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Home My WebLink AboutMEADOW BROOK BLK 2 LT 24Onsite File Meadow Brook Block 2 Lot 24 #050-191-71 GREA.,.R ANCHORAGE AREA BOR£ .$H Dep@rtment of Environmental Ouality 3330 C Street Anchorage, AIsska ggs03 INSPEC'I'ioN REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK:___ ' ~_~/"~'~~ATE FROM WELL /';--*¢~-" MANUFACTURER RIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY_//~d~.'~3ALLONS. TILE DRAIN FIELD: DISTANCE FROM WI:LL NUMBER OF LINES ABSORPTION AREA DEPTH: FOUNDATION ......... NEAREST LOT LINE ~-'g? BI 'TAhJCE BETWEEN LINES TRENCH WIDTH / TOTAL LENGTH., ___OF LINES TOTAL EFFECTIVE TOP OF TILE TO FINISH GRADE DEPTH OF FILTER 2 */ ~ ~:,2' MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: ~1 ~?_~CONS1 RUCT ION TYPE: ',- g~/~/~/~"~ . DEPTH ........ DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION ___ LOT LINE __, SEWER LINE TANK __, SYSTEM CESSPOOL ._ OTIIER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: :- f ~ *~' SEWER LINE DEPTH: LOT SLOPE: ~ REMARKS:F" Form EQ-032 REMARKS __ . DIAGRAM OF SYSTFM L [ )C: I'] ]' ]i Ii)J'.,J 'l"'.r'F'i~i: (-F SOil_. FIIELfi;CIF.:ErT:[Cdq [[:::, Ei: F" -If' ifil! ...... 'I"HE:: I..[!:I'.,IBTH E:, I HEN!E; i ON :[ :il; THE: L.EN6'T'H ,:.' 1[ N FEET ) OF' THE 'FF.':tENC:H OF,;: DF;:FI ]: NF' :[ El..[). THE I;)[::I:::'TH (::il:.:' I::1 T[i:[:(i'.,IC:H O[~: f:'II' ItS THE D]:S'T'FiI'.~C:[~ BE:Tt.,J[EEN TFIE ~IJ[,.".F:IVlC:E[ OF: 'Ft..ll::: (':if~:CRJN[::, laN[> TH[:L BOTTOH OF' 1"HE IE:,.,:CFt',,,'FFF ]: ON ,:.' It',,I F[.CET::,. TIqE:I~tE: I fi; I'.,IO ::JIE'F l,.! .I D"rH FOI~;: -I"F'.Ei'.,!C:HIEE;. '/'H[~: C:iF,?.Fi'v'E:[. DE:F'Tt'I ]:S TH[:Z I',l).'lq~[i-,1LIH DEI:'TH i.')1::' (~i[;-'.l::'l',,,'E.:[.. [3E{TI.,.IEE:hl THE!: OI...t'T'FFi[.I... 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I::ll:::'[;:'l..;[(.::l::ll'T/" hl. b' E:; ':CIRF' GREATER ANCtlOIU\Gk AREA BOROUGII Department of Environmeil~al Quality 3330 "C" Street Anchorage, Alaska 99503 SOILS I,OG - PEROI,ATION '['EST Legal Descri p,i on ~ This form reports: Z~'i~g' ~ Percolation :es~ Depth Feet II - 12- 13- .., r ,¢-. 14- Was ground water encountered? If yes, at wha: depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minul~e. -Proposed installat-~T-~-n'~' Seepage Pit .Drain Field Inl et COMMENTS: .... c.zc.'r'~TZ'-c,---Z,,~ ,4 ~ x,,-, ~, , Cer~ f~ ed By ._./~&~-~4.,.~/~d~~' t _~L,6, ...... : - DATE RECEIVED I NSPECTI ON APPOI NTM ENTS TIME TIME TIME/ ~¢ DATE DATE~ DATE NSPEOTOR INSPECTORcycL~ INSPECTO MUNICIPALI~ MUNICIPALITY OF ANCHORAGE DEPT. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~MENi.,~L 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephono 2S4-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND ~ ~(~L~gS DIRECTIONS: Complete all parts ou page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY ~WNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) , PHONE 2. BUYER PHONE lis 3. LENDING INSTITUTION PHONE MAI LING ADDRESS 4. REALTOR/AGENT ~ ~- [ PFIONE 5. LEGAL DESCRIPTION STRFET LOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two E~ Five ~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* ~-y PUBLIC UTILITY 8. SEWAGE DISPOSAl.. SYSTEM .~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY 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 ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 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 I~iPU B LIC UTI LITY Connection Verified INSTALLER [~Septic Tank.Qr [] Holding Tank Size: /¢-~- ~'.~,) ¢'') If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER /~"-.;I.~_..~,. ;).~.~" TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~'~ APPROVED FOR ~ . BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 72-010 (Rev. 6/79) DAVIDA. SLENKAMP ROBERTA. SHAFER MECHANICAL ENGINEER 694-9055 June 18, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF I!L:,LTI! & ENVIRONMENT,S,L F. OTECTION Mille Staso c/o General Delivery Juneau, Alaska 99801 RECEIVED Dear Mr. staso, Reference: Lot 24~ Block 2: Headowbrook Subdivision A sewer system adequacy test was performed on the system located on the referenced property at the request of Century 21, Metropolitan Realty. The septic tank was pumped and verified to have a capacity of ~000 gallons. The absorption trench was tested by a continuous flow of 647 gallons of water over a period of 24 hours without any hdverse effect on the system. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currentlv functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further serwi, ce, please do not hesitate to callo cc: Century 21, Hetropolitan AT~PENTiON: Harion Pipple HuDicipality of Anchoracje Department of Health and Environme~ltal [~rotection SRB 196X EAGLE RIVER, ALASKA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 28,. 1976 Time of Inspection 10;30 a.m. Date of Inspection 9-29-76 Wednesday REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Neale Cony. 1. Approval requested by: Executive Realty Mailing Address: 2810 C Street Phone: 2. Property Owner: James E. Davis/Robert Cousineau Phone: 276-7777 Mailing Address: Legal Description: Lot 24 Block 2 Meadowbrook Subdivision 4. Location: Eagle River 5. Type of facility to be inspected 6. Well Data: A. Type Public C. Construction 7. Sewage Disposal System: A. Installed 1976 C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line 1. Absorption Area Total length of lines Single Family No. of bedrooms B. Depth D. Bacterial Analysis On-site system B. Installer 2. Manufacturer 2. Material B. Foundation to septic tank C. Absorption area to nearest lot line__ , Absorption area Other contamination , Absorption area .., Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual er & Water Facilities Legal Description Lot 24 Block 2 Meadowbrook Subdivision Comments Approval 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 operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES : Type of Inspection: CMRO VA_ FHA CONV. MailingAdd~ ~'~'~ ~.~/ -~-~/DayPhone:.~7~--~7~. 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution:_. Day Phone:,, Mailing Address: Phone:__ Location'. - _ Type of Facility to be Inspected: _ No. Bdrms... Water Supply Type of Supply: Public Utility. Individual If Individual, number of dwellings presently served I'f Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation / Individual (on-site) 72-003(3/76)