HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 10 ~,?~... GRE~. ER ANCHORAGE AREA BOR
,,:, , Department of Environmental Quality
'~'? 3330 C Street
Anchorage, Alaska 99503
JGH
INSPECTiOI~ ~PORT Okl]§~-~W~,6~' DISPOSAL SYSTE/~
NAMEJ _ MAILING ADDRESS ~ ~¢~:2'0'''t') PHONE
SFPTIC TANK:
DISTANCE
FROM WE LL~
INSIDE LENGTH
MANUFACTURER ~j,A,,~/! ,
INSIDE WIDTH
MATERIAL ~:
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID C A PAL I T V_/,,~',.~'~;' GA L L O N S.
TILE [:)RAIN FIELD:
~.¢,~, ~. /~/), ~N/~.~ TOTAL LENGTH
DISTANCE FROM WELL//¥~ UFOUNDATION ~ __NEAREST LOT LINE OF LINES V~'/I
NUM=RO L,NES / D,STANCE ETWEENL,NES TRENOHW,DTH- ',N. TOT ALEFFECT,VE
ABSORPTION AREA__ ~'"~/~--¢~I SQ. F'F. LENGTH OF EACH LINE ..... Z~/~/)
] OEPTFI OF FILTER ~
DEPTH: TOP OF TILE TO FINISH GRADE ,~" MATERIAL BENEATH TILE '°~ _.1~¢.i ABOVE TILE ~/ IN.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONST RUCTION DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE ___. SEWER LINE TANK . SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
G.A.A.B. ~
GRE~ :R ANCHORAGE AREA EOF JGH
, ) //// /, /T/~ L EPHO N E :~74-456 I
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
, )~ ~ /(0 NOTE~ THIS CEEMIT 18 NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 2:4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WIT~IOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM OISTANCE.~, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK ¢/ .. SEEPAGE PIT
TO NEAREST LOT LINE.
/
WELL TO SEPTIC TANK /~¢~'~
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC tANl<:
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT
TO RIVER, LAKE. STREAM.
., SEEPAGE PIT
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 SEEPAG.E~PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS. .~ .
,,..,,v.. '"".'"""-.'-,d /:
CONFORM 1'O BOROUGH ReGUlATIONS REGARDING I~$TALL^TION,
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT~'CJ ANCHORAGEL~' E~OROUGH ORDI~..~4~[N"(~('E NO, 28-6
THat THE ABOVE
~soil '~e segments were fairly
2 ; ~ compact ~.~th a moderate
with denth. ~lhe sed~aents
were fairly cons~s~,nt w~'th
.
respect to de~th showJ]~g
moderate s~nd co.tent w~th
to some boulder and cobble
.
Lot '/;ED, , Block j,7
Anchorage Recording Precinct~ Alaska
LOT SURVEY CERTIFICATION
I hereby certify that I have surveyed the properly shown and described
hereon,and thc[ the Improvements situelod thereon are within tho prop-
arty lines and do not overlap or encrbach on adjacent property and that no
improvements on adjacent property overlap or ~ncroach on lhe premises
in question and th~ there are no roadweys~ utirity lines or other visible
easements on said property except as indicated hereonJ
/
LEGEND
~: Brass capped monument recovered
o : Iron pipe and/or rebar recovered
m : 2x2 hub ~ tack recovered
· : 5/8"x ~D" reb~r set this survey
Scale
Ret.
Date
E B. No...~
Prepared by:
fgoz) z79- 6200
R L. BUTTON
/~q/$tered Lond Surveyor
519 W. Eighth Ava. Anchora~e, Alae/~a 99501
DRILLED BY C.H. SELF DRILLING.
DI{ILLED FOR I~{ERLTN DRINKALL. LOT 10 BLOCK 7
GAL ~()NS IE,.~ r~IINUTE i PI,US ~"~ ,~' , ~-,. ....
· ' . .... ,~IA~IC LEVEL 35
' ~'" ' '~ rp-) ~ ,~..
I),~.l ~,LE~ ~ "
, 10t, ~OIL AND GRAVEL
...... GI~AV]_,L
2° DS]
86~ ........ -, (AQUAFIR)
' - ..........
J 71 W~IT
200. ...... · · · BOTTOM IIO~.,]~,.
COP,~PLETED 51AY 19, 1976.
KA$iLOF
HILLS' SUBDIVISION.
?.%0':.\X
DATE RECEIVED
,- INSPECTION APPOINTMENTS ~ /~L-~3~.¢_./
TIME TIME ! ,~'~ ~'.~V- TIMI:
DATE DATE ~_/, ~'-~ DATE
INSPECTOR INSPECTOR / INSPECTOR
~UNIClPALII~ OF ANCHORAGE
MUNICIPALITY OF ANCNORAGE DEPT. OF I IZALI'H &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO~EC'~RONMENTAL F'.OFECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION ~[10 ~ I980
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE I
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
1. PROPERTY OWNER , ~ PRONE
I
MAIUNG ADD~ E~S
PROPERTY RESIDENT If different fromabo~e / PHONE
2. BUYER PHONE
MAILING ADDRESS
3: LEN~G INSTITUTION PHONE
I PHONE
5. LEGAL DESCRIPTION
STREET LOCATION
/ o F
6. TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLF FAMILY
NUMBER OF~BEDROOMS
[] One ~'~ Four
[] Two F-~ Five
[] Three [] Six
[] Other
7, WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled 'prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
~] INDIVIDUAL/ON-SITE** [c~'1 ~) YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79) ~~ ~ ~i~li~~ ~¢.z/~ (~. ~;. ~4~- ~(~--
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
[] INDIVIDUAL DEPTH OF WELL
[] 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: /-~.5'-D If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line ] Nearest Lot Line
I
I
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
I~;~'~APP R OV E D FOR ~r~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
CHEMICAL & GEb~,OGICAL LABORATORIES G,,; ALASKA, INC. .~
- TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER
~,.--~ Drinking Water Analysis Report for Total Coliform Bacteria , _
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:El I I--]
I,D. NO,
Water System Name
Mailing Address
Phone No,
City
SAMPLE DATE:
MO.
State
Day Year
Zip Code
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ret. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
1
2
3
4
5
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results, Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ret, No.
Result* Analyst
*No ofcolonms/lOOml or No olPositive portions
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Ray, 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source
a.m.
Data ReCalved Tlma R~caived p.m. Lab. NO.
3relumptlve 10mi 10m1 ].0mi /0mi 10ml 1,0mi 0,~,ml
24 Hours
48 Hours
;onflrmatory
48 Hours
EMB Broth 24 hours=.
Multiple Tuba Report=
Membrane Filter= Direct Count
Verification= LTB
Final Membrane Filter Ralultl __
Rapor ted By
Broth 48 hours:
.10mi Tubes Posltlva/Total ~,0ml Portlonl
Collform/Z00ml
BGB
Collform/100~tl
ALASKA ENVIRONMENTAL CONTROL SERVICES
THINKING OF THE FUTURE
SRA BOX 1584R · ANCHORAGE, ALASKA 99507
~::'i }':;': .. i :i~!'
/
% 2001 Realty
835 D Street -- Suite 207
Anchorage, Alaska 99501
Subject: Lot 10 Block 7 Kasilof Iiills Subdivision
Approval for your individual sewer and water facJ. lities
cannot be granted until the following items have been
completed:
A well log submitted to this department for our
- · review.
2)
(3)
(4)
The water facilities were not turned on at the tim(.'
of the: inspection. Please call this department to
reschedule an appointment for the water sample.
The c].eanout to the septic tank needs to be raised
above ground level and reinspected by this department.
'Phe septic tank pumped with a receipt sut0mitted to
An adequacy test toe p¢;rformed on the existing leaching
area. This test will determine if the system is
adequate accerding te Natienal Standards. A ].isting
of private firms performing the test is enclosed. This
report needs to be submitted to this department for
our review.
If there are any further questions, please call this department
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/lje