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,