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HomeMy WebLinkAboutKRAMP BLK 1 LT 8 QGRE'-ER ANCHORAGE AREA BO' Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'UGH REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL [i, INSIDE LENGTH " , . ; NUMBER OF MANUFACTURER (,'/~'/ /1\ MATERIAL "/~'/ / COMPARTMENTS / INSIDE WIDTH LIQUID DEPTH__.__LIQUlD CAPACITY ~'' ~ GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ';~DIAMETER OR WIDTH LENGTH__ DEPTI-I CRIB SIZE: DIAMETER DEPTH _ DISTANCE FROM: WELL T(~TAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) _SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION __ CONSTRUCTi~ NEAREST NEAREST LOT LINE SEWER LINE DEPTH SEPTIC -'- TANK CESSPOOL _, OTHER SOURCES_ APPROVED _ DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: '>/ ;~*:t)/~;.,. PIPE MATERIAL: '/-", LOT SLOPE: /,/t ~t .~. ,' REMARKS: Form No, EQ~031 DIAGRAM OF SYSTEM DATE 'R ANCHORAGE AREA E3OF DEPARTM~:NT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 ,IGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAMe APPL,OANT OF =;)C///¢(://~3'¢ MAILING ADDRESS FINANCED THROUGH '~ 7_~' /' SOIL TEST RESULTS COMPLETION DATE ANTIC[PATED DRAIN FIELD OTHER NOTE:= THIS PERMIT IS NOT VALID WITHOUT SOIL FINAL INSPECTION: 24 FLOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. '~EP'~fC TANK SIZE TYPE SEEPAGE AREA SIZE __ TYPE '- IAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS /I. (~ / SEPTIC TANK TO SEEPAGE PIT WALt. TO NEAREST LOT LINE. WELL TO SEPTIC TANK -'.!; (I / DRAIN FIELD [ WATER MAIN TO SEPTIC TANK DRAIN FIELD ., DRAIN FIELD , DRAIN FIELD 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. G~AVEL SACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ASOVE DATE /' / APPLICANT'S SIGNATURE / // 5¢~/-~/(:< . -- . ~6~0 TUDOfl ~OAD, AN~HOflAQ~, A~AIKA gg~07 · TI~[~HON! 333-8472 Lenal ~es cri n~i"on: Lot Percolation Test This form Renorts Soils Lon PeDth Feet Soil Characteristics 1 ~ 6 Ground Water Encountered? At what Depth? Was I¢ Yes, Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolatio Rate Minute Propos d Installation: Seename Pit Drain Field Deoth f Inlet Depth To Bottom Of Pit Or Trench .... - ~, /~¢ ~%/ 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 June 4, 1975 WO 17344 Kassler & Co. 319 West 5th Anchorage, Alaska Attention: Mr. Mac ~ael Project: Lot 8', Block 1, Kramp Subdivision Subject: Subsurface Soils Study Gentlemen: Transmitted herein are the results of tests performed, in accordance with your request, at the above project property. The test hole was c].rilled by Denali Drilling, Inc., using a Nodwell mounted ~,~obile B-50 drill equipped with continuous solid f].ight aug~r. Samples were taken from the cuttings and auger bit as needed. The test hole was placed, on the 3rd of June 1975, supervised, logged and sampled by ~.r. Alan technican of our staff. A one inch diameter pJ_pe 20 feet in length was placed in the hole at the termination of drilling. Mr. t{atch (of our staff) visited the site the morning of the 4th of June 1975 in order to fill the pipe with water which is the initial step in starting a percolation test. At that time, the pipe had filled with water to the 6.1 foot level. Therefore no test could, be run. /~he~ conclusion to be dra%~n is that: since a septic tank must~-~ be placed a minimum of 4 feet above the free water table, and ~ the free ~'ater table was found to be at 6.1 feet then a septic ~ tank woula not drain if it were buried but would fill with water ~ x.~m the soil. The data for this report is as follows: Test Hole Location Sketch Test Hole Log Standard Explanatory Data Figure t Sheet 1 Sheets 2 to 4 The soils encountered in the test hole are predominantly silts which are frost susceptible. The soil from 0 to 3 feet is a frost susceptib]_e silty gravelly sand containing some peat, and from ].7 feet to 20 feet the material is a frost susceptible silty sand. Mr. Mac .~4ae]. ZJune 4, 19'/5 Page 2 The ground cover at the vicinity of the test hole is composed of grass, birch and spruce trees. Although a free water ].evel was not observed at the time of drilling, the soils frcm seven feet. down were wet to saturated and as it turned out by the next day, the water had fl'owed J_nto the hole through the soil mass to a level of 6.1 feet. If there should be any questions in this regard please contact our office. Very truly yours, A L A S K A T E S T L A B Lab. Supervisor KWB: mm Attachments Test Hole No, 1 Depth in Feet ]9 ~. om To 0 3.0 3.0 7.0 7.0 12.0 12.0 17.0 17.0 20.0 Bottom of m ,_eot Ho].e: · ro~,~ Line: Free Water Level: SA. NO. Depth 1 5' 2 10' 3 15' 4 20' SHEET 1 W.O. ~17344 ,:COIL DESCRIPTION F-2, Silty Gravelly Sand, SM, ]Drown, damp, poorly graded, medium density, some peat. P-4, Sandy Silt, ~L, tan,' damp, stiff to hard non-plastic, trace of peat, some silty sand layers, gravelly at 4 feet. P-4, Sandy Grave]iv Silt, ML, gray, wet, stiff to hard, slichtly plastic, some sandy layers, gravel decreasing tO none at 12 feet. Sandy_ Silt, :.L, gray, wet, stiff to hard slightly plastic. F-.2, Silty Sand, SM c~rav wet dense. 20.0 ft. -0- ft. 6.] ft. B!ows/6" M% Type of Sample Dry Soil ~t[ength ~roup Femp. M 49°F M-H 48°F 19.7 Grab 28.1 Grab 22.0 Grab 26.2 Grab L Notes: iL) Group: Refers to similar samples this study only. 2) Dry Strength: N=None, L=Low, ~.=MedJ. um, ti=High. 3) Unified see Sheet 2. 4) Erost & Textural see Sheet 1. 5) General Sheet 3; 6) Other Sheets 4 on. 7) Type of Sample: SP --- Standard. Penetration S ]iT:;gSl? 2 Test Hole Log - Description Guide The soil descriptions shown on the logs are the best estimate of the soil's characteristics at the time of field examination and as such do not achieve the precision of a laboratory testing procedure. If the log includes soils samples, those samples receive an independent textural classification in the laboratory' to verify the field examination. The logs often include the folk, wing items: Depth Interval usually shown to 0.1 foot, within that zone no significant change in so~l type was observed through drill action, direct observation or sampling. Frost Classification NFS, Fl, F2, F3, F4, see "Soil Classification Chart" Texture of Soil- An engineering classification of the soils by particle size and prtJportion, see "Soil Classification Chart", note the proportions ale approximate and modifications to the soil group due to stratification, inclusions and changes in properties are included. Moisture Content- this is a qualitative measure: dry, no or little apparent surface moisture, damp, moisture forms portion of color, less than plastic limit, wet. no free water, o fte~: ~oft, if cohesive soil, saturated, free water may. be squeezed out, ifa free draining soil; dilatent at natura[ moisture content, ifa non-plastic silt ut fi/~e sand. ('I he nioisiu;e con~ent is further defincd by reference to PI, L\V, NP, M% or df!stent2..) Density - refers to mme-ordess non-cohesive soils, such as sand gravel mixtures ~ith or without a fine fraction, derived from dri]Iing action and/or samp!e data: usually, described as: very. loose, loose, medium dense, very dense. General intent is to portray, earthwork characteristics. Stiffness refers to more-or-less cohesive soils and fine grained silts of the clay-silt groups. Derived fic. m dri!l action and/or sample data. Very soft, soft, stiff, very sti£f and hard are commonly used terms. Particle size The largest particle recovered by. thc split spoon is 1-3!8", Shelby tube 3", auger l]ights (minute.man~ 2", Auger flights (B-BO hollow stem) 6"-g". Larger pardcle= are described indirectly by action o( tile drilling and are referred to as cobbles, 3" to 8", or boulders 8"+. Therefore when leviewing thc gradation sheets, if any, the description on the hole log must be considered for an indication of larger particles. Unified Soil Chssificadon - This is a two letter code. See Unified Classificati,m sheet for turther definition. In some cases A,'\SHO and/or FAt\ soil classifications may. be shown as well as the unified. Attcrbcrg Limits - useful for fine grained and othe~ plastic soils. P_l; natural moisture conten~ believed to be less thal~ plastic limit PI+; natural moisture content helieved to be between plastic and liquid limits natural moisture content believed to he greater than liquid hmit mm-plastic, useful as a modifying description of some silty l_)_il_.k~y_~cy' -- is tl~c ability, of water to ,high,re to tl~c surface of a slttuH~tcd or nearly saturated soil sample when vihraled orjohcd - used as an aid to detc[n~ine it' a line grained soil is a slightly or non.pLlstic sih or a volcanic ,,~b. Rock flour- finely, ground soil that is not plastic but otherwise appears ~ to a clay.ey silt. Organic Content - usually, described as Peat, PT, sometimes includes is~creT~= p~ such as wood, coal, etc. as a modifier to an inorganic soil. Quantity. described as; trace, or an estimate of volume, or, in case of all organic, - as Peat. This may include tundra, muskeg and bog material. Muck ~ a modifier used to describe very soft, semi-organic deposits hsually occuring below a peat deposit. Amorphus peat ~ organic particles nearly, or fully disintegrated Fibrous Peat organic particles more or-less intact. Bottom ofTesthole ~ includes last sampie interval. Frost Line- seasonal flostdepthabdesc~ibed bvddHingac ona d/or ~m~ples at the time of drilling. Frozen Ground - other than frost line, described by samples, usually. includes description of ice content, often will include modified Unilied Classification for frozen soils - this is a special case related to permafrost studies. Free Water Level - The free water level noted during drilling. This is not necessarily the static water table at the time of drilling or at other seasons. Static water table determination iu other than very permcabl~ soils requires observation welis m piezometer iustallations, used only in special cases, Blow/6" The number of blo~s of a 140 weight free falling 30" to adwmce a 2" split spoon 6": the number o(blows for a 12" advance is, by definition, the standard penetration. ,,1~ -- natural moisture content of the soil sample, usually, not performed on clean sands or gravels below the water table. Type of Sample ~ S~, relcrs to 2" split spoon driven into the soil by Id0 pound weight, a disturbed sample, ~, thin wall tube, "Shelby" used to obtain undisturbed samples of fine grained soil, ~, "grab" disturbed sample from auger flights or wall of trench, (~, cut sample, undisturbed sample flora wall of trench. pry Strength a useful in&tarot of a soil's clayey fraction, N=None, L=Low, M=~edium, }t =High Group - The sa~np]cs are placed into app,lreflt[y, similar groups bast'd reflect thc general distrubed cbar.~,~cri:itics of thc soils assigned to the group. This is ,m inlp,~rtant phase of the soil an.dys~s and is used SHEE? 3 SOIl. CLASSIFICATION CHAR]" 30% GRAVEL ,~, CLAY ~ --' x CLAYEY CLAYEY ~',~ CLAYEY OR SILTY SILTY SILTY CLAYEY SILTY SAND GRAVEL ~ GRAVELLY SAND SANDY GRAVEL~ ~/ SAND GRAVELLY SAND SANDY GRAVEL GRAVEL \ \ \ 0 10 20 30 40 50 60 70 80 90 !00 GRAVEL (+#4 SCREEN) % BY WEIGHT NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER TI-lAN 0.02 mm. GROUPS OF FROST-SUSCEPTIBLE SOILS: F1 GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm. F3 a. GRAVELLY SOILS CONTAINING MORE THAN 20%FINE_B TFIAN0.02 mm. AND SANDY SO1LS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER TI-lAN 0.02 mm. b. CLAYS WITtl PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS. F4 a. ALL SILl S INCLUDING SANDY SILTS. b. FINE SILTY SANDS CONTAINING MORE THAN 15% FINER THAN 0.02 mm. c. LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN ]2. d. VARV'L--D CI.AYS. GP"4TER ANCHORAGE AREA BOROI"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME. LOCATION '/"~/~ ~'/~'~ ,~ - PHONE ADDRESS SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY /,~ / ___MATERIAL _COMPARTMENTS GALLONS. INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ____ SEEPAGE SYSTEM: NUMBER OF PITS '~' LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER__ '_~.~"~ ~ OR WIDTH .:.-"~' .... DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,LENGTH , DEPTH__ . BUILDING FOUNDATION SQ, FT. TILE DRAIN FIELD: DISIANCE FROM WELL '~'~:.' NUMBER OF LINES ABSORPTION AREA FOUNDATION", DISTANCE BETWEEN LI / ~ / SQ. Ff. LENGTH OF EACH LINE · NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE DEPTH: fOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE '~)t~t'~:,-(-.-~ , DEPTH t' '~ '~ LOT LINE ,/..~- t' NEAREST SEPTIC , SEWER LINE '~' / ,TANK DISTANCE FROM /,~ , BUILDING FOUNDATION "~*' / WATER _SAMPLE ,~,..,~ ~ i SEEPAGE , SYSTEM (~" , CESSPOOL DIAGRAM OF SYSTEM . NEAREST OTHER , SOURCES DISTANCES: -'~I¢" DATE APPROVED GAAB-H~-2 GREATEr.. 327 Eagle St. tNCHORAGE AREA ItEALTH DEPARTMENT Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT~A.) RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK ~ 7~Z _ MAILING ADDRESS ,~'x~ ~"/~/'¢,eT?"u/~/~&'//¢'. PH ON E NO. LOCATION OF INSTALLATION ~,~F /z7/&'~',~,~/'//,/~ SEEPAGE PIT //' ,DRAIN FIELD __,OTHER TO SERVE THE FOLLOWING FACILITY. ~/Z~'~'~,.. ,,/~' FINANCED THROUGH_ ~.~"-~-~Z~,z~ TO BE INSTALLED BY ~~TEST RESULTS ANTICIPATED DATE OF COMPLETION A~,. ~¢ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS .-/~/,'¥, ~-~/~//~'¢/&~ , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED. · SEPTIC TANK SIZE //,~,5~d '~..TYPE .~A)P--~7~SEEPAGE AREA_ ~GRAM OF SYSTEM _TYPE Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. DATE, ~ APPLICANTS SIGNAT . ,, Case Nd. GREATEr,,. ANCHORAGE AREA OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS MAILING ADDRESS LOCATION OF iNSTALLATION_ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK.. , SEEPAGE PIT TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH. PERCOLATION TEST RESULTS BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT __ , DRAIN FIELD PHONE NO. ,OTHER.__ TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION. THIS IS TO SERVE AS_ , PFRMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE. INSTANCES: TYPE SEEPAGE AREA__ TYPE DIAGRAM OF SYSTErvl · /~lealtt'~,ut;orit¥ I certify that I am familiar with the requil'ements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. DATE APPLICANTS SIGNATURE. .~REATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Legal Descr:.ptlon: Lot .,~ Blo~/~ubdxvxszon /[/7'%~//),/.) -- · . S~."T~ Thas' Form Reports ao o ls hog ....... ~~on Test Depth Feet Soil Characteristics / /z~? /~'~ <l~,,.,'~ ~, t- Was Ground Water Encauntemed?. If Yes, At What Depth__' Gross Time Net Time Reading Date Location Sketch Depth To H20 --. Net Drop D.~TE RECEIVE[) INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR ~UNICIPALITY OF ANCHORA(~ MUNICIPALITY OF ANCHORAGE DEPT1 OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'~-~',~ONMENT/,,L I,[i©T~CTION 825 L Street - Anchorage, Alaska 99501 (ENVIRONMENTAL SANITATION DIVISION JUL 5 1981 Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTYOWNER / //'.i ' I PHONE ~]AILI NG ADDRESS PROPERTY RESIDENT (If different from above) / I PHONE 2. RUYER ' ' / ' ~--') . PHONE MAILING ADDRESS 3. LENDING INSTITUTION 'MAILINg ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~' SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [~] Four ~ Two ~- Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTIL TY 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 ~og if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** YEAR ON-SI'rE SYSTEM WAS INSTALLED. ";J~]._ PUBLIC UTILITY 72-010 (Rev, 6/79) NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY DEPTH OF wELL [] INDIVIDUAL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified _ LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [~]Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: S~ptic/Holding Tank Absorption A~ea ISewer Line ' '1Nearest L°t Line Absorption Area to nearest Lot Line 5, COMMENTS I~'APPROVED FOR ~' , BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~(~( ~~.. 72-010 (Rev. 6/79) GREATER ANCHORAGE AREA BOROUGH . , , ?-? ~ Date Received ,, ~ ~; ~ ~" ~ ~ ~ Time of Inspection ~,-' ~' ~ ~ ~ , (]' /~ Date of Inspection 1. A~rgval .~oquested by: ~ ~~ ~ ~. Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: 4 / Type of facility to be inspected~=~, ~_~ No. of bedrooms Well Data: A. Type ,,.~d~] .... ;~ ..... ~--~- C. Construction Sewage Disposal System: A. Installed /Z~ ¢. Septic Tank: 1. Size D. Seepage Pit: 1. B. Installer . 2. Manufacturer ~_/~ ~_~.~ ~ Absorption Area ,~/m 2. Material B. Depth ~D ( D. Bacterial Analysis E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line , Absorption area , Other contamination , Sewer Lines __., B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GR~AT~!'.:~ ANCHORAGE :ti<,,. i~9ROt/GH 33q0, "C" St.~ ,Anchorage, A'[a~''rm, 99503 -. 274-.4561 R~QUZST [:rjr APFP, OVAL,.)~r= 1 Type OT Inspection: ,.,;~0 ~ '~" '" CONV 2. Property Owner: 8. Water Supply Type of Supply: Public Utility .......... .Fnd'',,i{iual If Individual~ number o~. dwei~i ~g~: ~' pr?seni:,y' served _,~__~ If Individual:, depth of well 9. Sewage Disposal System Type .oF S.ystem: Public U'~l-i-~:y ......... fnd':vidua] (on-site) If Individual, date of ins't:alla'~ion ~'~'**PLEASE SEND REPORTS TO KASSLER & CO., Sincerely yours, KA$$LER & CO. 819 52'tt AVENUE ANC~IO[L,~F,~ ALASICi 99,~01~ Page 2 of two pages - Re st for Approval of Individual ~r & Water Facilities Legal Description d?'7 Approved ~.~.~,'~ .,~ ,~ "' ~,~' ,¥~ ~'+-" Disapproved Date Approval ~Valid for one year from date signed Greater Anchorage Area 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) 1975 319 West 5~ AV~ 99501 ~tt~t for approval of se%~r and wa~ facilities ~ If>t 8~ Block 1, Kr~cp Subdivision 5T~s l-~r~r~nt l]ms ck~plete~d a rc~t for at?~.v3val of the s~v~r ~d facil:[~s on. tl-~e ~bove mntioned lot. 'f%~a m~qu~t was mad~ for a six (6) t~drc~n, sir~jle fm~.~ly 6~,~ztli}~. '~!{a s~r ~'~{ for ~is t~: w~ ~11~] ~ N~c~or, 1969 for a f~ (d) Rhis I~nt will 9rant a p owl of {~ese f~oilities for a 1) ~ tO ~t ~e ~!1 cas~g ~e ~tcl le~l L~ held in 2) f~ ~o ~ ~ ~%~si~ se~r sys~ ~t~t ~ a soils 4) a ~ of ~e ~s~(~d f~ ~m%nt for ~ ~e ~al. no lair ~ J~y 1, 1975. if you have aay questi~ or Prd31ems wi~% fha atx~, ple~s~ do ~m~ h~..~sitat~, to c~nt~.~: ~m~ at 274-4561, exte~i(~% 146. Sino~ly, [mni~ C.Imshaw,' l~nvi~x~.ntal Control Offio3r t~3: ~'~. ~m~d F~S. Archie Gr~'n FiloNo.; 4-1 K~.~8~ler trod Gompany ~19 W. 5th Avenuo Anehovaffo, Al,nakz{ 99501 SUBJEGT: Lot 8, Block 1,, K~,amp Sllbdivision ta~k eystom cannot be installed on the ~ubjoet lot for given i~ the o{loloscd letter from Ala.qka To~tL,~b. i;ynn S. Co~d