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Home My WebLink AboutMCMAHON BLK 4 LT 9 GRE/' ' R ANCHORAGE AREA BOR'--tGH Department of Environmental Quality 3330 C street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL DESCRIPTION /,-~'~' SEPTIC TANK: ~ DISTANCE FROM WELL /~0 INSIDE LENGTH INSIDE WIDTH_ ~ LIQUID DEPTH NUMBER OF COMPARTMENTS / LIQUID CAPACITY/~5~''~ GALLONS. TILE DRAIN FIELD: ~'T,g~:/iEt) -/~' /~, ~ DISTANCE FROM WELL ./~')~)¢~/'- FOUNDATION NUMBER OF LINES J DISTANCE BETWEEN LINES ABSORPTION AREA V/'JO~/' DEPTH: NEAREST LOT LINE SQ. FT. TOP OF TILE TO FINISH GRADE /¢/¢ TRENCH WIDTH LENGTH OF EACH LINE ~t¢ TOTAL LENGTH ) oF , NES IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILEJ~ ,~CABOVE TILE IN. WELL: BUILDING NEAREST NEAREST FOUNDATION LOT LINE__ SEWER LINE__ CESSPOOl , OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE , TANK , SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: ?~/~j'~'" ~XC, SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form LQ-032 DIAGRAM OF SYSTEM GRE ANCHORAGE AREA BOR GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME c~'~d/ ,~,~z'~A~' MAILING ADDRESS 7/~-/~'-'~/~///~'~/~-~?-~¢~)'/~)PHONE'~F'z"~'~/~'O~ ~'~/4z~-¢~:2/~'-~' LOCATION ~ .~/~ ,~-,~/ LEGAL DESCRIPTION -X~ZZ '~ ~/7/ /~/g~/g//~/ -~/~/ SEPTIC TANK: DISTANCE ~'~,~ / //~e ~/v] FROM WELL MANUFACTURER MATERIAL INSIDE LENGTH ~ INSIDE WIDTH ~' LIQUID DEPTH ~ NUMBER OF COMPARTMENTS / LIQUID CAPACITY /~'~" GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER LINING MATERIAL Cz~TZ_,~J~,~/~ CRIB SIZE: BUILDING FOUNDATION ADDITIONAL ABSORPTION OR WIDTH ~, LENGTH ~-~, DEPTH ~ DIAMETER ~'~' DEPTH ~/' __ DISTANCE FROM: WELL ~'~/ TOTAL EFFECTIVE NEAREST LOT LINE ~ h~ ABSORPTION AREA (WALL AREA) y/~ SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION /~/~/' ~ NEAREST I1 NEAREST LOT LINE /~ SEWER LINE OTHER SOURCES ~ DEPTH /~ -~' / DISTANCE FROM: SEPTIC / SEEPAGE / TANK L~.~ SYSTEM ~2 DISAPPROVED REMARKS DISTANCES: INSTALLED BY: r/~ AERIAL: LOT SLOPE: REMARKS: Form No. EQ-O31 DIAG RAM OF SYSTEM//~/////'JAz /~/ ¢ DATE APPROVED ) G.A.A.B. GRE/~-'-TR ANCHORAGe' AREA BOIr~"UGH , . f TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT PERMit NO. N~ME Of APPLICANT INSTALLATION OF: . SEPTIC TANK ~ SEEPAGE PIT FINANCED THROUGH PHONE~?~/~' DRAIN FIELD , OTHER TO BE INSTALLED BY NOTE: THIB PERMIT lB NOT VALID WITHOUT SOil, TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE~, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT. ~ /' , DRAIN FIELD ~ / SEPTIC TANK ~ '~ " ~" SEEPAGE Pit {'~ '-~ / .... DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~/ (~ , SEEPAGE PIT DRAIN FIELD / ~ /~ / ALSO CONSIDER AREA WELLS· WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ~/~'Z! /' , SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE Pit DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSS~NG 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. DIAGRAM OF SYSTEM GRAVEL BACKFILL 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 ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~;) ~ DATE' ~ ~ ~ ~'~ APPLICANT'S SIGNATURE ~;~,~; ..... ~ GREATER ANCHORAGE AREA BOROUGH . 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT SOIL TEST RESULTS COMPLETION DATE ANTICIPATED PHONE . OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL lr~S'T FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS / FOUNDATION TO SEPTIC TANK '-47 (. FOUNDATION TO SEEPAGE PIT ~-~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN Field . SEPTIC TANK, "~ ~ (, SEEPAGE PIT TO RIVER, LAKE. STREAM. ., DRAin FIELD / SeePAge Pit . ALSO CONSIDER AREA WELLS· j 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 SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLe CAPS. GRAVEl. ]BACKFILL CONFORM TO BOROUGH F~EGULATIONS REGARDING INSTALLATION· LICENSED DESIGNER DIAGRAM OF SYSTEM i CERTIFY THAT i AM FAMiliar WITH THE REQUIREMENTS OF GREATER~/~J~CHOrAge AREa_ B~O~RoUGH ORDINANCE NO. E8-68 AND THAT THE ABOVE D~Z~/DESCRIBE SYSTEM ~/~/'~'~/IS IN ACCORDANCe WITH SAID CODE. ~ ~ ~~ ,/.~~ ,)' '~'~ APPLICANT'S SIGNATURE · i ! .... HEALTH DEI4ART,HENT ' CASE JJ .. I I - 327 EAGLE STREET ' " ANCHORAGE~ ~LASKA 99501 · ~ performed Fo~ ,,Richard P~. S~i~h Da~e Performed ~u]y 14, 1971 ~egal Des~nip:lon: Lo: 9 Block 4 ~ S~giVis~'~n Mc~ahon SuS~tV~s~0h ............ This Form Reports a: $~o~ ' ' ~' ~ ' :- ' " ,[ ~ ..... ' . Pe~cola%'i~n'Te~- , ...... Depth ' ~ Feet Soll Cha~actePis:ics j ' Location Sketch .' · ~ · ,,_ ,'. Was G~ou~d Wa~e~ ~coun~e~d? No :: ;~ - ,., "- ~ If Yes, A~ Wha~ Depth, , . .' ~ ., ,. .. Reading Net. Time Proposed nstalI~Tzon: Seepage PiT ,~' " Depth Of Inlet De~h T~ Bottom O'f Pit Or ,Trench I,?.! " COMMENT$:~er'colation area re ~red ~ b~roo~s 147~5 ~ Tes~ Pe~fo~d ~_~]aska Qeolog~?a] Co~ultants '[ ~ J '~ ~ : . ua~ T~]~ 14, 1971 , ~ , ,, Depth To H20' Drain Field ~__~%~. . J~~UNICIPALITY OF ANCHOR~-~-~{ ,?~,,~!~' .D~%~Ir, i~T,,,~f~ALTH AND ENVIRONML 'AL PROTECTION li~~)) i 'A ~-825~treet, Anchorage, Alaska 99501 ~1: Ti~e% 9:30 a.m. ~2: Time ~3: Time Date 7-20-77 Wednesday Date Date Insp Buchholz Insp Insp REQUEST FOR APPROVAL ~F INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Bank of Commerce Mailing Address: Pouch 7-012 99510 Phone: 279-5641 2o Property Owner: Bertram B. Beneville Phone: 349-3493 Mailing Address: Star Route A Box 1561-L 99507 Legal Description: Lot 9 Block 4 Mc Mahon Subdivision Single Family Residence: ~ ) Number of Bedrooms: Fou Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: ~ndividual Well (x) Co,re]unity/Public System ( ) Permit # Construction Sewage Permit Septic Tank Size Absorption Area Depth of Well Well Log on File ( ) Bacterial Analysis saSystem:On-site System x~ UtilitY ( ) ~~all ( Public Manufacturer Soils Rate _.~1~ Mater±al~.~~ Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line P~ge q~o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block 4 Mc Mahon Subdivision Comments: Affadavit Attached: ( ) Approved:~ Letter Attached: ( ) Disapproved: Date: Date: Department Worksheet: :m MUNICIPALITY OF ANCHORAG[ ' ,~,~u~ic!P,.'crp: Gl: ,-, ........ -,~ ~ Department of Health and Environmental Protec~.;iQ~)h!;/.~r4i,'~,L 825 L Street, ~c~orage, Alaska 9950~ 279-2511, ext. 224, 225 ~"~/ I~L -~'~ ~equest for Approval of Individual Sewer and Water Fa~il7~'e~[.~[~:~ ~/~[~=' 1. Property Owner: /?~[~ ~- Mailing Address: ~ /~/ ~- ~ Phone: e Name of Buyer: ~/~/~ Mailing Address: Lending Institution: Mailing Address: Phone: Phone: Realtor/Agent: Mailing Address: Phone: Legal Description: Street Location: ~,~Z Single Family Residence: (Z~/x Number of Bedrooms.~--~ Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well If Individual Well, well depth If Community System, name of system Public/Community System ( ) Sewage Disposal System: On-site System ~i Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 1. Approval requested by: e o Time of Inspection Date of InSpection e Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ;~one: Property Owner: ~ Phone: Mailing Address: Legal Description: c~ ~ /~~ ~ Location: ~ .... / Type. of facility to b~ ~nspecte~~, No~ of bedrooms ,~"~. Well Data: A Type ~--~, · B. Depth C. Construction ~ w .__ D. Bacterial Analysis Sewage Disposal A. Installed __~~ ~?~ B. Instal C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. ~b~sorption Area ~ 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area, C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page'2 of two pages - Rex ~'~st for Approval of Individual ~ ~er & Water Facilities Leg.al Description Approved ~, _~~ ~ Disapproved Date ~-. ~-' 7~' Appr~'~Valid for one year from date signed Greater Anchorag~e-~ktrea 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) ,CHORAGE · Date Received Time of Inspection Date of Inspection PROVAL OF FACILITIES 1. A )roval requested by: ,./~.~'.,~, Mailing Address: ./ 2. Property Owner: Mailing Address: 3. Legal Description: ~ ~ 4. Location: ~ 5. Type of facJ]Jt~ 6. ~e11 Data: X. Type ~/~ B. Depth C. Construction~~ D. Bacterial Analysis Phone:~-~ Phone: No. of bedrooms Sewage Disposal System: A. Installed //~7~j B. Installer C. Septic Tank: 1. Size ///~_ ~5~7 2. Manufacturer D. Seepage Pit: l. Absorption Area/~?/) ~-~/ 2. Material E. Disposal Field: Total length of lines e Distances: A. Well to: Septic tank Nearest lot line /p B. Foundation to septic tank ~/, Absorption area C. AbSorption area to nearest lot line ~2~,~ ~ , Absorption area Other contamination , Sewer Lines EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of .Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA FHA CONV Property Owner: Mai-ling Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone 6. Legal Description: Location: Type of Facility to be inspected: Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well }~ Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual (on-site) Eq-037 (]/74) Page ~2'of two pages - Req~ ~ ~or Approval of Individual S~. ~ Water Facilities Legal~ Description Comments A oval iValid for one year from date signed Greater Anchorage Ar~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~%[x ~/~?//~ ./47~ _A/~..d~i~y ' Date ~//~/7~. EQ-034 (1/74) November 18, 1971 l,h". [~,icharo P. Smith 1°n~,~o ~,!. Sgtl} £~venue Anchorage, Alaska E)~,' 504 Subject: On-site Sewer Installation, Lot 9, Block t~c~:)ahon St~'bdivisioF. Dear I,~r. Smith: ~.l, 1971 you obtained a F, ermit from this De- )~artm~nt for the insl'allation of an on-site se~-;er system to be installed at the above location. Pleasn advis.~, this Department.if the system has been installe6 or if you wish ~our permit kept valid tn our fi 1 cs. Sinc~':rely, Sue ~,~c Kech n i ~ Environmc, ntal ~,ontrol Officer st