'-~-~~ ~
Date
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561
REQUEST FOR APPROVAL OF
iNDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection: CMRO VA FHA CONV
Property Owner: ~'4~,,~,¢~,.~J ~ .~ ~'~-,.~.~.~e..~-¢~.)
Mailing Address: ~v~'~'2-~ ~---~/'~/"%'~'~-~¢ /~'~. Day Phon~,,~~
Name of Buyer: ¢'~-~-~
Mailing Address:
Name of Lending Institution:
Mailing Address:
Name of Realtor or Agent:
Mailing Address:
Day Phone
Phone
Phone
Legal Description: ~--~ -~'
Location: ~'~'
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
No. Bdrms. ~
Public Utility
Individual
If Individual, number of dwellings presently served
If Individual, depth of well ~::~ /
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
EQ-037 (1/74)