HomeMy WebLinkAboutMCMAHON #1 BLK 3 LT 30 GRE dR ANCHORAGE AREA EOF )GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'~.9~..')'-~/~A'%¢,/V MAILING ADDRESS LOCATION /7/Gz'c-tCD]/9/y /~:/ ~¢/') LEGAL DESCRIPTION SEPTIC TANK: ~/~ ¢~ ~O¢) ¢ PHONE .,~ c//,'//.)//o4/j://) DISTANCE FROM MANUFACTURER .~f~t~ INSIDE LENGTH '~ INSIDE WIDTH NUMBER OF MATERIAL ~/~-~" / COMPARTMENTS LIQUID DEPTH -- LIQUID CAPAC TY/~.~'~,) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL/~.¢.~-~-/V FOUNDATION,,~?-.~'A/ NUMBER OF LINES ~ DISTANCE BETWEEN LINES ABSORPTION AREA ~ ),/O DEPTH: TOP OF TILE TO FINISH GRADE ~ TOTAL LENGTH NEAREST LOT LINE t/(..~2 OF LINES /~//gr TRENCH WIDTH '~/'¥' IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ~-~ DEPTH OF FILTER ~F~ ¥- MATERIAL BENEATH TILE _¢~:~ IN. ABOVE TILE ¢~ IN. WELL: //~ ! TYPE BUILDING FOUNDATION__ CESSPOOt APPROVED _'"'CON~LT R U CT I O N / NEAREST ~TIC DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATE RIAL: LOT SLOPE: GrE ~r ANCHORAGE AREA BO, UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION MAILING ADDRESS ~/O / L~)/'C/~/~/~?j L~/ PHONE LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH S E E pa g E 7'i~.~TLt/t '// ~ TO BE INSTALLED bY SOIL TEST RESULTS ., DRAIN FIELD , OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: ~4 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 / 2~0 tYPe SEEPAge AREa SiZE TYPe MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE ~ , DRAIN FIELD SEPTIC TANK TO SEEPAGE~ALL / ~ ~'/~ ~' ~/~ ~ SEPTIC TANK ~ / ~ /~O~DRAIN FIELD _, SEEPAGE ~ · TO NEAREST LOT LINE. WELL TO SEPTIC Tank /~ SEEPAGE ~. ~ 0~ DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAiN TO SEPTIC TANK ., SEEPAGE PIT DRAIN FIELD . SEPTIC TANK, ~/ ~) / , SEEPAGE ~ ., DRAIN FIELD TO RIVER. LAKE. STREAM. 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. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITHSAID CODE. Jl~ 0 ~ /IL~'I~'' ~.~../ ,~ i~2 / /'~t~/~ Perfom~d for ~,'~ Legal Description: /6-r '~m ~¢e 9 This form reports: Soils log ~ GREATER ANCtlt)RAGE AREA BOROUGtt /~-~, Department of Environmental Q~"'~---ity 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Date Perfonaed ~-:?~/- ,~ Percolation test Depth Feet ll - 12- 13- Was ground water encountered? If yes, at what depth? Reading Date Gross Time Net Time Depth to ~ater Net Drop Percolation rate minute. · Proposed installat--i-6-n-:--~page Pit Drain Field 'Jepth of Inlet Dept~t-o--b~-t~--o-f--pit or trench ~ii~ COi,IHEI,ITS: WELL OWNER LOCATION b WATER W~ELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, A/aska 9950! , 0~O USE OF WELL SIZE OF CA~ING ~ ~' DEPTH-OF HOLE ~PT. CASED TO STATIC WATER LEVEL ~) FT. YIELD !/) GAL.PER.MIN. WITH FEET OF DRAWDOWN. FT. REMARKS DATE COMPLETED,~ PUMP TO BE SET AT q~ /~~ ___to II to DA~ c RECEIVED INSPECTION APPOINTMENTS TIME ' TIME TIME DATE DATE DATE DEPT. OF HEALTH MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OTECTION 825 L Street - Anchorage, Alaska 99501 NOV ~ ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page ~. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ~ PHONE MAI LI ~G A~DDR ES~' 2, ~UYER PHONE 4. REALTOR/AGENT ~ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET Ic~CATI ON 6. TYP~OF RES DENCE NUMBER OF~BEDROOMS_ · [] One J~ Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] 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.) 8. SEWAGE DISPOSAL SYSTEM -- [~ INDIVI DUAL/ON-SITE~ [] PUBLIC UTILITY /??C-?YEAR ON-SITE SYSTEM WAS INSTALLED. 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 :)ERMIT NUMBER 2, WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED 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. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5, COMMENTS [~APPROVED FOR ,~- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) SKA nUlBOnm nTAL COnTr OL $ BUIC $, II1C. 11/23/81 TERRI ESTEY 436 W. POTTER ANCHORAGE AK 99502 SELLER - TERRI ESTEY BUYER- SUBDIVISION-MCMANN BLOCK-3 LOT-30 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 340 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 600 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 11/23/81 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 4 BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1220 ~U¢$! 25th AUcnu¢./~nchorQ§¢, Alaska 99503 - (907) 276-1361 825 "L " ST REET ANCt!Of~/\G E, ALASKA ~g()7/ 264 4111 DEP/'d~I ,N4EN F OF H E/~,L'I 11 AND FINIV H~ C)~'Jt,'ii November 23, 1981 Terrance T. Estey 436 West Potter Anchorage, Alaska 99502 Subject: Lot 50 Block 3 Mc Mahon Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The septiw tank pumped with a receipt submitted to this office. (3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Statebank 310 East Northern Lights Boulevard 99503 ALASKA enulRonmenTAL CONTROL $1 RUICI $, IFIC. er~§i~m,i~§ P.,- I~nuirom~ntal Stu~li~s 11/23/81 TERRI ESTEY 436 W. POTTER ANCHORAGE AK 99502 SELLER - TERRI ESTEY BUYER- SUBDIVISION-MCMANN BLOCK-3 LOT-30 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 340 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 600 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 11/23/81 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 4 BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1220 LUest 25Ih Auenue · Anchora% Alaska 99509 * (907) 276-1361 ~ ~1 i~Ci~AL ,TY OF ANCHORAGE ' E~IRONMENTAL ENvIRoNMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete ali parts 0n page 1. Incomplete requests will not be proce~ed, Please allow ten (10) days for processing. 1. PROP~TYOWNE~ ~ J .~ ~ ~ / F ~ ~ I ~ // ~ PHONE : M~iLiNG AbDRESS~ /~ ' .- ~ * ~ PROPERTY RESIDENT (If different from above) . . , . PHONE PHONE 2. BUYER / > MAILING ADDRESS 3. LEN~G INSTITUTIO~ ~ ~HONE 4, ~::,AGENT~~ :HONE ~AraNG ADDreSS ~ / 5. LEGAL DESCRIPTION ;TREET 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 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.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/0N-SITE** [] PUBLIC UTILITY **If individual/on-site give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE iNSPECTION FEE MUST ACcoMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [7 MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [~1 COMMUNITY DATE DRILLED [~1 puBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE'DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER Size: ~,~'"'<~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER.~ ~.,._. TQTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~OVEDFOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) Department of Environmental Quality'] ~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received tL~m"~- .~ 1. Approval~.li~ e  . Time of Inspection~~-c_~ ~v\ Date of Inspection~ / REQUEST FOR APPROVAL OF ~/~/INDIVIDUAL SEWER & WATER FACILITIES  FOR '/.. , ~ted by: ~0~ ~ Property Owner: Mailing Address: Legal Description: Phone: No of bedrooms.~, ~ 5. Type of facility to be inspected ~6. Well Data: A. Type ~ B. Depth C. Con~truction~ D. Bacterial Analysis 7. Sewage Disposal System: A. Installed /~-- ~~~_ Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material e E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank ~/ Absorption area / Sewer Lines , ~ , Nearest lot line /~/' , Other contamination ~3. Foundation to septic tank ~z)-/-/- , Absorption area Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages - pa 2 of two pages - Re ~st for Approval of Individual ~'~er & Water Facilities Comments ApProvedr~}~x'~~ Disapproved Date {' I~ "'~xS Approv~alid for one year from date signed Greater Anchorage)k~a 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) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES o Type of Inspection: CMRO VA' FHA CONV Property .Owner: James Jackson C/O Vernona Kacts, 2001-Wildwood Lane, Anch. AK Mailing Address: Day Phone 279-2802 Name of Buyer: L¥1e D. Osier '9378 Campbell Terrace Mailing' Address: Anchorage, AK Day Phone 344-9439 Name of Lending Institution: The Lomas & Nettleton Companv 4449 Business Park Blvd. Mailing Address: Anchorage, AK 99503 Phone 274-'7661 Name of Rea]t0r or Agent: Norm Grant/Marston Realty 2804 W. Northern Lts. Blvd. Mailing Address: Anchorage, AK Phone 277-3511 99503 6. Legal Description: Lot 30, Block 3, McMahon Subdivision Location: NHNDoroshin Ave., Anchorage, AK Type of Fa:cility to be inspected: Hater Supply Individual Type of Supp.iy: Public Utility ... Single Family No. Bdrms. 4 If IndividUal, number of dwellings presently served If Individual, depth of well ?. Sewage Disposal System Type :of S~stem: Public Utility If Individual, date of installation ? 1 Individual (on-site) x //~~:? DEPARTMEI 'OF HEALTH AND ENVIRONMEN]' ! PROTECTION \~'?~.~rq3 279-2511, ext. 224 or 225 ~1: Time~ ~11 ~_.~-~L~~[~ime _~f~~ ~3: T3_me Date Date ~i'~ Date insp Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Statebank % Shirley J. Ellstrom Mailing Address: 310 East Northern Lights Blvd. 2. Sheron Osier Property Owner: Mailing Address: Star Route A Box 1572-C 99507 Phone: 279-7637 Phone: ~z9~3~/h 279-2441/w 3. Legal Description: Lo% 30 Block 3 Mc Mahon Subdivision 4: Single Family Residence: ~x) Multiple Family Residence: ( ) Well System: Permit ~ Construction Individual well NumbeJ; of Bedrooms: Three Number of Bedrooms: (x) Community/Public System ( ) Depth of Well Well Log on Fi].e ( ) Bacterial Analysis Sewage Disposal System: On-site System (x) Public Utility ( Permit I~ Znsta!led-~.'~n'', =- Installer __Ci~L~-_hip~. . Septic Tank Size ~~ Manufacturer C~ ¢'~-~ ~sorption Area~¢~/~ _ Soils Rate ~/~ Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lo% Line Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 30 Block 3 Mc Mahon Subdivision Affadavit Attached: ( ) Letter Attached: ( Disapprov%d: ~ Date: Date: Department Worksheet: 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 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: CM R O Os&er, Sheron VA FHA CONV X Day Phone:?7q-?~&l n¢¢~ 349-4936 Home 1fi& Cmrlyl~ Way; ¥~r~nW~ Day Phone: Ag2-9111 Name of Lending Institution: Mailing Address: 310 E. Northern Lights Blvd. Phone: 279-7637 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: T,n~ Location: None Phone:. 7. Type of Facility to be Inspected: Dw~llJng No. Bdrms. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served ? If Individual, depth of well Individual 1 9. Sewage Disposal System Note: Type of System: Public Utility Individual (on-site) Iflndividual, dateofinstallation 1974 ~s of May 24~ 1977~ the fee schedule went.into effect. There is now a $25.00 fee to be included with each request. The request and check for the fee must be sent in before we can process the paperwork. Thank you~ Laura Harrison 279-2511~ extension 225/224 Could we please have this done as soon as possible? 72-003(3/76) Thank you,